"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" "36108","MDA","Republic of Moldova","","Economic Growth and Poverty Reduction Strategy Paper (2004-2006)","Multisectoral development plan with nutrition components","","English","","2004","","2006","Government","5","2004","Not adopted","","","","Health","Ministry of Health","","","","","","","","","National NGOs","","","","","","","","
Targets
6.14. HEALTHCARE
Good progress towards the achievement of the Millennium Development Goals for Moldova presupposes the improvement in a number of relevant indicators by 2006. It is envisaged to:
Objectives
Environmental Protection and Sustainable Use of Natural Resources
Healthcare
Priority Actions
6.12 Environmental Protection and Sustainable Use of Natural Resources
i) water resources protection
6.14 Healthcare
2. National immunization program 2001-2005
5. Diabetes prevention and treatment program MoldDiab 2002-2005
6. Quality perinatal services program
9. Realizing the provisions of the National Program for prevention and cardiovascular diseases;
10. Realizing the provisions of the National Program for prevention and fighting cancer
12. Programs of medical assistance for pregnant women, sick children
13. Provision of small babies and pregnant women with drugs, compensated in ambulatory conditions
","13. Environmental protection and sustainable use of natural resources
15. Healthcare
4. The label applied to a food shall carry—
(a) on the main panel—
(i) the brand or trade name of that food (if any);
(ii) the common name of the food;
(iii) in close proximity to the common name, a correct declaration of the net contents in terms of weight, volume or number in accordance with the usual practice in describing the food;
(b) grouped together on any panel—
(i) a declaration by name of any preservatives used in the food;
(ii) a declaration of permitted food colour added to the food;
(iii) a declaration of any artificial or imitation flavouring preparation added to the food;
(iv) in the case of a food consisting of more than one ingredient, a complete list of their acceptable common names in descending order of their proportions, unless the quantity of each ingredient is stated in terms of percentages or proportionate compositions; and
(v) any other statement required under the provisions of these Regulations to be declared on the label.
(c) on any panel, the name and address of the manufacturer, packer or distributor of the food.
...
19. Where a statement or claim relating to the carbohydrate, sugar or starch content is made on the label of, or in any advertisement for, a food the label shall carry a statement of the carbohydrate content in grams per 100 grams or on a percentage basis.
...
21. For the purposes of these Regulations a food may be described as low calorie or by any synonymous term if it contains not more than—
(a) 15 calories per average serving; and
(b) 30 calories in a reasonable daily intake.
22. Where a statement or claim relating to the calorie content made on the label of, or in any advertisement for, a food the label shall carry a statement of the calorie content in calories per 100 grams.
...
24. (I) For the purposes of these Regulations a food may be described as low sodium or by any synonymous term if it contains not more than—
(a)10 mg. sodium in an average serving; and
(b) 20 mg. in a reasonable daily intake.
(2) Where a statement or claim relating to the sodium content is made on the label of, or in any advertisement for, a food the label shall carry a declaration of the sodium content in milligram per 100 grams.
…
249. Enriched flour shall be flour to which has been added thiamine, riboflavin, niacin and iron in a harmless carrier and in such amounts that one kilogram of enriched flour shall contain—
(a) not less than 4.5 milligrams and not more than 5.5 milligrams of thiamine;
(b) not less than 2.7 milligrams and not more than 44.4 milligrams of riboflavin;
(c) not less than 35.5 milligrams and not more than 44.4 milligrams of niacin or niacinamide; and
(d) not less than 28.5 and not more than 36.5 milligrams of iron.
...
271. Margarine shall be a food in the form of a plastic or fluid emulsion of edible oils, fats, with water or skimmed milk or other substances, with or without the addition of colouring matter, may contain preservatives, antioxidants, emulsifying agents, the use and limits of which shall be as prescribed in the Second Schedule to these Regulations, Vitamin A and D, and shall contain—
(a) not less than 80 per cent fat; and
(b) not more than 16 per cent water.
...
299.Table salt or salt for general household use shall contain 33.7 mg. per kilogram of potassium iodate, the presence of which shall be declared on the label, and may contain harmless anticaking agents to secure free running properties as prescribed in the Second Schedule to these Regulations.
","Food labelling|Vitamin A|Other B-vitamins|Iodine|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory salt iodization|Ingredients list|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria","","http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN107_1978.pdf http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN228_1978.pdf","http://kenyalaw.org:8181/exist/kenyalex/actview.xql?actid=CAP.%20254","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%201978%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20And%20Standards%29%20Regulations.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%201978%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20And%20Standards%29%20Regulations.pdf" "8020","PNG","Papua New Guinea","","Food Sanitation Act","Legislation relevant to nutrition","","English","","1991","","","Government","","1991","Adopted","","1991","Gov","Health","Food Sanitation Council","","","","","","","","","","","","","","","","","","","","","","Food fortification","","http://www.paclii.org/pg/legis/consol_act/fsa1991169/","","WHO Global Nutrition Policy Review 2009-2010","" "8783","NPL","Nepal","","Mother's Milk Substitutes (Control of Sale and Distribution) Act, 2049 (1992)","Legislation relevant to nutrition","","English","8","1992","","","Parliament","8","1992","Adopted","","1992","Parliament","Education and research|Health|Industry|Social welfare","Maternal and Child Health Sector, Ministry of Supply","","","","","","","","","","","","","Private sector","Nepal Chamber of Commerce and Industries","Other","Nepal Pediatrician Association","","","","","The Act provides for the establishment of a breastfeeding protection and promotion committee, defines its internal organization and lays down its duties and powers which include: to supervise the compliance with this Act; to review and approve the labels submitted by the manufacturers and distributors which are in conformity with the provisions of this Act; and to formulate a national policy for the protection and promotion of breastfeeding. The Act further specifies the acts prohibited by manufacturers and distributors and makes provision for: the certification of products from the central food laboratory; the labelling of products; and the conformity to the standards of the Nepal Bureau of Standards. In addition the Act provides for: powers of inspectors; penalties; rule making powers of His Majesty’s Government; etc.
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Labelling: Message on superiority of breastfeeding|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","http://faolex.fao.org/docs/pdf/nep85434.pdf","Scope of the Code: 0-12 months of age","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html) / ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%201992%20Mother%27s%20Milk%20Substitues%20Control%20of%20sale%20and%20distribution%20Act%202049.pdf" "14769","TZA","United Republic of Tanzania","","Food (Control of Quality) (Iodated Salt) Regulations, 1993","Legislation relevant to nutrition","","English","","1994","","","Government Notice No. 83 published on 25/3/94","","1994","Adopted","12","1993","Minister of Health","Health","","","","","","","","","","","","","","","","","","","","","","3. No person shall import into Tanzania any edible salt in any other form than iodated salt (reg. 3). No person shall manufacture for sale, distribute, store or display salt other than iodated salt
4. No person shall on his own or cause any other person on his behalf to manufacture for sale or distribution store or display salt other than iodated salt.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC005306","","","" "8006","USA","United States of America","","Nutrition Labeling and Education Act of 1990","Legislation relevant to nutrition","","English","5","1994","","","Food & Drug Administration","","1990","Adopted","1","1990","Senate and House of Representatives of the United States of America in Congress","Cabinet/Presidency|Health","FDA","","","","","","","","","","","","","","","","","","","","","SEC. 2. NUTRITION LABELING. (a) NUTRITION INFORMATION- Section 403 (21 U.S.C. 343) is amended by adding at the end the following new paragraph: `(q)(1) Except as provided in subparagraphs (3), (4), and (5), if it is a food intended for human consumption and is offered for sale, unless its label or labeling bears nutrition information that provides-- `(A)(i) the serving size which is an amount customarily consumed and which is expressed in a common household measure that is appropriate to the food, or
`(ii) if the use of the food is not typically expressed in a serving size, the common household unit of measure that expresses the serving size of the food, `(B) the number of servings or other units of measure per container, `(C) the total number of calories-- `(i) derived from any source, and `(ii) derived from the total fat, in each serving size or other unit of measure of the food, `(D) the amount of the following nutrients: Total fat, saturated fat, cholesterol, sodium, total carbohydrates, complex carbohydrates, sugars, dietary fiber, and total protein contained in each serving size or other unit of measure, `(E) any vitamin, mineral, or other nutrient required to be placed on the label and labeling of food under this Act before October 1, 1990, if the Secretary determines that such information will assist consumers in maintaining healthy dietary practices.
...
SEC. 10. EFFECTIVE DATE. (a) IN GENERAL- (1) Except as provided in paragraph (2)-- (A) the amendments made by section 2 shall take effect 6 months after-- (i) the date of the promulgation of all final regulations required to implement section 403(q) of the Federal Food, Drug, and Cosmetic Act","Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Amount of available carbohydrate|Amount of dietary fibre|Amount of protein|Amount of salt/sodium|Amount of saturated fatty acids|Amount of total fat|Amount of total sugars|Energy value (ND)|Claim must be substantiated","","https://www.govinfo.gov/content/pkg/STATUTE-104/pdf/STATUTE-104-Pg2353.pdf","GUIDE TO NUTRITION LABELING AND EDUCATION ACT (NLEA) REQUIREMENTS FDAThe Nutrition Labeling and Education Act of 1990 (NLEA) provides FDA with specific authority to require nutrition labeling of most foods regulated by the Agency; and to require that all nutrient content claims (i.e., 'high fiber', 'low fat', etc.) and health claims be consistent with agency regulations. Regulations implementing the NLEA labeling provisions issued on January 6, 1993, with technical amendments published on August 18, 1993.The regulations became effective for health claims, ingredient declarations, and percent juice labeling on May 8, 1993 (percent juice labeling was subsequently exempted until May 8, 1994). The regulations for nutrition labeling and other provisions became effective on May 8, 1994. However, by an Act of Congress, these provisions do not apply to certain products until after August 8, 1994.https://www.fda.gov/ICECI/Inspections/InspectionGuides/ucm074948.htm","WHO Global Nutrition Policy Review 2009-2010","" "22916","USA","United States of America","","Food Labeling: Mandatory Status of Nutrition Labeling and Nutrient Content Revision, Format for Nutrition Label","Legislation relevant to nutrition","","English","2","1994","","","Food and Drug Administration, HHS","1","1993","Adopted","","","Federal Register / Vol. 58, No. 3 / Wednesday, January 6, 1993 / Rules and Regulations","Health","","","","","","","","","","","","","","","","","","","","","","
The principal provisions of these Regulations: (1) Prohibit sale of infant food which does not comply with packaging, labelling and composition requirements of regulations 2, 3 and 8-16; (2) prescribe requirements for the formulas in the case of export to third (non-EC) countries; (3) limit the advertising of infant and follow-on formulas and impose restrictions on other marketing mechanisms (rrgs. 17-20); (4) prescribe rules for the providing of information and education materials by producers. (24 regulations and 6 Schedules)
(Summary retrieved from FAOLEX)
18. (1) Pre-packaged food shall not be described or presented on any label or in any labelling in a manner that is false, misleading or deceptive or is likely to create an erroneous impression regarding its character in any respect.
…
(3) All pre-packaged food produced, processed, packed, distributed, or imported shall be labelled with the following mandatory information-
…
(b) list of ingredients;
… 19. (1) The following is prescribed for nutrient content labelling on all pre-packaged food produced, processed, packed, distributed, or imported:
(a) the declaration of energy, protein, fat and carbohydrate, shall be made in accordance with composition;
…
(f) nutrient declaration shall be mandatory for foods for which nutrition claims are made and the amount of that nutrient per 100g or per 100ml expressed in metric unit, or per serving shall be declared;
…
22. (1) The only nutrition claims permitted shall be those relation to energy, protein, carbohydrate, and fat and components thereof, fibre, and sodium, and vitamins and minerals for which Nutrient Reference Values have been laid down in the Codex Alimentarius unless otherwise permitted by these Regulations or the Minister,
…
23. (1) Every package containing a breast-milk substitute for Breastmilk sale shall, in addition to other mandatory requirements specified in these substitutes Regulations, bear on or attached to it, a label containing - (a) the words """"Important Notice"""" or their equivalent; (b) a statement of the superiority of breast feeding; and (c) a statement that the, product should be used only on advice of a health worker as to the need for its use and the proper method of use; and (d) for products which do not meet all the requirements of an infant formula, but which can be modified to do so; a warning that the unmodified product should not be the sole source of nourishment for an infant.
…
24. (1) An advertisement for a food shall not contain any word, statement, expression, pictorial representation, design or abbreviation that is prohibited from being included in or on the label for such a food.
(2) Advertising of breast-milk substitutes shall be prohibited - (a) in health care facilities; (b) to the general public; and (c) through promotional activities including but not limited to gifts, samples, discount coupons and special displays at the point of sale.
(3) Manufacturers and distributors of breast-milk substitutes shall be prohibited from providing, giving and distributing any educational, advertising and promoting material which, in opinion of the Board, promotes the use of breast-milk substitutes or bottle-feeding.
…
ELEVENTH SCHEDULE (Regulation 64(8))
STANDARDS ON CEREAL AND CEREAL PRODUCTS
…
11.3 STANDARD ON WHEAT FLOUR
…
(4) The following specific product requirements shall apply only to wheat flour for direct human consumption prepared from common wheat, Triticum eastivum L., or club wheat, Triticum compactum host., or mixtures thereof, by grinding or milling processes in which the bran and germ are partly removed and the remainder is comminuted to a suitable degree of fineness, and which is prepackaged ready for sale to the consumer or destined for use in other food products:
a, All such wheat flour imported into Solomon Islands, processed, displayed and/or sold in Solomon Islands and/or exported from Solomon Islands shall be prepared so as to provide the following minimum levels of micronutrients, including all nutrients naturally present, in the wheat flour at the point of import, the point of export and the point of sale:
i. 6.0 mg/Kg of Thiamin from a source of thiamin mononitrate; ii. 2.0 mg/Kg of Riboflavin; ill. 55mg/Kg of Niacin; iv. 2.0mg/Kg of Folic acid; Iron from a source of elemental iron powder of 45 microns average diameter or similar made by an electrolytic reduction process at levels of 60mg/Kg or from ferrous fumarate at levels of 45mg/Kg or from other subsequently approved sources; and vi. 30mg/Kg of zinc from a source of zinc oxide.
…
TIHRTEENTH SCHEDULE (Regulation 64(10))
13.1 STANDARD ON SALT AND REDUCED SODIUM SALT MIXTURES
(1) All salt for import into, and for use and sale in Solomon Islands for processing of food and for direct human consumption shall:
a. be salt to which has been added potassium iodide or iodate, or sodium iodide or iodate;
","Food labelling|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Claim must be substantiated|Specific nutrition criteria","","","","","" "41877","NGA","Nigeria","","Pre-packaged Food (Labelling) Regulations","Legislation relevant to nutrition","","English","","1996","","","National Agency for Food and Drug Administration and Control (NAFDAC)","8","1995","Adopted","","1995","S.I. 16 of1995","Nutrition council|Health|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","","","","","","4. List of ingredients
(1) A complete list of ingredients used in preparing the food item shall be declared on the label in descending order of their proportion, except in the case of a dehydrated food item intended to be reconstituted by the addition in order of proportion in the reconstituted product…
…
17. Nutritional labelling
(1) Any nutritional claim shall be justified expressly on the label.
(2) A nutrient labelling shall be mandatory for any pre-packaged food item for which a nutrition claim is made by the manufacturer.
(3) Where nutrient declaration is applied, the declaration of the following shall be mandatory-
(a) energy value;
(b) the amounts of protein available, carbohydrate (excluding dietary fibre) and fat; and
(c) the amount of any other nutrient for which a nutrient claim is made.
(4) When nutrient labelling is applied, the amount of vitamins and minerals considered to be of negligible importance may not be listed.
(5) The list of ingredients and the specification of the quantities of certain nutrients on the label as required by the Act or of any Regulations made thereunder shall not constitute a claim.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Sanctions exist","","","","","" "41878","NGA","Nigeria","","Food Grade (Table or Cooking) Salt Regulations","Legislation relevant to nutrition","","English","","1996","","","National Agency for Food and Drug Administration and Control (NAFDAC)","1","1996","Adopted","","1996","1993 No. 15. S.1. 14 of 1996","Nutrition council|Health|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","","","","","","2. Standard for food grade salt
…
(2) … (d) The minimum level of iodine ex-factory and at the port of entry shall be 50 mg/kg. The minimum level of iodine at all retail outlets (markets, supermarkets, etc.) shall be 30 mg/kg.
","Food labelling|Iodine|Food fortification|Food grade salt|Mandatory salt iodization|Fortification of salt with iodine aligned with WHO guidance|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria|Sanctions exist","","https://nigeria.tradeportal.org/media/NAFDAC%20Act.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%201996%20FOOD%20GRADE%20%28TABLE%20OR%20COOKING%29%20SALT%20REGULATIONS.pdf" "41571","UGA","Uganda","","The Foods and Drugs (Control of Quality) (Iodated Salt) Regulations","Legislation relevant to nutrition","","English","","1997","","","Ministry of Health","9","1997","Adopted","9","1997","Minister of Health","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","8. (1) A person shall not import, produce or market in Uganda for human or livestock consumption, any salt unless it is iodated with patassium iodate.","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization","","http://extwprlegs1.fao.org/docs/pdf/uga169857.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LEX-FAOC169857%20" "8224","BRN","Brunei Darussalam","","Emergency (Public Health (Food) Order), 1998 (S 17/98)","Legislation relevant to nutrition","","English","","1998","","","","","1998","Adopted","","","","Health","Ministry of Health","","","","","","","","","","","","","","","","","","","","","","Food security and agriculture","","https://www.agc.gov.bn/AGC%20Images/LAWS/Gazette_PDF/2000/EN/s078.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "23007","THA","Thailand","","Notification of the Ministry of Public Health (No. 182) B.E.1998 Re: Nutrition Labelling","Legislation relevant to nutrition","","English","12","1998","","","Ministry of Public Health","6","1998","Adopted","3","1998","","Health","","","","","","","","","","","","","","","","","","","","","","It deems appropriate to have nutrition labeling for information and useful nutrition facts to people and consumers protection in food and nutrition.
By the virtue of provisions of Section 5 and 6 (10) of the Food Act B.E. 2522 (1979), the Minister of Public Health hereby issues a notification as follows:
Clause 1. The following categories of foods are required to have nutrition labelling.
1.1 Foods which have nutrition claim.
1.2 Foods which utilize food value in sale promotion.
1.3 Foods which define consumer groups in sale promotion.
1.4 Other foods to be notified by Food and Drug Administration, which are approved by the Food Committees.
5. (1) No person shall-
(a) Import into Lesotho; or
(b) Sell,
food grade or other salt intended for human or animal consumption unless iodine has been added thereto.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Sanctions exist","","","","ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%201999%20Lesotho%20Iodization%20Regulation.pdf" "26282","MUS","Mauritius","","Food Regulations made under the Food Act 1998","Legislation relevant to nutrition","","English","","1999","","","Ministry of Health and Quality of Life","","1999","Adopted","","","F61-206 Subsidiary Legislation of Mauritius","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","3. Labelling requirements of pre-packed food
(q) where a claim is made as to the presence in that food of any vitamin or mineral or amino acid, a statement setting out in the case of -
(i) vitamin, the quantity of each vitamin in International Units or milligrams;
(ii) mineral, the quantity of each mineral in parts per cent or milligrams; or
(iii) amino acid, the quantity of each amino acid in milligrams present in a stated quantity of food
...
5. Food with decrease sodium content
No person shall import, manufacture, process, pack, store, offer for sale or sell any food whose sodium content has been decreased or eliminated, unless the label on the package of the food bears the appropriate terminology for the following quantitative standards in respect of element of sodium -
(a) """"Sodium free"""" - not more than 5 milligrams per 100 grams;
(b) """"Very low sodium"""" - not more than 35 milligrams per 100 grams;
(c) """"Low sodium"""" - not more than 140 milligrams per 100 grams;
(d) """"Reduced sodium"""" - processed to reduce the usual level of sodium by 75 per cent;
(e) """"Unsalted"""" - processed without sodium chloride;
(f) """"No salt added"""" - should express the natural sodium content in milligram per 100 grams.
6. Low calorie food
(1) No person shall import, manufacture, process, pack, store, offer for sale or sell any food labelled -
(a) """"LOW CALORIE"""" unless the food contains not more than 40 calorie per 100 grams of food;
(b) """"REDUCED CALORIE"""" unless the calorie content of the food is one third lower than the calorie content of the food to which it is compared; and
(c) """"DIET"""" or """"DIETIC PRODUCT"""" unless the product complies with the standards specified in paragraph (2).
(2) """"DIET"""" or """"DIETIC PRODUCT"""" shall -
(a) comply with the requirements for low or reduced calorie food;
(b) be clearly described as being useful for special dietary purposes; and
(c) not make any claim to the effect that the food is guaranteed to maintain or reduce body weight.
...
112. Iodised salt
Iodised salt shall be edible salt which contains –
(a) not less than 98 per cent sodium chloride on a moisture free basis;
(b) not more than 0.2 per cent of matter insoluble in water;
(c) not more than one per cent moisture;
(d) added potassium iodate or potassium iodide, or both, complying with the standards of purity specified in the British Pharmacopeia; and
(e) not less than 15 p.p.m and not more than 25 p.p.m of iodine.
...
176. Infant formula and breast milk
No person shall -
(a) advertise or cause to be advertised any infant formula with any claims to the effect that the infant formula is superior to breast milk; and
(b) import, pack, store, offer for sale or sell any infant formula which bears a label claiming that the infant formula is superior to breast milk.
...
199. Margarine
206. Maximum permissible level of fat
No person shall import, manufacture, process, pack, store, offer for sale or sell any food specified in the first column of the Fifty-eight Schedule unless it complies with the maximum permissible level of polyunsaturated fat, saturated fat or palm oil specified in the second column of the Schedule in respect of that food.
...
250. Peanut butter Peanut butter – ...
(c) shall contain not more than –
...
(iii) 2 per cent salt;
...
FIFTY-EIGHTH SCHEDULE
[Regulation 206]
PERMITTED LEVEL OF SATURATED FATTY ACIDS
PART A FOOD - MAXIMUM PERMISSIBLE LEVEL
Edible mixtures or preparations of animal or vegetable fat or oil or of fractions of different fats or oil - (1) Not more than 23 per cent of saturated fatty acids; and (2) Not more than 25 per cent of palm oil
Hydrogenated oils and fats for industrial purpose - Not more than 85 per cent saturated fatty acids on the fat weight basis
Industrial margarine - Not more than 75 per cent saturated fatty acids on the fat weight basis
Margarine rich in polyunsaturates - Not less than 45 per cent of polyunsaturated, not more than 25 per cent of saturated fats on the fat weight basis
Other margarine - (1) Not more than 60 per cent saturated fats on the fat weight basis; and (2) Not more than 25 per cent of palm oil
Vegetable fats (Vanaspati) - Not more than 30 per cent saturated fatty acids on the fat weight basis
PART B
Maximum permissible level of saturated fatty acids per 100 g of edible portion
Any other food product - 15%
Biscuits, wafers, pastry, filled milk, not excluding other types of milk and milk products - 15%
Chocolate other than dark chocolate, coffee whiteners and confectioneries -25%
Imitation cream, cooking chocolate and dark chocolate - 35%
Pasta, breakfast cereals, malted instant drink powder - 5%
Snacks, cakes, fried cakes, chips, fried chicken, twisties and noodles - 10%
[Fifty-eighth Sch. revoked and replaced by reg. 3 of GN 171 of 2004 w.e.f. 16 October 2004.]
","International Code of Marketing of Breast-milk Substitutes|Food labelling|Fats|Salt/sodium|Vitamin A|Iodine|Vitamin D|Food grade salt|Edible oils and margarine|Voluntary fortification|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of margarine or edible oils with vitamin D|Ingredients list|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Mandatory reformulation|Measures to limit saturated fatty acid content|Measures to limit sodium content|Breakfast cereals (Reformulation saturated fat)|Butter and other fats and oils (Reformulation saturated fat)|Cakes, sweet biscuits and pastries; other sweet bakery wares; and dry-mixes for making such (Reformulation saturated fat)|Chocolate and sugar confectionery, energy bars, and sweet toppings and desserts (Reformulation saturated fat)|Fresh or dried pasta, noodles, rice and grains (Reformulation saturated fat)|Processed meat, poultry, game, fish and similar (Reformulation saturated fat)|Savoury snacks (Reformulation saturated fat)|Yoghurt, sour milk, cream and other similar foods (Reformulation saturated fat)|Chocolate and sugar confectionery, energy bars, and sweet toppings and desserts (Reformulation sodium)","","https://health.govmu.org/Documents/Legislations/Documents/ANNEX%205%20Food%20Regulations%201999%20(Subsidiary%20Legislation%20of%20Mauritius%202013).pdf","","Food (Amendment) Regulations 2004 (G.N. 171 of 2004) http://www.fao.org/faolex/results/details/en/c/LEX-FAOC061930https://supremecourt.govmu.org/Legislations/No 171-FOOD (AMENDMENT) REGULATIONS 2004_20160528104917689.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MUS%201999%20Food%20Regulations.pdf" "23872","VNM","Viet Nam","","Decree No. 19/1999/ND-CP on the production and supply of iodised salt for human use","Legislation relevant to nutrition","","English","6","1999","","","","5","1999","Adopted","","1999","Official Gazette No. 19 (22-5- 1999)","Health|Development|Food and agriculture|Trade","Mintstry of Agriculture and Rural Development, Ministry of Trade, Ministry of Health","","","","","","","","","","","","","","","","","","","","","Article I.-
1. This Decree prescribes thc production and supply of iodized salt for human use; called edible salt.
2. Edible salt and salt used in food preparation must all be mixed with iodine according to the prescribed standards.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Sanctions exist","","","","ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%201999%20Decree%20No.%2019.1999.ND-CP%20on%20the%20production%20and%20supply%20of%20iodised%20salt%20for%20human%20use..pdf" "8613","GHA","Ghana","","Breastfeeding Promotion Regulations 2000, LI1667","Legislation relevant to nutrition","","English","5","2000","","","Government","1","2000","Adopted","","2000","","Health","Food and Drug Board","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","","","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html) / Link to eLENA "Regulation of marketing breast-milk substitutes" : https://www.who.int/tools/elena/interventions/regulation-breast-milk-substitutes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202000%20Breastfeeding%20Promotion%20Regulations_0.pdf" "17865","PHL","Philippines","","Philippine Food Fortification Act of 2000","Legislation relevant to nutrition","","English","11","2000","","","Government","","2000","Adopted","11","2000","","Finance, budget and planning|Health|Nutrition council|Other|Trade","Land Bank of the Philippines (LBP), Livelihood Corporation (LIVERCOR), Bureau of Food and Drugs of the Department of Health (BFAD), Department of Health (DOH), Sangkap Pinoy Seal Program (SPSP), Governing Board of the National Nutrition Council (NCC), Agencies/Institutions with accredited analytical laboratories for nutrient analysis, Agencies/Institutions with technology development generators, Department of Science and Technology (DOST), Department of Trade and Industry (DTI), local units (health officers, agricultural officers, nutritionist-dieticians, sanitary inspectors), Food Manufacturers (Refinery, miller, importer, processor)","","","","","","","","","","","","","Private sector","","","","","","","","Long title: Republic Act No. 8976, an Act establishing the Philippine Food Fortification Program and for other purposes.
In order to prevent and limit nutritional deficiency problems in the Philippines, a Food Fortification plan provides for the addition of nutrients to processed foods or food products as per the Recommended Dietary Allowances (RDA). The Philippine Food fortification Program shall apply to all imported or locally processed foods or food products sold or distributed in the country as:
(1) Voluntary Food Fortification - the Department shall encourage the fortification of all processed foods or food products using the Sangkap Pinoy Seal Program (SPSP), that authorizes food manufacturers to use the DOH seal of acceptance for processed foods or food products, passing the special criteria evaluation of the program, so that recognizing the seal the consumers shall be compelled to select those products with added nutrients improving their diet.
(2) Mandatory Food Fortification, means the fortification of staple foods based on standards sets by the Department of Health (DOH) and the Bureau of Food and Drugs of the Department of Health (BFAD) as per the following additions:
(1) Rice with Iron;
(2) Wheat flour 0 with vitamins A and Iron;
(3) Refined sugar with vitamin A;
(4) Cooking oil with vitamin A;
(5) Other staple foods with nutrients as required by the Governing Board of the National Nutrition Council (NCC).
","Food labelling|Vitamin A|Iron|Food fortification|Wheat flours|Rice|Refined sugar|Edible oils and margarine|Mandatory fortification|Voluntary fortification|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of rice with iron|Mandatory fortification of sugar with vitamin A|Mandatory fortification of wheat flours with iron|Local products|Imported products|Subsidies for production|Monitoring mechanism established|Sanctions exist","","","","ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office. FAOLEX No: LEX-FAOC040803http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202000%20Food%20Fortification%20Act.pdf" "8353","AZE","Azerbaijan","","Law on Iodine deficiency prevention in Azerbaijan Republic","Legislation relevant to nutrition","","English","","2001","","","Government of the Republic of Azerbaijan","","2001","Adopted","","2001","Government of the Republic of Azerbaijan","Health","","","","","","","","","","","","","","","","","","","","","","Article 4. Responsibilities of the State in the Prevention Iodine Deficiency Disorders
4.0. Responsibilities of the State in the prevention Iodine deficiency disorders are the following:
4.0.1. Development and implementation of purposeful state programs on the prevention of Iodine deficiency disorders;
4.0.2. Observation, prognosis and assessment of the prevalence of Iodine deficiency disorders among population
4.0.3. Implementation of economic, legal and organizational measures for the purposes of satisfying the demands for iodized salt, which is necessary for the health and activity of the population;
5.0.1. In the Republic of Azerbaijan the following preventive measures from Iodine deficiency disorders shall be implemented:
5.0.2. Organizing the preventive examination of population and revealing ill people with pathologies in thyroid;
5.0.3. For monitoring purposes annual assessment of the dynamics of Iodine deficiency disorders and the efficiency of preventive measures taken and reporting the results to the concerned bodies ;
5.0.4. Organizing the scientific research work aimed at the prevention of Iodine deficiency disorders;
5.0.5. Raising the awareness of population with regard to the prevention of Iodine deficiency disorders and health education of population on prevention of iodine deficiency disorders through dissemination IEC materials and broadcasting these issues on TV, radio and media.
5.0.6. To make mandatory for all juridical and physical persons functioning in the sphere of the production of iodized salt the observance of standards and requirements of sanitary-hygienic norms and rules (afterwards standards and requirements) in ensuring the quality and safety of iodized salt.
","Iodine deficiency disorders|Food labelling|Media campaigns on healthy diets and nutrition|Iodine|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products","","http://www.ceecis.org/iodine/03_country/aze/aa07aze_leg_usidecree_0000.doc","","NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AZE%202001%20IDD%20Prevention%20Law%20%28ENG%29.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/AZE%202001%20IDD%20Prevention%20Law%20%28ENG%29.pdf" "8225","BRN","Brunei Darussalam","","Public Health (Food) Act 2001","Legislation relevant to nutrition","","English","","2001","","","Laws of Brunei","","2001","Adopted","","","","Health","Ministry of Health","","","","","","","","","","","","","","","","","","","","","General requirements for labelling.
9. (1) No person shall import, advertise, manufacture, sell, consign or deliver any prepacked food if the package of any prepacked food does not bear a label containing all the particulars required by these Regulations. (2) Every package of prepacked food shall, unless otherwise provided in theseRegulations, bear a label, marked on or securely attached in a prominent and conspicuous
position to the package, containing such particulars, statements, information and words in
Malay or English or translation into Malay or translation into English as are required by the
Act or these Regulations.
(3) The particulars, statements, information and words referred to in sub-regulation
(2) shall appear conspicuously and in a prominent position on the label and shall be clearly
legible.
(4) The particulars referred to in sub-regulation (3) shall include —
…
(b) the appropriate designation of each ingredient in the case of food consisting
of 2 or more ingredients and unless the quantity or proportion of each ingredient is
specified, the ingredients shall be specified in descending order of the proportions
by weight in which they are present.
…
Nutrition information panel
13. (1) No label shall contain any nutrition claim unless it also includes a nutrition information panel in the form specified in the Fourth Schedule or in such other similar form as may be approved by the Director, specifying the energy value, the amounts of protein, carbohydrates, fat and the amount of any other nutrients for which a nutrition claim is made in respect of the food.
…
Margarine.
124. … (2) Margarine or table margarine shall be margarine that has added vitamins and shall contain in each 1 kg — (a) vitamin A of an amount not less than 8.5 mg of retinol activity; and (b) vitamin D of an amount not less than 55 mcg of cholecalciferol.
....
Iodised salt.
281. Iodised salt shall be salt that contains potassium or sodium iodide or iodate in a proportion equivalent to not less than 25 parts of iodide and not more than 40 parts of iodide in every million parts of salt.
The Law on Hygiene, Disease Prevention and Health Promotion has the function to determine the principles, regulations and measures relating to the organisation of activities on hygiene, disease prevention and health promotion to maintain the good health, quality of life and longevity of the people thus contributing to national preservation and development.
","School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Food safety|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202001PDR_Law-on-Hygiene-Disease-Prevention-and-Health-Promotion_2001.pdf" "83709","BWA","Botswana","","the Labelling of Prepackaged Foods Regulations","Legislation relevant to nutrition","","English","","2003","","","","4","2003","","","","","Cabinet/Presidency|Health","Government of Botswana; Ministry of Health","","","","","","","","","","","","","","","","","","","","","PART II Mandatory labelling requirements (regs 5-18)
5. Information on label of prepackaged goods Except to the extent otherwise provided in other regulations published under the Act, the following information shall appear on the label of prepackaged food as applicable to the food being labelled-
…
(b) the list of ingredients in it;
…
7. List of ingredients
(1) Except for single ingredient foods, a list of ingredients shall be declared on a label placed on any food.
(2) The list of ingredients shall be headed or preceded by an appropriate title which consists of or includes the term ingredient.
(3) All ingredients in any food shall be listed in descending order of ongoing proportion by mass at the time of manufacture of the food.
(4) Where an ingredient is itself the product of two or more ingredients, the compound ingredient shall be declared as such in the list of ingredients in the food and shall be accompanied by a list in brackets of its ingredients in descending order of proportion by mass.
(5) Water added to any food shall be declared in the list of ingredients except where the water forms part of an ingredient, such as brine, syrup or broth, used in any compound food and declared as such in the list of ingredients.
(6) Water or other volatile ingredients evaporated in the course of the manufacture of food need not be declared.
(7) In the case of dehydrated or condensed foods which are intended to be reconstituted by the addition of water only, the ingredients may be listed in order of proportion by mass in the reconstituted product when prepared in accordance with the directions on the label.
…
","Food labelling|Ingredients list","","https://www.moh.gov.bw/Publications/acts/FOOD%20CONTROL%203%20Regulations.pdf","","","" "14896","FJI","Fiji","","Food Safety Act","Legislation relevant to nutrition","","English","","2003","","","Parliament of Fiji Islands","","2003","Adopted","8","2003","House of Representatives with Senate amendments","Health","","","","","","","","","","","","","","","","","","","","","","Labelling requirements
…
(2) The label of every pre-packaged food must, in addition to the requirements under subsection (l), contain the following-
…
(b) the net quantity, by weight or volume;
(i) the list of ingredients in descending order in which they have been included in the formulation;
(ii) prescribed nutritional information;
…
Promotion of breast-milk substitutes and baby feeding accessories
15. A person who promotes any breast-milk substitute by advertisement, by offering or giving any gift, prize, discount coupon or any other free item or by any other similar means, commits an offence.
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Food safety|Advertising|Samples & gifts","","http://www.commcomm.gov.fj/pdfs/FoodSafetyAct2003(2).pdf","https://laws.gov.fj/Acts/DisplayAct/501#","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FJI%202003%20Food%20Safety%20Act.pdf" "23017","KOR","Republic of Korea","","Foods Labeling Standards, 2003","Legislation relevant to nutrition","","English","","2003","","","Korea Food and Drug Administration","","2003","Adopted","5","2003","Korea Food and Drug Administration Notification No. 2003-27(Revised on May 23, 2003)","Health","","","","","","","","","","","","","","","","","","","","","","Article 1 (Purpose) The purpose of this Notification is to promote sanitary handling of foods and provide consumers with correct information by prescribing the labeling standards for foods, food additives, apparatus or container-package (hereinafter, """"foods"""") according to Article 10, the Food Sanitation Act (hereinafter, """"the Act"""").
…
The Detailed Labeling Standards for Foods (with regards to Article 7)
1. General Labeling Standards for Foods
A. Food (including imported food)
…
8) Names and Quantities of Raw Materials
…
9) Names and Quantities of Food Components
…
10) Nutrients, etc.
a) Products subject to labelling
(1) Special nutritional food or health supplement food
(2) Food pursuant to nutrition labeling
(3) Food pursuant to nutrition claim (excluding those that are
specified according to the standards and specifications of foods)
(4) Load breads and breads among confectionaries
(5) Cooked noodles, fried noodles, gelatinized dried noodles and
improved cooked noodles among noodles
(6) Retort food
b) Labeling methods
…
(2) Nutrition labeling shall conform to the following categories.
(a) Food subject to nutrition labeling shall, without fail, label the names and quantities, and the percentages of nutrient reference values (%, excluding the calory) according to Table 2 Nutrient Reference Values, with regards to calory, carbohydrate, protein, fat and sodium.
…
(d) Those sugars, fatty acids and amino acids whose nutritional standards are not specified can be voluntarily labeled; however, when they are labeled or are indicated through nutrition claim, the names and quantities of those nutrients in question shall be labelled.
…
(3) Terms such as """"Low"""", """"Free"""", """"High (or Rich)"""" and """"Source"""" can be indicated only when the following general standards and the standards for nutrition claims are met. …
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Mandatory for pre-packaged foods with a health claim|Mandatory for some pre-packaged foods|Amount of available carbohydrate|Amount of protein|Amount of salt/sodium|Amount of total fat|Specific nutrition criteria","","http://www.mfds.go.kr/files/upload/eng/Foods_labeling_standars_03.pdf","https://www.mfds.go.kr/eng/wpge/m_14/de011005l001.do","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KOR%202003%20Food%20Labeling%20Standards.pdf" "17871","ZAF","South Africa","","Regulations relating to the fortification of certain foodstuffs (No. R. 504 of 2003)","Legislation relevant to nutrition","","English","10","2003","","","Government","4","2003","Adopted","","","","Health","","","","","","","","","","","","","","Private sector","Manufacturers of fortification mix, Millers, flour importers, sellers","","","","","","","These Regulations provide rules for the manufacture, import or supply of foodstuffs identified as fortified food vehicles and fortification mix. Food to which these Regulations apply shall be fortified in accordance with these Regulations and manufacturers, importers or suppliers shall register with the National Department of Health. “Food vehicle” means dry and uncooked wheat flour, dry and uncooked maize meal and bread prepared with and containing at least 90 percent fortified wheat flour, excluding water and """"fortification mix” means a premixed blend of fortificants and diluents formulated to provide specified and determinable amounts of micronutrients. Registered manufacturers, importers or suppliers of fortification mixes shall comply with the principles set out in Annexure II and shall issue a certificate of compliance as indicated in Annexure IV.
Labelling
5. (1) The package of every food offered for sale shall bear a label stating the following particulars—
…
(d) if the food is made from two or more ingredients, the common or usual name of each such ingredient in descending order of proportion by mass provided that
(i) pork fat, lard and beef fat shall always be declared by their specific names;
(ii) class names as indicated in the First Schedule may be used;
…
Claims
6. (1) The following claims are prohibited—
(a) claims stating that any given food will provide an adequate source of all essentia1 nutrients except with permission from the Secretary for Health and Child Welfare;
(b) claims which cannot be substantiated;
(c) claims implying that a balanced diet of ordinary foods cannot supply adequate amount of all nutrients;
(d) claims as to the suitability of a food for use in the prevention, alleviation, treatment or cure of a disease, disorder or particular physiological condition unless they are permitted by the Secretary for Health and Child Welfare;
(e) misleading claims such as use of incomplete comparatives and superlatives and claims as to good hygienic practice such as “wholesome”, “healthful”, “sound”.
(2) Where a nutrition claim has been made with respect to any nutrient
(a)
(i) the nutrient content shall satisfy the conditions set out in Part A of the Fourth Schedule;
(ii) a nutrition declarati6n shall be put on the label and shall include nutrients listed in part B of the Fourth Schedule;
(b) for nutrition purposes nutrient reference values set out in Part C of the Fourth Schedule shall be used.
","Food labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Claim must be substantiated|Specific nutrition criteria|Sanctions exist","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%20Food%20and%20Food%20Standards%20Act.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%20Food%20and%20Food%20Standards%20Act.pdf" "11540","LAO","Lao People's Democratic Republic","","Law on Food","Legislation relevant to nutrition","","English","","2004","","","Lao People's Democratic Republic","6","2004","","","","","Health|Sub-national","Ministry of Health, Provincial and district health divisions","","","","","","","","","","","","","","","","","","","","","Objectives:
The Law on Food defines principles, rules, methods and measures on the administration and inspection of activities relating to food, with the aims[:] to control the quality and standard, in particular the safety, of food[;] to ensure the consumers’ nutrition and health[;] to promote production and business relating to food[;] and to guide the citizens to be aware, to understand and to adapt to the consumption of food that is safe, hygienic and that contains nutrients for physical strength, including to make them understand the usefulness and danger of food and to know how to care for their health, in order to contribute to national protection and development.
Article 3: Iodized Salt Standard
Iodized salt should be mixed according to the following standard: 3.1 iodized salt should contain potassium or sodium iodate according to the following measures:
a. not less than 35 mg potassium or sodium iodate per 1 kg salt, 1 2
b. not more than 100 mg potassium or sodium iodate per 1 kg salt
…
Article 7: Prohibitions.
The production, import-export, sale and distribution of salt which does not comply with the requirement specified in part II article 3,4,5 and 6 of this decision is prohibited.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products","","","","ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202004%20Decision%20on%20Iodized%20Salt%20Standard.pdf" "8081","KHM","Cambodia","","Sub-decree on Marketing of Products for Infant and Young Child Feeding","Legislation relevant to nutrition","","English","","2005","","","Ministry of Health","11","2005","Adopted","","2005","Ministry of Health and line ministries","Health|Information|Trade","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","Aims to contribute to providing adequate and safe nutrition for infants and young children by protecting and promoting breastfeeding and by encouraging appropriate and timely complementary feeding, to ensure breast-milk substitutes are properly used when they are necessar and based on adequate information.
","","","","
Article 1
This Sub-decree aims to contribute to providing adequate and safe nutrition for infants and young children by protecting and promoting the breast-feeding and by encouraging appropriate and timely complementary feeding, to ensure breast-milk substitutes are properly used only when they are necessary and based on adequate information.
Article 2
This Sub-decree shall govern marketing of infant and young child feeding products either domestically produced or imported for use for feeding infant up to twelve months old and young child up to twenty four months old. The Sub-decree shall apply to the quality and availability of information related to the use of the products as prescribed in Article 3 of this Sub-decree.
Article 3
The types of infant and young child feeding products shall include, but not limited, to the following:
a. Infant formula including specialized formulas;
b. All products marketed or presented for feeding infant and young children;
c. Feeding-bottles, rubber and plastic teats, and pacifiers;
d. Follow on formulas for infant over six months old; and
e. Other products as stated in the joint Prakas by the Ministry of Health with relevant ministries.
4 … (2) The following declarations shall be on any panel in any one or more of the three languages—
…
(h) a complete list of ingredients used in such food by their common names in descending order of their proportions ;
(7) (i) No label or advertisement relating to any food shall contain a statement or claim thereon -
(a) that such food contains a special nutritive value, unless such label or advertisement bears a declaration thereon stating the nutritional content thereof and the quantity of such food recommended for daily consumption; or
(b) that such a food is a sufficient source of one or more nutrient, unless the quantity of such food that could reasonably be expected to be consumed in on day contains on third of the recommended daily dietary allowance of such nutrient or nutrients as set out in Schedule IV hereto; or
(c) that such food contains carbohydrates, proteins, fats, vitamins or minerals unless such label or advertisement bears thereon a declaration stating the content to be minimum of 5 percentum (5%) of the recommended daily allowance of such carbohydrate, protetin, fat, vitamins or minerals as the case may be, present in the quantity of such food that could reasonably be expected to be consumed in a day. For the purpose of these regulations the recommended daily dietary allowance shall be as set out in the Schedule IV hereto.
...
","Food labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Claim must be substantiated|Pre-defined list of foods and beverages|Specific nutrition criteria","","www.health.gov.lk","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LKA%202005%20Food%20%28labelling%20and%20Advertising%29%20Regulations.pdf" "83714","TUV","Tuvalu","","Food Safety Act","Legislation relevant to nutrition","","English","","2006","","","Government of Tuvalu","6","2006","","","","","Cabinet/Presidency|Health","Ministry of Health","","","","","","","","","","","","","","","","","","","","","PART II – GENERAL PROVISIONS
3 Labelling requirements
(1) Packaged food, other than food that may be exempted from this section by regulation, shall bear a label that states —
(a) The name under which the product is to be sold;
(b) The nature of the food;
(c) The list of ingredients;
(d) The net weight, true measure or volume of contents;
(e) The name, address and other contact information of the manufacturer or importer; and
(f) Any other particulars prescribed by regulations and standards under this Act.
","Food labelling|Ingredients list","","https://wipolex.wipo.int/en/text/197373 ","https://www.fao.org/faolex/results/details/en/c/LEX-FAOC079286/ https://tuvalu-legislation.tv/cms/legislation/current/all-alphabetical.html?view=acts_alpha","","" "8004","USA","United States of America","","Food Labeling: Trans Fatty Acids in Nutrition Labeling, Nutrient Content Claims, and Health Claims","Legislation relevant to nutrition","","English","1","2006","","","Food and Drug Administration, HHS","7","2003","","","","FDA","Health","FDA","","","","","","","","","","","","","","","","","","","","","Summary: The Food and Drug Administration (FDA) is amending its regulations on nutrition labeling to require that trans fatty acids be declared in the nutrition label of conventional foods and dietary supplements on a separate line immediately under the line for the declaration of saturated fatty acids. This action responds, in part, to a citizen petition from the Center for Science in the Public Interest (CSPI). This rule is intended to provide information to assist consumers in maintaining healthy dietary practices. Those sections of the proposed rule pertaining to the definition of nutrient content claims for the ‘‘free’’ level of trans fatty acids and to limits on the amounts of trans fatty acids wherever saturated fatty acid limits are placed on nutrient content claims, health claims, and disclosure and disqualifying levels are being withdrawn. Further, the agency is withdrawing the proposed requirement to include a footnote stating: ‘‘Intake of trans fat should be as low as possible.’’ Issues related to the possible use of a footnote statement in conjunction with the trans fat label declaration or in the context of certain nutrient content and health claims that contain messages about cholesterolraising fats in the diet are now the subject of an advance notice of proposed rulemaking (ANPRM) which is published elsewhere in this issue of the Federal Register.
...
The revisions and additions are to read as follows: § 101.9 Nutrition labeling of food.
...
(ii) ‘‘Trans fat’’ or ‘‘Trans’’: A statement of the number of grams of trans fat in a serving, defined as the sum of all unsaturated fatty acids that contain one or more isolated (i.e., nonconjugated) double bonds in a trans configuration, except that label declaration of trans fat content information is not required for products that contain less than 0.5 gram of total fat in a serving if no claims are made about fat, fatty acid or cholesterol content. The word ‘‘trans’’ may be italicized to indicate its Latin origin. Trans fat content shall be indented and expressed as grams per serving to the nearest 0.5 (1/2)-gram increment below 5 grams and to the nearest gram increment above 5 grams. If the serving contains less than 0.5 gram, the content, when declared, shall be expressed as zero. Except as provided for in paragraph (f) of this section, if a statement of the trans fat content is not required and, as a result, not declared, the statement ‘‘Not a significant source of trans fat’’ shall be placed at the bottom of the table of nutrient values.
PART 12 – CONTROL OF BABY FEEDS
99. Promotion of breast feeding and control of commercial baby feed
(1) The Minister may make such regulations as are deemed necessary for protecting the public health by the promotion of breast feeding and the control of the availability of baby feed and where it is permitted such measures to promote and encourage its use in a healthy, safe and hygienic manner.
(2) The minister may, by regulations, declare any baby’s feed bottle, bottle teat, dummy or any other baby or infant feeding aid to be a prescribed article and may be used only in accordance with prescribed conditions.
100. Supply and use of prescribed articles
(1) A pharmacist may supply a prescribed article if the person to whom the article is to be supplied first produces to the pharmacist an authorization in respect of that article.
(2) A person may in the course of his business supply a prescribed article to a pharmacist, authorized officer or nurse for use or supply in accordance with this Act.
(3) It is not an offence under this Act for:
(a) a mother, or other person for the time being having care of an infant or baby , to use when feeding or soothing that infant or baby a prescribed article obtained for that infant or baby in accordance with this Act; or
(b) an authorized officer or nurse to use a prescribed article; or
(c) any person to use a prescribed article to soothe or feed an infant or baby if, in the opinion of that person, there exists at that time circumstances in which the infant or baby would suffer harm if such article was not used.
(4) Any person who uses or supplies any prescribed article in contravention of the provisions of this section shall be guilty of an offence and shall be liable on conviction to a fine not exceeding VT 100,000 or to imprisonment for a term not exceeding 12 months or to both such fine and imprisonment.
101. Authorization
(1) An authorization must not be given except:
(a) by an authorized officer; and
(b) in accordance with subsection (2).
(2) An authorized officer must not give an authorization:
(a) unless he is satisfied that it would be in the best interests of the baby or infant to whom the authorization is intended to relate to be fed or soothed by a prescribed article; and
(b) unless at the time of giving the authorization the authorized officer:
(i) also gives the prescribed instructions to the person who will be feeding or soothing the infant or baby with the prescribed articles; and
(ii) is satisfied that the person receiving the instructions understands them.
(3) It is an offence for an authorized officer to give an authorization to any person other than the mother or person for the time being having care of the infant or baby to whom the authorization relates.
102. Prescribed advertisements
(1) The Minister may, by regulations, declare any advertisement to be a prescribed advertisement.
(2) A pharmacist may display within their premises a prescribed advertisement to the extent necessary to enable persons obtaining prescribed articles in accordance with this Act to choose those articles.
(3) A person may, in the course of his business, display to a pharmacist, nurse or authorized officer a prescribed advertisement.
(4) Subject to subsection (3), any person who publishes a prescribed advertisement shall be guilty of an offence and shall be liable on conviction to a fine not exceeding VT 50,000 or to imprisonment for a term not exceeding 12 months or to both such fine and imprisonment.
103. Definition
In this part “authorized officer” means a person registered under the Health Practitioners Act [Cap. 164] to practice medicine and any person suitably qualified authorized by the Minister under this Act.
To provide nutrition fact for consumers and to support preventive measures of nutritional problems. …
Clause 1 Prescribe some kinds of the following ready-to-eat food in package which ready to sell to consumers to have nutritional labeling:
(1) Fried or baked potato chips;
(2) Fried or baked popcorns;
(3) Rice crisps or Extruded snack;
(4) Crackers or biscuits;
(5) Filling wafer.
Clause 2 Labelling of food in Clause 1 shall be complied with the Notification of Ministry of Public Health, Re: Label and Label for the particular food and shall also be complied with this Notification.
Clause 3 Labelling of Nutrition according to Clause 2 shall be complied with either one of the following:
(1) Box of full text of nutrition facts according to Clause 1.1 of Attachment No.1 of the Notification of Ministry of Public Health: Format and Provision to present nutrition facts, or
(2) Box of nutrition facts in brief according to Clause 1.2 of Attachment No.1 of the Notification of Ministry of Public Health : Format and Provision to present nutrition facts which display only total energy, total fat, protein, total carbohydrate, sugar, sodium and cholesterol in addition if such food contains cholesterol amount more than 2 milligrams per serving.
In case of food labels according to 3(2) display nutrition claims, utilizing value to promote sale or specify consumer groups in sale promotion shall display with a box of full text of nutrition facts according to Clause 1.1 of Attachment No.1: Format and Provisions of displaying of nutrition facts box of the Notification of Ministry of Public Health, Re: Nutrition Label.
Clause 4 Labeling of food according to Clause 1 shall display the following text: in bold and visible letters which its color contrast with background of box and label “ consume small amount and exercise for healthy condition”.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Nutrient declaration (back-of-pack labelling)|Mandatory for some pre-packaged foods|Amount of available carbohydrate|Amount of protein|Amount of salt/sodium|Amount of total fat|Amount of total sugars","","http://www.fda.moph.go.th/eng/index.stm http://extwprlegs1.fao.org/docs/pdf/tha159857.pdf","Clause 5 Producers or Importers of the food in Clause 1 prior to this notification come into force, shall follow this notification within one year after this notification come into force and be allowed to use the remaining label but not exceeding to one year after this notification come into force.","","" "26278","USA","United States of America","New York City, NY","Amendment of New York City Health Code Restricting Service of Products Containing Trans Fats","Legislation relevant to nutrition","","English","","2007","","","Department of Health and Mental Hygiene","","2006","Adopted","","2006","","Health","","","","","","","","","","","","","","","","","","","","","","§81.08 Foods containing artificial trans fat.
(a) Artificial trans fat restricted. No foods containing artificial trans fat, as defined in this section, shall be stored, distributed, held for service, used in preparation of any menu item or served in any food service establishment or by any mobile food unit commissary, as defined in §89.01 of this Code or successor provision, except food that is being served directly to patrons in a manufacturer’s original sealed package.
(b) Definition. For the purposes of this section, a food shall be deemed to contain artificial trans fat if the food is labeled as, lists as an ingredient, or has vegetable shortening, margarine or any kind of partially hydrogenated vegetable oil. However, a food whose nutrition facts label or other documentation from the manufacturer lists the trans fat content of the food as less than 0.5 grams per serving, shall not be deemed to contain artificial trans fat.
(c) Labels required.
(1) Original labels. Food service establishments and mobile food unit commissaries shall maintain on site the original labels for all food products:
(i) that are, or that contain, fats, oils or shortenings, and
(ii) that are, when purchased by such food service establishments or mobile food unit commissaries, required by applicable federal and state law to have labels, and
(iii) that are currently being stored, distributed, held for service, used in preparation of any menu items, or served by the food service establishment, or by the mobile food unit commissary.
(2) Documentation instead of labels. Documentation acceptable to the Department, from the manufacturers of such food products, indicating whether the food products contain vegetable shortening, margarine or any kind of partially hydrogenated vegetable oil, or indicating trans fat content, may be maintained instead of original labels.
(3) Documentation required when food products are not labeled. If baked goods, or other food products restricted pursuant to subdivision (a) of this section, that are or that contain fats, oils or shortenings, are not required to be labeled when purchased, food service establishments and mobile food commissaries shall obtain and maintain documentation acceptable to the Department, from the manufacturers of the food products, indicating whether the food products contain vegetable shortening, margarine or any kind of partially hydrogenated vegetable oil, or indicating trans fat content.
(d) Effective date. This section shall take effect on July 1, 2007 with respect to oils, shortenings and margarines containing artificial trans fat that are used for frying or in spreads; except that the effective date of this section with regard to oils or shortenings used for deep frying of yeast dough or cake batter, and all other foods containing artificial trans fat, shall be July 1, 2008.
Notes: Section 81.08 was added by resolution adopted on December 5, 2006 to restrict use of artificial trans fat in food service establishments in New York City in an effort to decrease the well-documented risk of ischemic heart and other disease conditions associated with consumption of such products.
These Regulations amend the Regulations relating to the fortification of certain foodstuffs in relation with standards for certain fortification ingredients, nutrient content claims, sampling and exemptions for manufacturers or importers of food vehicles.
","Food labelling|Vitamin A|Folic acid|Iron|Zinc|Food fortification|Wheat flours|Maize flours|Monitoring mechanism established","","www.info.gov.za","See also: Regulations relating to the fortification of certain foodstuffs (No. R. 504 of 2003) at https://extranet.who.int/nutrition/gina/en/node/17871","Government Gazette No. 31584 of 14 November 2008, 7 pp. ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org.FAOLEX No: LEX-FAOC090722","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202008%20Regulations%20on%20Fortification%20of%20Foodstuffs%20Amendment.pdf" "17874","VUT","Vanuatu","","Food (Control) (Amendment) Act (No. 27 of 2009)","Legislation relevant to nutrition","","English","11","2009","","","Government","","2009","Adopted","","","","Health","","","","","","","","","","","","","","","","","","","","","","This Act amends the Food (Control) Act as set out in the Schedule. The amendments, among other things, insert a new Part (3A) on standards for food fortification, i.e. the addition of micronutrients to food in order to improve the nutritional status of that food. The Minister of Health may from time to time, by Order, issue standards in respect of the fortification of any food in accordance with provisions of this Act.
3. No person shall, on the premises of any educational institution, sell any food other than food which is specified in the Schedule.
SCHEDULE
[regulation 3]
Food which may be sold on the premises of educational institutions
Cassava (manioc) (plain boiled)
Daal pourri
Drinking water
Farahta
Fruits, other than fruits cooked in sugar, candied fruits, crystallized fruits and pickled fruits
Idli
Maize (boiled or roasted)
Nuts (boiled or roasted), including almonds, cashew nuts, peanuts and pistachios
Pain Fourré (the filling of which shall not contain any deep fried item and shall comply with regulation 206 of the Food Regulations 1999, which provides for maximum permitted level of fat)
Pancake
Pudding made of bread, cassava, maize, semolina or vermicelli
Pulses (boiled or roasted), including chickpeas (gram)
Puttu
Sandwich (the filling of which shall not contain any deep fried item and shall comply with regulation 206 of the Food Regulations 1999, which provides for maximum permitted level of fat)
Sweet potato (patate) (plain boiled)
Yam (arouille) (plain boiled)
","Dietary practice|Fat intake|Saturated fat intake|Total fat intake|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Mandatory standards|Any foods and beverages sold in school|Schools (standards)|Foods high in fats (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Water (standards)|Fried foods (standards)|Saturated fats (standards)","","https://supremecourt.govmu.org/Legislations/No 094-FOOD (SALE OF FOOD ON PREMISES OF EDUCATIONAL INSTITUTIONS) REGULATIONS_20160528114454044.pdf","https://pmo.govmu.org/CabinetDecision/2009/Cabinet-Decisions-taken-on-12-June.aspx","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MUS%202009%20Sale%20of%20Food%20on%20Premises%20of%20Educational%20Institutions%20Regulations.pdf" "25377","IND","India","","Food Safety and Standards (Packaging and Labelling) Regulations","Legislation relevant to nutrition","","English","8","2011","","","Ministry of Health and Family Welfare","","2011","Adopted","8","2011","The Gazette of India. Extraordinary. Part III Section 4","Health|Food and agriculture","Food Safety and Standards Authority of India (FSSAI)","","","","","","","","","","","","","","","","","","","","","
Nutritional information – Nutritional Information or nutritional facts per 100 gm or 100ml or per serving of the product shall be given on the label containing the following:— (i) energy value in kcal; (ii) the amounts of protein, carbohydrate (specify quantity of sugar) and fat in gram; (iii) the amount of any other nutrient for which a nutrition or health claim is made
","Food labelling|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Amount of available carbohydrate|Amount of protein|Amount of total fat|Amount of total sugars|Energy value (ND)","","https://www.fssai.gov.in/upload/uploadfiles/files/Licensing_Regulations.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IND%202011%20Food%20Safety%20and%20Standards%20%28Packaging%20and%20Labelling%29%20Regulations.pdf" "25333","ZAF","South Africa","","Foodstuffs, Cosmetics and Disinfectants Act, 1972 (Act no. 54 of 1972): Regulations Relating to Trans-fat in Foodstuffs","Legislation relevant to nutrition","","English","","2011","","","Department of Health","2","2011","Adopted","","2011","","Health","","","","","","","","","","","","","","","","","","","","","","
2. Maximum Trans-Fat content of foodstuffs
(1) In line with section 2(1 )(a)(iv) of the Act, the sale, manufacturing and importation of any oils and fats, including emulsions with fat as the continuous phase, either alone or as part of processed foods, which are intended for human consumption or assumed to be intended for human consumption, in the retail trade, catering businesses, restaurants, institutions, bakeries etcetera, of which the content of Trans-Fat exceeds 2 grams per 100 grams of oil or fat, is prohibited.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Limit on 2 g / 100 g fat in all foods","","https://www.gov.za/documents/foodstuffs-cosmetics-and-disinfectants-act-regulations-trans-fat-foodstuffs","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202011%20Regulations%20relating%20to%20trans-fat%20in%20foodstuffs.pdf" "41858","FJI","Fiji","","Food and Safety (Amendment) Regulations 2012","Legislation relevant to nutrition","","English","8","2013","","","Central Board of Health","8","2012","Adopted","8","2012","Legal Notice 60 of 2012","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","Regulation 22 amended
3. Regulation 22 of the Principal Regulation is amended—
(a) in sub-paragraph (a) by inserting the words """"trans fat, cholesterol, sugar, sodium"""" after the word """"fat"""";
(b) by inserting the following new sub-paragraph after sub-paragraph (a) —
""""(aa) the amount and type of trans fat, cholesterol, sodium and sugar shall
be declared and expressed in milligrams 01 grams per 100 grams of total
mass,”
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Amount of salt/sodium|Amount of saturated fatty acids|Amount of total sugars|Amount of trans fatty acids","","","The Amendment Regulations amends the Food and Safety Regulations 2009 to include trans-fat, cholesterol, sugar and sodium as mandatory requirements on nutrient content labelling. https://www.facebook.com/FijianGovernment/posts/cabinet-approves-food-safety-amendment-regulations-2012-cabinet-has-approved-the/450562068310067/ https://laws.gov.fj/Acts/DisplayAct/501#","","" "25384","MAR","Morocco","","Décrét portant sur l'étiquettage des produits alimentaires","Legislation relevant to nutrition","","English","","2013","","","","","2013","","","","","Health|Food and agriculture|Finance, budget and planning","","","","","","","","","","","","","","","","","","","","","","Section 2 : Produits préemballés
ART.11. - L'étiquetage de tout produit préemballé doit, sous réserve des exceptions prévues à la présente section, comporter les mentions obligatoires suivantes :
...
2) la liste des ingrédients;
...
11) les informations nutritionnelles lorsque celles-ci sont obligatoires en vertu d’une réglementation en vigueur ou lorsqu’il est fait référence à une allégation nutritionnelle ou de santé sur le produit ou dans la publicité le concernant
ART.26. - Les informations nutritionnelles visées au 11) de l’article 11 ci-dessus doivent comprendre la liste et les quantités de tous les éléments nutritifs composant le produit concerné.
","Food labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim","","WWW.ONSSA.GOV.MA","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202013%20DEC.2-12-389.FR_food%20labelling.pdf" "14873","YEM","Yemen","","Cabinet Decree No (91) for the Year 2013 Concerning Necessary Measures to Address Widespread Malnutrition in the Country","Legislation relevant to nutrition","","English","4","2013","","","Republic of Yemen, Council of Ministers, General Secretariat","4","2013","Adopted","4","2013","Cabinet","Cabinet/Presidency|Finance, budget and planning|Health","Council of Ministers, General Secretariat, Cabinet, Minister of Finance, Minister of Planning & Int. Cooperation, Minister of Public Health","","","","","","","","","","","","","","","","","","","","","1 The Minister of Public Health and Population should work to adopt a comprehensive national strategy for nutrition which involves all concerned sectors and which defines causes, responses and the relevant implementing agencies.
2 The Ministers of Finance, Planning and International Cooperation and Public Health are hereby requested to:
a. Take the necessary measures to incorporate the problem of malnutrition into government plans and programs for the coming period to ensure rolling back its prevalence leading to eventual elimination.
b. Increase the budget allocated for nutrition to ensure continuation of antimalnutrition activities according to the national strategy referred to in paragraph (1) above.
3 This decree is effective on the date 9 April 2013 and shall expire by the enforcement of its provisions.
4 The decree is to be implemented through the appropriate management measures.
","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years","","http://scalingupnutrition.org/wp-content/uploads/2013/05/Yemen_Cabinet-Decree-on-Malnutrition_en.pdf","http://scalingupnutrition.org/en/sun-countries/yemen","Cabinet Decree No (91) for the Year 2013","https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%202013%20Yemen_Cabinet-Decree-on-Malnutrition_en_1.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%202013%20Yemen_Cabinet-Decree-on-Malnutrition_en_1.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%202013%20Yemen_Cabinet-Decree-on-Malnutrition_en_1.pdf" "112481","COK","Cook Islands","","Food Regulations 2014","Legislation relevant to nutrition","","English","","2014","","","Government of Cook Islands","","2014","Adopted","","2014","His Excellency the Queen’s Representative in Executive Council","Cabinet/Presidency|Health|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","","","","","","Objectives
The objectives of this directive shall be to:
1) protect infants and young children from health risks emerging out of unsafe or poor quality this products;
2) take regulatory measures in safeguarding breast feeding; and
3) control the packaging, labelling information and advertisement of regulated products under this directive
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Empowered to impose legal sanctions|Follow-up formula|Infant formula|Bans of pictures/text idealizing infant formula|Message on superiority of breastfeeding|Only to be used on advice of health worker|Preparation instructions","","","","Marketing of breast-milk substitutes: national implementation of the international code, status report 2018. Geneva: World Health Organization; 2018. https://www.who.int/nutrition/publications/infantfeeding/code_report2018/en/ ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202014%20Infant%20Formula%20and%20Follow-up%20Formula%20Directive%20No.21%202014.pdf" "41859","FJI","Fiji","","Food and Safety (Amendment) Regulations 2014","Legislation relevant to nutrition","","English","8","2014","","","Central Board of Health","8","2014","Adopted","8","2014","Legal Notice 35 of 2014, Government of Fiji Gazette Supplement No 19 Friday 15 August 2014","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","2. Regulation 22 of the Food and Safety Regulations 2009 is amended-
(a) in sub-paragraph (a) by deleting the word """" cholesterol"""";
(b) in sub-paragraph (aa) by-
(i) deleting the words """"and type"""" after the word """"amount""""; and
(ii) deleting the word """"cholesterol"""" and substituting with the words """"saturated fats, unsaturated fats""""; and
(c) by deleting sub-paragraph (g).
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Amount of saturated fatty acids","","http://extwprlegs1.fao.org/docs/pdf/fij152491.pdf","https://laws.gov.fj/Acts/DisplayAct/501#","","" "41869","KOR","Republic of Korea","","Foods Labeling Standards, 2016","Legislation relevant to nutrition","","English","","2014","","","Ministry of Food and Drug Safety Notification","2","2014","Adopted","2","2014","Ministry of Food and Drug Safety Notification No. 2014-19(Revised on Feb 12, 2014)","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 1 (Objectives) This notification aims to promote the hygienic handling of food and other materials, to provide accurate information for consumers, and to ensure fair trade by detailing display standards for food, food additives, devices or containers (hereinafter referred to as 'food') according to the provisions in Article 10 of the Food Sanitation Act and outlining requirements for nutrition displays according to the provisions in Article 11 and Clause 1 of the Food Sanitation Act.
Appendix
This notification should is effective from the date of posting.
『Appendix 1』
The detailed labeling standards for foods (related to Article 9)
1. General standards for foods
A. Foods (including imported foods)
…
8) Ingredient name and amount
If you want to indicate the name of an ingredient contained in the raw material that is not directly added into the product, then you must indicate its weight or volume contained in the product. However, you may follow the nutrition emphasis labeling method when displaying the name of such an ingredient.
9) Nutritional information
A) Food subject to labeling: Follow the provisions in Article 6 Clause 1
of the reinforcement order.
B) Nutrition subject to labeling:
(1) Calories
(2) Carbohydrate: Sugar
(3) Protein
(4) Fat: Saturated fat, trans fat
(5) Cholesterol
(6) Sodium
(7) Any other nutrition shown in [Table 2] Nutrition Reference and subject to nutrition labeling or nutrition emphasis labeling.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Mandatory for pre-packaged foods with a health claim|Mandatory for some pre-packaged foods|Amount of available carbohydrate|Amount of protein|Amount of salt/sodium|Amount of total fat|Amount of total sugars|Specific nutrition criteria","","https://www.mfds.go.kr/files/upload/eng/9_Foods_Labeling_Standards.pdf","식품위생법 시행규칙[시행 2014. 2. 19.] [총리령 제1066호, 2014. 2. 19., 타법개정]제6조(영양표시 대상 식품) ① 법 제11조제1항에서 “총리령으로 정하는 식품”이란 다음 각 호의 식품을 말한다. 1. 장기보존식품(레토르트식품만 해당한다)2. 과자류 중 과자, 캔디류 및 빙과류3. 빵류 및 만두류4. 초콜릿류5. 잼류6. 식용 유지류(油脂類)7. 면류8. 음료류9. 특수용도식품10. 어육가공품 중 어육소시지11. 즉석섭취식품 중 김밥, 햄버거, 샌드위치② 제1항에도 불구하고 다음 각 호의 식품은 영양표시 대상 식품으로 보지 아니한다.1. 즉석판매제조ㆍ가공업자가 제조ㆍ가공하는 식품2. 최종 소비자에게 제공되지 아니하고 다른 식품을 제조ㆍ가공 또는 조리할 때 원료로 사용되는 식품3. 식품의 포장 또는 용기의 주 표시면 면적이 30제곱센티미터 이하인 식품https://www.law.go.kr/법령/식품위생법시행규칙/(20140219,01066,20140219)/제6조https://www.mfds.go.kr/eng/wpge/m_14/de011005l001.do","","" "41883","THA","Thailand","","Notification of the Ministry of Public Health (No. 367) B.E. 2557 (2014) Re: Labeling of Prepackaged Foods","Legislation relevant to nutrition","","English","11","2014","","","Ministry of Public Health","5","2014","Adopted","5","2014","e Government Gazette Vol. 131, Special Part 102 Ngor, dated 6th June2014","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","Clause 4.Labeling of Prepackaged Food manufactured for sale or imported for sale or to sell shall have text in Thai language and shall have the following particulars, unless the Food and Drug Administration (Thai FDA) make an exemption forany texts;
...
(5) Percentage by weight of main ingredients in descending orders
","Food labelling|Ingredients list","","http://food.fda.moph.go.th/law/data/announ_moph/V.English/No.%20367%20Labeling%20of%20Prepackaged%20Foods%20-edit%2010-2-15.pdf","","","" "36143","USA","United States of America","","Food Labeling; Nutrition Labeling of Standard Menu Items in Restaurants and Similar Retail Food Establishments; Calorie Labeling of Articles of Food in Vending Machines; Final Rule","Legislation relevant to nutrition","","English","12","2015","","","Food and Drug Administration, HHS.","12","2014","","","","","Health","","","","","","","","","","","","","","","","","","","","","","SUMMARY: To implement the nutrition labeling provisions of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act or ACA), the Food and Drug Administration (FDA or we) is requiring disclosure of certain nutrition information for standard menu items in certain restaurants and retail food establishments. The ACA, in part, amended the Federal Food, Drug, and Cosmetic Act (the FD&C Act), among other things, to require restaurants and similar retail food establishments that are part of a chain with 20 or more locations doing business under the same name and offering for sale substantially the same menu items to provide calorie and other nutrition information for standard menu items, including food on display and self-service food. Under provisions of the ACA, restaurants and similar retail food establishments not otherwise covered by the law may elect to become subject to these Federal requirements by registering every other year with FDA. Providing accurate, clear, and consistent nutrition information, including the calorie content of foods, in restaurants and similar retail food establishments will make such nutrition information available to consumers in a direct and accessible manner to enable consumers to make informed and healthful dietary choices.
...
(b) Requirements for nutrition labeling for food sold in covered establishments—(1) Applicability. (i) The labeling requirements in this paragraph (b) apply to standard menu items offered for sale in covered establishments.
(ii)(A) The labeling requirements in this paragraph (b) do not apply to foods that are not standard menu items, including:
(2) Nutrition information. (i) Except as provided by paragraph (b)(2)(i)(A)(8) of this section, the following must be provided on menus and menu boards:
Division 2 Retail sales
1.2.1—6 When the food for sale must bear a label
(1) If the food for sale is in a package, it is required to *bear a label with the information referred to in subsection 1.2.1—8(1) unless it: …
1.2.1—8 Information required on food that is required to bear a label
General and additional requirements—retail sales
(1) For subsection 1.2.1—6(1), the information is the following information in accordance with the provisions indicated:
General requirements
…
(e) a statement of ingredients (see section 1.2.4—2);
…
(h) information relating to nutrition, health and related claims (see subsection 1.2.7—26(4));
(i) nutrition information (see Standard 1.2.8);
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list","","https://www.legislation.gov.au/Details/F2015L00386","https://www.foodstandards.gov.au/code/Pages/default.aspx","","" "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" "41864","IND","India","","Food Safety and Standards (Packaging and Labelling) Second Amendment Regulations, 2016","Legislation relevant to nutrition","","English","5","2016","","","Ministry of Health and Family Welfare","5","2016","Adopted","5","2016","The Gazette of India. Extraordinary. Part III Section 4 No. 221","Health|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","","","","","","2. In the Food Safety and Standards (Packaging and Labelling) Regulations, 2011,-
(a) in regulation 2.2 relating to ‘Labelling’, in sub-regulation 2.2.2 relating to ‘Labelling of Pre-packaged Foods’,-
(i) in clause 2 relating to ‘List of Ingredients’, in the Table under the first proviso, under the heading ‘Classes’
for the entry ‘Edible vegetable oils/Edible vegetable fat’ and the corresponding entry under the heading
‘Class Titles’, the following shall be substituted, namely:-
Classes - Class Titles
“Edible vegetable oil - Give name of the specific edible oil such as mustard oil, groundnut oil, etc.
Edible vegetable fat - Give type of vegetable fat (interesterified vegetable fat, hydrogenated oils, partially
hydrogenated oils, edible vegetable fats, margarine and fat spreads, such as mixed fat spreads, vegetable fat spreads”;
(ii) in clause 3 relating to ‘Nutritional information’, in sub-clause (v), for items (iii) and (iv) of proviso, the
following item shall be substituted, namely,-
“(iii) Every package of edible oils, interesterified vegetable fat, both hydrogenated or partially
hydrogenated oils, edible fats, margarine and fat spreads (mixed fat spread and vegetable fat spread) and
package of food in which fats, oils and fat emulsions is used as an ingredient shall declare the quantity of
trans fat content and saturated fat content on the label.”
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for some pre-packaged foods|Amount of saturated fatty acids|Amount of trans fatty acids","","https://old.fssai.gov.in/Portals/0/Pdf/Gazette_Notification_Edible_Trans_Oils_Fats_02_06_2016.pdf","","","" "38490","ZAF","South Africa","","Foodstuffs, Cosmetics and Disinfectants Act (54/1972): Regulations relating to the reduction of sodium in certain foodstuffs and related matters. Regulations relating to the reduction of sodium in certain foodstuffs and related matters","Legislation relevant to nutrition","","English","6","2016","","","Department of Health","3","2013","Adopted","3","2013","Minister of Health. Staatskoerant, 20 maart 2013. No. 36274.","Health","","","","","","","","","","","","","","","","","","","","","","7. Processed meat (classes 6, 11 and 13 where products in category 13 relates to cured of the South African National Standard SANS 885:2011)[12 or 14of the South African National Standard SANS 885:2011)- uncured]
[850]1300 mg Na 31 March 2017
[650]1150mg Na 30 June 2019
8. Processed meat (classes [7]9, 10, and 13 where products in category 13 relates to uncured of the South African National Standard SANS 885:2011)[or 11 of the South African National Standard SANS 885:2011)- cured]
[950]850 mg Na 30 June 2016
[850]650 mg Na 30 June 2019
9. Raw-processed meat sausages (all types) and similar products
800 mg Na 30 June 2016
600 mg Na 30 June 2019
10. Dry soup powder (not the instant type) including dry soup powders intended to be cooked and consumed as a soup and /or used to thicken and/or add flavour to any type of savoury dish.
5 500 mg Na 30 June 2016
3 500 mg Na 30 June 2019
11. Dry gravy powders and dry instant savoury sauces including all dry savoury gravy/sauce powders that require cooking of which are of the instant type, used as an accompaniment to a meal
3 500 mg Na 30 June 2016
1 500 mg Na 30 June 2019
12. Dry savoury powders with dry instant noodles to be mixed with a liquid including quick cooking Asian style noodles composed primarily of dry noodles with a seasoning sachet
1 500 mg Na 30 June 2016
800 mg Na 30 June 2019
13. Stock cubes, stock powders, stock granules, stock emulsions, stock pastes or stock jellies including concentrated sticks / stew products in various formats used to favour dishes
concentrated stocks
18 000 mg Na 30 June 2016
13 000 mg Na 30 June 2019
(d)(1) Nutrient information specified in paragraph (c) of this section shall be presented on foods in the following format, as shown in paragraph (d)(12) of this section
...
(12) The following sample labels illustrate the mandatory provisions and mandatory plus voluntary provisions of paragraph (d) of this section and the side-by-side display.
...
Calories..., total fat..., saturated fat..., trans fat..., cholesterol..., sodium..., total carbohydrate..., dietary fiber..., total sugars..., added sugars..., calcium..., iron..., potassium...
...
The purpose of this bill is to establish school wellness and nutrition standards, and to prohibit the sales of food items that promote obesity and lead to the onset of non-communicable diseases such as diabetes.
…
Section 2.
Amendment. Title 22 is amended to include a new Chapter 9 as follows:
""""Chapter 9
School Wellness and Nutrition Standards
§ 901. School Wellness and Nutrition Standards.
(a) The Ministry of Health, in consultation with the Ministry of Education, shall promulgate regulations that provide a framework and guideline for all schools in the Republic of Palau to establish school wellness and nutrition standards, including, at a
(1) goals for promotion and education of proper nutrition and substance use, physical activity, and other school-based activities that promote student wellness; and
(2) nutrition guidelines for the reduction Of childhood obesity.
(b) The Ministry of Education shall promulgate regulations to implement the school wellness and nutrition,
…
§ 903. National school nutrition standards.
(a) In accordance with the school wellness and nutrition standards, the Ministry of Education shall promulgate regulations to establish science—based nutrition standards for foods sold in schools.
(b) In establishing nutrition standards under this section, the Ministry of Education (1) establish standards that are consistent with the dietary guidelines as established by the Ministry of Health, including the essential food groups to encourage the consumption of necessary nutrients identified in the dietary guidelines; and
(2) consider —
(A) authoritative scientific recommendations for nutrition standards;
(B) local diet and customary food items produced in the Republic of Palau;
(C) the practical application of the nutrition standards; and
(D) special exemptions for school-sponsored fundraisers, if the fundraisers are approved by the school Parent Teacher Association and are infrequent within the school.
§ 904. Prohibition of sale of certain food items on school property.
(a) The Ministry of Education, working in coordination with the Ministry of Health, shall promulgate rules and regulations consistent with this Chapter to prohibit certain beverage and food items known to contribute to obesity and the onset of non-communicable diseases. In promulgating these regulations, the Ministry of Education and the Ministry of Health shall consider factors, including but not be limited to:
(1) the item's sodium content;
(2) the item’s sugar content;
(3) the presence of monosodium glutamate; and
(4) the item's saturated fat content.
(b) Any person found in violation of subsection (a) or subsection 905 of this Chapter shall be guilty of a violation and liable for a fine of one hundred dollars (S1OO) per occurrence.
§ 905. Prohibition of use of public funds.
No public funds shall be used by any public or private school to acquire and distribute food items that are known to contribute to obesity and the onset of non-communicable diseases”.
","Overweight in adolescents|Overweight in school children|Dietary practice|Saturated fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Schools (standards)|Procure from local sources|Monitoring mechanism established|Sanctions exist","","https://www.palaugov.pw/wp-content/uploads/2017/11/RPPL-No.-10-13-re.-School-Wellness-and-Nutrition-Standards.pdf","","","" "24718","CAN","Canada","","Notice of Modification - Prohibiting the Use of Partially Hydrogenated Oils (PHOs) in Foods","Legislation relevant to nutrition","","English","","2018","","","Health Canada","9","2017","","","","","Health","","","","","","","","","","","","","","","","","","","","","","Summary
The purpose of this notice is to inform consumers and interested stakeholders that Health Canada will be implementing a prohibition on the use of partially hydrogenated oils (PHOs) in foods by adding PHOs to Part 1 of the List of Contaminants and Other Adulterating Substances in Foods (the List).
The prohibition will take effect the day on which PHOs are added to Part 1 of the List. Health Canada will be amending the List 12 months from the date of publication of this notice.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Prohibition on the use of industrially-produced trans fatty acids","","https://www.canada.ca/en/health-canada/services/food-nutrition/public-involvement-partnerships/modification-prohibiting-use-partially-hydrogenated-oils-in-foods/information-document.html","","WHO 2nd Global Policy Review 2016-2017","" "25331","USA|GUM|MNP","United States of America|Guam|Northern Mariana Islands","","Final Determination Regarding Partially Hydrogenated Oils (Removing Trans Fat)","Legislation relevant to nutrition","","English","6","2018","","","Federal Register / Vol. 80, No. 116","6","2015","Adopted","6","2015","U.S. Food and Drug Administration","Health|Food and agriculture","Food and Drug Administration, Health and Human Services","","","","","","","","","","","","","","","","","","","","","SUMMARY: Based on the available scientific evidence and the findings of expert scientific panels, the Food and Drug Administration (FDA or we) has made a final determination that there is no longer a consensus among qualified experts that partially hydrogenated oils (PHOs), which are the primary dietary source of industrially-produced trans fatty acids (IP–TFA) are generally recognized as safe (GRAS) for any use in human food. This action responds, in part, to citizen petitions we received, and we base our determination on available scientific evidence and the findings of expert scientific panels establishing the health risks associated with the consumption of trans fat.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Prohibition on the use of industrially-produced trans fatty acids","","https://www.fda.gov/Food/IngredientsPackagingLabeling/FoodAdditivesIngredients/ucm449162.htm","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/USA%202015%20Final%20determination%20regarding%20parially%20hydrogenated%20oils.pdf" "26276","IND","India","","Food Safety and Standards (Health Supplements, Nutraceuticals, Food for Special Dietary Use, Food for Special Medical Purpose, Functional Food and Novel Food) Regulations, 2016","Legislation relevant to nutrition","","English","","2018","","","Ministry of Health and Family Welfare","","2016","Adopted","","","","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","4 Claims
(8) To claim ingredients, nutrient or nutritional, in respect of an article of food for enhanced function and disease risk reduction, regard shall be had to-
(i) claims that led to ingredients (nutrient or nutritional);
(ii) available scientific literature including official traditional texts and post market data or consumer studies or cohort or retroactive studies based on eating pattern and health benefits, epidemiological international and national data, and other well documented data;
(iii) consensual, congruent and concurrent validity studies;
(iv) health promotive and disease risk reduction based on proof from literature and human data of efficacy and safety of the nutrient;
(v) not only controlled clinical trials for efficacy and safety data; but also nutraepidemiological data;
(vi) qualified structure function claims for specific organ or function which are comprehensible to consumer;
(vii) prohibition of implied claims for curing disease or claims of drug like efficacy such as ‘Prevents bone fragility in post menopausal women’;
(viii) prohibition of implied cure for disease claims by the name of the product such as cancer cure or througha pictures, vignettes or symbols, namely, electrocardiogram tracing, lipid profile; and
(ix) for structure-function claims, a case-to-case basis consumer information for specific age or gender or vulnerable population.
3.(1) In schools, only food that meets the requirements as outlined in the criteria issued by the Advisory Council may be offered for sale or sold or in any manner provided by the administration of schools.
(2) Schools shall:
(a) implement a programme for the promotion of healthy eating to be established on the criteria issued by the Advisory Council;
(b) not permit any advertising of or accept sponsorships by food products not allowed in accordance with the criteria issued by the Advisory Council.
4. Schools shall ensure that water intended for human consumption shall be made available.
","Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Fibre|Sugar intake|Added sugars|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|School meal standard|Regulating marketing of unhealthy foods and beverages to children|Limit exists for some settings, products or areas only|Settings where children gather such as schools, childcare and other educational establishments|Energy drinks (marketing)|Fat (marketing)|Nutrient profile model (marketing)|Predefined list of foods and beverages (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugar-sweetened beverages (marketing)|Sugars (marketing)|Trans fat (marketing)|Mandatory marketing restrictions|Mandatory in schools only|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Schools (standards)|Criteria based on national FBDGs (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in saturated fats (standards)|Foods high in trans fats (standards)|Foods high in sugars (standards)|Foods high in added sugars (standards)|Foods high in fibre (standards)|Foods high in salt (standards)|Low fat milk (standards)|Fruit and vegetables (standards)|Iodized salt (standards)|Fish (standards)|Lean meat (standards)|Unsaturated oils for cooking (standards)|Water (standards)|Whole grain bread and cereals (standards)|Foods high in micronutrients (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Energy and sport drinks (standards)|Fruit and vegetable juices (100%) (standards)|Ready-to-drink tea or coffee (standards)|Full fat milk (standards)|Fats (standards)|Saturated fats (standards)|Trans-fats (standards)|Added sugars (standards)|Sodium (standards)|Total sugars (standards)|Monitoring mechanism established|Sanctions exist","","https://deputyprimeminister.gov.mt/en/strategy-development-and-implementation-unit/Pages/legislation.aspx","Food and Beverage Standards 25th October 2018 Drawn up by the Advisory Council for the Procurement of food for Schools Regulations during school hours in accordance with Chapter 550 HEALTHY LIFESTYLE PROMOTION AND CARE OF NONCOMMUNICABLE DISEASES ACT.List of Permissible Foods Document 1List of Permissible Drinks Document 2 List of Prohibited Foods Document 3 List of Prohibited Drinks Document 4Nutrient Based Guidelines for Food and Drink Providers Document 5 …The following food and beverage items listed hereunder are always subject to the nutrient levels as established within the parameters set in the Nutrient Based Guidelines for Food and Drink Providers.…Nutrient Based Guidelines for Food and Drink Providers It is advisable that tuck-shop operators keep to the minimum nutrient levels suggested for each nutrient. Flavours, colourings and enhancers (monosodium glutamate MSG) should be avoided. Foods should be free from artificial sweeteners, and trans fats found in hydrogenated or partially hydrogenated vegetable oils/fats.Nutrient - Nutrient level per 100g / ml of food Fats* - Not more than 20g Saturated Fats - Not more than 5g Total Sugars - Not more than 10g** Salt - Not more than 1.5g Sodium - Not more than 0.6g* Foods should be free from hydrogenated or partially-hydrogenated vegetable oils/fats. Total fats may discriminate against foods high in natural fats such as nuts and seeds. Values for total fats may be higher than the suggested levels for these foods.** With the exception of cereals for which total sugars should not be more than 15g per 100g- - - - - - - -Legislation This subsidiary legislation regulates for food sold or provided by schools. The criteria for food procurement was drawn up by the Advisory Council for the Procurement of food for Schools Regulations during school hours in accordance with Chapter 550 of the Healthy Lifestyle Promotion and Care of Non-Communicable Diseases Act. The criteria are updated from time to time and current update took place in October 2018.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202018%20Subsidiary%20Legislation%20550.01.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202018%20Subsidiary%20Legislation%20550.01.pdf" "26230","ZAF","South Africa","","Rates and Monetary Amounts and Amendment of Revenue Laws Act, 2017. Health promotion levy on sugary beverages.","Legislation relevant to nutrition","","English","4","2018","","","Government Gazette, Republic of South Africa","12","2017","Adopted","12","2017","President","Health|Finance, budget and planning","","","","","","","","","","","","","","","","","","","","","","PART 2: STANDARDS ON FORTIFICATION
Component
1. Iodine content
...
2. Fortified Oil: Vegetable Oil shall be fortified with the following micronutrients, at the level given in the table below:
Regulations
FOOD SAFETY AND STANDARDS (LABELLING AND DISPLAY) REGULATIONS, 2020
CHAPTER 1
GENERAL
1. Short Title and Commencement
...
(3) They shall come into force on the date of their publication in the Official Gazette and Food Business Operator shall comply with all the provisions of these regulations after one year from the date of their publication in the Official Gazette except chapter-3 of these regulations, to which Food Business Operator shall comply by 1st January, 2022.
...
CHAPTER- 2 LABELLING OF PREPACKAGED FOODS
…
5. Labelling Requirements. -In addition to general requirements specified in Regulation 4, every package shall carry the following information on the label, namely,-
…
(2) List of Ingredients: Except for single ingredient foods, a list of ingredients shall be declared on the label in the following manner:-
(a) The list of ingredients shall contain an appropriate title, such as the term “Ingredients/List of Ingredients”;
(b) The name of ingredients used in the product shall be listed in descending order of their composition by weight or volume, as the case may be at the time of its manufacture;
…
(3) Nutritional information.-
(a) For the purposes of these regulations, nutritional information is a description intended to inform the consumer of nutritional properties of the food
…
(b) Nutritional Information per 100g or 100ml or per single consumption pack of the product and per serve percentage (%) contribution to Recommended Dietary Allowance calculated on the basis of 2000kcal energy, 67 g total fat, 22 g saturated fat, 2 g trans fat, 50 g added sugar and 2000 mg of sodium (5 g salt) requirement for average adult per day, shall be given on the label containing the following: —
(i) energy value (kcal);
(ii) the amounts of
(A) Protein (g);
(B) Carbohydrate (g) and Total Sugars (g), added sugars (g);
(C) Total fat (g), saturated fat (g), trans fat (other than naturally occurring trans fat) (g)and cholesterol (mg);
Provided that the content of saturated fat and trans fat may be declared on the label as “not more than”.
Provided that saturated fat and trans fat to be given only if fat content is more than 0.5%
(D) Sodium (mg);
…
CHAPTER- 3
9. Display of information in food service establishments
(1) Food Service Establishments having Central license or outlets at 10 or more locations shall mention the calorific value (in kcal per serving and serving size) against the food items displayed on the menu cards or boards or booklets.
Additionally, reference information on calorie requirements shall also be displayed clearly and prominently as “An average active adult requires 2,000 kcal energy per day, however, calorie needs may vary”.
…
(6) Nutritional information and/or ingredients information along with health messages shall be displayed where food is served in a manner as may be required and specified by the Food Authority.
","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Ingredients list|Mandatory for some pre-packaged foods|Amount of added sugars|Amount of available carbohydrate|Amount of protein|Amount of salt/sodium|Amount of saturated fatty acids|Amount of total fat|Amount of total sugars|Amount of trans fatty acids|Energy value (ND)|Mandatory menu or vending machine labelling","","https://www.fssai.gov.in/upload/notifications/2020/12/5fd87c6a0f6adGazette_Notification_Labelling_Display_14_12_2020.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IND%202021%20the%20Food%20Safety%20and%20Standards%20%28Labelling%20and%20Display%29%20Regulations%2C%202020.pdf" "38188","NGA","Nigeria","","Fats, Oils and Foods Containing Fats and Oils Regulations, 2022","Legislation relevant to nutrition","","English","4","2023","","","National Agency for Food and Drug Administration and Control (NAFDAC)","4","2023","Adopted","4","2023","Minister of Health","Nutrition council|Health","National Agency for Food and Drug Administration and Control (NAFDAC)","","","","","","","","","","","","","","","","","","","","","18. The Strategy proposes the following targets for the year 2015:
c) achieve 95% net coverage in access to the first two cycles of basic education;
f) reduce infant and child mortality rates by half;
g) decrease malnutrition in children under 5 to 20%;
h) reduce maternal mortality rates by half;
i) achieve 95% access to potable water and sanitation;
Objectives
2.1 IMPROVING EQUITY AND SECURITY IN ACCESS TO LAND
Guarantee access to land and secure land tenure, for organized and independent small farmers and ethnic populations to improve the income and food security of rural families.
2.4 IMPROVING SOCIAL CONDITIONS IN RURAL AREAS
Strengthen social infrastructure and widen the coverage of poverty-alleviation programs in the most depressed areas with the greatest incidence of poverty.
3.4 ACCESS TO BASIC SERVICES IN HIGH PRIORITY AREAS
Improve the access to groups living in urban marginal areas to basic services of potable water, sewer systems, electricity and transport, in order to improve the quality of their lives.
4.2 INCREASED AND BETTER ACCESS TO HEALTH SERVICES
Guarantee equitable access by poor groups to high-quality health services, preferably in primary health care and nutrition monitoring, by achieving consensus on the definition and implementation of reforms in the health sector, and by guaranteeing that the service network has available, in a timely manner, the quantity and quality of supplies equipment and human resources needed for appropriately carrying out its functions.
","2.1 IMPROVING EQUITY AND SECURITY IN ACCESS TO LAND
ii. Strengthen programs for adjudicating, titling and clearing of land tenure, especially in the reformed sector, and among ethnic groups and independent small farmers
c) Programs and Projects
iv. Access to Land Program.
2.4 IMPROVING SOCIAL CONDITIONS IN RURAL AREAS
ii. Increase coverage of potable water and basic sanitation systems.
iii. Incorporate into FHIS and PRAF programs the promotion of productive vegetable gardens and food-conservation activities carried out by rural women which help improve incomes and the nutritional status of their families.
iv. Improve the coordination of food aid and donations of key inputs to support small productive projects and community construction activities, in order to improve their coverage and targeting and to avoid negative effects on local production.
c) Programs and Projects
ii. Basic sanitation in rural areas.
iv. Sustainable food assistance.
3.4 ACCESS TO BASIC SERVICES IN HIGH-PRIORITY AREAS
iii. Foster municipal management of water and sanitation systems, by promoting the approval of the framework law of the sector and improving the administrative capacities of the municipalities.
c) Programs and Projects
ii. Potable water for marginal neighborhoods.
4.2 INCREASED AND BETTER ACCESS TO HEALTH SERVICES
b) Policy Measures
i. Strengthen primary and preventive health care
ii. Provide increased attention to the health conditions of women
iii. Achieve increased efficiency and quality in providing health services by:
c) Programs and Projects
i. Basic health services package.
ii. Community Medications Fund (FCM).
iii. Health promotion services for children including nutrition.
iv. Integrated assistance to women
v. Healthy Schools.
vi. Prevention of infectious-contagious illnesses.
vii. Health infrastructure.
","TABLE OF TARGETS AND INDICATORS
Achieve 95% net coverage in the first two cycles of basic education
Reduce by half the mortality rate in children under 5 years of age
Diminish malnutrition to not more than 20% in children under 5 years old
Reduce maternal mortality by half;
Achieve 95% access to potable water and sanitation
Result Indicators
2.1 IMPROVING EQUITY AND SECURITY IN ACCESS TO LAND
ii.
2.4 IMPROVING SOCIAL CONDITIONS IN RURAL AREAS
ii.
iii-iv.
3.4 ACCESS TO BASIC SERVICES IN HIGH-PRIORITY AREAS
ii.
4.2 INCREASED AND BETTER ACCESS TO HEALTH SERVICES
i.
ii.
iii.
This Circular was prepared jointly by the Ministries of Health, of Trade, of Culture and Information, the Prime Minister and the Vietnam Committee for Child Protection. It consists of 7 Parts: general provisions (I); Information, education, communications (II); Advertisement (III); Trading in mother milk substitutes (IV); responsibility of the Obstetric and Paediatric departments and the medical cadres and personnel of these establishments (V); State management responsibilities (VI); implementation provisions (VII). Article 2 of Part I outlines the application sphere of the Circular. Before being placed on the market, all mother milk substitutes must have their food quality, hygiene and safety characteristics registered with the Ministry of Health.
(Summary retrieved from FAOLEX)
Health
Agriculture and Food
Rural Infrastructure: Improvement of potable water, sewages, and rural transport infrastructure
","Health: Improvement of a regional surveillance system (laboratories, equipment, training), which will secure quality control of potable water and foodstuffs.
Education: Support for children of poor families by offering them scholarships and textbooks free of charge or at low prices, and free food
Agriculture and Food
Rural Infrastructure: Construction of water supply lines and sewages in the most critical rural areas to fulfill needs for potable water and to improve hygiene in these areas
","POLICY AND PERFORMANCE MATRIX, 2002 - 2005
Objectives and Targets
Improve access, coverage and quality of health care, especially to the poor
Improve coverage, enrolment and performance of students in first and second cycles
Expand access and quality of water
Improve basic sanitation
Reduce poverty gap
Develop special intervention projects
","3. Investment in Human Capital
b) Health
Government will focus on improving (i) maternal and child health; (ii) the incidence rates of communicable diseases; (iii) management of chronic diseases; (iv) nutritional status; (v) access to mental health services; and (vi) access to quality health care.
i) Maternal and child health
Government will implement the Integrated Management of Childhood Illnesses (IMCI) and promote the “baby friendly” programs, while working towards ensuring that all health care workers are suitably trained and all hospitals are certified for Baby-Friendly Hospital status. It will also provide counseling services and supplies to health centers, with special attention to hinterland areas; fully implement the Medical Termination of Pregnancy Act; expand the PAP smear program; and augment immunization programs to reduce the inequities that presently exist, in particular, in hinterland areas.
ii) Communicable diseases
(ii) expand the program for reduction of mother-to-child transmission to all regions;
iii) Chronic diseases
To reduce the incidence of complications aassociated with diabetes, hypertension and certain types of cancer, programs to improve prevention, early diagnosis and management of these diseases will be implemented, especially in the health centers, health posts and regional and community hospitals. and community-based education programs will be conducted.
iv) Nutritional status
To improve the nutritional status, not only of women and children but of the entire population with emphasis on the poor, priority attention will be given to (i) expanding school feeding programs; (ii) expanding services to pregnant and lactating mothers below the poverty level; (iii) providing support to the elderly and pensioners; and (iv) providing assistance to families of workers displaced by public sector restructuring. The core elements of the nutrition project are being designed.
vi) Access to quality health care
To improve access to quality health care, particularly in hinterland areas, facilities will be upgraded to provide basic health services, including immunization, vaccination, blood and urine tests, and chest X-rays.
4. Infrastructure to support services
a) Water
i) provision of access to safe water to 95 percent of the population
5. Safety Nets
(ii) support to pregnant and lactating women
","2.Relevance of indicators
Health and nutrition, sanitation
Water
POLICY AND PERFORMANCE MATRIX, 2002 - 2005
Monitoring indicators
Improve access, coverage and quality of health care, especially to the poor
Improve coverage, enrolment and performance of students in first and second cycles
Establish a school feeding program:
Expand access and quality of water
Improve basic sanitation
Reduce poverty gap
Develop special intervention projects
","
","Outcome indicators","","Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Tajikistan_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202002%20Tajikistan_PRSP.pdf" "14886","ARM","Armenia","","Poverty Reduction Strategy Paper","Multisectoral development plan with nutrition components","","English","","2003","","","World Bank","","2003","Adopted","","2003","Government of Armenia","Finance, budget and planning|Health|Social welfare","Ministry of Finance and Economy, Ministry of Health, Ministry of Social Security","","","","","","","","","","","","","","","","","
Mother and Child Health Care
It is necessary to reiterate the priority of women’s and children’s health at the national level by ensuring continued improvement of health conditions of pregnant and nursing women and the nutrition of children up to the age of 5. Furthermore, breastfeeding should be encouraged, as well as the provision of prenatal and postnatal quality medical service.
","Number of under-weight children, % of total number of children below the age of 5 (2004 = 2,8%; 2006 = 2,7%; 2009 = 2,3%; 2012 = 1,8%; 2015 = 1,4% )
Number of under-height children, % of total number of children below the age of 5 (2004 = 12,0%; 2006 = 11,5%; 2009 = 9,5%; 2012 = 8,0%; 2015 = 6,0%)
","Outcome indicators","","Breastfeeding|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Vaccination","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Armenia_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202003%20Poverty%20Reduction%20Strategy%20Paper.pdf" "14883","AZE","Azerbaijan","","State Programme on Poverty Reduction and Economic Development 2003-2005","Multisectoral development plan with nutrition components","","English","","2003","","2005","World Bank","","2003","","","","","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Sub-national|Other","Local Executive Bodies; Poverty Monitoring Unit (PMU), State Committee for Refugees and Internally Displaced Persons (SCRIDP); The State Oil Company of Azerbaijan Republic (SOCAR); State Statistics Committee (SSC)","United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)","","","","Other","","","","","","","","","","","","
The government plans to increase expenditure on the health sector; establish in co-ordination with donor organizations the cost of a basic per capita package of primary health care, and work towards gradually increasing government expenditure to ensure this; increase the salaries of health sector employees; design a system of targeted exemption from paid medical services; take over full state nuancing of immunization programs (excluding hepatitis B); design public awareness campaigns to help improve maternal and new-born welfare, as well as campaigns to reduce the incidence of TB, malaria, iodine-deficiency and HIV/AIDS; design public awareness campaigns for health life styles and nutrition, especially targeted to poor; improve the protection of the population’s reproductive health; improve the information collection system for producing the main health indicators and adoption of international standard definitions for key health indicators; improve training of health sector staff, including raising awareness of the need to shift to more user-friendly services and the need to concentrate on prevention rather than just treatment of the illnesses most prevalent among the most vulnerable sections of the population; and finally monitor access to clean drinking water as well as other environmental factors affecting health.
The second main thrust of reform is that of developing cost-effective health care services; i.e. Elaborating specific interventions that have proved to be effective in the improvement of the population’s health status and which can be provided at relatively low cost. Such measures include health education campaigns, improved immunization programs, and improved treatment practices, such as Integrated Management of Child Illnesses (IMCI), safe motherhood and new-born care, the salt iodization program.
Apart from cooperating with donors on comprehensive primary health care reform, the government envisages the following to achieve these objectives:
Creating a system of targeted social assistance and creating a mechanism for providing reimbursement for the expenditure on children’s food for low-income families
Promoting Safe Motherhood and Essential Care for the Newborn
Savetey
Improving food provision to IDPs
Reducing Iodine Deficiency Disorders
Promotion of Healthy Life Styles: Introduce halth education into the curricula of the schools
","To eradicate Iodine Deficiency Disorder by supplying proper iodized salt
","","","","","Food labelling|Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202003%20Sub-decree%20on%20the%20management%20of%20Iodized%20Salt.pdf" "14925","KGZ","Kyrgyzstan","","Comprehensive Development Framework of the Kyrgyz Republic to 2010","Multisectoral development plan with nutrition components","","English","","2003","","2010","World Bank","12","2002","Adopted","12","2002","Government of Kyrgyz Republic","Food and agriculture|Health|Other|Trade","Ministry of Foreign Trade and Industry, Ministry of Agriculture, Water Resources, and Processing Industry, Ministry of Healthcare, Kyrgyz Agricultural Financial Corporation, National Statistical Committee of the Kyrgyz Republic","","","","","The World Bank","","","","National NGOs","Rural Public Associations of Potable Water Consumers","","","","","Other","","Provision of various forms of security (food, energy, financial, information and ecological security), as well as safeguarding of spiritual and cultural values and traditions.
Health Sector
Physical Culture and Sports
Development of agriculture and rural territories
","Outcome indicators|Process indicators","","Maternity protection|Low birth weight|Physical activity and healthy lifestyle|Iodine|Iron|Food fortification|Food grade salt|Food security and agriculture|Water and sanitation|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Kyrgyz_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202002%20Comprehensive%20Development%20the%20Framework%20of%20Kyrgyz%20Republic%20to%202010.pdf" "22974","LSO","Lesotho","","Poverty Reduction Strategy Paper ","Multisectoral development plan with nutrition components","","English","","2004","","2007","Government","4","2006","","","","","Education and research|Food and agriculture|Health|Other","Food and Nutrition Coordination Office; Ministries of Education and Training; Agriculture and Food Security; Health and Social Welfare; Local Government; Natural Resources; Tourism, Environment and Culture; Disaster Management Authority","","","","","","","","","","","","","Private sector","","Other","Civil Society Organisations, Christian Health Association of Lesotho (CHAL)","
PRSP NATIONAL PRIORITY TWO: IMPROVE AGRICULTURE AND FOOD SECURITY
OBJECTIVES
2.1. Increase crop and livestock production
PRSP NATIONAL PRIORITY THREE: DEVELOP INFRASTRUCTURE
OBJECTIVES
4.2 Increase access to water
4.3 Increase access to sanitation
PRSP NATIONAL PRIORITY FIVE: IMPROVE QUALITY AND ACCESS TO HEALTH CARE AND SOCIAL WELFARE SERVICES
OBJECTIVES
5.1 Promote access to quality and essential health care
5.2 Reduce Malnutrition
PRSP NATIONAL PRIORITY SIX: IMPROVE QUALITY AND ACCESS TO EDUCATION
OBJECTIVES
6.1 Expand and promote Early Childhood Care and Development (ECCD)
6.3 Improve relevance and quality in basic and secondary education
PRSP SPECIAL CROSS-CUTTING PRIORITY: SCALING UP THE FIGHT AGAINST HIV/AIDS
OBJECTIVES
9.1 Create an AIDS competent society
","2.1.1 Adoption of appropriate farming practices and ensuring timely access to inputs.
2.1.1.4 Make optimal use of land around the home
2.1.1.6 Provide specialised support for HIV/AIDS impacted households such as labour-saving packages known to combat opportunistic infections and boost the immune system, and introduce affordable crop (homestead horticulture) and livestock (milk goats and indigenous poultry) production systems, which require less costly management.
2.1.1.7 Design packages for child-headed households to assist them with ploughing services and other agricultural inputs.
5.1.5 Strengthen disease prevention programmes.
5.1.5.1 Improve and expand health education to provide people with information for preventive and curative purposes.
5.1.5.2 Improve and expand critical programmes, including child vaccination, family planning, ANC, PNC, reproductive health and teenage motherhood.
5.1.5.3 Promote proper sanitation and good hygiene practices in households and schools.
5.2.1 Improve nutritional status of vulnerable groups.
5.2.1.1 Refine National Nutrition Policy
5.2.1.2 Improve disaster preparedness for emergency food distribution
5.2.1.3 Maintain school feeding programme
5.2.1.4 Strengthen systems of supplementary feeding of malnourished children under 5 years
5.2.1.5 Promote good nutrition practices through community awareness campaigns, meetings, distribution of pamphlets etc
5.2.1.6 Provide nutritional food packages and micro- nutrient supplements to vulnerable groups and other relevant groups.
6.1.1 Improve the quality and access of ECCD Programmes
6.1.1.4 Organise periodic workshops for ECCD Teachers focusing on critical cross cutting issues (e.g. children’s rights, nutrition, Health and HIV/AIDS).
6.1.2 Improve the capacity of ECCD Department through training and staffing
6.1.3 Expand home based (HB) approach to ECCD countrywide.
6.3.1 Build the capacity of personnel
6.3.1.3 Complete the HIV AND AIDS impact assessment and train principals, schools boards, etc on HIV AND AIDS, gender, nutrition and all other relevant cross – cutting issues
9.1.2 Combat the spread of HIV/AIDS
9.1.2.3 Implement the Prevention of Mother to Child Transmission (PMCT) programme.
9.1.3 Develop effective support systems to mitigate impact on affected households.
9.1.3.1 Design and provide nutritional packages for vulnerable groups, including mothers practicing exclusive breast-feeding.
9.1.3.2 Devise labour saving strategies for intensive and integrated agriculture focusing on homesteads (land immediately around the home).
9.1.3.3 Provide for orphans through access to education (fee exemptions), nutritional packages, health care, preferably through families and communities.
9.1.4 Develop effective support systems for infected persons.
9.1.4.2 Provide micro-nutrient supplements to PLWA.
","PRSP NATIONAL PRIORITY TWO: IMPROVE AGRICULTURE AND FOOD SECURITY
PRSP NATIONAL PRIORITY THREE: DEVELOP INFRASTRUCTURE
PRSP NATIONAL PRIORITY FIVE: IMPROVE QUALITY AND ACCESS TO HEALTH CARE AND SOCIAL WELFARE SERVICES
PRSP NATIONAL PRIORITY SIX: IMPROVE QUALITY AND ACCESS TO EDUCATION
PRSP SPECIAL CROSS-CUTTING PRIORITY: SCALING UP THE FIGHT AGAINST HIV/AIDS
Targets
6.14. HEALTHCARE
Good progress towards the achievement of the Millennium Development Goals for Moldova presupposes the improvement in a number of relevant indicators by 2006. It is envisaged to:
Objectives
Environmental Protection and Sustainable Use of Natural Resources
Healthcare
Priority Actions
6.12 Environmental Protection and Sustainable Use of Natural Resources
i) water resources protection
6.14 Healthcare
2. National immunization program 2001-2005
5. Diabetes prevention and treatment program MoldDiab 2002-2005
6. Quality perinatal services program
9. Realizing the provisions of the National Program for prevention and cardiovascular diseases;
10. Realizing the provisions of the National Program for prevention and fighting cancer
12. Programs of medical assistance for pregnant women, sick children
13. Provision of small babies and pregnant women with drugs, compensated in ambulatory conditions
","13. Environmental protection and sustainable use of natural resources
15. Healthcare
SERBIA
Health Care
Strategic goal: · Fair and uniform access to health care for all citizens of Serbia. Decrease in
inequality in access to health care, particularly for vulnerable groups · Provide affordable health
care services for vulnerable groups and improve the quality of this care · Raise efficiency and
effectiveness in resource utilisation
MONTENEGRO
POLICY AND PERFORMANCE MATRIX 2004.-2006.
Objectives
IV ECONOMIC DEVELOPMENT, INFRASTRUCTURE DEVELOPMENT AND THE ENVIRONMENT (PRIORITIES)
2. Goals
SERBIA
Health care
Financing of public health services is an important part of funding of the overall health care system that will help to establish public health priorities relating to health promotion, prevention and treatment of disease and early detection, particularly of malignant and cardiovascular diseases
Education
Categorization of areas, tools and priorities
Tools of development and regional policies
Programme and development priorities
MDGs
Health care
MONTENEGRO
POLICY AND PERFORMANCE MATRIX 2004.-2006.
AGRICULTURE
HEALTH
SERBIA
Strategic goals, policies/strategies/ activities and description of indicators
Basic poverty reduction outcome indicators
А7 Percentage of household consumption for food
Health Care
I29 Under 5 mortality rate
I30 Infant mortality rate
I31 Proportion of undernourished children under 5 (underweight, stunting, wasting)
I42 Standardized morbidity and mortality rates for cardiovascular diseases
I43 Number of women with iron-deficiency anaemia
I44 Number of persons suffering from iodine deficiency disorders
i45 Development/existence of programmes for prevention of cardiovascular diseases, malignant diseases, injuries and accidents
Environmental aspects of poverty reduction
N6 Number and percentage of the population with access to clean and safe drinking water
MONTENEGRO
POLICY AND PERFORMANCE MATRIX 2004.-2006.
Monitoring Indicators
Production of “New Public Health” strategy. Health promotion development project in order to prevent major group of diseases.
Legal regulation project in the field of health food.
Mother and child health improvement project
Establishing coordination and cooperation between health sector and educational sector
2. MDGs and monitoring poverty indicators for Montenegro
2. Food poverty line (Extreme poverty)
9. Malnutrition of children up to 5 years old
41. Under five mortality rate
42. Infant mortality rate
58. Access to safe water (% of population)
59. Access to improved sanitation objects among urban population
","","","Breastfeeding - Exclusive 6 months|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Diet-related NCDs|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Fiscal policies|Iodine|Iron|Food safety|Food security and agriculture|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","http://www.imf.org/external/pubs/ft/scr/2004/cr04120.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SRB%202004%20Poverty%20Reduction%20Strategy%20of%20the%20Union%20of%20Serbia%20and%20Montenegro.pdf" "8341","EST","Estonia","","National Strategy for Prevention of Cardiovascular Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2005","","2020","Government","","2005","Adopted","","2005","Government","Cabinet/Presidency|Health|Food and agriculture|Social welfare","","","","","","","","","","","","Research/academia","University of Tartu","","","Other","Non-profit Associations; Professional Associations.","The overall goal of the strategy is: The premature CVD morbidity and mortality of the population will decline steadily
3.1. AREA: PHYSICAL ACTIVITY
Strategic subgoal: The physical activity of the population will increase
3.2. AREA: FOOD AND NUTRITION
Strategic subgoal: The nutrition habits of the population will improve
","Measure 3. Facilitating the healthy nutrition choices of the population and improving knowledge of balanced nutrition
Activities
Measure 4. Ensuring compliance with the principles of balanced nutrition in institutional catering
Activities
Measure 11. Development of health sustaining attitudes to life
3.6. Research related to the strategy and statistical databases
Outcome indicators
12. No advertisement for a food product shall contain:
(a) Any false or misleading information;
(b) Half-truths, inadequate qualification and limitations regarding safety or quality of the food product;
(c) Vague, unsubstantiated statements, suggestions or superiority over other competing food products;
(d) Any false impression that the advertised food product is for universal benefit or should be regarded as a more wholesome and safer alternative to other related food products.
…
15. (1) No person shall:
(a) display, screen or otherwise present an advert of a food product, unless it is done in accordance with the provisions of these Regulations; or
(b) give to a food product a name which is capable of giving a false impression of the nutritional properties of the food product; or
(c) make any claim to assert, imply or otherwise convey the impression as to the suitability of the food product for use in the prevention, alleviation, management, treatment or cure of a disease, disorder or physiological condition; or
(d) make a claim that the food product contains a particular value when that value is not wholly contributed by the food products, but is partly contributed by other food products with which it may be consumed.
2. All nutritional claims shall comply with the provision of the Prepackaged Food (Labelling) Regulation 2005.
…
16. (1) A person shall in advertising a food product or on a label of such food product, state that:
(a) the food product is a """"source"""" or """"dietary source"""" of energy if a reasonable daily intake of that food product by a person would result in the daily intake of not less than 450 kilo calories of energy;
(b) the food product is a """"good source"""" or """"a good dietary source"""" of energy if a reasonable daily intake of that food product by a person would result in an intake of not less than 1,200 kilo calories of energy; and
(c) the food product is """"an excellent source"""" or """"an excellent dietary source"""" of energy if a reasonable daily intake of that food product by a person would result in daily intake of not less than 2,250 kilo calories of energy.
(2) No person shall sell a food product for which an energy claim is made and represented as being solely for use in the feeding of children under two years of age, unless a reasonable daily intake of that food product by a child under two years of age would result in the total daily intake by the child of not less than 1,360 kilo calories of energy.
…
18. A person shall in advertising a food product or on a label of such food product, state that:
(a) the food product is """"a source"""" or """"a dietary source"""" of protein if a reasonable daily intake of that food product by a person would result in the daily intake by that person of not less than 9.0 grams of protein;
(b) the food product is """"a good source"""" or """"a good dietary source"""" of protein if a reasonable daily intake of that food product by a person would result in an intake of not less than 24.0 grams of protein; and
(c) the food product is """"an excellent dietary source"""" of protein if a reasonable daily intake of that food product by a person would result in daily intake by that person of not less than 45.0 grams of protein.
","Food labelling|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Claim must be substantiated|Specific nutrition criteria|Sanctions exist","","","https://www.nafdac.gov.ng/wp-content/uploads/Files/Resources/Guidelines/FOOD/Guidelines%20For%20Food%20Labelling_Labelling.pdf","","" "41875","NGA","Nigeria","","Pre-packaged Food (Labelling) Regulations 2005","Legislation relevant to nutrition","","English","","2005","","","National Agency for Food and Drug Administration and Control (NAFDAC)","","2005","","","","","Nutrition council|Health|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","","","","","","Sale of Unlabelled Pre-packaged Food Prohibited
1. No person shall sell a pre-packaged food unless a label has been affixed thereto.
List of Ingredients
4. (1) A complete list of ingredients used in preparing the food item shall be declared on the label in descending order of their proportion m/m, except in the case of a dehydrated food item intended to be reconstituted by the addition of potable water, in which case the ingredients shall be in order of proportion in the reconstituted product.
Nutritional labeling.
18. (1) Any nutritional claim shall be justified expressly on the label.
(2) A nutrient labelling shall be mandatory for any pre-packaged food item for which a nutrition claim is made by the manufacturer.
(3) Where nutrient declaration is applied, the declaration of the following shall be
mandatory:
(a) Energy value;
(b) The amounts of protein, carbohydrate (excluding dietary fibre) and fat;
(c) The amount of any other nutrient for which a nutrient claim is made.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Sanctions exist","","","https://www.nafdac.gov.ng/wp-content/uploads/Files/Resources/Guidelines/FOOD/Guidelines%20For%20Food%20Labelling_Labelling.pdf","","" "41572","UGA","Uganda","","The Food and Drugs (Food Fortification) Regulations","Legislation relevant to nutrition","","English","","2005","","","Government","11","2005","Adopted","","2005","The Uganda Gazette No. 2 Volume XCVIII dated 14th January, 2005","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","3. These Regulations apply to all fortified foodstuffs for human consumption.
(1) The Minister shall encourage and promote the fortification of staple foodstuffs and other processed foodstuffs to address identified micronutrient deficiencies in accordance with national standards, prescribed by the Minister.
(2) The Minister shall, monitor the implementation and enforcement of these Regulations.
(3) The guidelines and national standards on food fortification shall serve as the basis for addition of nutrients to foodstuffs to avoid over or under fortification as well as misleading label claims.
4. The Ministry shall be the owner of the official food fortification logo and shall authorise, regulate and issue guidelines for its application.
(1) A person may manufacture, import, or sell foodstuffs identified as fortified food to supply nutrients, which are insufficient in the population.
(2) A person shall not manufacture, import or sell foodstuffs identified as fortified foodstuffs unless the foodstuffs have been fortified in accordance with the national standards, as well as the principles set out in the First Schedule.
(3) The foodstuffs referred to in sub-regulation (2) shall be fortified at a specific stage of production to levels specified in national standards to ensure that the minimum level of the prescribed nutrients are maintained at the time of supply of the foodstuff to the consumer.
","Food labelling|Food fortification|Monitoring mechanism established|Sanctions exist","","https://old.ulii.org/ug/legislation/statutory-instrument/2005/2","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202005%20Food%20and%20Drugs%20%28Food%20Fortification%29%20Regulations%2C%202005%20%7C%20Uganda%20Legal%20Information%20Institute.pdf" "8109","GHA","Ghana","","Growth and Poverty Reduction Strategy (GPRSII)","Multisectoral development plan with nutrition components","","English","","2006","","2009","MOH","","2006","Adopted","","2006","MOH","Health","GHS, MOH","","","","","","","","","","","","","","","","","","","","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Food security and agriculture","","","","WHO Global Nutrition Policy Review 2009-2010","" "8431","TZA","United Republic of Tanzania","","National Population policy","Multisectoral development plan with nutrition components","","English","","2006","","","Ministry of Planning Economy and Empowerment (Ministry of Finance and Economic Affairs)","","2006","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Social welfare|Sport|Sub-national","Ministry of Finance and Economic Affairs, Ministry of Planning, Economy and Empowerment, National Population Technical Committee, Tanzania Council on Population and Development, Ministry of Community Development, Gender and Children","","","","","","","","","","","","","","","","","4.9 Agriculture, Food and Nutrition:
Article 1.- Scope of regulation and subjects of application
1. This Decree provides for information, education and communication on, advertisement for, trading in, and use of, nutritious products for infants, feeding bottles and dummies.
2. This Decree applies to Vietnamese and foreign organizations and individuals in Vietnam.
Food and Nutrition goal: To achieve sustainable food and nutrition security.
Agriculture goal: To promote increased and sustainable agricultural production, productivity and competitiveness in order to ensure food security; income generation; creation of employment opportunities; and reduction in poverty levels.
Health goal: To improve the health status of the people in Zambia in order to contribute to socioeconomic development in line with the Millennium Development Goals (MDGs).
Water and Sanitation goal: To promote sustainable water resources development and sanitation with a view to facilitating an equitable provision of adequate quantity and quality for all users at acceptable costs and ensuring security of supply under varying conditions.
HIV/AIDS goal: To halt and begin to reverse the spread of HIV and AIDS.
Environment goal: To reverse environmental damage, maintain essential environmental and biological processes and ensure sustainable use of natural resources for the benefit of the people.
Objectives included in the matrix of the attached PDF
","Strategies included in the matrix of the attached PDF
","","","","Wasting in children 0-5 years|Underweight in women|Diet-related NCDs|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202006_PRSP%28Dec2006%29.pdf" "14876","ALB","Albania","","National Strategy for Development and Integration 2007-2013","Multisectoral development plan with nutrition components","","English","","2007","","2013","COUNCIL OF MINISTERS","3","2008","Adopted","3","2008","Government of Albania","Environment|Food and agriculture|Health|Other|Transport","Ministry of Environment, Forests and Water Administration, Ministry of Agriculture, Food and Consumer Protection, Institute of Public Health, Ministry of Health, Monitoring and Benchmarking Unit of General Department of Water and Sanitation, Institute of Statistics (INSTAT), Ministry of Public Works, Transport and Telecommunications","","","","","","","","","","","","","","","","","The strategic goals include key Millennium Development Goals related to poverty reduction, infant mortality, and access to water and sanitation:
Ensure high productivity and competitiveness of the agricultural and agro-processing sectors both domestically and abroad:
","
Water and Sanitation: Improve the quality of life in rural areas, through village renewal and development (local roads, water and sanitation) and support the conservation of the rural heritage
Agriculture
Provide consumers with modern and transparent market surveillance, establishing the foundations for the development of safe markets through:
To protect consumers in an effective way from risks and threats which they cannot confront and resolve individually:
The public programmes that support agricultural and rural development will be consolidated in accordance with EU practices, with the aim to support sustainable development in this area, and the Payments Agency will be established in the long term. Modern systems of food safety will be introduced gradually and the institutions that guarantee its standards will be consolidated.
","Water supply and sanitation: In the period 2011-2013, the average level of capital expenditure will be Lek 11 billion. The level of subsidies for water utilities will fall by 10% each year in real terms after 2010.
Access: Proportion of households reporting that they have running water and sanitation inside the dwelling
Quality: Proportion of samples obtained within a year for all 54 water utilities that tested negative for coliform and chlorine residual
","Outcome indicators","","Food safety|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Albania-PRSP(August2008).pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB%202008%20%20Albania-PRSP.pdf" "8292","KHM","Cambodia","","Joint Prakas on Implementation of Sub-decree on Marketing of Products for Infant and Young Child Feeding","Legislation relevant to nutrition","","English","","2007","","","Ministry of Health","8","2007","Adopted","","2007","Ministry of Health, Ministry of Commerce, Ministry of Information and Ministry of Industry, Mines and Energy","Health|Other","Ministry of Health, The four line ministries","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","
Identifies the responsibilities of each ministry in implementing articles 17 and 22 of the subdecree on the marketing of products for infant and young child feeding.
","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Functioning implementation and monitoring mechanism|Labelling: Message on superiority of breastfeeding|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202007%20Joint%20Prakas%20on%20Marketing%20Child%20Feeding%20Products.pdf" "22961","GMB","Gambia","","Poverty Reduction Strategy: 2007-2011","Multisectoral development plan with nutrition components","","English","","2007","","2011","Intentional Monetary Fund","9","2007","Adopted","11","2006","Department of State for Finance and Economic Affairs","Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Other","Department of Fisheries and Marine Resources; National Nutrition Agency (NaNA)","","","","","Other","IMF","","","","","","","","","","","PRSP II pillars
4.1 Agriculture
4.1.2 Priorities and Strategies for the Agricultural Sector
6. Improve soil fertility maintenance and soil conservation.
11. Increase government support to post-harvest and storage facilities with a focus on value added on local products.
5.1 Health
5.1.4 Strategies and Priorities for the Health Sector
7.1 Gender
7.1.4 Planned Interventions
2. Improving women and girls entrepreneurial skills and opportunities in all productive sectors by
e. Providing women with labour saving devices, support to land development and rehabilitation of community vegetable gardens.
3. Providing laws that will effectively protect women’s rights through:
b. Promoting women health and access to health services and control over their reproductive rights.
c. Advocating and sensitizing all stakeholders to effective of high maternal and child mortality as well as the effects of malnutrition and HIV/AIDS amongst women, girls and children.
d. Ensuring that polices on gender and HIV/AIDS are adequate for the protection of women. Ensuring adequate budgets for prevention, care and treatment of HIV/AIDS
7.4 Nutrition
7.4.2 Priorities for Nutrition
Under five mortality
Infant mortality
Maternal mortality
Proportion of population with sustainable access to an improved water source, urban and rural
","","","Food security and agriculture|Vulnerable groups","","https://www.imf.org/external/pubs/ft/scr/2007/cr07308.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GMB%202006%20Poverty%20Reduction%20Strategy%202007-2011.pdf" "8018","PNG","Papua New Guinea","","Food Sanitation Regulations","Legislation relevant to nutrition","","English","","2007","","","Goverment","","2007","Adopted","1","2007","Governor-General","Health","Food Sanitation Council","","","","","","","","","","","","","","","","","","","","","PART 111. - FOOD AND FOOD ADDITIVES.
4. Standards for food and food additives.
...
(3) Where no standard is fixed for a particular food or food additive, a food additive may be permitted to be added to an article where the food additive is prescribed for that article in Schedule 2.
...
PART IV. - APPARATUS, PACKAGE AND LABELLING.
...
12. PARTICULARS OF LABELLING.
(1) For the purposes of Section 16 of the Act, and in addition to any standard fixed under Section 14 of the Act, any package or apparatus containing food or food additives for sale shall bear on or attached to it a label containing-
...
(e) a statement of the ingredients and components of the food or food additive using an accepted or appropriate designation for each of these ingredients and components in descending order of proportion by weight. An ingredient, for the purposes of this paragraph, means any substance including a food additive used in the preparation, manufacture or handling of a food; and
(f) where a claim is made as to the presence in any food or food additive of any vitamin, mineral, essential amino acid or essential fatty acid, the labelling statement shall set out -
(i) in the case of vitamin, the quantity of each in milligrams or micro grams; and
(ii) for minerals and essential amino acids, the quantity of each in parts per cent or milligrams; and
(iii) for essential fatty acids, the quantity of each in energy per cent or grams, present in a stated quantity of the food or food additive;
...
13. Prohibited LABELLING.
The label attached to a package or apparatus containing or enclosing any food or food
additive shall not, unless permitted in a prescribed standard-
(a) claim that the article is food or a food additive for specific dietary use; or
(b) include the words """"sugarless, sugar free"""" or any similar terms; or
(e) include a nutritional claim unless that label also includes a nutrition information panel; or
(d) claim any therapeutic or prophylactic action in respect of an ingredient of the food or food additive, nor use words implying such an effect or action; or
(e) include any certificate of analysis or any statement that purports to be a certificate of analysis; or
(j) make any claim as to the nutritional benefits of the food or food additive in comparison to human milk.
...
SCHEDULE 2
Reg. Sec. 4(3)
PERMITTED FOOD ADDITIVES.
...
3. VITAMINS AND MINERALS.
This section regulates the addition of vitamins and minerals to foods, and the claims which can be made about the vitamin and mineral content of foods other than, certain claims permitted elsewhere in the Regulation and related standards.
...
(2) Prohibition on adding vitamins and minerals to food
A vitamin or mineral must not be added to a food unless the -
(a) addition of that vitamin or mineral is specifically permitted in this Regulation and related standards; and
(b) vitamin or mineral is in a permitted form specified in Table 3B.
(3) Permitted addition of vitamins and minerals to food A vitamin or mineral specified in column 3 of Table 3A may be added to a food specified in column I in relation to that vitamin or mineral, provided that the total of the naturally occurring and added quantity of that vitamin or mineral present in a reference quantity of the food, does not exceed the quantity specified in column 5 in relation to that vitamin or mineral.
...
* Note:
(1) White rice must contain not less than the following vitamins and minerals:
Thiamin 0.5mg/100g
Niacin 6mg/100g
Iron 3mg/100g
(2) Salt must be iodised with potassium iodate at the following levels:
Salt other than table salt
not less than 50mg/kg and iodine content not
less than 30mg/Kg.
Table Salt
not less than 70mg/kg and the iodine content not
less than 40mg/kg.
","Food labelling|Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Calcium|Iodine|Iron|Vitamin D|Zinc|Food fortification|Wheat flours|Rice|Food grade salt|Condiments and seasonings|Edible oils and margarine|Milk|Mandatory fortification of rice with iron|Mandatory salt iodization|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria","","http://paclii.org/pg/legis/sub_leg/fsa1991fsr2007429.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG%202007%20Food%20sanitation%20regulations.pdf" "22868","PHL","Philippines","","S. No. 1698: Expanded Breastfeeding Promotion Act of 2007","Legislation relevant to nutrition","","English","","2007","","","14th Congress of the Republic of the Philippines, Senate of the Philippines","10","2007","Adopted","3","2010","The President of the Philippines","Education and research|Health|Labour|Other","Commission on Higher Education, Department of Education, Technical Education and Skills Development Authority (TESDA), Department of Health (DOH), Department of Labor and Employment, Department of Interior and Local Government","","","","","","","","","National NGOs","Professional and nongovernmental organizations","","","","","","","","","","","An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Nutrition counselling on healthy diets|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-24 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202007%20S.%20No.%201698%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202007.pdf" "25388","PHL","Philippines","","Guidelines in the Use of Nutrition and Health Claims in Food","Legislation relevant to nutrition","","English","1","2007","","","Republic of the Philippines. Department of Gealth. Bureau of Food and Drugs","","2007","Adopted","1","2007","Bureau Circular 2007-002","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","II. Guidance / Directive
Based on the foregoing premises, the Bureau of Food and Drugs under the Department of Health, hereby adopts the Codex Alimentarius Commission Guidelines for Use of Nutrition and Health Claims (CAC/GL 23-1997, Rev. 1-2004) in the evaluation of the use of nutrition and health claims in food labeling and in the advertisement of food products. The above guidelines shall be used in addition to, and in so far as it is consistent with, existing national laws on labeling and advertisement of consumer products as well as the rules and regulations implementing such laws.
","Food labelling|Claim must be substantiated|Specific nutrition criteria","","http://www.fda.gov.ph/attachments/article/19776/BC%202007-002%20claims%20in%20food.pdf","http://www.fao.org/ag/humannutrition/32444-09f5545b8abe9a0c3baf01a4502ac36e4.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","" "26098","ZAF","South Africa","","Regulations relating to food-grade salt (No. R. 184 of 2007).","Legislation relevant to nutrition","","English","","2007","","","Government Gazette","3","2007","","","","","Health","","","","","","","","","","","","","","","","","","","","","","Composition
Food-grade salt shall not contain less than 97% sodium chloride on a dry matter basis, exclusive of food additive
(3) Food grade salt shall be used as a carrier for food additives or nutrients for technological or public health reasons
Iodation
3. (1) No person shall sell food-grade salt unless iodine, which is between 35 and 65 ppm (mglkg) has been added to such salt.
(3) Imported food-grade salt shall contain between 35 and 65 ppm (mg/kg) iodine on entering the Republic of South Africa.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products","","http://extwprlegs1.fao.org/docs/pdf/saf73639.pdf","","FAOLEX Database","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF-2007-salt%20iodization.pdf" "14972","TJK","Tajikistan","","Poverty Reduction Strategy of the Republic of Tajikistan for 2007-2009","Multisectoral development plan with nutrition components","","English","","2007","","2009","World Bank","4","2007","Adopted","4","2007","Government of Tajikistan","Health|Education and research|Environment|Finance, budget and planning|Food and agriculture|Industry|Nutrition council|Other|Social welfare|Sub-national|Women, children, families","Agency for Land Use, Geodesy and Cartography, Ministry of Reclamation and Water Resources, local authorities and councils, other assigned bodies., Ministry of Energy and Industry, Ministry of Health, Ministry of Agriculture and Environmental Protection, State Statistics Committee, Agency for Construction and Architecture, State Committee on Investment and State Property Management, Ministry of Finance, Ministry of Economic Development and Trade, Ministry of Education, State Medical University of Tajikistan and the Post-Graduate Training Institute, Khochagii Manziliyu Kommunali state unitary enterprise, Ministry of Justice, National Centre for Nutrition Problems, Committee on Family and Women’s Affairs, Committee on Youth Affairs, Sports and Tourism","World Food Programme (WFP)|World Health Organization (WHO)|United Nations Population Fund (UNFPA)|United Nations Children's Fund (UNICEF)|Joint United Nations Progam on HIV/AIDS (UNAIDS)","","","","The World Bank|Other","Aga Khan Fund, Health Plus, other donors","","","","","","","","","","","","
The ANDS strategic objective for health and nutrition sector is to improve the health and nutrition of the people of Afghanistan through quality health care service provision and the promotion of healthy life styles.
The Government will focus on strengthening reproductive health services, particularly in the areas of safe motherhood and family planning; improving the nutritional status of mothers and children; and controlling communicable diseases, recognizing their adverse impact on the health of all Afghans.
Health and Nutrition
Agriculture
Education: To improve “Food for Scholl” programs to increase primary school enrolment of girls
Social Protection: Develop projects for the distribution of food parcels in winter (winterization)
","The strategy is to maintain and strengthen stewardship role for the Health and Nutrition Sector. For that, new organizational chart and programmatic structure have been defined, enabling a comprehensive approach to health service delivery, with primary health care services, hospital services, disease control, nutrition and reproductive and child health integrated under the same Health Care Services Provision General Directorate.
Strategies
Health and Nutrition
Agriculture
Education: Support higher children’s enrolment in schools true through distribution of humanitarian assistance (e.g., food for education) and training of teachers (e.g., food for training). Both, direct cash transfers and payments in kind will be made conditional: poor families will have to enroll children in school and take them to regular health checkups.
Social Protection: Develop the project and criteria for free distribution of the parcels with basic food and non-food items to support the poorest households in most difficult period of year (winterization)
","
A Consultative Group for Health and Nutrition that includes donors, major NGOs, ISAF, UN agencies, and other line ministries meets regularly to review recent developments in the health sector and to contribute to making policies and suggesting programs for the future.
Indicators
","Outcome indicators","","Breastfeeding|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|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|Conditional cash transfer programmes|Vulnerable groups","","http://www.undp.org.af/publications/KeyDocuments/ANDS_Full_Eng.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202008%20Afghanistan_PRSP.pdf" "17839","AFG","Afghanistan","","Afghanistan National Development Strategy: Health and Nutrition Sector Strategy 1387-1391 (2007/8-2012/3): Volume II Pillar V, Health and Nutrition","Multisectoral development plan with nutrition components","","English","","2008","","2011","Ministry of Public Health (MOPH) and Ministry of Agriculture, Irrigation and Livestock (MAIL)","2","2008","","","","","Food and agriculture|Health","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","European Commission (EC)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","","","","","","","","","","Other","Global Alliance for Vaccines and Immunizations (GAVI), Global Fund for HIV/AIDS, Tuberculosis and Malaria (GFATM)","
Goal
The goal of the HNS is to work effectively with communities and development partners to improve the health and nutritional status of the people of Afghanistan, with a greater focus on women and children and under-served areas of the country.
National objectives
-To reduce malnutrition
Program objectives
- Increasing the coverage and quality of services to prevent and treat communicable diseases and malnutrition among children and adults;
","
HEALTH AND NUTRITION SUB-SECTOR STRATEGIES
Strategy 1.2 The HNS is committed to increasing the active participation of communities in the management of their local HCSs through developing strong, active participatory links with shura (community committees) and training and supporting CHWs.
Components of the Basic Package of Health Services
- Maternal and newborn health
- Antenatal (ANC), delivery and postpartum care; family planning; care of the newborn
- Child health and Immunization
- EPI (routine, outreach and mobile); integrated management of childhood illness
(IMCI); promotion of exclusive breast feeding for the first 6 months
- Public nutrition
- Micronutrient supplementation; treatment of clinical malnutrition, fortified flour
- Communicable diseases
- Control of tuberculosis, malaria, and HIVAIDS
- Mental health
- Community management of mental problems; health facility-based treatment of
outpatients and inpatients
- Disability
- Physiotherapy integrated in PHCS;Orthopedic services expanded in hospitals
- Supply of Essential Drugs
Public Nutrition Program
Strategy 5.1 In collaboration with development partners, the MoPH will take the lead in preventing, identifying, and reducing malnutrition by strengthening and expanding the Therapeutic Feeding Units (TFUs), uplifting knowledge and skills base of the health professionals including NGO staff at health facility and community level and disseminating messages on nutrition to mothers in particular.
Strategy 5.2 The Ministry will promote food and nutrition security for all by adopting a public nutrition approach involving multisectoral interventions that address the underlying causes of malnutrition, including food insecurity, poor social environment, and inadequate access to HCSs. This work will be undertaken, partly through the BPHS and a close link with food security analysis and other social development programs. Quality salt iodization, flour fortification, diarrhoeal interventions and the therapeutic feeding of hospitalized malnourished children will receive focused attention.
Strategic Directions
The HNS is committed to taking a public nutrition approach that;
- Recognizes the multi-causal nature of malnutrition: The causes of malnutrition are multi-fold and are context-specific. They can be broadly categorized into three groups including food security, social and care environment and health (access and environment). There is significant interaction and synergistic effects between the different causes. While health interventions are an important component, malnutrition cannot be effectively addressed through health interventions alone but require broad-based interventions.
- Reflects an understanding of political, economic, social and cultural factors: The categories of underlying causes, are determined in turn by economic, agricultural, and trade policies. Additionally, cultural and social norms influence people’s ability to access food as well as their food consumption patterns
- Focuses on populations not individuals: Analogous to the difference between curative and public health, public nutrition does not focus only on treatment of individuals but emphasizes an approach that addresses population needs.
- Places nutrition firmly in the public domain: Public nutrition does not belong to any single sector or expertise. Professionals from a broad range of sectors including health professionals, agriculturists, economists, anthropologists, educators, community development workers in addition to nutritionists - need to contribute to the design and implementation of programmes in public nutrition. Public nutrition needs to be integrated into communities, legislation, the private sector and the political domain.
- Focuses on action-oriented strategies: Assessment to describe the extent and severity of the problem of malnutrition, including a description of the risks and causes, are conducted in order to inform the design or revision of interventions. This process is a dynamic one, i.e. Assessment, Action and Analysis (Triple A) concepts are applied throughout the implementation process. This assumes a dynamic process of ongoing review and analysis of process, effectiveness and impact. This understanding will determine appropriate action to be taken.
- Reflects universally accepted best practice and knowledge and reinforces learning: Programme design reflects demonstrated understanding of universally accepted best practice from scientific and nonscientific literature. A process of learning is required, which is evidence-based, involves wide dissemination of lessons learnt and demonstration of translating policies into practice.
","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Nutrition counselling on healthy diets|Wheat flours|Food grade salt|Nutrition & infectious disease|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination","","http://moph.gov.af/Content/Media/Documents/Strategy_2007_2008_2012_20138120111623351.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202008%20Health%20and%20Nutrition%20Sector%20Strategy.pdf" "22966","HTI","Haiti","","Growth and Poverty Reduction Strategy Paper (DSNCRP)","Multisectoral development plan with nutrition components","","English","","2008","","2010","Ministry of Planning and External Cooperation (MPCE)","","2007","Adopted","","2007","Ministere de la Planification et de la Cooperation Externe","Cabinet/Presidency|Health|Food and agriculture|Education and research|Development|Other","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","
PILLAR 1. GROWTH VECTORS
1.- AGRICULTURE AND RURAL DEVELOPMENT
OVERALL OBJECTIVE: Promote modern, wealth-creating, and environmentally friendly agriculture, making it possible to achieve food security for all and improve the living conditions of farmers
PILLAR 2: HUMAN DEVELOPMENT – PRIORITY ACCORDED TO BASIC SOCIAL SERVICES
2.- HEALTH
OVERALL OBJECTIVE: Promote a modern health system readily accessible by vulnerable groups
SPECIFIC OBJECTIVE 1: Build the institutional capacities of the health sector
SPECIFIC OBJECTIVE 2: Rehabilitate, construct, and upgrade health infrastructures
SPECIFIC OBJECTIVE 3: Strengthen the Commune-Level Health Units
SPECIFIC OBJECTIVE 4: Strengthen the assumption of care for priority diseases
SPECIFIC OBJECTIVE 5: Improve waste management in hospital facilities
SPECIFIC OBJECTIVE 6: Guarantee the public’s access to essential drugs
SPECIFIC OBJECTIVE 7: Reduce the maternal mortality rate
SPECIFIC OBJECTIVE 8: Increase the prevalence of contraceptive use
3.- DRINKING WATER AND SANITATION
OVERALL OBJECTIVE: Improve access to hygiene and sanitation services and the supply of quality drinking water at the lowest cost to the community
SPECIFIC OBJECTIVE 3: Provide basic services to the residents of shantytowns and low-income rural residents
TARGETED AND CROSS-CUTTING POLICIES AND STRATEGIES
1.- FOOD SECURITY
OVERALL OBJECTIVE: Improve the integration and coordination of food policies and strategies making it possible to address the human right to food
SPECIFIC OBJECTIVE 1: Define a framework conducive to strengthening food security and controlling its application
SPECIFIC OBJECTIVE 2: Introduce cross-cutting mechanisms
SPECIFIC OBJECTIVE 3: Build the départements’ capacities for intersectoral and interinstitutional integration
SPECIFIC OBJECTIVE 4: Monitor food security and poverty
3.-ENVIRONMENT
OVERALL OBJECTIVE: Improve environmental management with a view to contributing to sustainable growth while ensuring the economic and social security of the poor and the security of the ecosystems that support life
SPECIFIC OBJECTIVE 6: Combat soil degradation and sustainably manage biodiversity
","Actions
AGRICULTURE AND RURAL DEVELOPMENT
EDUCATION AND TRAINING
HEALTH
SAFE DRINKING WATER AND SANITATION
FOOD SECURITY
GENDER EQUALITY
","
Table 2: CORE PERFORMANCE INDICATORS
Health
Environment, Water, Sanitation, and Infrastructure
For output and outcome indicators, see ANNEX II Detailed Matrix of Policy Actions of DSNCRP
","","","","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HTI%202007%20Growth%20and%20Poverty%20Reduction%20Strategy%20Paper.pdf" "26364","BTN","Bhutan","","National Policy and Strategic Frame-Work on Prevention and Control of Non Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2009","","","Royal Government of Bhutan","","2009","","","","","Health|Food and agriculture|Education and research","","","","","","","","","","","","","","","","","","2.12.3 Unhealthy diet
In order to improve nutrition of the population and promote healthy eating to prevent NCDs, multiple
strategies that include food supply, food access and choice, will be employed. Implemented will be
through a broad population-based approach and targeted interventions to reach individuals and
communities with high risk dietary habits.
2.12.5 High blood pressure, dysglycemia, obesity and hyperlipidemia
The strategy will aim to educate the general population and those already experiencing abnormal blood pressure, abnormal sugar and lipid level and unhealthy weight gains to prevent and manage these problems through active health sector and community based activities.
","2.12.3 Unhealthy diet
In order to improve nutrition of the population and promote healthy eating to prevent NCDs, multiple strategies that include food supply, food access and choice, will be employed. Implemented will be through a broad population-based approach and targeted interventions to reach individuals and
communities with high risk dietary habits.
Key actions:
The Ministry of Health, in partnership with line ministries and departments will work towards developing policies that support a healthy diet. The Ministry of Health will also enhance advocacy at population level for healthy dietary practices.
The Ministry of Health will institute a multi-sectoral technical committee to conduct research on food and dietary intake to inform and enable development of information for consumer-based messages. This guideline will be reviewed on a five yearly basis.
The Ministry of Health will work towards increasing capacity of health services to conduct nutritional assessment, early identification of risk and provide brief intervention for pregnant mothers, children and those at risk chronic diseases, provide supportive services for people to encourage a balanced diet, and promote national breast feeding policies.
The Ministries of Agriculture, Economic Affairs and Health, BAFRA and BICMA will collaborate to establish food based guidelines, including labeling, advertising and marketing, to support the healthy composition of food by reducing salt level, trans-fatty acid, and saturated fat.
The Ministry of Education in collaboration with the Ministry of Health will develop education materials for schools (curricula) aiming at enhancing the practice of having a healthy diet in children of all ages. The Ministry of Education shall assess the current diet status and suggest a strategy to ensure a healthy diet for school children.
The Ministry of Agriculture will develop policies and schemes that encourage rural population to increase production and availability of fruit and vegetables at affordable prices
The Ministry of Health, in partnership with judiciary and other regulatory departments, will work towards enhancing laws and regulations that support healthy and balanced diet at all levels and for population groups
Requirements on nutrient content labeling
22. In accordance with Section 13 of the Act, the following is prescribed for nutrient content labeling on all pre-packaged food produced, processed, packed, distributed, or imported -
(a) the declaration of energy, protein, fat and carbohydrate, shall be made in accordance with composition;
(b) information on energy value shall be expressed in kcal per 100g or per 100ml or per package if the package contains only a single portion or per serving as quantified on the label or per portion provided that the number of portions contained in the package is stated;
(c) information on the amounts of protein, carbohydrate and fat in the food shall be expressed in g per 100g or per 100ml or per package if the package contains only a single portion or per serving as quantified on the label or per portion provided that the number of portions contained in the package is stated;
(d) numerical information on vitamin and mineral shall be expressed in metric units and for as a percentage of the Nutrient Reference Value per 100g or per 100ml or per package if the package contains only a single portion or per serving as quantified on the label or per portion provided that the number of portions contained in the package is stated;
(e) the declaration of nutrient content shall be numerical; and
(f) nutrient declaration shall be mandatory for foods for which nutrition claims are made and the amount of that nutrient per 100g or per 100ml expressed in metric unit, and/or per serving shall be declared;
...
19.3 Standard on wheat flour
...
(4) The following specific product requirements shall apply only to wheat flour for direct human consumption prepared from common wheat, Triticum aestivum L., or club wheat, Triticum compactum Host., or mixtures thereof, by grinding or milling processes in which the bran and germ are partly removed and the remainder is comminuted to a suitable degree of fineness, and which is prepackaged ready for sale to the consumer or destined for use in other food products -
a. All such wheat flour imported into Fiji, processed, displayed and/or sold in Fiji and/or exported from Fiji shall be prepared so as to provide the following minimum levels of micronutrients, including all nutrients naturally present, in the wheat flour at the point of import, the point of export and the point of sale:
i. 6.0 mg/Kg of Thiamin from a source of thiamin mononitrate;
ii. 2.0 mg/Kg of Riboflavin;
iii. 55 mg/Kg of Niacin;
iv. 2.0 mg/Kg of Folic acid;
v. Iron from a source of elemental iron powder of 45 microns average diameter or similar made by an electrolytic reduction process at levels of 60mg Kg or from ferrous fumarate at levels of 45mg/Kg or from other subsequently approved sources; and
vi. 30 mg/Kg of zinc from a source of zinc oxide.
b. Not withstanding section 4(a), where such flour is to be exported and the requirements of the importing country are in conflict with this Standard, the wheat flour shall comply with the requirements of the importing country.
...
21.1 Standard on salt and reduced sodium salt mixtures
(1) All salt for import into, and for use and sale in Fiji for processing of food and for direct human consumption shall -
a. be salt to which has been added potassium iodide or iodate, or sodium iodide or iodate;
b. contain potassium iodide or iodate, or sodium iodide or iodate equivalent to not less than 20 mg/Kg and not more than 30 mg/Kg of iodine;
c. contain no less than 97% sodium chloride on a dry matter basis, exclusive of permitted food additives","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Folic acid|Other B-vitamins|Iodine|Iron|Zinc|Food fortification|Wheat flours|Food grade salt|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Mandatory salt iodization|Fortification of salt with iodine aligned with WHO guidance|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Ingredients list|Mandatory for all pre-packaged foods|Amount of available carbohydrate|Amount of protein|Amount of total fat|Energy value (ND)|Claim must be substantiated","","http://www.paclii.org/cgi-bin/sinodisp/fj/legis/sub_leg/fsa2003fsr2009363/fsa2003fsr2009363.html?stem=&synonyms=&query=food%20safety","https://laws.gov.fj/Acts/DisplayAct/501#","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FJI%202009%20Food%20Safety%20Regulations.pdf" "22991","NIC","Nicaragua","","Poverty Reduction Strategy Paper – Updated National Human Development Plan 2009-2011","Multisectoral development plan with nutrition components","","English","","2009","","2011","Government","9","2009","","","","","Food and agriculture|Health|Other","Ministry of Agriculture and Forestry (MAGFOR), Ministry of Health, Ministry of Education, Culture and Sports (MINED), Ministry of the Family, Children and Adolescents (MIFAMILIA), National Food and Nutritional Security Commission (CONASAN), Technical Commission on Food and Nutritional Security (COTESAN)","","","","","","","","","","","","","","","","","
Perspective/ Strategic Objective
Combat Extreme Poverty and Child Malnutrition
1) Reduce extreme poverty.
Food Security
1) Increase food production for consumption by the population
Quality Education for All
2) Increase the average number of years of schooling.
Restitution of the Human Right to Health
4) Ensure universal and free access to quality health services.
Restitution of the Right of Children to Live a Decent and Happy Childhood (AMOR Program)
6) Ensure the care of children of working mothers, providing them with comprehensive care to improve their educational, nutritional and health conditions.
Access to Drinking Water and Sanitation
7) Provide national coverage of drinking water.
8) Provide national coverage of sanitary sewerage.
","Combat Extreme Poverty and Child Malnutrition
Food Security
Quality Education for All
Restitution of the Human Right to Health
Ensure Comprehensive Care for Women:
Ensure Comprehensive Child Care:
Restitution of the Right of Children to Live a Decent and Happy Childhood (AMOR Program)
Results Indicator
Combat Extreme Poverty and Child Malnutrition
Food Security
Quality Education for All
Restitution of the Human Right to Health
Restitution of the Right of Children to Live a Decent and Happy Childhood (AMOR Program)
Access to Drinking Water and Sanitation
Targets:
• Increase fruit and vegetable intake by 5%
• Increase proportion of population who are physically active by 5%
• Decrease obesity by 2%
","Review and amend relevant legislation to improve access of healthy food
1. Advocate for removal of import/duty tax on fruit and vegetables
2. Review existing Public Health Ordinances to ensure food safety and food standards are updated and in line with International requirements and practices
3. Review trade agreements/trade legislations to include restrictions on importation of high fat, high sugar, poor nutrient foods
Advocate for the development of a national food and nutrition and PA policies and guidelines
1. Develop and implement national campaign to promote healthy eating and physical activity
2. Develop/purchase Information, Education and Communication (IEC) materials to promote nutrition value of local foods
Create Supportive environments that encourages and support healthy lifestyles
1. Advocate for government to determine resource allocations for community development programmes for the promotion of healthy lifestyles
Support Agricultural developments to improve food security and protect environment
1. Provide fruit trees and vegetable seeds and seedlings for households to plant
2. Provide training for community and farmers on organic garden/farming Practices
Monitor and evaluate health status of the Niuean population.
4. Compulsory health checks of school age children
Promote exclusive breastfeeding
1. Promote Baby Friendly initiative at the Falegagao Niue Foou.
2. Integrate breast feeding education into ante-natal clinic
Improve household food and nutrition
1. Encourage home food gardens through the provision of seeds/seedlings/cuttings and fruit trees
3. Provide community education on basic nutrition and food safety
Strengthen and support communitybased programmes aimed at improving healthy lifestyles
1. Develop and implement train the trainer programme to train community leaders in the area of nutrition and physical activity
2. Provide social marketing workshop for VC for the promotion of healthy and safe villages
Develop and implement healthy workplace policy
1. Draft healthy workplace policies to encourage and support healthy lifestyle. - e.g. healthy meeting policy to ensure healthy food only is provided for refreshments
Support implementation of the Health promoting Schools programmes
1. Consult with community and obtain support for HPS policies and programmes
Create healthy supportive school environments
3. Support teachers as role models through provision of nutrition and physical activity workshops
","","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Taxation on unhealthy foods|Removal of taxes on healthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIU-2009-2013-NCD%20action%20plan.pdf" "22869","PHL","Philippines","","Republic Act No. 10028: Expanded Breastfeeding Promotion Act of 2009 ","Legislation relevant to nutrition","","English","","2009","","","14th Congress of the Republic of the Philippines, Senate of the Philippines","7","2009","Adopted","3","2010","President of the Philippines","Health|Education and research|Social welfare|Trade|Justice|Labour|Other","Commission on Higher Education, Department of Education, Technical Education and Skills Development Authroity (TESDA), Department of Labor and Employment, Civil Service Commission, Department of the Interior and Local Government, Department of Social Welfare and Development, Department of Trade and Industry","","","","","","","","","National NGOs","Professional and nongovernmental organizations","","","","","","","","","","","An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202009%20Republic%20Act%20No.%2010028%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202009.pdf" "40066","BWA","Botswana","","Food Grade Salt Regulations ","Legislation relevant to nutrition","","English","","2010","","","Government of Botswana","9","2010","","","","","Health","","","","","","","","","","","","","","","","","","","","","","4. Restriction on selling, imports, etc
No person shall manufacture, sell, import or distribute any food grade salt which is not iodated except under and in accordance with terms and conditions specified under regulation 6 (5).
6. Iodation
(1) Food grade salt shall be iodated by the manufacturer to prevent iodine deficiency disorders (IDD) for public health reasons.
(2) Potassium iodate shall be used for the iodation of food grade salt.
(3) Locally manufactured and imported food grade salt for the Botswana market shall contain between 35ppm (mg/kg)and 65ppm (mg/ kg)iodine a the point of sale or entry.
(4) Food grade salt which is exported from Botswana may contain more than 65ppm (mg/kg)of iodine to meet legal requirements of the importing country.
14. Penalties
(1) A person who contravenes a provision of these Regulations commits an offence and is liable-
(a) for a first offence, to a fine not exceeding P1 000, or to imprisonmen for a term not exceeding hree months, and where the offence is a continuing offence, to an additional fine not exceeding P500, or imprisonment for a term not exceeding one month for each day on which the offence continues; and
(b) for a second or subsequent offence, to a fine not exceeding P5 000, or to imprisonmen for a term not exceeding six months, and where the offence is a continuing offence, to an additional fine not exceeding P2 000, or imprisonmen for a erm not exceeding two months for each day on which the offence continues.
(2) Where a person has been convicted of an offence under these Regulations, the Minister may cancel, or suspend any licence issued to that person which is relevant to the offence committed.
(3) Where a person has been convicted of an offence under these Regulations, the Minister may order that any article relevant to the offence be forfeited and that it be destroyed or otherwise disposed of, as the Minister considers appropriate.
","Iodine|Food grade salt|Sanctions exist","","https://botswanalaws.com/subsidiary-legislation/food-control-subsidiary-legislation#Chap6505_FoodGradeSaltRegulations","","","" "114895","GHA","Ghana","","Directive for the fortification of all wheat flour and vegetable oil(s) locally produced and/or imported","Legislation relevant to nutrition","","English","2","2010","","","Ministry of Health","","2010","Adopted","2","2010","Ministry of Health","Health","","","","","","","","","","","","","","","","","","","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" "23739","MLT","Malta","","A Strategy for the Prevention and Control of Noncommunicable Diseases in Malta 2010","NCD policy, strategy or plan with healthy diet components","","English","","2010","","2020","Ministry for Health, the Elderly and Community Care","4","2010","Adopted","4","2010","Department of Health Promotion and Disease Prevention Directorate, Public Health Regulation Division","Health","","","","","","","","","","National NGOs","","","","","","Other","Voluntary Organisations; Professional Groups","The overall goal of the NCD strategy is: To develop a mutifactorial approach to NCD prevention through tackling common risk factors targetting both at a population level, and also high-risk groups.
The strategy aims to:
Strategy targets
Healthy diet
Obesity
Raised blood sugar
Raised blood pressure
Raised serum cholesterol
The GOAL is to
To improve health and well-being, length of life and productivity together with a reduction in long term health care costs of noncommunicable diseases.
The AIM of the National Noncommunicable Diseases Policy 2010 is to:
To promote a commitment to and a guide for action to achieve the Government of Samoa’s Goals to improve the health of the population through the prevention of non-communicable diseases.
Key Strategies
KSA 1: Governance, Health System Strengthening & Health Financing
KSA 2: Healthy Public Policy
2.1 Engage and support the wider community
2.2 Create Supportive Environments/Infrastructure
2.3 Change Social Norms
KSA 3: Reorienting Health Services
3.1 Strengthen Health Promotion
3.2 Improve lifestyle skills of adolescents and youth
KSA 4: Create Supportive Environments
4.1 Establish NCD at risk screening programs in urban and rural settings
4.2 Establish formal screening program for persons at risk of NCD related complications that are supported by early intervention programs
KSA 5: Strengthen Community Action
5.1 Centre care on patient and their family with a shift from the patient as a passive recipient of care to a model where the patient takes shared responsibility for their care.
5.2 Improve quality of secondary and tertiary prevention services
KSA 6: Developing Personal Skills
6.1 Improve lifestyle skills of adolescents and youth
6.2 Improves social and mental health of the entire population
","2.1 Targets and Indicators
NCD interventions will take time to show population level outcomes in risk reduction.
Targets will be set during the initial stage of implementation of the policy and adjusted on a yearly basis.
Short term indicators are process/output related to:
Through the implementation of the Plan the following targets have been set to be achieved by 2017:
a) Advocate legislating and imposing 2 – 5 % tax on all health risk food items e.g alcohol, Sugary drinks, including sugar and high fat foods. Tax to all health risk food and items revenue be allotted to Healthy Life Style Programs
1. Review, Develop and finalise appropriate National Policies, legislations and guidelines for promotion of healthy foods and nutrition
a) Review of Food Hygiene Act and incorporate regulation on media advertisement on unhealthy food, Food Standards (fortification)
b) Review nutrition and food production policy
c) Finalize, endorse and communicate national dietary guideline
d) Review national breast feeding policy
e) NCD Clinical Guidelines finalised and communicated
a) Review and improve existing campaign programs o National social marketing plans o Involve and increase multisectoral participations o Coordinate IEC consistency information with guidelines
1. Develop and implement policies and guidelines that promote good nutrition and PA
a) Develop healthy food policy for schools including boarding schools
b) Educate teachers, students and parents on new policy
d) Develop healthy food guidelines for canteen and food vendors (monitoring & incorporate into the SHP)
e) Train food vendors and canteen operators on food safety issue and nutrition
f) Develop nutrition and dietary guideline for food manufacturers, caterers and retailers ( incorporate into Food Act)
2. Strengthen school curriculum
a) Advocate to incorporate nutrition and PA as unit into existing Teacher training and Nursing course programme
b) Provide Nutrition and PA in-service workshops for teachers
c) Develop IEC Nutrition and PA materials to supplement teacher manuals (posters and flip charts for different grades)
d) Review nutrition/NCD/PA component in Primary and secondary schools curriculum
a) Provide compulsory health checks and nutrition assessment for children and teachers (on consent)
b) Strengthen compulsory de-worming and nutrition supplementation programme for students
f) Promote “ Fruit Only” days in schools
1. Workplace Policies on Nutrition, Environment and Physical Activity
d) Encourage nutritious caterings (local food) during workshops, meetings etc.)
f) Promote BF peer management activities
c) Encourage local community policy and formulation of ban of refined food selling at the local market
e) Promote workshop on PA and nutrition to selected communities/villages (includes cleanliness, food choices and food processing)– innovative and entrepreneur activities
","","","","Baby-friendly Hospital Initiative (BFHI)|Anaemia|Anaemia in women 15-49 yrs|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Growth monitoring and promotion|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|School fruit and vegetable scheme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Taxation on unhealthy foods|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/SLB_B3_Sol%20-NCDs%20Control%20Plan.(2010-%202017)..pdf","WHO NCD repository ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLB-2010-2017-NCD_0.pdf" "14985","TJK","Tajikistan","","Poverty Reduction Strategy of the Republic of Tajikistan 2010-2012","Multisectoral development plan with nutrition components","","English","","2010","","2012","The Government of Tajikistan","","2010","Adopted","","2010","Government of Tajikistan","Education and research|Finance, budget and planning|Food and agriculture|Health|Social welfare|Sub-national|Trade","Ministry of Health, Ministry of Agriculture, Academy of Agricultural Sciences, Ministry of Economic Development and Trade, Local Authorities, Ministry of Education, Ministry of Finance, Ministry of Labour and Social welfare","","","","","The World Bank","","","","","","","","","","","","Food Security and Development of the Agricultural Sector
To increase gross agricultural output volume, ensure food security and allow achieving the MDGs and the priorities of the NDS, including poverty reduction, particularly in the rural areas.
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Food Security and Development of the Agricultural Sector
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Task 6, which relates to ensuring proper nutrition, aims at reducing the incidence of food related illnesses and strengthening the legislative and laboratory bases. It includes the following package of measures: drafting and/or adapting the recommended, temporary, national, physiological and sanitation standards for food quality and safety; providing equipment for information collection and evaluation in order to implement the Law “On salt iodization”; enriching processed flour with iron; addressing medical problems related to nutrition; supporting scientific research to supply laboratory equipment for food safety assessment; and supporting scientific and practical research to ensure proper nutrition, taking steps to prevent and treat malnutrition
","
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Organization of healthy nutrition
The Government’s Vision for Health
Within the broader context of Millennium Development Goals (MDG), the Government’s vision for health, nutrition and population sector is as follows: “The Government seeks to create conditions whereby the people of Bangladesh have the opportunity to reach and maintain the highest attainable level of health. It is a vision that recognizes health as a fundamental human right and, therefore, the need to promote health and to alleviate ill health and suffering in the spirit of social justice. This vision derives from a value framework that is based on the core values of access, equity, gender equality and ethical conduct.”
Table 5.2 Health, Population and Nutrition Targets for the SFYP
Indicators, Impact/Outcome:
9 Prevalence of Night blindness among pregnant women Base value: 2.90% FY2015 target: 1%
10 Underweight of Under 5 children (6-59 months) Base value: 41% (BDHS 2007) FY2015 target: 33%
11 Stunting of Under- 5 children 16-59 months) Base value: 43% (BDHS 2007) FY2015 target: 25%
Indicators, Output:
33 VAC coverage (6 m-6 y) Base value: 98%- 100% FY2015 target: 98%- 100%
34 Postnatal VAC supplementation Base value: 29% FY2015 target: 80%
35 Severe anemia (Children) Base value: 64% FY2015 target: 50%
36 Severe anemia (Pregnant women) Base value: 46% FY2015 target: 40%
37 Exclusive breast feeding of children (less than 6 months) Base value: 42% FY2015 target: 80%
","NUTRITION ISSUES AND MANAGEMENT IN THE SIXTH PLAN
Strategies for Improving Nutritional Status
Improving Maternal and Infant Nutrition: Longer term interventions with nutrition and poverty alleviation objectives contribute to reduction in child malnutrition. However, child nutrition is strongly related with maternal nutrition and therefore malnutrition among pregnant and lactating mothers should be strongly dealt with. The priority interventions in this context are:
• Iron-folic acid supplementation among pregnant and lactating women and adolescent girls will be undertaken through health and family planning facilities. Such programs will be strengthened through complementary policies to regular programs e.g. community based programs to cover the hard-to-reach vulnerable communities.
• Post partum Vitamin A distribution to improve vitamin A status of neonates through breast milk will be scaled up.
• The national strategy for infant and young child feeding will be implemented.
• Early initiation and exclusive breast-feeding up to six months of age will be encouraged.
• Supplementary feeding for malnourished and marginalized pregnant and lactating women through strengthening and scaling-up maternal iron and foliate supplementation will be introduced.
Strengthening Institutional Capacity: Combating malnutrition and child mortality certainly requires improving the bureaucracies and administrative complexities. Given the large numbers of malnourished mother and children and high under 5 mortality rate, the best institutional strategy would be to implement assistance programs at both facility and community levels. The SFYP in this context will take the following strategies:
• The institutional home for nutrition within the MOHFW will be identified and responsibilities of the selected institute will be expanded and capacity will be developed.
• Roles and responsibilities of other stakeholders for nutrition will be specified with arrangements of appropriate coordination and synergistic action.
• Capacities of Upazila health complexes and district hospitals will be strengthened to adequately manage severely malnourished cases.
• Effective nutrition surveillance will be developed.
• All types of health workers (health assistants, family welfare assistants, assistant health inspectors, family planning inspectors, family welfare visitors, medical assistants/subassistant community medical officers) will be appropriately trained in nutrition education.
• The value of women status in reducing malnutrition and dissemination of proper knowledge about nutrition amongst the citizens will be strengthened.
• Appropriate inter-sectoral collaboration will be established for controlling prices of food grains and products and for ensuring food security.
• A comprehensive nutrition policy will be formulated.
• Strategies will be designed to link nutrition programs with safety net programs of the government, e.g. Vulnerable Group Development Program. In this context problems related to leakages and mis-targeting will be seriously taken care of.
• Nutrition interventions which are interlinked with food-based, economic empowerment programs should be strengthened and should be targeted towards the most vulnerable communities and districts.
• Division specific nutritional management program will be introduced with more vulnerable regions receiving priorities in terms of allocation of development expenditure.
• Information systems related to food security and nutritional issues will be strengthened.
Improving Overall Nutritional Status: With a view to combating malnutrition and various diseases related to nutritional deficiency, the SFYP will undertake several strategies, focusing primarily on the nutritional status of children:
• Existing half-yearly Vitamin A capsules distribution for children will be continued.
• Age specific complementary feeding and micronutrient supplements for children will be introduced.
• Monitoring of universal iodization of edible salt will be strengthened to ensure quality through adequacy of potassium iodide in salt.
• Zinc for treatment of diarrhea will be adequately promoted. With the coverage of IMCI, zinc tablets are expected to provide free to children with diarrhea.
• Community management of severely acute malnutrition in children through therapeutic and supplementary feeding will be emphasized.
• Complementary feeding will be linked to multiple micronutrient supplementation programs to improve the quality of diets of children aged 6 to 23 months.
• Strategies to increased coverage of access to safe water and improved sanitation in urban slums and rural areas will be under taken.
• Emphasis will be given on local homestead food production.
• Nutrition education to promote diet diversity will be encouraged.
• Preventive and Therapeutic interventions while incorporating the seasonal dimension of malnutrition will be designed.
• Translating nutrition related research into action.
Treatment of Severe Acute Malnutrition: Mainstreaming the implementation of nutrition interventions into health and family planning services will ensure more coordination in the treatment of moderate and severe acute malnutrition at the health facility as well as community level. At the health facility level, children with severe acute malnutrition and who have additional medical complications will be treated according to internationally recommended protocols. At the community level, the GOB will address community-based management of acute malnutrition through the community based IMCI program.
BCC to Promote Good Nutritional Practices: Social mobilization and behavioral change and communication activities at health facility and community levels will be implemented to promote good health and nutrition practices. Specific behaviors to be targeted will include; promotion of exclusive breast feeding for 6 months and continued breastfeeding up to 2 years; introduction of complementary foods of adequate nutritional quality and quantity after the age of 6 months; and improved hygiene practices including hand washing.
Mainstreaming Gender into Nutrition Programming: Gender and nutrition are closely associated in Bangladesh, and there are strong linkages between a woman’s status and both her health and her children’s nutritional outcomes. Therefore, both the health facility and the community-based nutrition interventions will involve all community and household members who are responsible for decision making and those who can influence maternal, infant and young child feeding practices as well as other nutrition behaviors. Such an approach will ensure that the concerns of men and women, when it comes to household food and nutrition security, are considered as the joint responsibilities for the nutritional well-being of all household members of men, women and the community as a whole.
PARTICIPATION, SOCIAL INCLUSION AND EMPOWERMENT
Children’s Advancement and Rights
The Vision: The vision regarding children’s advancement and rights is to create ‘a world fit for children’. The goals to be achieved are: … (ii) providing health services the children need; (iii) ensuring access to food and nutrition they need; …
Proposed Actions in the Sixth Plan
Intervention and actions for achieving the strategic objectives are indicated below:
• Child health: The program areas include eradication of polio, elimination of measles and neonatal tetanus, improvement of nutrition and strengthening the school health program. The actions will include maximizing the efficiency and cost-effectiveness of health expenditure and improving governance. The specific activities will include sensitizing primary and secondary students about critical child health and reproductive health issues, healthy practices and worm infestation, and supplying iron and folic acid tablets for schoolgirls. Activities will be undertaken to develop an adolescent health strategy including counseling, building awareness for adolescents on hygienic practices, nutrition, puberty, RTI/STD and HIV/AIDS.
• Food and nutrition: To control vitamin A deficiency and contain the prevalence of night blindness, vitamin A supplements will be distributed to children with vitamin A deficiency, measles, persistent diarrhea or severe malnutrition and to postpartum women within 6 weeks of delivery. Ongoing efforts to control iodine deficiency disorders through universal salt iodization will continue. To address the causes of anemia, strategies will be used to control anemia, including iron-foliate supplementation, anathematic treatment, fortification, and BCC to increase the consumption of iron-rich foods and promoters of iron absorption. A strategy will be developed to address the health care needs of children with physical and mental disabilities.
","Table 5.2 Health, Population and Nutrition Targets for the SFYP
Indicators, Impact/Outcome:
9 Prevalence of Night blindness among pregnant women Base value: 2.90% FY2015 target: 1%
10 Underweight of Under 5 children (6-59 months) Base value: 41% (BDHS 2007) FY2015 target: 33%
11 Stunting of Under- 5 children 16-59 months) Base value: 43% (BDHS 2007) FY2015 target: 25%
Indicators, Output:
33 VAC coverage (6 m-6 y) Base value: 98%- 100% FY2015 target: 98%- 100%
34 Postnatal VAC supplementation Base value: 29% FY2015 target: 80%
35 Severe anemia (Children) Base value: 64% FY2015 target: 50%
36 Severe anemia (Pregnant women) Base value: 46% FY2015 target: 40%
37 Exclusive breast feeding of children (less than 6 months) Base value: 42% FY2015 target: 80%
","","","Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Diet-related NCDs|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iodine|Iron|Zinc|Micronutrient supplementation|Food grade salt|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Water and sanitation|Vulnerable groups","","http://www.plancomm.gov.bd/","","http://www.imf.org/external/np/prsp/prsp.aspx","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202011%20PRSP.pdf" "26366","BRA","Brazil","","Strategic Action Plan to Tackle Noncommunicable Diseases (NCD) in Brazil 2011-2022 ","NCD policy, strategy or plan with healthy diet components","","English","","2011","","2022","Ministry of Health","","2011","","","","","Health","","","","","","","","","","","","","","","","","","Healthy diet
I. Schools: Promoting healthy diets with the National Program of School Meals.
II. Increased supply of healthy food: Establishing partnerships and agreements with the civil society (family farmers, small associations, and others) in order to increase production and supply of in nature food, aiming at increasing access to proper, healthy food. Giving support to cross-sector initiatives with the purpose of increasing the supply of basic and minimally processed foods, in the context of production, supply, and consumption.
III. Regulation of the nutritional composition of processed food: Establishing an agreement with the production sector and a partnership with the civil society with the purpose of preventing NCD and promoting health, reducing salt and sugar in food.
IV. Reduction of prices of healthy food: Recommending and encouraging the adoption of fiscal measures, such as reducing taxes, charges, and subsidizing, in order to reduce the price of healthy foods (fruits, vegetables) thus increasing their consumption
V. Cross-sector Plan for the control and prevention of Obesity: Implementation of the Plan to reduce obesity during childhood and adolescence, and to restrain the expansion of obesity among adults.
VI. Regulation of food advertisement: Establishing specific regulation for the advertising of food, especially for children.
","Strategy 7: Expanding and strengthening actions on healthy diet
2022 goal - 80% of schools with healthy food
Strategy 10: Combining actions to prevent and control obesity
2022 goal - Reducing obesity among children
2.3.2. Objectives
ii. Reducing the rate of food insecurity from 32 percent to 16 percent by 2015;
ix. Reducing the rate of infant and child mortality, respectively, from 113 and 158 per thousand live births in 2010 to 90 and 120 per thousand births by 2015;
x. Reducing the maternal mortality ratio from 800 to 600 per 100 thousand births between 2010 and 2015;
xii. Expanding access to safe drinking water, attaining an access rate of 65 percent by 2015 compared to 40 percent in 2010;
xix. Diversifying exports with a view to reducing vulnerability and improving food security;
","2.4.3. Core area III: Promote inclusive, sustainable economic development
1. Support for growth-generating sectors
1. Ensuring food security: The food security policy includes (i) an offensive aspect that consists of increasing as much as possible the production of strategic foods, such as rice, cassava, maize, and “bacil” maize; and (ii) a defensive aspect, which is to acquire a certain resilience to shocks (climatic, economic), by means of rapid post-disaster response;
6. Environmental management and protection
ix) modernize economic activities, in particular by intensifying agriculture for food security through sustainable natural resources development;
2.4.4. Core area IV: Raise the level of human capital development
2. Develop the health sector and upgrade the quality of services
The main interventions identified are: i) develop infrastructure; ii) hire, train and assign personnel; iii) meet other requirements for managing the health system (cost management, M&E, etc.); iv) provide health care to children (primary, hospital care and immunization) and mothers (family planning and antenatal and postnatal care); v) control malaria (distribute ITNs and use IPT for pregnant mothers); and vi) control HIV/AIDS (youth awareness, complete PMTCT services for pregnant women, full screening services and the cost of ARV treatment).
4. Improve access to water and sanitation services
5. Improve and expand social protection
ix) improve nutrition assistance for children.
","
Table 6: Baselines for the Second PRSP Objectives
Indicators
Monetary poverty and food security
Health
Drinking water and sanitation
4.1. List of key PRSP II monitoring indicators
3.4. Support for growth sectors:
3.4.1. Productivity increase in the agriculture sector
4.1. Education
4.2. Health and nutrition:
4.3. Water and sanitation:
The PARP 2011-2014 represents the continuation of the PARPA II, which was implemented with a timeframe of 2006-2009, extended to 2010, and had as its principal goal to reduce the incidence of food poverty from the current level of 54.7 percent to 42 percent by 2014.
c) General objective 3: Human and social development
Priority 1. Availability and quality of social services
Priority 2. Basic Social Security
","c) General objective 3: Human and social development
Priority 1. Availability and quality of social services
Strategic objectives:
Promote equity in access to health care, with special attention to health and nutrition for women, children and other vulnerable groups
Institute preventive and curative nutritional surveillance to reduce mortality from malnutrition among children under five years of age.
Introduce multi-sector intervention packages for reducing chronic malnutrition.
Train trainers and health professionals to provide humanized maternal and neonatal care including support for exclusive breast-feeding and infant feeding in the context of HIV/AIDS.
Compile and disseminate good practices in food consumption and hygiene within the community, by providing training to local structures and organizations.
Priority 2. Basic Social Security
Strategic objectives:
Expand the coverage and impact of Direct Social Action Programs, contributing to economic and nutritional security for the most vulnerable groups
Define harmonized eligibility criteria for basic Social Security program beneficiaries, with a view to reducing gender inequalities, and taking into account the impact of HIV/AIDS and the child malnutrition situation.
Develop and implement mechanisms to give the most vulnerable groups access to the education and health systems through the respective social action programs (Acção Social Escolar and Acção Social Saude).
Conduct a study and implement the resulting recommendations on the possibility of expanding the ""school nutritional support program"" to all primary schools and, eventually, to other levels of education.
Reinforce nutritional education at the various levels of the school curriculum.
","VII. MONITORING AND EVALUATION OF THE PARP
The PARP assigns great importance to monitoring and evaluation as an indispensable component for providing input and guidance to the decisions that will be needed to implement it effectively and efficiently, to achieve its targets, and to comply with the indicators associated with its priorities, strategic objectives, and priority actions.
a) Fundamental principles
The Monitoring and Evaluation Strategy of the PARP 2011-2014 contains five fundamental principles:
1. Alignment with the existing mechanisms for monitoring government programs.
2. Differentiation between, on the one hand, outcome indicators, which assess the scope of specific objectives and, on the other hand, output indicators, which measure the degree of fulfillment of activities performed.
3. A combination of quantitative and qualitative monitoring, with the resulting implications as to procedures for collecting information and institutional partnerships to this effect.
4. The dynamic approach of the PARP, using the PARP monitoring process as a mechanism for ongoing review of targets and programs, maintaining key strategic objectives.
5. The participatory approach of the monitoring and evaluation process, particularly as it relates to the use of institutionalized forums for participation at the central, provincial and district levels in order to ensure involvement of other development stakeholders
","","","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|Minimum acceptable diet|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","https://www.imf.org/external/pubs/ft/scr/2011/cr11132.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202011%20PRSP.pdf" "22870","PHL","Philippines","","The Implementing Rules and Regulation of Republic Act No. 10028","Legislation relevant to nutrition","","English","9","2011","","","Department of Health, Republic of the Philippines","8","2011","Adopted","9","2011","","Finance, budget and planning|Health|Labour|Other|Trade","Bureau of Internal Revenue (BIR), Department of Health (DOH), Department of Labor and Employment (DOLE), Local Government Units (LGUs), Department of Trade and Industry (DTI)","","","","","","","","","","","","","","","","","","","","","Section 1. Title - These rules shall be known and cited as the Rules and Regulations Implementing Republic Act No.10028 also known as the """"Expanded Breastfeeding Promotion Act of 2009.
Section 2. Purpose - These Rules are promulgated to prescribe the procedure and guidelines for the Implementation of the Expanded Breastfeeding Promotion Act of 2009 in order to facilitate the compliance therewith and to achieve the objectives there of pursuant to Section 18 of RA 10028.
Section 3. Construction - These Rules shall be liberally construed and applied in accordance with and in furtherance of the policy and objectives of the law. In case of conflict and/or ambiguity, which may arise in the implementation of these Rules, the agencies concerned shall issue the necessary clarification.
Section 4. Declaration of Policy - The State adopts rooming-in as a national policy to encourage, protect and support the practice of breastfeeding. It shall create an environment where basic physical, emotional, and psychological needs of mothers and infants are fulfilled through the practice of rooming-in and breastfeeding. The State shall likewise protect working women by providing safe and healthful working conditions, taking into account their maternal functions, and such facilities and opportunities that will enhance their welfare and enable them to realize their full potential in the service of the nation. This is consistent with international treaties and conventions to which the Philippines is a signatory such as the Convention on the Elimination of Discrimination Against Women (CEDAW), which emphasizes provision of necessary supporting social services to enable parents to combine family obligations with work responsibilities; the Beijing Platform for Action and Strategic Objective, which promotes harmonization of work and family responsibilities for women and men; and the Convention on the Rights of the Child, which recognizes a child's inherent right to life and the State's obligations to ensure the child's survival and development. Breastfeeding has distinct advantages which benefit the infant and the mother, including the hospital and the country that adopt its practice. It is the first preventive health measure that can be given to the child at birth. It saves children from dying. It also enhances the mother-infant relationship. Furthermore, the practice of breastfeeding could save the country valuable foreign exchange that would otherwise be used for milk importation. Breastmilk is unequalled as the best food for infants because it contains essential nutrients completely suitable their needs. It is also nature's first immunization, enabling the infant to fight potential serious infection. It contains growth factors that enhance the maturation of an infant's organ systems' Towards this end, the State shall promote and encourage breastfeeding and provide the specific measures that would present opportunities for mothers to continue expressing their milk and/or breastfeeding their infant or young child.
","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food safety|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Functioning implementation and monitoring mechanism|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12092","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20The%20Implementing%20Rules%20and%20Regulation%20of%20Republic%20Act%20No.%2010028.pdf" "22938","THA","Thailand","","Notification of the Ministry of Public Health (No. 336) B.E.2554 (2011) Re: Labeling of some Ready-to-Eat Food (No.2)","Legislation relevant to nutrition","","English","8","2011","","","Ministry of Public Health","5","2011","Adopted","5","2011","Government Gazette Vol. 128, Special Part 58 Ngor, dated 25th May 2011","Health","","","","","","","","","","","","","","","","","","","","","","Clause 1. Food under Clause 1 of the Notification of the Ministry of Public Health (No.305) B.E 2550 (2007), Re: Labeling of some Ready-to-Eat Food, dated 30th August B.E 2550 (2007) shall display energy value, sugar, fat and sodium in form of GDA (Guideline Daily Amounts)
Clause 2. Display of energy value, sugar, fat and sodium in Clause 1 shall follow format and condition prescribed in an annex of this Notification.
...
Displaying of energy value, sugar, fat and sodium of food shall be in the following format and conditions...
","Food labelling|Front of pack labelling|Front-of-pack labelling|Mandatory for some pre-packaged (FOP)|Energy value (FOP)|Sodium-salt (FOP)|Total fat (FOP)|Total sugars (FOP)|Nutrient specific|Proportion of daily intake|Declaration of %GDA or %RI","","http://food.fda.moph.go.th/law/data/announ_moph/V.English/No.%20336%20Labeling%20of%20some%20Ready-to-Eat%20Food%20(No.2).pdf","","","" "26095","THA","Thailand","","Notification of the Ministry of Public Health Re: Edible Salt ","Legislation relevant to nutrition","","English","","2011","","","Ministry of Public Health","","2011","","","","","Health","","","","","","","","","","","","","","","","","","","","","","Clause 2. Edible Salt is a prescribed food to have qualities or standards.
Goal: To reduce the current and future burden of NCD and nutrition related disorders in Tuvalu
Component 2: Nutrition
3. Regulation 249 of the principal Regulations is amended by renumbering the existing provision as paragraph
(1) and inserting the following new paragraph—
(2) Packaged wheat flour shall be fortified and conform to the food requirements specified herebelow:
...
4. Regulation 253 of the principal Regulations is amended—
...
(b) by inserting the following new paragraph immediately after paragraph (2)—
(3) Packaged dry milled maize products shall be fortified and conform to the requirements specified herebelow—
...
5. Regulation 258 of the principal Regulations is amended—
(a) by re numbering the existing provision as paragraph (1) and
(b) by inserting the following new paragraph—
(2) vegetable fats and oils shall be fortified with Vitamin A in accordance with the Kenya Standard for Edible Fats and oils KS326-2:2009.
","Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|Wheat flours|Maize flours|Edible oils and margarine|Mandatory fortification|Mandatory fortification of maize flours with folic acid|Mandatory fortification of maize flours with iron|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance","","http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN62_2012.pdf","http://kenyalaw.org:8181/exist/kenyalex/actview.xql?actid=CAP.%20254","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202012%20Food%20Drugs%20Chemical%20Substances%20Food%20Labelling%20Additives%20and%20Standards%20Amendment%20Regulations_1.pdf" "40732","NAM","Namibia","","Namibia’s Fourth National Development Plan 2012/13 to 2016/17","Multisectoral development plan with nutrition components","","English","","2012","","2017","Office of the President National Planning Commission","","2012","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Labour|Other","Office of the President National Planning Commission, Home Affairs","","","","NGO service providers","Other","Bank of Namibia","","","National NGOs","","","","","","","","Desired Outcome 3 (DO3): By 2017, Namibians have access to a quality health system, both in terms of prevention, cure, and rehabilitation, characterised by an improvement in healthy adjusted life expectancy (HALE) from baseline 57 (2011) to 59 (2017).
Desired Outcome 4 (DO4): By 2017, the proportion of severely poor individuals has dropped from 15.8% in 2009/10 to below 10%.
Desired Outcome 9 (DO9): Agriculture experiences average real growth of 4% per annum over the NDP4 period.
","The drivers of health outcomes are multifaceted and include factors such as income, sanitation, education and health service provision. It is important to recognise the need for multi-sectoral approach that include not only the health sector, but also improvements in poverty, education, sanitation, food security (through agriculture) and infrastructure.
","","","","School-based health and nutrition programmes|Provision of school meals / School feeding programme|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20NDP4_0.pdf" "25397","ZAF","South Africa","","South Africa Foodstuffs, cosmetics and disinfectants act: Regulations relating to the labelling and advertising of foodstuff","Legislation relevant to nutrition","","English","3","2012","","","No. 32975 Government Gazette,1 March 2010","3","2010","Adopted","3","2010","Minister of Health","Health","","","","","","","","","","","","","","","","","","","","","","Mandatory nutritional information requirements when a claim is made
(12) where a nutrition claim is made-
(a) The nutritional information as required by these regulations shall be the real, typical values as determined by a reputable laboratory through chemical or microbiological analysis in accordance with methods recommended in these regulations, Guidelines or Codex, and where no specific methods are recommended a methods are recommended, a method which has been accredited by SANAS or ILAC
(b) the nutritional information shall-
(i) be the minimum, mandatory, nutritional information as per point 1 of annexure 2; plus
(ii) include the appropriate nutritional information of the nutrient(s) which is/are the subject of the main claim, indicated after the minimum, mandatory nutritional information as per point 1 and annexure 2: Provided the nutrient(s) is/are not already listed as part of the minimum, mandatory nutritional information format
(iii) in accordance with the requirements and procedure of Guideline 5
General nutritional information when no claim is made
(13) Where voluntary nutritional information is provided on the label but no nutrition claim is made-
(c) the minimum, mandatory nutritional information shall be given in the tabular format as per point 1 of annexure 2, except in cases where the size of the label is restricted by the physical size of the product and less than 900 mm2 remains after the minimum requirements in terms of these regulations have been met, the nutritional information may be indicated in a linear format; and
(d) the label may, in addition to the minimum, mandatory nutritional information as per point 1 of annexure 2, contain any other nutritional information of the manufacturer’s choice per single serving and per 100 g/ml.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria","","http://www.health.gov.za/index.php/2014-03-17-09-09-38/legislation/joomla-split-menu/category/86-2010r?download=144:regulations-relating-to-the-labelling-and-advertising-of-foodstuffs-r146-2010","New regulations relating to the labelling and advertising of foodstuffs becomes law1 Mar 2012The new Regulations relating to the labelling and advertising of foodstuffs published by the Minister of Health in terms of the Foodstuffs, Cosmetics and Disinfectants Act, 1972 (Act 54 of 1972), came into effect today, 1 March 2012.https://www.gov.za/new-regulations-relating-labelling-and-advertising-foodstuffs-becomes-law","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202010%20Regulations%20relating%20to%20the%20labelling%20and%20advertising%20of%20foodstuffs.pdf" "23756","BRN","Brunei Darussalam","","Brunei Darussalam National Multisectoral Action Plan for the Prevention and Control of Noncommunicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2018","Ministry of Health","","2013","Adopted","","2013","Ministry of Health","Health","Ministry of Health Health","","","","","","","","","","","","","","","","","Prevention and control of noncommunicable diseases through enabling healthy environments reducing risk factors and better management.
18% relative reduction in premature mortality from NCDs
","To promote balanced and healthy diet
","A 10% relative reduction in mean
population intake of salt/sodium and
prevalence of hypertension
• Reduction in the rate of increase of
obesity and diabetes to 1%
• A l l s c h o o l c a n t e e n o p e r a t o r s s t o p
selling sugar-sweetened beverages
containing 6 grams or more added sugar
per 100mls**
• 5 0 % r e d u c t i o n o n ‘ r e g u l a r ’
consumption of sweetened drinks by
children
• 5 0 % o f a l l w o r k p l a c e s h a v i n g
established healthy workplace programs
to promote a healthy lifestyle
• A 1 0 % r e l a t i v e r e d u c t i o n i n
prevalence of insufficient physical
activity
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Total fat intake|Trans 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|School fruit and vegetable scheme|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRN_2013_NCDs.pdf" "39437","KHM","Cambodia","","National Strategic Plan for the Prevention and Control of Noncommunicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2020","Ministry of Health","","2013","","","","","Health","Ministry of Health","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","The ultimate goal of this strategy is to reduce premature deaths and disability from Cambodia’s four main noncommunicable diseases: cardiovascular disease, cancer, chronic respiratory disease and diabetes, and reduce the prevalence of four of their shared causes: tobacco, unhealthy diet, alcohol and physical inactivity.
To meet this goal, this strategy proposes four key objectives:
Reduce population exposure to common risk factors (Objective 1.3 Promotion of healthy diets and physical activity)
Pursue cost-effective detection, treatment and palliative care
Enhance NCD surveillance
Strengthen governance & resourcing for NCD
Promote healthy diets and physical activity:
Short term actions
• Undertake small scale salt consumption survey (2012-2013)
• Undertake national salt consumption survey (2013-14)
• Pilot salt consumption reduction interventions (2014)
• Strengthen Healthy Cities initiative in Phnom Penh City:
• Launch Health Promoting Schools programme in 3 schools in Phnom Penh City (2013)
• Explore other strategies to make healthy diets the norm in Phnom Penh (e.g. working with food vendors) (2014-)
• Begin multi-sectoral discussions on how to reduce salt content of foods (2014-)
• Raise public awareness of healthy diet and physical activity through mass media campaigns (2013-2014)
• Begin multi-sectoral discussions on substituting trans-fats for polyunsaturated fats (2014-)
Medium term actions
• Develop national salt reduction action plan (2015)
• Implement national salt reduction action plan (2015-)
• Include NCD dietary risks in next version of National Nutrition Strategy (2016-)
• Expand Health Promoting Schools
Long-term actions
• Restrict marketing of unhealthy food and beverages to children
• Continue implementation of national salt reduction action plan (2016-2020)
• Explore financing mechanisms (subsidies and taxation) to make healthy diets more affordable & available
• Promote healthy diets and physical activity through workplaces (especially large low-income workplaces, e.g. garment factories)
","","","","Sodium/salt intake|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Reformulation of foods and beverages|Fats|Salt/sodium|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|Media campaigns on healthy diets and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202013%20NCD%20strategic%20plan.pdf" "26376","GRD","Grenada","","National Chronic Non-Communicable Disease Policy and Multisectoral Plan for Grenada (2013-2017)","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","","8","2013","","","","","Health|Food and agriculture|Education and research","","","Pan American Health Organization (PAHO)","","","","","","","","","","","","","","","...
Partnering with the Ministry of Education (MoE), Ministry of Agriculture (MoA), and GFNC to develop standards for vending in schools and the environs, including linking school gardens to school feeding program and physical education.
...
Developing a plan for healthy and safe foods, including regulation on food standards, nutritional content and labelling, vending standards, and healthier foods substitution.
...
","
1.3 Objectives of NPCDCS
Health promotion through behavior change with involvement of community, civil society, community based organizations, media etc.
Opportunistic screening at all levels in the health care delivery system from sub- centre and above for early detection of diabetes, hypertension and common cancers. Outreach camps are also envisaged.
To prevent and control chronic Non-Communicable diseases, especially Cancer, Diabetes, CVDs and Stroke.
To build capacity at various levels of health care for prevention, early diagnosis, treatment, IEC/BCC, operational research and rehabilitation.
To support for diagnosis and cost effective treatment at primary, secondary and tertiary levels of health care.
To support for development of database of NCDs through Surveillance System and to monitor NCD morbidity and mortality and risk factors.
1.4 Strategy
Health promotion, awareness generation and promotion of healthy lifestyle Screening and early detection
Timely, affordable and accurate diagnosis
Access to affordable treatment,
Rehabilitation
The focus of health promotion activities will be on:
Increased intake of healthy foods
Salt reduction
Increased physical activity/regular exercise Avoidance of tobacco and alcohol Reduction of obesity
Stress management
Awareness about warning signs of cancer etc. Regular health check-up
1.3 To reduce the age-standardized mean of the population intake of salt/sodium by 10% by 2018.
1.4 To increase the age-standardized prevalence of adult (aged 18+ years) population consuming ≥ five total servings (400 grams) of fruit and vegetables per day by 100% by 2018.
1.6 To reduce the prevalence of obesity in adults aged 18+ years and adolescents by 5% by 2018.
1.7 To reduce the prevalence of hypertension in adults aged 18+ years by 5% by 2018.
1.8 To reduce the prevalence of diabetes mellitus in adults aged 18+ years by 5% by 2018.
1.9 To reduce the age-standardized prevalence of raised total cholesterol among persons aged 18+ years by 5% by 2018.
1.10To reduce the age-standardized mean proportion of total energy intake from saturated fatty acids in persons aged 18+ years
1.11 To increase knowledge and awareness of the priority NCDs and their risk factors to at least 80% from baseline by 2018.
","Promote Healthy diet by reducing salt intake and trans fatty acids Strategy related on nutrition
Promote Healthy diet by increasing fruit and vegetable consumption.
Promote Healthy diet by increasing access to healthy food
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Menu labelling|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|Portion size control|Media campaigns on healthy diets and nutrition|Food security and agriculture","","http://moh.gov.jm/wp-content/uploads/2015/05/National-Strategic-and-Action-Plan-for-the-Prevention-and-Control-Non-Communicable-Diseases-NCDS-in-Jamaica-2013-2018.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202013%20NCDs%20Action%20Plan.pdf" "25918","FSM","Micronesia (Federated States of)","","National Strategic Plan for the Prevention and Control of Non-Communicable Diseases in the Federated States of Micronesia 2013-2017","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","Government of the Federated States of Micronesia","5","2012","","","","","Health|Education and research|Development|Justice","","","","","","","","","","","","","","","","","","
IX. REDUCING PREVALENCE OF COMMON RISK FACTORS
Component 4: Nutrition
Objective: Improve the nutritional status of the FSM population by improving the percentage of people who consume less than five combined servings of fruits and vegetables by 5% by 2017. (Baseline 81.8%)
Component 6: HYPERTENSION
-Decrease the number of people who consume more than 5 grams of salt a day by 5% by 2017. (Baseline)
Component 7: DIABETES
Target is to reduce by 5% by 2017 from baseline
","PLAN OF ACTION FOR NUTRITION: Improve diet to improve health
Goal: To improve healthy diets in the FSM.
Objective 3. Develop nutrition policies - To incorporate clear nutrition goals and components in national development policies and sectoral plans, programs and projects, particularly in the areas of food and agriculture, fisheries, forestry, health, education, and environment.
3.1 Strengthen NFNC
3.2 Endorsement of Nutrition policies completed.
3.3 Establish Salt Reduction Program in the FSM
3.4 Advocacy seminars on nutrition for policy makers, leaders
3.5 Review FSM dietary guidelines
3.6 Encourage healthy school policies (School Nutrition and Physical Activity Guidelines)
3.7 Encourage and promote a wide usage of the MODFAT in the clinics as a prescription and counseling tool, in all government and public food establishments and in the homes
3.8 Encourage healthy diets via church and community programs
Objective4. Improving Households Access to Nutritious and Local Foods - Achieving food security has three dimensions, which all equally important in the FSM context. They are: (i) ensuring a safe and nutritionally adequate food supply both at the national and household level; (ii) ensuring a reasonable degree of stability in the supply of food both from one year to the next and during the year; (iii) ensuring that each household has physical, social and economic access to enough food to meet its needs
4.1 Initiate price control on key food items
4.2 Review feasibility of Government subsidy on local food industry
4.3 Improve the availability of good quality seeds and plants
4.4 Establish monitoring system for nutrition (food security)
Objective 5. Promoting Breastfeeding to Prevent Malnutrition and the Introductory of Certain Diseases to Young Children 0-6 years up to Two Years- Exclusive breastfeeding to 6 months and continued breastfeeding for up to 2 years with quality complementary foods.
5.1 All prenatal and post natal mothers to receive education on breastfeeding and preparation of Complementary foods using local foods.
5.2 To have an Infant Feeding Policy in place using locally grown food.
5.3 All children to be monitored for growth and child development
5.5 Monitoring and Evaluation to be conducted for all infant feeding activities.
5.6 Continue BFHI training and assessments
5.7 WHO Code endorsed legislation (Infant and young child feeding)
5.8 Education on BF in school curriculum
5.9 BF education and support for new mothers & improved monitoring of BF rates
Objective 6. Prevent Micronutrient Deficiencies - The FSM suffers from key micronutrient deficiencies among some of the most vulnerable groups. Vitamin A deficiency is widespread, as is iron-deficiency anemia especially in pregnant women.
6.2 Strengthen programs for Vitamin A deficiency
6.3 Investigate legislation on compulsory food fortification of key products
","-Prevalence of adults who are not consuming enough fruits and vegetables (less than 5 servings per day)
","
Thematic Priority / Thematic Outcome
3. Rural Development
Priority Area 2: Productivity and Sustainability of Agriculture
2.1: Increased Productivity and Sustainability of Agriculture
6. Foundational and Cross Cutting Issues
20. Enhanced food security and nutrition
22. Improved education quality and learning outcomes across all levels of education
23. Reduced Infant Mortality
24. Reduced Maternal Mortality
25. Reduced child mortality
","
3. Rural Development
Priority Area 2: Productivity and Sustainability of Agriculture
3.33 Rwandan agriculture will move from a largely subsistence to a commercialised base building on the sector’s comparative advantage. While staple crops will continue tobe important for nutrition and smallholder incomes, over the longer term, the climate, and favourable endowments of water and labour favour high-value crops. These products arelabour intensive, require technical and value chain expertise and can generate high levels ofincome per hectare. Promoting high-value products to diversify smallholder farming andsatisfy increasing urban, domestic and regional incomes and diets, will be a priority.
6. Foundational and Cross Cutting Issues
Food Security and Malnutrition
6.7 With an increasing urban population, rising rural and urban consumption, and food shortages in neighbouring countries, food security takes on increasing relevance.
Rwanda was able to achieve food selfsufficiency in 2010 through significant increases in the production of staple crops driven by the CIP and stronger regional market integration.
The supply of food, as measured by kilocalorie availability, has increased over the last ten years from 65% to 129% of needs. However household food consumption remains an important foundational issue: 44% of children under five years, and 47% of children under two years old suffer from chronic malnutrition (stunting) according to the Household Demographic Survey (DHS 2010).
6.8 Reducing Rwanda’s chronic malnutrition rates for children under two years old from 47% is a prerequisite for Rwanda’s continued economic and inclusive
Chronically malnourished (stunted) children perform less well in school and are economically less productive as adults. Research studies estimate that malnourished children risk losing 10% of their lifetime earning potential, while malnutrition can cause countries to lose up to 3% of GDP.
6.9 Poverty and education levels, especially of the mother, are important factors for chronic malnutrition, but stunting is a multi-faceted problem and for some districts the high levels of stunting can still not be fully explained. An underlying factor is the feeding practice where
78% of children between 12 - 23 months are fed on low-nutrient diets. The cycle of malnutrition often continues through generations, furthermore, the physical and mental damage associated with poor foetal growth and stunting are irreversible after the age of two.
Intervention to minimise the impact of malnutrition needs to start from conception and continue until the child is two years old. Hence the EDPRS 2 emphasis on the early
1,000 days of a child’s life.
6.10 Under EDPRS2, poor maternal, infant and child feeding practices will be addressed through coordinated, strengthened and scaled up community based nutrition programmes and information campaigns across the country. Early detection of stunting will be achieved through interventions like growth monitoring and nutrition education for mothers and caretakers. Chronically malnourished children will be referred to a programme for moderate malnutrition (within the community) or to health facilities for severe malnutrition.
In addition, supporting the implementation of existing district plans to eliminate malnutrition will be a priority. Communication campaigns to diversify household food production and consumption, e.g. kitchen gardens, will be undertaken. Agriculture and social protection interventions will be linked to reach the most vulnerable children, e.g. through school feeding programmes like One Cup of Milk per Child. Programmes on bio - fortified foods will also be developed and the food security information system will be strengthened.
6.10 Under EDPRS 2, poor maternal, infant and child feeding practices will be addressed through coordinated, strengthened and scaled up community based nutrition programmes and information campaigns across the country. Early detection of stunting willbe achieved through interventions like growth monitoring and nutrition education for mothersand caretakers. Chronically malnourished children will be referred to a programme formoderate malnutrition (within the community) or to health facilities for severe malnutrition.
In addition, supporting the implementation of existing district plans to eliminate malnutrition will be a priority. Communication campaigns to diversify household food production and consumption, e.g. kitchen gardens, will be undertaken. Agriculture and social protection interventions will be linked to reach the most vulnerable children, e.g. through school feeding programmes like One Cup of Milk per Child. Programmes on bio-fortified foods will also be developed and the food security information system will be strengthened.
6.11 Household food security relates very much to the stability of rural incomes in the face of seasonality and crop failure. The priority will be to strengthen existinginitiatives that have increased productivity and have generated strong agricultural growth,both through agricultural and animal resource intensification and training of farmers. Thesecond key strategic priority is value chain development (including nutrition-sensitive valuechains, e.g. milk), strengthening markets for agricultural products, empowering small-holderfarming systems, attracting increased private sector investment and reducing post-harvestlosses. In addition, interventions will be directed to the areas with lowest food consumptionand highest rates of malnutrition particularly in the districts which have high levels ofextreme poverty.
6.46… EDPRS 2 will mainstream gender and family in planning, budgeting and in all development programmes/projects at national and local levels. Sector strategies and district plans will focus on interventions that reduce poverty levels among men and women, and reduce gender based violence, malnutrition and other related conflicts at both family and community level
6.56 For the NCDs, the priority areas are prevention and control of NCDs in general and in the workplace through increased sensitisation and awareness of the dangers and risks, and by promoting healthy nutrition and living.
","ANNEX 2 EDPRS 2 MONITORING MATRIX
Outcome Indicators
20. Enhanced food security and nutrition
- Maize and beans existing as food reserve / Metric Tons
ANNEX 3 EDPRS 2 MONITORING MATRIX SECONDARY INDICATORS
Outcome Indicators
23. Infant Mortality Rate /’000
24. (b) Maternal Mortality Rate /100,000
25. Mortality rate for 0-5- year age-group /’000
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Milk|Biofortifcation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Household food security|Vaccination","","http://www.imf.org/external/pubs/ft/scr/2013/cr13360.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA%202013%20Economic%20Development%20and%20Poverty%20Reduction%20Strategy%202013-2018.pdf" "25933","KNA","Saint Kitts and Nevis","","National Policy & Plan for Non-Communicable Diseases (NCDs) Prevention and Control ","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","","","2015","","","","","Health|Education and research|Finance, budget and planning|Development|Trade","","","","","","","","","","","","","","","","","","Food, nutrition and physical activity are cornerstones in the prevention, treatment and control of specific NCDs.
6.1 The Ministry shall provide national dietary guidelines which shall be disseminated throughout the Federation.
6.2 The national dietary guidelines shall be utilized in institutional settings such as school meals and hospital dietetics as well as restaurants and food vendors in order to promote balanced eating and restrict transfats.
6.4 Health promotion programs shall be planned in collaboration with various health and non-health entities to promote appropriate diets and healthy lifestyles at all levels of the society e.g. schools, health institutions, restaurants and other eating establishments.
","2. HEALTHY EATING (INCLUDING REDUCTION OF SALT, FAT, SUGAR)
Objective: To stimulate inter-sectoral action that promotes the availability, accessibility and consumption of safe, healthy, tasty foods available to the people of St Kitts and Nevis.
2.1.1) The Federation has legislation and regulations, multisectoral policies, incentives, plans, protocols and programmes that aim to improve dietary and lifestyle behaviour by 2015 supported by Food and Agricultural agencies.
2.1.3) All imported foods have required nutritional labeling by 2015 and locally produced foods by 2017
2.2.1) Model nutritional standards for schools, workplaces and health institutions are developed by 2015.
2.2.2) National foodbased dietary guidelines is adopted and implemented in at least 2 sectors by 2015.
2.3.1) Comprehensive public education campaign to promote healthy eating conducted locally by 2013
3.1.1) At least 80% of large food manufacturers following the CAIC pledge to reduce salt and fat content of processed and prepared foods (including in schools, workplaces and fast-food outlets) by 2015
3.2.1) ) Country using baseline and ongoing spot urine sampling for tracking salt consumption in population by 2014.
3.2.2) Salt consumption declines by 10% in the Federation by 2015
","","","","Fat intake|Trans fat intake|Sodium/salt intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Healthy food environment in workplaces|Healthy food environment in hospitals","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KNA-2013-2017-NCD%20Action%20Plan.pdf" "40367","ZAF","South Africa","","Strategic Plan for the Prevention and Control of Non-Communicable Diseases 2013-17 ","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","Health Department","","2013","","","","","Health","","","","","","","","","","","","","","","","","","Targets for NCDs
The South African Declaration for Prevention and Control of Non-communicable diseases commits to a set of 10 goals and targets to be achieved by 2020 (See Appendix 2). As this Strategic Plan ends in 2016, it will contain an intermediate set of targets that will contribute towards the 2020 targets. The 2020 goals and targets are:
5.1.1.3 Promoting physical activity
To increase habitual levels of physical activity of all South Africans across the life-course and to promote health and prevent disease government aims to:-
","
Activities
Activities
1. Obesity:
Halt the rise in prevalence of obesity amongst persons aged 15 – 64 years
Baseline 2013: 14.1%
Target 2016: Zero increase
7. Salt/sodium intake
Prevalence of salt intake among persons aged 15-64 years
8.Raised total cholesterol
Prevalence of raised cholesterol among persons aged 15- 64 years
Baseline 2013: 23.1%
Target 2016: 21.9%
","Objective 2: To reduce modifiable risk factors for NCDs and underlying social determinants through creation of health-promoting environment
Unhealthy diet
Promote reduced salt intake
Promote replacing of trans-fats with polyunsaturated fats
Promote public awareness about healthy diet esp. increase intake of fruits and vegetables
Encourage exclusive breastfeeding in the first 6 months
Develop guidelines and recommendations or policy measures for food producers and processors.
Promote mandatory nutrition labeling for all prepackaged foods
Promote the provision and availability of healthy foods in all public and private institutions including schools, other education institutions and work places.
Establish mechanisms for nutritional counseling and BMI monitoring at workplaces, schools etc.
","Selected indicators included in the NCDs Results Framework in Appendix 2
The overarching goal for the Guam NCD Plan is to reduce premature NCD deaths by 25% by the end of 2018.
NUTRITION AND OBESITY PREVENTION
Goal: To reduce obesity among youth and adults by 5% by 2018 through healthy eating by increasing the consumption of fruits and vegetables.
Objective 1: Establish preliminary base line data on family, adult & youth fruit and vegetable daily consumption.
Objective 2: Increase fruits’ and vegetables’ availability and access to Villages & Families through market outlet initiatives.
Objective 3: Increase fruits and vegetable consumption, availability and access through: Home, Community, & School gardening initiatives.
Objective 4: Increase fruit and vegetable consumption and demand through education and public outreach initiatives.
Goal: To reduce hypertension and its associated risk factors among Guam adults.
Objective 1: By 2018, decrease the number of Guam residents reporting adding salt in cooking and at the table by 10%
Goal: Reduce childhood obesity and improve overall infant health through increased breastfeeding (BF).
Objective 1: By 2018, increase the percentage of Guam infants who initiate breastfeeding at birth by 10% and who maintain breastfeeding until 6 months of age by 20%.
","Full list and description of nutrition strategies and activities on pages 22-32
","Full list of indicators on pages 22-32
% of Guam Adults Overweight
% of Guam Youth Overweight
% of Guam Adults who eat 5 servings of fruits/vegetables daily
% of Guam Youth who ate vegetables less than 3x per day
% of Guam Youth who ate fruit/100% fruit juice less than 3x per day
% of adults adding salt to their cooking and at the table
% of adults on Guam who have been told they have high blood pressure
% of WIC mothers who BF their infants at 6 months.
% of mothers of newborns who initiate BF at Guam Memorial Hospital Authority (GMHA) and continue to nurse their infants at discharge from the hospital.
Chapter on Evaluation begins on page 54
","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight in children 0-5 yrs|Overweight in adolescents|Sodium/salt intake|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|School gardens|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|Food security and agriculture","","www. DPHSS.Guam.gov","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GUM%202014%20NCD%20Strategic%20Plan.pdf" "25917","LAO","Lao People's Democratic Republic","","National Multisectoral Action Plan for the Prevention and Control of Noncommunicable Diseases 2014-2020 (LAOSMAP-NCD)","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","Ministry of Health","9","2014","","","","","Health","","","","","","","","","","","","","","","","","","","1.3 Promote healthy diets & physical activity
Short term
1. Investigate salt consumption & pilot salt reduction interventions
2. Promote healthy eating & physical activity through Vientiane Healthy City
3. Promote healthy eating & physical activity in schools
4. Raise public awareness of healthy diet and physical activity through mass media
Medium term
1. Implement national salt reduction action plan
Long term
1. Restrict marketing of food & beverages to children
2. Manage food taxes &subsidies
3. Replace trans-fat with polyunsaturated fat
Menu of policy options: Unhealthy diet and physical inactivity
National targets for 2020
2013 - 2014 - 2015 - 2016 - 2017 - 2018 - 2019 - 2020
Raised BP/Hypertension 18.3 - 17.9 - 17.5 - 17.2 - 16.8 - 16.4 - 16.0 - 15.6
Obesity 5.4 - 5.4 - 5.4 - 5.4 - 5.4 - 5.4 - 5.4 - 5.4
Diabetes 6.8 - 6.8 - 6.8 - 6.8 - 6.8 - 6.8 - 6.8 - 6.8
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Trans fat intake|Sodium/salt intake|Fruit and vegetable intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Fats|Taxation on unhealthy foods|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Iodine","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO_2014-2020-NCD.pdf" "25913","LSO","Lesotho","","National Multi-Sectoral Integrated Strategic Plan for the Prevention and Control of Non-Communicable Diseases (NCDS): 2014-2020","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","","","2017","","","","","Health|Food and agriculture|Trade|Industry","","","","","","","","","","","","","","","","","","Strategic Plan - Target (by 2020)
High intake salt - A 30% relative reduction in mean population intake of salt/sodium
Raised Blood Pressure - A 25% relative reduction in the prevalence of raised blood pressure or contain the prevalence of raised blood pressure
Obesity - Reducing by 50% in rate of increase in & obesity
","Targets For 2025
Strategic action area 2: Health promotion and risk reduction.
Actions under this area aim to promote the development of population-wide interventions to reduce exposure to key risk factors. Effective implementation of these actions will lead to reduction in tobacco use; increased intake of fruits and vegetables; reduced consumption of saturated fat, salt and sugar; reduction in harmful use of alcohol; increase in physical activity; and reduction in second hand exposure to tobacco smoke.
Key milestones:
…
…
","Goal
The goal of the multisectoral action plan is to reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in Nepal.
Targets
","
Adopt breast feeding promotion and protection regulation
","
Indicator 1: Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases
Indicator 6: Age-standardized mean population intake of salt(sodium chloride) per day in grams in persons aged 18+years
Indicator 7: Age-standardized prevalence of raised blood pressure among persons aged 18+ years (defined as systolic blood pressure > 140 mmHg and/or diastolic blood pressure >90 mmHg) and mean systolic blood pressure
Indicator 8: Age-standardized prevalence of raised blood glucose/diabetes among persons aged 18+ years (defined as fasting plasma glucose concentration > 7.0 mmol/l (126 mg/dl) or on medication for raised blood glucose)
Indicator 16: Adoption of national policies that limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, as appropriate, within the national context and national program
Indicator 17: Age-standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruit and vegetables per day
Indicator 18: Age-standardized prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol >5.0 mmol/l or 190 mg/dl); and mean total cholesterol concentration
","Outcome indicators","","International Code of Marketing of Breast-milk Substitutes|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Fats|Salt/sodium|Taxation on unhealthy foods|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle","","http://www.searo.who.int/nepal/mediacentre/ncd_multisectoral_action_plan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202014%20NCD%20Multisectoral%20Action%20Plan.pdf" "26275","PHL","Philippines","","Revised Rules And Regulations Governing The Labeling of Prepackaged Food Products","Legislation relevant to nutrition","","English","","2014","","","Department of Health","","2014","","","","","Health","","","","","","","","","","","","","","","","","","","","","","
VI. SPECIFIC RULES AND REGULATIONS
A. Mandatory Label Information
The labels of all prepackaged food shall bear the following minimum mandatory information:
...
3. Complete List of Ingredients
...
11. Nutrition Facts/Nutrition Information/Nutritive Value
a. The nutrition facts shall be presented in tabulated form as shown in Figure 1 through the declaration of protein, carbohydrates (including dietary fiber and sugar), fat (including saturated fat, trans fat and cholesterol), sodium, energy value or calories. Added Vitamin A, iron and iodine for the products covered by the Food Fortification Program or vitamins and minerals and/or other nutrients like fatty acids and linolenic acids for other products claimed to contain such, shall also be included in the tabulation.
b. All nutrient quantities shall be declared in relation to the average or usual serving in terms of slices, pieces or a specified weight or volume.
c. The declaration of nutrients can also be expressed either in unit per serving or % RENI or both.
...
f. The rules on any use of nutrition claims or health claims in food shall be covered by these rules, and/or the CODEX Guidelines for use of Nutrition and Health Claims under CAC/GL 23-1997, including the latest amendment as applicable, except when any portion of the amendments are contrary to existing national laws and their rules and regulations, in consideration of
national policies and interest, in which case these rules shall apply as supplementary.
...
VII. MISLEADING DECLARATION/REPRESENTATION/PROHIBITED CLAIMS
In addition to the provisions stipulated in Codex Guidelines on the Use of Nutrition and Health Claims and Codex General Guidelines on Claims, any of the following representations or suggestions whether directly or indirectly stated shall constitute misleading, deceptive, and untruthful declaration: ...
The main objectives of the National Strategy for the following:
ACTION PLAN
Objective 3: Create the conditions for establishment the interest among the population to a healthy life habits, for promotion a healthy lifestyle, for implementation of informative works and for increasing the literacy about health
20. Support the breast feeding and continue to do that, inform parents about additional feeding which should be given in time and correctly, develop ecology clean areas to supply the baby food factories by the raw materials. Raise the producing of the special products for the babies and small children
21. Follow and monitor the rules of World Health Organization on the sale of baby food and alcohol free beverages. Develop the methods of food preparation according the scientific basis for all level of population and begin to produce them
22. Develop special educational materials for achievement the below goals and for support different producers with technology instructions for new products and sale recommendations. Introduce on the label of products the information about the value of product and amount of its protein, carbohydrate and oil
23. Achieve the supply all the setting of our country including the schools and institutions with high quality and healthy food
24. Grow the producing of the agricultural products which are fully safe for producing main food products. Improve the methods of growing the vegetables and fruits with purpose to decrease the amount of harmful substances of the products (poison substances, pesticides, herbicides, nitrate, etc). Develop an action program for the agricultural, food processing, food marketing institutions and for any companies which are connected with food, state establishments on usage of healthy agricultural products and products which are produced in our country.
25. With the purpose to inform about healthy food in different ways and to reach the users held social publicities and events (actions, companies). Work closely with population and with specialized establishments until getting positive results.
26. At schools, kindergardens, hospitals, state and private establishments conduct the information works connected with healthy food, also strengthen the health, and organize the conditions for having healthy food.
27. Develop the quality and healthy indicators for the food products according World Health Organization, UN Food and Agriculture Department also according the recommendations of Alimentarius International Codex. Achieve the recordings on the labels of food products which are going for sale, the indications about product ingredients, the value of product or its effect to the health.
28. Held works on expanding and raising up the commerce of products which supply the healthy food.
29. Ensure the implementation of the ""The National Program on healthy eating of Turkmen population in years 2013-2017"". valuate the implementation and the results of the actions which were indicated in that program, also organize the work on development of the National program for the next five years
37. Prepare interviews and articles about the risks that lead to non-communicable diseases and their prevention on television and in the press
Objective 5: Widely promote and introduce a healthy lifestyle to the society, also support and continue to increase the literacy rate of citizens about health.
95. To prevent second step of diabetes conduct educational works to increase the literacy rate of citizens about health food and using healthy habits in life
117. Explore from a scientific point of view the relationship between the use of tobacco and alcohol products, poor nutrition, lack of physical activity, planned and preventive vaccination for the prevention of NCDs and communicable and non-communicable diseases
126. Add prevention measures to the epidemiological observation activities at the primary health care points. Doing this, collect data about people's behavior, about their bag habits (like alcoholism, less physical activities, smoking, poor nutrition, getting weight and fatness, high blood pressure, raising sugar in blood, and hyperglycemia), control a sale of products, alcohol, tobacco products which can be dangerous for a health
","Improving the quality and accessibility of health care are the major public health challenges in the delivery of medical health care. In order to provide basic and necessary drugs, as well as the effective management of health to provide public health care is provided to attract financial investments. This will reduce the smoking population to 30%, the use of alcoholic beverages by 10%, the use of salt / sodium in an average of 30%, hypertension 25%, lack of physical activity by 10%. Provision of essential drugs will increase to 80%, other drugs to 50%. The incidence of non-communicable diseases will decrease by 25%. As an alternative against the bad habits will develop physical culture and mass sport.
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Food safety","","https://extranet.who.int/ncdccs/Data/TKM_B3_NCD%20Plan%20of%20actions%20-%20english%20translation%20from%20TKM.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf" "40335","AFG","Afghanistan","","National Strategy for Prevention and Control of NoncommunicableDiseases (NCDs)","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","Ministry of Public Health Afghanistan","","2015","","","","","Health","Ministry of Public Health Afghanistan General Directorate of Preventive Medicine Noncommunicable Diseases Control Directorate","","","","","","","","","","","","","","","","","Strategic Objective 1:
To advocate for and raise NCDs priority, as well as integrate NCD in the development work at national level.
Strategic Objective 2:
To introduce interventions through which the main shared, modifiable risk factors (such as tobacco use, unhealthy diets, insufficient physical activity, harmful use of alcohol, and road traffic risk factor) for NCDs and road injures are reduced.
Strategic objective 3:
To strengthen national health systems response to address NCDs including roadinjuries prevention
Strategic Objective 4:
To strengthen the evidence base for the prevention and control of NCDs
Strategic Objective 5:
To promote partnerships for the prevention and control of NCDs
Strategic Objective 6:
To monitor implementation of the NCDs prevention and control interventions and evaluate progress at the national level
Strategic Approach 1
Key Interventions:
Strategic Approach 2
Key Interventions:
Strategic Approach 3
Key Interventions:
Strategic Approach 4
Key Interventions:
Strategic Approach 5
Key Interventions:
Strategic Approach 6
Key Interventions:
Indicators
To reduce the preventable and avoidable burden of morbidity, mortality and disability due to non-communicable diseases through inter-sectoral collaboration and cooperation
To promote supportive environments to encourage healthy lifestyles and reduce risk factorsfor NCDs
To establish, implement, monitor and evaluate standards for NCD treatment and care so that patients living with NCDs have their risk factors controlled to target and receive evidenced based
","
The four strategies are:
Strategy 1: Strengthening Strategic Management
Strategy 2: Surveillance and Research
Strategy 3: Risk Factor Reduction
Strategy 4: Integrated Disease Management and Patient Education
","
Policies to reduce the impact on children of marketing of foods and nonalcoholic, beverages high in saturated fats, trans-fatty acids, free sugars, or salt.
Promote exclusive breast-feeding for first 6 months and continuing along with complementary feeding
Healthy products provided and promoted by food manufacturers, retailers and providers
Support for population based salt reduction increased
Trans-fat in the food supply eliminated High fat content foods reduced
Daily consumption of fruits and vegetables increased
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Breastfeeding promotion/counselling|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|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.iccp-portal.org/sites/default/files/plans/BRB_B3_Barbados%20NCD%20Strategic%20Plan_2015-2019_final.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB_2015_SPNCDs_0.pdf" "40339","BRB","Barbados","","National Action Plan for the Prevention and Control of Non-communicable Diseases (NCDs)","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","Ministry of Health Barbados","","2015","","","","","Health","","","","","","","","","","","","","","","","","","Strategic line of action 1: Strengthening strategic management
Objective: To facilitate and implement an effective and efficient “all of society” and “all of Government” national response to NCDs and their risk factors, inclusive of adequate financial and human resources.
Strategic line of action 2: NCD surveillance and research
Objective: To continue strengthening Barbados’ capacity for high quality surveillance (data management, analysis and reporting) and relevant research of chronic diseases, their risk factors, social determinants and consequences; to enhance the capacity for monitoring and evaluation of the impact of public health interventions.
Targets: Morbidity and mortality rates from NCDs reduced
Strategic line of action 3: Integrated disease management
Objective: To facilitate and support the strengthening of the capacity and competencies of the health system for the integrated management of chronic diseases.
Strategic line of action 4: Risk factor reduction
Objective: To develop and implement public policies and programmes to facilitate risk factor reduction interventions, supported by adequate resources and a comprehensive communication strategy and programme.
4a. Tobacco and alcohol
Objective: FCTC compliant legislation enacted and enforced, and strategies to reduce the harmful use of alcohol supported.
4b. Healthy eating
Objective: To stimulate inter-sectoral action that promotes the availability, accessibility and consumption of safe, healthy, tasty foods.
4c. Physical activity (PA): Continuing support for community and population initiatives to promote physical activity and exercise Objective: Continuing support for community and population initiatives to promote physical activity and exercise
4d: Integrated programmes: Build capacity with media and other partners to promote healthy lifestyles
Objective: Integrated Programmes, especially in schools, workplaces and faith-based settings: 1. Build capacity with media and other partners to promote healthy lifestyles 2. School based prevention initiatives facilitated and promoted a. Health-Promoting Schools programme implemented3. Workplace wellness programmes supported and embraced
The seven key priorities listed in the Strategic Plan for controlling NCDs at the national level are:
Control raised blood pressure to target
Reduce physical inactivity
Reduce salt intake
Reverse the upward trend in obesity
Stop the increase in incidence of diabetes
Reduce harmful use of alcohol
Promote abstinence from all forms of tobacco
This Action Plan therefore focuses on the above seven priorities under the four main NCD response areas.
Appendix 1: Activities for each strategic line of action by year
Pages 33-39
","Ensure national levels of salt intake and sources of sodium are estimated and produced in report
Promote tax on sugar-sweetened beverages(SSB) by providing evidence to support public health rationale for same to Ministry of Finance and Economic Affairs (MFE)
Survey of marketing to children on unhealthy foods
Meet with five largest bakeries to advocate for decreased salt in all baked goods and salt labelling for all baked goods
National consultation on salt with public and restaurateurs to remove salt shakers from tables
Provide evidence for public health benefit from SSB tax
Reduce or ban marketing of unhealthy foods and drinks (high sugar, high salt, high fat) to children
Social marketing campaign to increase daily consumption of fruits and vegetables
Dialogue with Ministry of Agriculture and partners to enhance supply of locally produced fruits and vegetables
Policy dialogue with manufacturers and suppliers about sources and dangers of trans-fats
Identify main sources of trans-fats in the Barbadian diet
Conduct national risk factor survey to include consumption of fruit and vegetables
Advocate for legislation to ban industrial partially hydrogenated vegetable oils from food supply
Provide and implement standards for salt, fat and sugar in locally produced foods and restaurant foods by requiring nutritional labelling for salt, fat and sugar in locally produced and restaurant foods
Study to test random sample of locally produced foods for salt, sugars and fat content
Second survey on marketing of unhealthy foods to children
the rest is on page 26-30
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|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|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Food safety|Vaccination","","","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB_2015_National%20Action%20Plan%20for%20the%20Prevention%20and%20Control%20of%20Non-communicable%20Diseases%20%28NCDs%29.pdf" "36191","BTN","Bhutan","","Multi-sectoral Action Plan for the Prevention and Control of Non-communicable Diseases in Bhutan ","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","Royal Government of Bhutan","","2015","Adopted","7","2015","80th Lhengye Zhungtshog session","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Trade|Labour","Royal Government of Bhutan","","WHO","","","","","","","National NGOs","","","","","","","","Goals
The Global Goal for NCD is to reduce NCD related premature deaths by 25% by 2025 (25 by 25). To align with this, the Cook Islands goal is to reduce the incidence of NCD by 2% per year by 2019.
Food and nutrition objectives
1. Reduce dependency of imported food and increase availability, consumption and access to local nutritious food.
2. Increase the proportion of adults (≥18 years old) eating 5 or more servings of vegetables per day to 30%.
3. Reduce the proportion of overweight and obese children in the population by 10%.
4. Reduce the proportion of overweight and obese adults in the population by 10%.
5. To reduce salt intake in peoples diet to the recommended daily standard of less than 5grams per day (200mgs of sodium).
","Increase availability and access to healthy food
1. Explore options on making healthier food more affordable
2. Introducing higher levies on salty and sugary foods/drinks
3. Increasing range of healthier food options available and its production for sale (prepacked and freshly prepared meals) by working with wholesalers to increase range of healthier products.
4. Promotion of home / school gardens
5. Advocating and lobbying to reduce or remove levies on fruits and vegetables to encourage purchase and consumption.
Increase awareness and knowledge of healthy food
1. Develop and introduce a Nutrition Training course for nurses, teachers, community health workers, agriculture staff and allied health workers
2. Conduct workshops/sessions with members of the community and other stakeholders using the Nutrition Training course outline developed
3. Encourage Doctors to refer complicated patients for lifestyle counselling to Dietician or Nutritionist
4. Increase of human resource in Lifestyle Clinic to allow for NCD patients education
Social Marketing
1. Promotion of healthy eating via different media channels
2. Public awareness through mass media on diet and
3. physical activity
4. Promote collaboration with BTIB “Go Local” campaign encouraging production and consumption of nutritious local food
5. Promote in collaboration with National Environment Services the use of biodegradable containers
6. Strengthen 5+ a day campaign including food preparation, cooking, community workshops on healthy food preparation, short TV programs on healthy cooking with some demonstrations in community settings Number of promotions
7. Production/reprinting of food/healthy eating leaflets and other IEC materials Number of IEC produced and present in workplaces, churches, meeting houses.
8. Encourage use of produce from school gardens in health llessons
Improving Household food security
1. Expansion of World Food Day to include participation from more outer islands and other stakeholders
Strengthening healthy food initiatives in schools
1. Strengthening and encouraging school healthy food policies in school (mandated by Cabinet)
2. Developing and implementing and award system where schools who abide by the school health food policy are recognised for their efforts
3. Strengthening education and awareness of healthy eating by including nutrition in other curriculum subjects (eg. Maori, Maths, English)
4. Encourage schools to have a vegetable garden and promoting of school gardens as a means of fundraising
5. Developing and implementing an award system to recognise schools who are applying the local food day and fruit breaks in their schools
Capacity building and training of the community on healthy food preparation and consumption
1. Encouraging and assisting development of food policies for faith-based and community organizations/events
2. Training of community members to assist in delivering healthy eating programs
3. Development of Food Standards
Encouraging healthy eating in the workplace
1. Advocating for healthy food policies in all workplaces starting with government ministries
2. Policies to include local food days and fruit breaks
3. Encourage and support workplaces to establish their own healthy lifestyle programs.
4.Implementing healthy food policies to encourage local food days and Fruit breaks in the workplace
5. Developing and implementing an award system to recognise workplaces who are applying the local food day and fruit breaks in their workplace
Develop and implement salt reduction strategies
1. Advocate for people to limit their intake of products high in salt and reduce the amount of salt used for cooking;
2. Integrate salt reduction into the training curriculum of food handlers;
3. Consumer empowerment and awareness through social marketing
4. Completion of Salt Survey;
5. Private sector engagement to improve the availability and accessibility of low salt products
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Nutrition in the school curriculum|School gardens|Reformulation of foods and beverages|Salt/sodium|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","http://www.health.gov.ck/index.php/component/docman/doc_download/484-cook-islands-national-strategy-and-action-plan-for-ncd","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COK%202015%20National%20Strategy%20and%20Action%20Plan%20for%20NCD.pdf" "40358","IRN","Iran (Islamic Republic of)",""," National Document for Prevention and Control of Non Communicable Diseases and the Related Risk Factors in the Islamic Republic of Iran,2015-2025 ","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2025","Iranian National Committee for NCDs Prevention and Control","6","2015","","","","","Health|Food and agriculture|Education and research","","","","","","","","","","","","Research/academia","Non-communicable Disease Research Center, Tehran Uni- versity of Medical Sciences,","","","","","1.A 25% relative reduction in risk of premature mortality from CVDs, cancer, diabetes, chronic respiratory diseases
2.A 10% relative reduction in the use of alcohol
3. A 10% relative reduction in prevalence of insufficient physical activity
4.A 30% relative reduction in mean population intake of salt/sodium
5. A 30% relative reduction in prevalence of current tobacco use in
persons aged over 15 years
6. A 25% relative reduction in prevalence of raised blood pressure
7. A Halt the rise in diabetes and obesity
8. A 50% of eligible people receive drug therapy and counselling to prevent heart attacks and strokes
9. An 100% availability of the affordable basic technologies and essential medicines, including generics
10. Zero trans fatty acid in food & oily products
","Pages 108-187
","","","","Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Trans fat intake|Sodium/salt intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Reformulation of foods and beverages|Salt/sodium|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Salt reduction","","https://extranet.who.int/ncdccs/Data/IRN_B3_NAP_NCD_Iran.pdf","","WHO NCD Document Repository","" "25926","JOR","Jordan","","The National Strategy And Plan Of Action Against Diabetes, Hypertension, Dyslipidemia And Obesity in Jordan","NCD policy, strategy or plan with healthy diet components","","English","","2015","","","Government of Jordan","","2015","","","","","Health","","","","","","","","","","","","","","","","","","The focus of the strategy:
The Strategy would focus on prevention and management of diabetes with special attention to children and adolescents.
1- Prevention of diabetes:
This can be achieved through:
a- Promotion of healthy diet for all the population: Healthy diet has been defined as follows:
1- Saturated fats constitute less than 10% of the daily energy intake, trans-fatty acids less than 1%, and free sugars less than 10%
2- Contains < 5 g salt a day.
3- Includes 400 g fruits and vegetables a day.
4- Intake of Legumes, whole grains and nuts is encouraged.
5- Achieves energy balance and a healthy weight
","To reduce the preventable burden, avoidable morbidity, mortality, risk factors and costs due to Non-communicable diseases and promote the well-being of the Kenyan population by providing evidence based NCD prevention and control interventions in order to ensure optimal health throughout the life course for sustainable socioeconomic development
","- Physical inactivity : 10% reduction
- salt/sodium intake: 30% reduction
- raised blood pressure: 25% reduction
- Diabetes/obesity: 0% increase
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Food labelling|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Portion size control|Nutrition counselling on healthy diets","","http://www.ianphi.org/documents/kenyastrategyforNCDs.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN-2015-NCDs.pdf" "25862","KEN","Kenya","","The Food, Drugs and Chemical Substances (Food Labelling, Additives and Standards) (Amendment) (No. 2) Regulations, 2015.","Legislation relevant to nutrition","","English","","2015","","","Ministry of Public Health and Sanitation","7","2015","Adopted","7","2015","Cabinet Secretary for Health","Health","","","","","","","","","","","","","","","","","","","","","","
2. (1) The Food, Drugs and Chemical Substances (Food Sub-leg. Labelling, Additives and Standards) Regulations (in these Regulations referred to as """"the principal Regulations"""") are amended in regulation 249 by deleting paragraph (2) and substituting therefor the following new paragraph —
(2) Packaged wheat flour shall be fortified and conform to the flour fortification requirements specified in the Kenya Standard for fortified wheat flour KS EAS 767.
3. (1) The principal Regulations are amended in regulation 253 by deleting paragraph (2) and substituting therefor the following new paragraph-
(3) Packaged dry milled maize products shall be fortified and conform to the flour fortification requirements specified in the Kenya Standard for fortified milled maize products KS EAS 768.
4. The principal Regulations are amended in regulation 258 by deleting paragraph (2) and substituting therefor the following new paragraph-
(2) Vegetable fats and oils shall be fortified with vitamin A in accordance with Kenya Standard for fortified fats and oils KS EAS 769.
","Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|Wheat flours|Maize flours|Edible oils and margarine|Mandatory fortification of maize flours with iron|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance","","http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN157_2015.pdf","http://kenyalaw.org:8181/exist/kenyalex/actview.xql?actid=CAP.%20254","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202015%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20and%20Standards%29%20%28Amendment%29%20%28No.%202%29%20Regulations%2C%202015.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202015%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20and%20Standards%29%20%28Amendment%29%20%28No.%202%29%20Regulations%2C%202015.pdf" "25893","NRU","Nauru","","Nauru Non Communicable Disease Strategic Action Plan 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","6","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Justice","","","","","","","","","","National NGOs","Nauru National Sustainable Development Strategy 2005-2025 (NNSDS) – Partnership for Quality of Life.","","","","","","","NCDs and nutrition are addressed under key result area 2 of which the goal is to strengthen and improve community preventive and health care services under the principles and concepts of primary health care and healthy islands.
For nutrition, the Plan emphasizes on supporting and strengthening ongoing school feeding programme; introducing and supporting the Baby Friendly Hospital initiative and promotion of exclusive breast feeding; as well as advocating for good family nutrition through home gardening and healthy food preparation.
","6.2. Strengthen food security
Promote breast feeding:
• Re-establish Baby Friendly Hospital Initiative Programme
• Establish community support groups for breastfeeding
• Conduct strategic health communication activities to:
- Strengthen the awareness on importance of exclusive breastfeeding for the first 6 months
- encourage breastfeeding up to 2 years of life
Table 3: Target prevalence rates by 2020
Risk factor - Men - Women
Sodium intake* - n.a - n.a
Less than 5 serving of fruits and vegetable per day - 84.4% - 84.2%
Overweight (obesity) -82.1% (55.7%) - 82.1% (60.5%)
High blood pressure - 18.5% - 9.2%
Diabetes - 16.1% - 16.3%
* The baseline for sodium intake will be established during the NCD STEPS survey planned for 2014
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Overweight in adolescents|Raised blood glucose/diabetes|Raised blood pressure|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Salt reduction|Food safety","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NRU-2015-2020-NCD%20Strategic%20Plan.pdf" "25903","PNG","Papua New Guinea","","National Multisectoral Strategic Plan for the Prevention and Control of Non-Communicable Diseases 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","","2017","","","","","Health|Education and research|Finance, budget and planning|Other","Customs, all other Ministries and Government stakeholders","","","","","","","","","","","","","","","","","- At least a 30% (10%) increase in mean population who consume 5 combined servings of fruit and vegetables
- 25% (5%) Reduction in mean population intake of salt/sodium. *this will require the collection of baseline data
- Reduce adult obesity by at least 5%
- No rise in prevalence of diabetes and obesity
- 7.5% of women, 6% of men with raised blood pressure
- A 5% relative reduction in the prevalence of raised blood pressure
","2.4 Promote healthy diets and physical activity
Vision
Goal
2020 Outcome 1: Tongan infants (age 2 and under) have a healthier start to life
2020 Outcome 2: Tongans are leading healthier lifestyles (with a focus on children and adolescents)
2020 Outcome 3: Improved early detection, treatment and sustained management of people with or at high risk of NCDs
Strategy 1.1 Halt the number of babies exposed to the risks associated with being born to a mother with diabetes (GDM or Type 2)
Strategy 1.2 Improve infant and toddler nutrition
Strategy 2.1: More Tongans are meeting the WHO Global Physical Activity Guidelines
Strategy 2.2 Tongans are eating a healthier diet
Strategy 3.1: Improve early detection, treatment and sustained management of people with or at high risk of NCDs
2020 Outcome 1: Tongan infants (age 2 and under) have a healthier start to life
1. Trends in infant consumption of healthy and unhealthy foods (to be defined)
2. Rates of exclusive breastfeeding until 6 months
3. Rates of breastfeeding along with complementary feeding up to age 2
Trends in the prevalence of gestational mothers with GDM or Type 2 diabetes
2020 Outcome 2: Tongans are leading healthier lifestyles (with a focus on children and adolescents)
Prevalence of overweight and obesity in adolescents
Age-standardised prevalence of overweight and obesity in persons aged 18+ years
Age standardised prevalence of heavy episodic drinking among adolescents and adults
Age standardised prevalence of current tobacco use among persons aged 15+
Trends in the consumption of unhealthy foods and healthier foods
Age-standardised mean population intake of salt (sodium chloride) per day in grams in persons aged 18+
Age-standardised prevalence of persons consuming less than five total servings of fruit and vegetables per day
Trends in import levels of less healthy food goods and healthier food goods (goods to be defined)
2020 Outcome 3: Improved early detection, treatment and sustained management of people with or at high risk of NCDs
Trends in the # of NCDs patients maintaining their blood sugar, blood lipids and/or blood pressure within recommended levels
2. Objectives and targets to 2025
a) Objective 1: To raise awareness of government at all levels and citizens on prevention and control of cancer, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma
Targets:
- 100% People's Committees of provinces and cities have plans and allocate budget to implement strategy at the locals;
- 70% of adults have knowledge about cancers, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma, about the impact of NCDs to the community’s health, to national society and economy, as well as principle of NCD prevention and control. ;
b) Objective 2: To minimize behavioral risk factors of cancers, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma.
Targets:
- A 30% relative reduction in the prevalence of smoking among people aged 15 and older compared with 2015; reducing the prevalence of smoking among aldolescent to less than 3.6%.
- A 10% relative reduction in the prevalence of harmful use of alcohol among adult men compared with 2015; reducing the prevalence of drinking among aldolescent to less than 20%
- A 30% relative reduction in the mean salt consumption/adult/day compared with 2015;
- A 10% relative reduction in the prevalence of physical inactivity among adults, compared with 2015
c) Objective 3: To halt the increase of pre-diseases, morbidity and premature death due to cancer, cardiovascular diseases, diabetes, chronic obstructive pulmonary diseases and asthma.
Targets:
- To constrain the prevalence of overweight/obesity (BMI≥25) among persons aged 18+ to less than 15%; constrain the prevalence of overweight/obesity among children to less than 10%
- To constrain the prevalence of raised total cholesterol (>5.0 mmol/L) among adults to less than 35%;
- To constrain the prevalence of hypertension among adults to less than 30%;
50% of hypertensive persons are detected; 50% of detected persons are managed and treated in accordance with the guidelines;
- To constrain the prevalence of pre-diabetes among persons aged 30-69 to less than 16%, prevalence of diabetes among persons aged 30-69 to less than 8%;
50% of persons with diabetes are detected; 50% of detected diabetes are managed and treated in accordance with the guidelines.
- 50% of people with chronic obstructive pulmonary diseases are detected at an early stage; 50% of detected patients are managed and treated in accordance with the guidelines;
- 50% of people with asthma are detected and treated at an early stage; 50% of treated patients are well controled in which 20% fully achieved target treatment;
- 40% of people with some common cancers are detected at an early stage (cancers which the effectiveness of treatment can be improved if detected at early stages)
- a 20% relative reduction in premature (aged <70 ) death rate due to cancer, cardio-vascular diseases, diabetes and chronic obstructive pulmonary diseases compared with 2015.
","1. Measures on policy, legislation and multi-sectoral collaboration.
a) To supplement, perfect and enhance enforcement of the policies, legal documents to control risk factors and promote healthy factors for prevention and control of NCDs:
- Fully implementing the Tobacco Control Law, Environment Protection Law, Food Safety Law, the National policy for prevention and control of harmful use of alcohol until 2020 and other relevant policy documents. Develop and submit to authorize level for the approval of the Alcohol control Law. Enhance the enforcement, supplement and complete policy documents and warning about the health impact of processed foods, soft drink, food additives, especially products for children.
- Propose, supplement regulations on controlling advertising and tax policy to reduce consumption of tobacco, alcohol, soft drink, processed food and other products that have risks of causing NCDs
- Propose, supplementent policies to encourage production, provision and consumption of safe and healthy foods; the policy to facilitate people's access to and use of public spaces, sport and gymnasium facilities; promote public transportation and non-motorised transportation
b) Complete multi-sectoral collaboration mechanisms from central to locals, along with mobilize organizations, individuals and community to be involved in the implementation of the strategy.
c) Review, supplement and complete legal policies to ensure NCD prevention and control activities are performed in an uniformed system from central to local level; ensure the availability of essential medicine and equipment for prevention, early detection, treatment and long term management at grassroots’ health care facilities.
d) Propose policies to encourage providing services of prevention, treament and management of NCDs at community through private sector and family doctors especially the remote and isolate areas.
2. Measure on communication and social mobilization
a) Use the network of information and communication from central to local level to communicate, disseminate, and mobilize support from government at all levels, sectors, mass organizations and individuals to implement policies, laws, guidelines and recommendations on the prevention and control of NCDs.
b) Develop and supply communication programmes and materials, on NCD prevention and control, which are suitable to communication channels and target audiences.
c) Promote the development and implementation of models of healthy communities and settings relevant to local context and population groups including models of health promoting school, healthy workplace and healthy city.
d) Propose the launching of a movement on Healthy Lifestyles for all to prevent and control NCDs.
","","","","Overweight and obesity in adults|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Vaccination","","https://vncdc.gov.vn/files/document/2016/4/chien-luoc-quoc-gia-phong-chong-benh-khong-lay-nhiem.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202015%20Quy%E1%BA%BFt%20%C4%91%E1%BB%8Bnh%20376%20Q%C4%90-TTg%20c%E1%BB%A7a%20Th%E1%BB%A7%20t%C6%B0%E1%BB%9Bng%20Ch%C3%ADnh%20ph%E1%BB%A7%20banh%20h%C3%A0nh.pdf" "39399","AUS","Australia","","Australian National Diabetes Strategy","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Commonwealth Department of Health","","2015","Adopted","","2015","Australian Health Ministers Advisory Council","Health","Commonwealth Department of Health","","","","","","","","","National NGOs","","Research/academia","Academia","","","","","Goals
1. Prevent people developing type 2 diabetes
2. Promote awareness and earlier detection of type 1 and type 2 diabetes
3. Reduce the occurrence of diabetes-related complications and improve quality of life among people with diabetes
4. Reduce the impact of pre-existing and gestational diabetes in pregnancy
5. Reduce the impact of diabetes among Aboriginal and Torres Strait Islander peoples
6. Reduce the impact of diabetes among other priority groups
7. Strengthen prevention and care through research, evidence and data
","Six interventions are proposed under this LSO2.
1. To promote behavioral change to healthier lifestyles through multisectoral initiatives and campaigns, in three major areas of exposure: tobacco use, unhealthy diets and insufficient physical activity. Early detection of high blood pressure, blood cholesterol and diabetes should also be promoted.
","LSO2 To reduce the exposure of population and individuals to shared modifiable risk factors associated with NCD
By 2017, legislation on junk food, trans-fat content and salt reduction proposed to concerned members of Parliament
","","","","Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Trans fat intake|Sodium/salt intake|School-based health and nutrition programmes|Ban or virtual elimination of industrial trans fatty acids","","https://www.moph.gov.lb/en/view/3691/non-communicable-diseases-prevention-and-control-plan-ncd-pcp-lebanon-2016-2020","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%202016%20Non_Communicable_Diseases_Prevention_and_Control_2016-2020.pdf" "39487","MYS","Malaysia","","National Strategic Plan for Non-Communicable Disease -Medium Term Strategic Plan to Further Strengthen the NCD Prevention and Control Program in Malaysia (2016-2025)","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2025","Department of Public Health Ministry of Health Malaysia","","2016","","","","","Health","","","","","","","","","","","","","","","","","","The NSP-NCD 2016-2025 has five main objectives, based on the Global Action Plan for the Prevention and Control of NCDs 2013-2020:
To strengthen national capacity, leadership, governance, multi-sectoral action and partnerships to accelerate country response for the prevention and control of NCDs.
To reduce modifiable risk factors for NCDs and underlying social determinants through creation of health-promoting environments.
To strengthen and orient health systems to address the prevention and control of NCDsand the underlying social determinants through people-c entred primary health care and universal health coverage.
To promote and support national capacity for high-quality research and development for the prevention and control of NCDs.
To monitor the trends and determinants of NCDs and evaluate progress in their prevention and control.
Objective 2: To reduce modifiable risk factors for NCDs and underlying social determinants through creation of health-promoting environments
(1) Implementation of activities under the:
(a) National Strategic Plan for Tobacco Control 2015-2020
(b) Policy Options to Combat Obesity in Malaysia 2016-2025
(c) Salt Reduction Strategy to Prevent and Control NCD For Malaysia 2015-2020 (d) National Strategic Plan for Active Living 2016-2025
(e) Malaysia Alcohol Control Action Plan 2013-2020
(2) Implementation of relevant activities under the National Plan of Action for Nutrition of Malaysia (NPANM) III 2016-2025
","Risk of premature mortality from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases.
Mean population intake of sodium
Prevalence of insufficient physical activity
Prevalence of raised blood pressure
Prevalence of diabetes and obesity
PATHWAY 07: Sustainable, safe and nutritious food
The goal 2030: Malaysia is well prepared for one of the biggest challenges of the twenty-first century: to secure a sufficient supply of food for all. Food is safe, high quality, healthy, nutritious, available and affordable. It is efficiently produced, processed, distributed and consumed within the recommended dietary intake and with minimal wastage
","Strategies for sustainable, safe and nutritious food
Linking with existing policies
Reiterating the importance of sustainable food
Sustainable consumption and production over the life cycle of food
Sustainable consumption and production practices to reduce the ‘foodprint’ at home
GOAL
To reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in the Republic of Maldives.
(i) A 25% relative reduction in overall mortality from cardiovascular diseases, cancers, diabetes, or chronic respiratory diseases
(ii) A 10% relative reduction in the harmful use of alcohol
(iii) A 30% relative reduction in prevalence of current tobacco use in persons aged over 15 years
(iv) A 10% relative reduction in prevalence of insufficient physical activity
(v) A 30% relative reduction in mean population intake of salt/sodium
(vi) A 25% relative reduction in prevalence of raised blood pressure
(vii) Halt the rise in obesity and diabetes
(viii) A 50% relative reduction in prevalence of exposure to second hand smoke in homes, work places and public places in closed settings (restaurants, hotels, bars)
(ix) A 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and stroke
(x) An 80% availability of affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities
","Strategic action area 2: Health promotion and risk reduction.
Short term
Medium term
Long term
1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|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|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.pdf" "36175","LKA","Sri Lanka","","Multisector Action plan for the prevention and control of Non communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","Ministry of Health","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","Ministry of Health Ministry of Health, Ministry of Education, Ministry of Trade, Ministry of Sports, Ministry of Finance, Ministry of Mass communication, Ministry of Local Government","","WHO","","NCD alliance,","","WB","","","National NGOs","","","","","","","","• 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
30% Relative Reduction in Mean Population Intake of Salt/Sodium
2015 Vanuatu Baseline
Rural - 2.3%
Urban - 1.2%
Vanuatu 2025 Goals
Rural ≤ 1.6%
Urban ≤ 0.8%
25% Relative Reduction in the Prevalence of Raised Blood Pressure
2015 Vanuatu Baseline
Men - 30.8%
Women 26.7%
Overall - 28.6%
Vanuatu 2025 Goals
Men ≤ 23.1%
Women ≤ 20.0%
Overall ≤ 21.5%
0% Increase in Obesity
2015 Vanuatu Baseline
Men - 13.9%
Women - 23.3%
Overall - 18.8%
Vanuatu 2025 Goals
Men ≤ 13.9%
Women ≤ 23.3%
Overall ≤ 18.8%
0% Increase in Diabetes
2015 Vanuatu Baseline
Diabetic - 9.3%
Vanuatu 2025 Goals
Diabetic < 9.3%
","2. Promote improved nutrition nationwide
Support enforcement and evaluations of legislation pertaining to the fortification of flour and isodisation of salt under the Food Regulations amendment as well as the 2015 introduced Soft Drink Taxation
Advocate for the adoption of additional legislation preventing the marketing of food and non-alcoholic beverages to children under the latest draft amendments to the Food Regulations.
Provide technical guidance and support to future avenues of government reform and the enforcement of legislation that either directly or indirectly addresses population nutrition.
Review current National Guidelines for Healthy Diet and Lifestyles ensuring alignment with relevant international standards
Develop standardised catering policy framework to mainstream healthy catering across workplaces
Support the HPS committee and MOE in developing mechanisms to encourage schools to adopt the Health Canteen Guidelines and enforce compliance with the 2014 endorsed Swit Drink Policy
Support the MOE curriculum development unit in the revision of food and nutrition curriculum.
Develop standardised and Vanuatu specific messaging including examples of the inclusion of nutrition-sensivity into community development projects.
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Dietary guidelines|Taxation on unhealthy foods|Healthy food environment in workplaces|Wheat flours","","https://extranet.who.int/ncdccs/Data/VUT_B3_Vanuatu%20NCD%20Policy%20and%20Strategic%20Plan%202016-2020.pdf","","2nd WHO Global Nutrition Policy ReviewWHO NCD Document Repository ","" "25898","ALB","Albania","","National Program on Prevention and Control of NCDs in Albania 2016-2020 (Programi Kombëtar për Parandalimin dhe Kontrollin e Sëmundjeve Joinfektive në Shqipëri)","NCD policy, strategy or plan with healthy diet components","","English","","2017","","","","","2017","","","","","Health|Food and agriculture|Education and research|Sport|Transport|Environment","Program has been developed with the input of line ministries: Ministry of Health, Ministry of Agriculture, Rural Development and Water Administration, Ministry of Education and Sports, Ministry of Environment, Ministry of Transport and Infrastructure, the respective local and national institutions and nongovernment organization.","","","","","","","","","National NGOs","","","","","","","","The ultimate goal is to achieve a 10% reduction in preventable deaths due to NCDs in the Bahamas by 2022
Objectives
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
5. Increasing the healthy years of life by improving health related behaviours and reducing the number of accidents as well as developing the healthcare infrastructure.
I. Reducing the number of injuries and deaths from injuries and improving health related behaviour
d. Implementation of measures to promote active lifestyles, including the development and piloting of measures supporting exercise habits in the school environment and local community
g. Preparing a green paper on diet and exercise.
h. Continuing of regular communication regarding a balanced and healthy diet
","","","","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://ec.europa.eu/info/sites/info/files/2017-european-semester-national-reform-programme-estonia-en.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/EST%202017%20Estonia%202020%20Action%20Plan%202017-2020.pdf" "39491","IND","India","","National Multisectoral Action Plan for Prevention and Control of Common Noncommunicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Family Welfare Government of India","","2017","","","","","Health","Ministry of Health and Family WelfareMinistry of Health and Family Welfare has also established Expert Group Committees/ Task Force/ Technical Advisory Groups on Air Pollution, Tobacco control, Alcohol control, High Fat, Salt and Sugar which guides on the evidence based cost effective intervention to mitigate NCD risk factors.","World Health Organization (WHO)","WHO country office for India","","","","","","","","","Research/academia","Indian Council Medical Research (ICMR)All India Institute of Medical Sciences","","","","","Goal
Promorte healthy choices, reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in India
Objectves of the Action Plan
Four strategic action areas
1. Integrated and Multisectoral Coordination Mechanisms
2. Health Promotion
3.Health Systems Strengthening
4.Surveillance, Monitoring, Evaluation and Research
","Ministry of Education: Promote a healthy diet in the School Feeding Program
Ministry of Agriculture:
Encourage communities to grow and consume fruits and vegetables.
Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
Promote healthy eating and balance diet
Ministry of Commerce and Industry:
Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
Enforce food labeling on all foods being sold to the public.
Indicators with targets
…
5. Mean population intake of salt/sodium (mgs/day)
Baseline Levels (2010 WHO estimate): Not available
Targets for Relative reduction from baseline
2021:10%
2025: 20%
6._ Prevalence of raised blood pressure (%)
Baseline Levels (2010 WHO estimate): 28.9
Targets for Relative reduction from baseline
2021:10%
2025: 20%
7. Prevalence overweight and diabetes (%)
Baseline Levels (2010 WHO estimate):
Overweight ~ 25.4
Diabetes ~ 10.5
Targets for Relative reduction from baseline
2021 and 2025: Halt the rise
…
","Identify food products to be identified as “unhealthy” in the national context
Levy additional tax/cess on the above identified unhealthy food products
Enact a legislation to regulate marketing of sugar sweetened beverages and foods high in salt sugar and fat to children
Develop guidelines for nutrition labeling for all pre-packed and cooked food
Enact a legislation to reduce levels of salt, saturated fat, free and added sugar and to replace trans-fats in packaged foods
Invest in improving fruits and vegetable production and storage
Harmonize the need of iodized salt program with salt reduction initiatives
Promote breast feeding and supplementary nutrition programs aimed at pregnant women and children.
Ensure guidelines and mechanisms are in place to ensure food safety
Initiate dialogue with Nutrition Unit and other sectors for a harmonized nutrition policy
Strengthen laboratory capacity for testing of food products for nutrients
","Age standardised prevalence of overweight and obesity among adults aged 18+ (defined as body mass index greater than 30 kg/m2)
Prevalence of overweight and obesity in adolescents (defined as two standard deviations BMI for age and sex overweight according to the WHO Growth Reference)
Age standardised prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value 126 mg/dl or on medication for raised blood glucose
Age standardised prevalence of raised blood pressure among adults aged 18+ years and mean systolic blood pressure
Age standardised mean population intake of salt/sodium per day in gms in persons aged 18+ years
Age standardised prevalence adults (aged 18+ years) consuming less than 5 total servings (400 gms) of fruit and vegetables per day
Age standardised prevalence of raised total cholesterol among persons aged 18+ years (>5 mmol/l) and mean total cholesterol
Policies to reduce the impact on children of marketing of foods and non-alcoholic beverages high in saturated fats, trans fatty acids, fee sugar or salt
","","","Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of fruit and vegetable intake|Food labelling|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Iodine|Food grade salt|Food safety","","http://www.searo.who.int/entity/ncd_tobacco_surveillance/monitoring_fw/mmr_ncd_action_plan_2017_2021.pdf?ua=1","","","" "39770","NAM","Namibia","","National Multisectoral Strategic Plan For Prevention and Control of Non-Communicable Diseases (NCDs) in Namibia 2017/18 – 2021/22","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Social Services, Primary Health Care Directorate, Family Health Division, Non-Communicable Diseases (NCDs) Programme","11","2017","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information","","","","","","","","","","National NGOs","","","","","","","","This Multisectoral NCD Policy aims to decrease morbidity and premature NCD-related deaths by:
1-Improving risk reduction through the development of public policies and legal frameworks in all sectors aimed at decreasing harmful use of tobacco and alcohol, unhealthy diet and physical inactivity. It is also aimed at promoting health through the creation of environments conducive to health.
2-Adopting an all-of-government, all-of-society, approach aimed at strengthening the role and responsibility of all in addressing NCDs
3-Strengthening the health care system with the provision of an integrated health care system which is people centered and responsive to NCDs
4-Enhancing NCD surveillance and research components of health for improved observance of trends and prompt preventive responses in the management and control of NCDs
1.1 Policy Goal
To ensure an environment conducive for long, healthy living, using an ‘all-of-society’ approach to enable individuals to make healthy choices.
1.2 Policy Objective
To reduce premature mortality due to NCDs by 15%, and prevent the increase of life-threatening complications from NCDs by 2025 through an ‘all-of-society’ approach.
","Strategy 1: Risk Reduction
1.1. Healthy Eating
1.1.1. Healthy food policies consistent with national dietary guidelines shall be adopted and strictly enforced in the school setting.
1.1.2. The Ministry of Agriculture shall ensure and promote the availability of fresh local fruits, vegetables and other locally grown foods.
1.1.3. The Ministry of Health in collaboration with the Ministries responsible for trade, commerce and agriculture shall, through fiscal policies and marketing controls, regulate and influence demand, access and affordability of foods and drinks high in saturated fats, trans-fats, salt and sugar in line with WHO guidelines.
1.3. Physical Activity
1.3.1. Ministry of Sports with support from the Ministry of Health shall develop and enforce a National Physical Activity Policy as part of the wider National Sports Policy.
1.3.2. The Ministry of Health shall promote increased physical activity and reduced sedentary behavior.
1.3.3. The Ministry responsible for Infrastructure shall support with the provision of environmental modifications and spaces for physical activity.
1.3.4. The Ministry responsible for transportation shall implement policies and mechanisms to promote the use of public transportation in order to encourage physical activity.
1.4. Integrated Programmes Especially in Schools, Workplaces and Faith-Based Settings
1.4.1. School health programmes shall be strengthened to include family and community involvement with emphasis on:
1.4.2. Workplace-based and other settings-based health promotion and prevention programmes shall be strengthened with emphasis on:
Strategy 2: Integrated Disease Management
Strategy 3: Programme Management
Strategy 4: Surveillance and Research
Strategy 5: Multi-sectoral Capacity and Coordination
See goals.
","","","Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Front 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 hospitals|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Salt reduction","","https://extranet.who.int/ncdccs/Data/VCT_B3_NATIONAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NCDS 2017-2025.doc","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VCT%202017%20NATIONAL%20ACTION%20PLAN%20FOR%20THE%20PREVENTION%20AND%20CONTROL%20OF%20NCDS%202017-2025.pdf" "25901","TTO","Trinidad and Tobago","","National Strategic Plan for the Prevention and Control of Non Communicable Diseases: Trinidad and Tobago 2017 - 2021","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","The Ministry of Health, Trinidad and Tobago","","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Transport|Urban planning|Trade|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","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" "40369","TUR","Türkiye","","Multisectoral Action Plan of Turkey for Noncommunicable Diseases 2017-2025","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2025","Ministry of Health","","2017","","","","","Health","","World Health Organization (WHO)","","","","","","","","","","","","","","","","The Action Plan contains the following six targets:
Targets
Annex 2 summarizes the contribution of existing action plans to the Multisectoral Action Plan of Turkey for Noncommunicable Diseases and cross-references activities
Additional indicators:
1. Diabetes control percentage
2. Prevalence of impaired blood glucose (> 100mg/dl)
","","","Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Trans fat|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://www.euro.who.int/__data/assets/pdf_file/0005/346694/BOH_ENG.pdf","","WHO NCD Country Capacity Survey 2019","" "40067","TUV","Tuvalu","","National Noncommunicable Diseases Strategic Plan 2017-2021","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health","","2017","","","","","Health","","World Health Organization (WHO)","","","","","","","","","","","","","","","","Goal and targets
Goal: To reduce the burden of NCDs, thereby reducing premature death from NCDs in Tuvalu.
Targets:
a. Improve physical activity levels amongst population by 25%
2015 baseline (Insufficient physical activity): Men:14.4% Women: 35.3% Both: 25.3%
b. Improve proportion of population consuming at least 3 or more servings of fruits and vegetables per day on most days of the week by 15%
2015 baseline: Men: ? Women: ? Both: 9.0%
c. Reduce current tobacco smoking rates by 10%
2015 baseline: Men: 48.6% Women: 22.4% Both: 35.0%
d. Reduce binge drinking (i.e., heavy episodic drinking) prevalence by 10%
2015 baseline: Men: 36.1% Women: 2.7% Both: 18.7%
e. Reduce Diabetes incidence by 10%
2015 Baseline: Men: 8.4% Women: 11.7% Both sexes: 9.9%
f. Reduce Hypertension prevalence by 10%
2015 Baseline: Men: 41.9% Women: 42.6% Both sexes: 42.2%
g. A halt in the rise of obesity
2015 Baseline: Men: 55.2% Women: 70.7% Both sexes: 62.2%
Component 2: Physical activity
2.1 Develop and strengthen policies that promote physical activity (PA)
A. Encourage adherence to government policy to participate in weekly government PA program
B. Encourage non-government sector participation in weekly government PA program
2.2 Increase opportunities and accessibility for PA in the community
C. Organize PA programs for community groups (considering accessibility)
2.3 Support PA in schools
D. PA campaign increase awareness about how to increase physical activity among different target audiences
E. PA integrated into breaks at schools
2.4 Develop workplace PA programs
F. Introduce PA program in workplaces
2.5 Increase accessibility for youths to be involve in PA system
G. Improve facilities by having recreational and fitness centres and a play centre for the children
Component 3: Nutrition and healthy eating
3.1 Increase public awareness on nutrition and healthy eating
A. Review and update the National Food Policy
B. Tailor new Pacific food-based dietary guidelines for Tuvalu as needed and produce IEC materials
C. Educational program on making healthy choices (e.g., reading food labels, cooking tips, etc.)
D. Develop and implement School Food Policy
E. Develop Salt Reduction Strategy and Campaign
F. Implement healthy eating counselling at primary health care
3.2 Strengthen food security (availability, accessibility, and affordable
G. Establish nurseries and gardens and increase trade between outer islands and Funafuti
H. Public education campaigns and training on planting fruits and vegetables
I. Youth-led agricultural projects
3.3 Strengthen enforcement of the food safety
J. Continue to conduct shop and restaurant inspections
K. Develop public awareness campaign on the Food Safety Act and Regulations
L. Conduct awareness sessions with shops and restaurants about the Food Safety Act
3.4 Promote breastfeeding
M. Undertake BFHI internal review and strengthen areas which need improvement to prepare for an external assessment and accreditation process.
3.5 Decrease affordability of sugar-sweetened beverages (SSBs)
N. Increase excise tax on sugar-sweetened beverages
","Indicators
Objectives
Targets
Action area 1: Advocacy, leadership and partnerships
Actions
Action area 2: Health promotion and risk reduction
Actions to promote physical activity:
Actions to promote healthy behaviours in healthy and safe settings:
Action area 3: Health systems strengthening for early detection and management of NCDs and their risk factors
Actions:
Three-year operational plan (july 2018–june 2021) Pages 26-28
","
Indicators
Annexure 3. NCD action plan indicators and targets
Pages 61-62
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Trans 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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Family planning (including birth spacing)|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/BGD_B3_MSAP 2018-2025 english.pdf","","WHO NCD Country Capacity Survey 2019","" "39766","BWA","Botswana","","Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2023","Republic of Botswana Ministry Of Health & Wellness","","2018","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research","","","","","","","","","","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
","Mission : To enhance multi-sectoral collaboration to alleviate the burden of avoidable morbidity and mortality due to NCDs so as to promote a healthier Egyptian population
National NCD Targets
Egypt set 9 national NCD targets for 2021 based on its national circumstances. In order to reach these national targets, the Egypt MAP-NCD aims to reduce exposure to risk factors and improve early detection and effective treatment of NCDs through primary health care approach.
Strategic objectives:
Unhealthy diet:
Physical inactivity:
Indicators
To reduce the burden of Non-communicable Diseases by 2023
2.1 Strengthen NCD awareness and physical activity programs in communities to promote the importance of a healthy lifestyle (including ICHAP)
2.2 Develop and implement the school health program: including health promotion, nutrition, oral health education, rheumatic heart disease, immunization.
2.3 Strengthen breastfeeding counseling and education to community nurses to convey the benefits of breast milk to women in the villages
2.4 Strengthen access to mental health services
2.5 Improving health services targeted towards people with disabilities relating to NCDs
NCD strategic action plan 2018-2023 page 19-29
3.1 Strategic Area 1. Advocacy, partnership and leadership for a multisectoral response
3.2 Strategic Area 2. Health promotion and primary prevention to reduce the risk factors for NCDs
3.3 Strategic Area 3. Health systems strengthening for early detection and management of NCDs
3.4 Strategic Area 4. Surveillance, monitoring and evaluation, and research
","2.3 Promotion of a healthy diet
2.3.1 Adapt the SEA Region’s nutrient profile model to the country context
2.3.2 Disseminate food-based dietary guidelines through the media
2.3.3 Enact legislation on regulation of marketing of food and non-alcoholic beverages to children as per WHO recommendations
2.3.4 Hold a national consultation to draft regulations on salt/fat/sugar content of processed/pre- packaged foods, including front-of-pack labelling
2.3.5 Adapt and implement the WHO SHAKE strategy for population salt reduction
2.3.6 Impose taxes on specific identified unhealthy food products (high in fats/salt/sugar – HFSS)
2.3.7 Hold a national consultation to develop a national strategy for increasing the intake of fruits and vegetables
2.4 Promotion of physical activity
2.4.1 Scale up introduction of cycle/skating tracks in Dili
2.4.2 Instal open-air gyms in parks and public spaces in Dili
2.4.3 Develop and implement mass media campaigns for promotion of physical activity
2.4.4 Organize mass physical activity programmes in different parts of the country
2.5 Promotion of healthy settings
2.5.1 Strengthen the enforcement of health-promoting schools using the WHO guidelines in a phased manner over the entire country
2.5.2 Establish health-promoting workplaces
2.5.3 Train district public health officers (DPHOs) in municipalities to integrate promotion of healthy lifestyles in their workplans
","Monitoring framework for Strategic Area on Health Promotion and Primary Prevention to reduce the risk factors for NCDs
CHAPTER 3: THE NATIONAL STRATEGIC AGENDA FOR NCDs
1. NATIONAL STRATEGIC AGENDA ON NCDS
1.1 Vision
A healthy and productive Ugandan population, free from the preventable burden of noncommunicable diseases to enhance socio-economic development.
1.2 Mission
To significantly reduce the preventable burden of disease, disabilities and deaths due to NCDs through multi-sectoral interventions.
1.3 Goal
To attain a 20% relative reduction in risk of premature mortality from NCDs by 2025.
1.4 National NCD goals and targets
Table 1: National NCD targets and indicators
Framework Element
Salt/sodium
Raised blood pressure
Diabetes and obesity
The main strategic objectives identified in the plan include:
The main strategic objectives identified in the plan include:
Key activities
2.To promote the prevention & control of NCDs, their risk factors and underlying social determinants through people-centered primary health care interventions;
Key activities
COMPONENT 4: NUTRITION
(Baseline 81.8%)( 91.5%) FSM Combine STEP 2002-2009.
Objective
Improve the nutritional status of the FSM population by improving the percentage of people who consume less the recommended 5 combined servings of fruits and vegetable by 5% by 2024
COMPONENT 5: PHYSICAL ACTIVITY
(Baseline 38.5% ‐ Low level of exercise/physical activity = 600 MET minutes per week)
Objective
To increase the level of exercise/physical activity among the FSM people on a regular basis by 5% by 2024
COMPONENT 6: HYPERTENSION
(Baseline) - Increase the proportion of people who involve in high level physical activity (definition ≥ 3000 MET-minutes/week) by 10% by 2023. (Baseline 17.9% - FSM combine STEP)
Objective
To decrease the prevalence of hypertension among the FSM people by 2% by 2024
COMPONENT 7: DIABETES
(Baseline – 562 rate per/1,000 population 2011)
Objective
To reduce the rate of diabetes in the FSM by 5% by 2024
","COMPONENT 4: NUTRITION
(Baseline 81.8%)( 91.5%) FSM Combine STEP 2002-2009.
Activity
COMPONENT 5: PHYSICAL ACTIVITY
(Baseline 38.5% ‐ Low level of exercise/physical activity = 600 MET minutes per week)
Activity
ANNEX B Plan of Action for Nutrition: Improve Diet to Improve Health (page 30-36)
","COMPONENT 4: NUTRITION
(Baseline 81.8%)( 91.5%) FSM Combine STEP 2002-2009.
Indicators
COMPONENT 5: PHYSICAL ACTIVITY
(Baseline 38.5% ‐ Low level of exercise/physical activity = 600 MET minutes per week)
Indicators
COMPONENT 6: HYPERTENSION
(Baseline) - Increase the proportion of people who involve in high level physical activity (definition ≥ 3000 MET-minutes/week) by 10% by 2023. (Baseline 17.9% - FSM combine STEP)
COMPONENT 7: DIABETES
(Baseline – 562 rate per/1,000 population 2011)
…
5. NATIONAL STRATEGIC AGENDA FOR NCDS
5.1. Vision
A healthy Nigerian population with reduced burden of non-communicable diseases and enhanced quality of life for socio-economic development.
5.2. Mission
To provide a framework for strengthening multi-sectoral response to NCDs
Goal
To significantly reduce the burden of non-communicable diseases in Nigeria in line with global non-communicable diseases prevention and control targets.
5.3. Specific National Targets
5.3.1. Target Statements
The implementation of the MSAP aims to achieve these specific national targets as adapted from global NCD goals and SDGs are to achieve;
…
…
…
…
6. STRATEGIC FRAMEWORK FOR NMSAP
1. Scope:
These Regulations shall apply to any salt used as an ingredient of food for direct use by consumers and for food manufacture or as a carrier of food additive and nutrients and shall, meet the standard requirement for food grade salt as set out in these Regulations.
9. Labelling of food grade salt.
(1) Notwithstanding the provisions of the Pre-packaged Food (Labelling) Regulations of 2019, the following specific provisions shall apply -
(a) the name of the product as declared on the label shall be “salt”;10. Nutrient content claims
A salt product shall not be represented as """"Reduced in Sodium"""" unless it contains at least 25% less sodium than regular table salt, labelled with the difference in the amount of sodium by percentage, fraction or milligrams.
1- Prevent NCDs and promote health and wellness for all.
2- Improve control of NCDs through capacity-building and strengthening health systems.
3- Monitor NCDs and evaluate interventions to track progress to achieve set targets.
","Healthy public policy and legislation: nutrition
Strategic areas
1.5 Use tax mechanisms to promote healthy eating.
1.6 Strengthen legislation and guidelines to promote healthy diets.
1.7 Advocate for healthy public spaces.
1.8 Strengthen policies to promote physical activity.
Supportive National Programmes (links to NHSP KRA 2 – Build strong partnerships, 4 – Lay the foundation for the future)
1.15 Conduct national campaigns to raise awareness of NCDs.
1.16 Build capacity to disseminate NCD messages.
1.17 Develop policies and guidelines to promote healthy lifestyles in schools.
1.18 Embed healthy lifestyle education in school curriculum.
1.19 Create school environments that encourage physical activity.
1.20 Deliver school health programmes.
1.21 Establish school- community partnerships.
1.22 Strengthen policies and guidelines promoting healthy lifestyles in workplaces.
Activities in churches (links to nhsp kra 2 – build strong partnerships)
1.23 Strengthen policies and guidelines promoting healthy lifestyles in church settings.
priority area 2: improve control of ncds through capacity building and health systems strengthening (links to NHSP KRA 1 – Improve service coverage, 2 – Build strong partnerships, 3 – Improve service quality)
2.1 Develop and update NCD- related clinical guidelines.
2.2 Improve availability of essential NCD medications and equipment.
2.3 Build capacity of health workers.
","Daily adult mean intake (g) of salt.
% adults who are physically inactive.
% of adults who are obese.
% of adults with high blood pressure.
% of adults with diabetes.
% of eligible adults screened for high blood sugar and blood pressure.
% of eligible adults who receive medication to prevent heart attacks and strokes.
","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Home, school or community gardens","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLB_2019_Multi-sectoral%20National%20Non-Communicable%20Disease%20Strategic%20Plan%202019%E2%80%932023%20.PDF" "96702","RWA","Rwanda","","National Strategy and Costed Action Plan for the Prevention and Control of Non-Communicable Diseases in Rwanda ","NCD policy, strategy or plan with healthy diet components","","English","6","2020","","","Non-Communicable Disease Division, Rwanda Biomedical Centre, Ministry of Health","11","2020","","","","","Health|Food and agriculture|Finance, budget and planning","Non-Communicable Disease Division, Rwanda Biomedical Centre, Ministryof Health; Ministry of Finance and Economic Planning (MINECOFIN); Food and Drugs Authority (FDA)","","","","","","","","","","","","","","","","","…
4 GOAL AND STRATEGIC OBJECTIVES
Vision
A nation free from the avoidable burden of NCDs, including injuries and disabilities.
Mission
To enhance national multisectoral collaborations to alleviate the economic, social, and medical burden of NCDs, reduce morbidity and premature mortality, improve functionality, and ensure a healthier population.
Goal
By 2025, reduce premature mortality from NCDs by 25 percent.
Delivering the strategic objectives outlined below will require the support of multiple partners.
STRATEGIC OBJECTIVE 1
NCD prevention through health promotion and reduction of risk factors
…
PRIORITY AREA 1: Awareness-raising / education to reduce exposure to modifiable NCD risk factors
Strategic actions
Population-based prevention and health awareness
…
Develop and disseminate NCD prevention communications material targeting the general population. These could focus on balanced diets, reducing alcohol consumption, promoting physical activities and reducing tobacco addiction
…
PRIORITY AREA 3: Establish and strengthen the implementation of policies and regulations addressing NCD risk factors
Strategic actions
…
Promoting healthy diets
• Establish regulations or policies related to healthy diets. For example, the trade of transfats, sugary beverages, processed food and sodium
• Conduct public awareness campaigns, including mass and social media, to inform and engage consumers about healthy diets based on a variety of locally available food and drinks
• Promote user-friendly or easy-to-understand food labelling on processed food packaging; and translate international food labels into local languages
• Reduce sugar consumption through increased taxation on sugar-sweetened beverages
• Raise community awareness of healthy diets, including salt consumption
• Promote farming with controlled used of agrochemicals, ensuring crop diversity, and cultivating fruits and vegetables
…
STRATEGIC OBJECTIVE 2 Strengthening health systems for quality NCD early detection, care and treatment at all levels
5 IMPLEMENTATION, MONITORING AND EVALUATION FRAMEWORK
…
Strategic objective 1:
NCD prevention through health promotion and reduction of risk factors
Priority area 3: Establish and strengthen the implementation of policies and regulations addressing NCD risk factors
Promoting healthy diets
Strategic Actions
Establish regulations or policies related to healthy diets. For example, the trade of trans-fat, sugary beverages, processed food and sodium
Promote user-friendly or easy-to-understand food labelling on processed food packaging; and translate international food labels into local languages
Reduce sugar consumption through increased taxation on sugar-sweetened beverages
Expected Output
Policies and regulations on trans-fat, saturated fats and sugar consumption in place
Clearly labelled food products and ingredients
Increased taxation on locally produced and imported sugar-sweetened beverages
Indicators
% reduction in obesity
% of food products with clear labelling
New sugar taxation scheme issued
Indicator Measurement
Every five years, MoH reports % reduction in obesity through STEPS survey
Annually, FDA reports % of food products with clear labelling to the chair of the NCD multisectoral committee
Annually, MINECOFIN reports the progress towards implementation of a new sugar taxation scheme to the chair of the NCD multisectoral committee
Lead Agency
MoH; Baseline: 2.8% Target:2.8%
FDA; Baseline: N/A Target: 50%
MINECOFIN; Baseline: 0 Target: 1
","","","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","Rwanda Africa Integrated NCD policies 2021 RwandaNCDs Strategic Plan final Signed.pdf https://extranet.who.int/ncdccs/Data/RWA_B3_s21_RwandaNCDs Strategic Plan_final_Signed.pdf #I/T ADD SODIUM + TFA 1st pri ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA%202020%20NCDs%20Strategic%20Plan_0.pdf" "96699","SLE","Sierra Leone","","Sierra Leone Communicable Diseases (NCDs) Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","2","2020","","","Ministry of Health and Sanitation","2","2020","","","","","Health","Ministry of Health and Sanitation; the NCD&MH Directorate","","","","","","","","","","","","","","","","","3. The Policy Framework
3.1. Vision
A Sierra Leone free from preventable illness and death from NCDs.
3.2. Mission
Promoting health and wellbeing of all people in Sierra Leone, through implementation of cost-effective evidence-based NCD interventions and creation of an enabling environment for effective delivery of quality NCD services at all levels.
3.3. Goal
To provide policy guidance for the promotion of the healthy development and wellbeing and for the accelerated reduction of preventable and premature NCD deaths among Sierra Leoneans.
...
8 Strategic objectives and broad activities
The Global Action Plan NCD targets to achieve by 2025 are:
...
4. Relative reduction in the mean population intake of salt/sodium by 20%
...
6. Relative reduction in or contain the prevalence of hypertension by 25%
7. Halt the rise in diabetes and obesity
...
Strategic Action Area 3: Effective legislation and policy for safer and healthier environments
Objective 3: Strengthen NCD preventive and control legislation and policy for effective action
...
Action: Promote healthy food and nutrition
Indicator: Develop Cook Islands Dietary Guidelines. Develop food and nutrition policy.
Baseline
Targets: One Cook Islands Dietary Guidelines 2021-2025 completed and disseminated to 50 health staff. One Food and Nutrition Policy developed.
Output: Hold workshops for health staff to use guidelines to counsel patients
Outcome: Strong policy for safer and healthier environments
Action: Accredited baby-friendly hospital
Indicator: Set up a Baby Friendly Hospital Steering Committee to commence process for Rarotonga Hospital to become a accredited Baby Friendly Hospital
Baseline
Targets: Implement procedures to become an accredited Baby Friendly Hospital
Output: Rarotonga Hospital accredited - Baby Friendly Hospital
Outcome: Improved maternal and infant health
","","","","","Baby-friendly Hospital Initiative (BFHI)|Overweight and obesity in adults|Raised blood pressure|Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)","","https://www.health.gov.ck/tmo-non-communicable-disease-plan/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COK%202021%20TMO_NCDPlan_21-June-Final-NCD.pdf" "128146","MDV","Maldives","","National Standard for Labelling Prepackaged Food - MFDA-FCD STAN 4-2014 (Rev. 1 – 2016)","Legislation relevant to nutrition","","English","","2016","","","Maldives Food and Drug Authority","","2016","Not adopted","","","","Health|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","","","","","","1. SCOPE
This standard applies to the labelling of all prepackaged foods to be offered as such to the consumer or for catering purposes and to certain aspects relating to the presentation thereof.
...
4. MANDATORY LABELLING OF PREPACKAGED FOODS
The following information shall appear on the label of prepackaged foods as applicable to the food being labelled, except to the extent otherwise expressly provided in an individual standard:
...
4.2 List of ingredients
...
5. ADDITIONAL MANDATORY REQUIREMENTS
5.1 Quantitative ingredients declaration
","Menu labelling|Ingredients list","","https://extranet.who.int/ncdccs/Data/MDV_B24_S23_National%20Standard%20for%20Labelling.pdf https://health.gov.mv/storage/uploads/KyYjEKwP/cjwiqrm1.pdf","","WHO NCD Document repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDV%202016_National%20Standard%20for%20Labelling.pdf" "41873","NGA","Nigeria","","Food Products Advertisement Regulations 2019","Legislation relevant to nutrition","","English","","2019","","","National Agency for Food and Drug Administration and Control (NAFDAC)","","2019","","","","","Nutrition council|Health|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","","","","","","1. Scope
The Regulations shall apply to all advertisements of food products, manufactured, imported
distributed, sold or used in Nigeria.
2. Prohibition
(1) No person shall advertise any food product unless it has been registered by the Agency.
(2) No person shall advertise any food product unless it has been approved by the Agency.
(3) No person shall advertise any Breast Milk Substitute and Infant and Young children food. Any
descriptive matter appearing on or attached to or supplied with the package shall not include any
information on the promotion or advertisement of another product.
(4) No person shall-
(a) Display, screen or otherwise present an advertisement of a food product unless in accordance
with the provisions of these Regulations; or
(b) Make any claim to assert, imply or otherwise convey the impression as to the suitability of the
food product for use in the prevention, alleviation, management, treatment or cure of a disease,
disorder or physiological condition; or
(c) Make a claim that the food product contains a particular value when that value is not wholly
contributed by the food product, but is partially contributed by other food products with which
it may be consumed.
(d) Describe a food product as “healthy” or represent it in a manner that implies that a food in
itself will impact health.
(e) Make health claims that encourage or condone excessive consumption of any food or disparage
good dietary practice.
(5) All nutritional claims shall comply with the Agency’s Pre-packaged Food (Labeling) Regulation
2019.
…
17. Claims
(7) Nutrition claims in food product advertisements shall be allowed provided such claims can be adequately substantiated.
…
18. Energy intake in food product
(1) A food advertisement may state;
(a) That the food product is a “source” or “dietary source” of energy if a Nutrient Reference Value (NRV) of that food product by a person would result in the daily intake of not less than 450 kilo calories of energy;
(b) That the food product is a “good source” or “good dietary source” of energy if a reasonable daily intake of that food product by a person would result in the daily intake of not less than 1,200 kilo calories of energy;
(c) That the food product is an “excellent source” or “an excellent dietary source” of energy if a NRV of that food product by a person would result in the daily intake of not less than 2,500 kilo calories of energy;
(2) No person shall sell a food product for which an energy claim is made and represented as being solely for use in the feeding of children under two years of age, unless a reasonable daily intake of that food product by a child under two years of age would result in the total daily intake of not less than 1,360 kilo calories of energy.
…
20. Use of the term “nutritious” in advertisement No advertisement which describes any food shall include the word “nutritious” or any other words of the same significance unless―
(1) the food contains a range of nutrients including carbohydrate, fat, protein, vitamin and mineral;
(2) the food contains a substantial amount of energy of more than 40 kcal/ 100 g or 20 kcal /100 ml;
(3) the food contains source of protein not less than 5 g/100 g or 2.5g /100ml;
(4) the food contains at least four vitamins of an amount that meets the criteria for claim as source and two minerals (excluding sodium) of an amount that meets the criteria for claim as source; and the amount of the nutrients mentioned in sub-regulations (1) and (4) is declared.
21. Advertisement aimed at children
(1) No advertisement for food that is directed at children shall-
(a) exploit illustrations that might result in their physical, emotional or moral harm;
(b) try to sell by appealing to emotions such as pity, fear, loyalty or self-confidence; exploit children’s natural tendency to play by advertising food accompanied by games or toys; or actively encourage children to undermine parental authority, including guiding diet and lifestyle choices.
(c) portray images or events which depict unsafe uses of a product or
(d) condone unsafe situations which may encourage children to engage in activities which may endanger them physically, emotionally or morally and/or
(e) create an unrealistic impression in the minds of children or their parents or caregivers about safety.
(f) condone or encourage the consumption of food items that are detrimental to children’s health.
(g) require a purchase to participate in a promotion or include a direct exhortation to make a purchase to participate in a promotion.
(h) feature ingredients or premiums unless they are an integral element of the food item being sold.
22. Protein intake in food product
(1) A food advertisement may state;
(a) That the food is “a source” or “a dietary source” of protein if a NRV of that food product by a person would result in not less than 9 grams of protein;
(b) That the food is “a good source” or “a good dietary source” of protein if NRV of that food product by a person would result not less than 24 grams of protein;
(c) That the food is “an excellent source” or “an excellent dietary source” of protein if NRV of that food product by a person would result in not less than 45 grams of protein;
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Regulating marketing of unhealthy foods and beverages to children|Mandatory for pre-packaged foods with a health claim|Claim must be substantiated|Specific nutrition criteria|Advertising (in streets and stores)|Give-aways|Promotions|General statement not market excessive intake of food or approve unhealthy food|Positive nutrients (marketing)|Mandatory marketing restrictions|Advertising","","https://www.nafdac.gov.ng/wp-content/uploads/Files/Resources/Regulations/FOOD_REGULATIONS/Food-Products-Advertisement-Regulation-2019.pdf","","","" "118130","LKA","Sri Lanka","","Food (Trans - Fat) Regulations, 2022","Legislation relevant to nutrition","","English","1","2024","","","The Gazette of the Democratic Socialist Republic of Sri Lanka No. 2319/41 - Tuesday, February 14, 2023","2","2023","Adopted","1","2023","Minister of Health","Health","","","","","","","","","","","","","","","","","","","","","","1. These regulations may be cited as the Food (Trans - Fat) Regulations, 2022 and shall come into operation on January 01, 2024.
2. A person shall not sell, offer for sale, expose or keep for sale or advertise for sale, any packaged food product containing trans-fat unless the total amount of trans-fat of such food product as per 100g or 100ml of the food product is declared on the label of such packaged food product.
3. These regulations shall not apply in respect of food products manufactured exclusively for the purpose of export.
4. A person shall not engage in retail sale or wholesale of any food product intended to be used by a final consumer, which the content of trans-fat, other than tran-fat naturally occurring in fat of animal origin, exceeds two percent of the total fat contained in the food.
5. Any person engaged in the business of supplying as ingredients, food products, to manufacturers of other food products, intended to be used by final consumers, shall provide information to such manufacturer on the amount of trans-fat other than naturally occuring trans-fat of animal origin, where such amount exceeds two percent of the total fat contained in the food.
6. A person shall not manufacture, import, transport, distribute, store, sell, offer for sale, expose or keep for sale, advertise for sale any partially hydrogenated oils.
7. A person shall not use partially hydrogenated oils in the preparation of food or as an ingredient in food products:
Provided however, any food or food ingredient with naturally occurring trans-fat having lodine value greater than 4, shall not be considered to contain partially hydrogenated oils unless it is hydrogenated and not completely or near completely saturated.
","Trans fat intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Prohibition on the use of industrially-produced trans fatty acids|Limit on 2 g / 100 g fat in all foods|Mandatory for some pre-packaged foods|Amount of trans fatty acids","","http://documents.gov.lk/files/egz/2023/2/2319-41_E.pdf","http://documents.gov.lk/files/egz/2023/2/2319-41_S.pdfhttp://documents.gov.lk/files/egz/2023/2/2319-41_T.pdf ","WHO lauds Sri Lanka’s move on trans fat https://www.who.int/southeastasia/news/detail/23-05-2023-who-lauds-sri-lankas-move-on-trans-fat","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LNK%202023%20Food%20%28Trans%20-%20Fat%29%20Regulations%2C%202022%20E.pdf" "26094","THA","Thailand","","Notification of the Ministry of Public Health (No. 150) B.E. 2536 (1993) Re: Vitaminized-Rice.","Legislation relevant to nutrition","","English","","1993","","","Ministry of Public Health","","1993","","","","","Health","","","","","","","","","","","","","","","","","","","","","","Article 1: Vitaminized rice shall be a food subject to the prescription of a quality or standard
Article 2: Vitaminized rice means milled rice vitaminized according to the appropriate process.
Article 3: Vitaminized rice must have a quality or standard as follows:
3.1 Containing vitamins according to the following kinds and quantities per 100 grams of milled rice:
3.1.1 Vitamin B1 (thiamin): a minimum of 0.4 milligrams
3.1.2 Vitamin B2 (riboflavin): a minimum of 0.3 milligrams
","Other B-vitamins|Food fortification|Rice","","http://extwprlegs1.fao.org/docs/pdf/tha160484.pdf","","FAOLEX Database ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/THA-1993-Rice%20supplementation%20.pdf" "130362","LBY","Libya","","Strategy to combat noncommunicable diseases","NCD policy, strategy or plan with healthy diet components","","English","12","2016","","2021","Ministry of Health Republic of Liberia","","2017","Adopted","","2017","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","4.0 Non-Communicable Diseases Strategic Plan
3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
Ministry of Education
...2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...5. Conduct community outreach screening on hypertension, Diabetes and BMI
...4.5.1.3: Increase Coordination and collaboration
...6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...8.Develop regulations for marketing of foods and non-alcoholic beverages to children
3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
..
Annex 1 NCD Results Framework
Table 2. National NCD Monitoring Framework
NUTRI-GRADE REQUIREMENTS FOR BEVERAGES