"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" "8233","GTM","Guatemala","","Plan de Contingencia Alimentaria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2009","","2010","Consejo de Cohesión Social","","2009","Adopted","","2009","Gobierno de la República de Guatemalahttp://www.guatemala.gob.gt/noticia4.php?codigo=3435&titulo2=Nacional http://www.redhum.org/emergencias2.php?emergencia=321","Education and research|Food and agriculture|Health","MINEDUC, MAGA, MOH","","","","","","","","","National NGOs","FONAPAZ, SE-CONRED","","","","","","","","","","","","Food distribution/supplementation for prevention of acute malnutrition","","http://www.sesan.gob.gt/","","WHO Global Nutrition Policy Review 2009-2010","" "8203","CRI","Costa Rica","","Plan Nacional para la Prevención y abordaje Obesidad","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2017","","2020","","","2017","","","","","Education and research|Health|Social welfare","Ministerio Educación Pública. (MEP), Ministerio de Salud, Caja Costarricense de Seguro Social","","","","","","","","","","","Research/academia","Universidad de Costa Rica (U.C.R.)","","","","","","","","","","Overweight and obesity in school age children and adolescents|Diet-related NCDs","","https://www.fao.org/faolex/results/details/es/c/LEX-FAOC211094/","","","" "96706","TUR","Türkiye","","Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı. Yetişkin ve Çocukluk Çaği Obezitesinin Önlenmesi ve Fiziksel Aktivite Eylem Plani 2019-2023 [Adult and Childhood Obesity Prevention and Physical Activity Action Plan]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Turkish","","2019","","2023","Ministry of Health","10","2019","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Finance, budget and planning|Trade","Ministry of Health; General Directorate of Public Health; Department of HealthyNutrition and Active Life; Ministry of Agriculture and Forestry; Ministry of Finance; Ministry of Commerce: Ministry of Labor; Social Services and Family;","","","","","","","","","","","","","Private sector","the industry sector","","","
BÖLÜM I. YETİŞKİNLERE YÖNELİK EYLEM PLANI
…
2. HEDEF VE STRATEJİLER
A. Bütünsel sağlık yaklaşımı için yönetişim ve iş birliklerinin güçlendirilmesi
Ana Öncelik:
Önemli bir halk sağlığı sorunu olan obezitenin önlenmesi ve azaltılması için ilgili kurum ve kuruluşlarla iş birliği içinde obezite ile mücadele eylem planının uygulanmasını sağlayarak obezite ile etkin mücadele etmek.
B. Sağlıklı beslenme çevreleri oluşturulması
Ana Öncelik:
Toplumda yeterli ve dengeli beslenme ve fiziksel aktivite alışkanlığını kazandırmak ve obezite riskini azaltmak.
C. Özellikle dezavantajlı gruplar başta olmak üzere yaşam boyu sağlıklı beslenmenin kazanımlarının desteklenmesi
Ana Öncelik:
Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı kapsamında bütün vatandaşlar için dengeli ve sağlıklı beslenme için sağlıklı gıdaya erişimini sağlamak.
D. Sağlık hizmetlerinin reorganizasyonu; entegre sağlık hizmeti sunumu (beslenmeyle ilgili bilgi ve danışmanlık verilmesi, erken tanı, tedavi rehabilitasyon hizmetleri)
Ana Öncelik:
Sağlık kuruluşlarına başvuran bireyleri fazla kiloluluk ve obezite açısından değerlendirmek, obezite teşhisi konan hastaların erken tanı, danışmanlık ve tedavilerini (tıbbi ve cerrahi tedaviler dâhil olmak üzere) yapmak, obezite ve obezite ile ilişkili kronik hastalıkların tedavisinin yol açtığı sağlık harcamalarını ve obezite sıklığını azaltmak.
…
BÖLÜM II. ÇOCUKLUK ÇAĞIOBEZİTESİNİN ÖNLENMESİ EYLEM PLANI (2019-2023)
…
2. HEDEF VE STRATEJİLER
Programda yer alan eylem alanları ve ana öncelikler aşağıda yer almakta olup eylemlere ilişkin detaylı aktiviteler ve izleme göstergeleri tablolarda yer almaktadır.
A. Hayata sağlıklı bir başlangıcın desteklenmesi
“Çocukluk çağı obezitesi riskinin azaltılması ve BOH’ların önlenmesi için mevcut doğum öncesi ve gebelik öncesi bakım rehberliklerinin güçlendirilerek entegre edilmesi”
Ana Öncelik:
Mümkün olabildiğince erken yaşta/aşamada etkili bir yaklaşımı sağlamak.
B. Okullarda ve okul öncesinde daha sağlıklı çevrelerin teşvik edilmesi
“Sağlıklı davranışların geliştirilmesi ve çocukların uygun büyümelerinin sağlanması, erken çocukluk döneminde sağlıklı beslenme, uyku ve fiziksel aktivitenin desteklenmesi ve rehberlik sağlanması”.
“Okul çağı çocuklar ve ergenlerde sağlık ve beslenme okuryazarlığı, fiziksel aktivitenin geliştirilmesine yönelik sağlıklı okul çevrelerinin geliştirilmesi için kapsamlı programlar uygulanması”.
Ana Öncelik:
Okullarda çocukların sağlığını öncelik olarak belirlemek.
C. Ailelerin bilgilendirilmesi ve güçlendirilmesi
“Obez olan çocuk ve gençler için yaşam tarzı ağırlık yönetimi üzerine çok bileşenli aile tabanlı hizmet sağlanması”.
Ana Öncelik:
Çocuklu aileleri günlük besinleri ve sağlıklı seçenekler hakkında bilgilendirmek.
D. Sağlıklı seçeneklerin kolay seçenek olmasının sağlanması
“Çocuk ve ergenler tarafından şekerli ve sağlıksız gıdaların alımını azaltan ve sağlıklı gıdaların alımını teşvik eden kapsamlı programların uygulanması”.
Ana Öncelik:
Çocuklara sağlıklı gıda seçeneklerinin geniş bir şekilde sunulmasını / erişilebilirliğini sağlamak.
E. Çocuklara yönelik pazarlama baskısının azaltılması
Ana Öncelik:
Çocukların yüksek yağ, tuz ve şeker içeren gıda /içecek reklamlarına maruz kalmalarını sınırlamak, konuyla ilgili mevzuat ve düzenlemeler geliştirmek gibi etkili önlemler almak ve mevzuatın etkin bir şekilde uygulanabilmesi için mekanizmalar oluşturmak.
“Sağlıksız gıdaların pazarlanma gücü ve çocuk ve ergenlerin pazarlama maruziyetinin azaltılması için alkolsüz içecekler ve gıda pazarlamaları üzerine DSÖ öneri setlerinin uygulanması”.
…
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Maternity protection|Stunting in children 0-5 yrs|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|School fruit and vegetable scheme|School milk scheme|School gardens|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Menu labelling|Fats|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Folic acid|Iodine|Iron|Vitamin D|Home, school or community gardens|Water and sanitation|Vulnerable groups","","https://hsgm.saglik.gov.tr/tr/beslenmehareket-yayinlar1/beslenmehareket-programlar/585.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUR%202019%20T%C3%BCrkiye%20Sa%C4%9Flikli%20Beslenme%20ve%20Hareketli%20Hayat%20Programi.pdf" "7922","CHL","Chile","","Programa de Alimentación Escolar (PAE)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","1964","","","Junta Nacional de Auxilio Escolar (JUNAEB)Ministerio de Educación","","1964","Adopted","","1964","Ley de la República año 1964","Education and research","","","","","","","","","","","","","","","","","","OBJETIVO GENERAL
Contribuir con el acceso y la permanencia escolar de los niños, niñas y adolescentes en edad escolar y registrados en la matrícula oficial, fomentando estilos de vida saludables y mejorando su capacidad de aprendizaje, a través del suministro de un complemento alimentario.
OBJETIVOS ESPECÍFICOS
La complementación alimentaria se refiere al suministro diario durante el calendario escolar, de por lo menos una ración de alimentos, a los alumnos registrados en el Sistema de Matrícula SIMAT como estudiantes oficiales, financiados con recursos del Sistema General de Participaciones, focalizados por el Programa. Los complementos alimentarios deben ser entregados en los establecimientos educativos para consumo inmediato, garantizando la existencia de condiciones de infraestructura y calidad en los procesos de compra, almacenamiento, producción y distribución de los alimentos.
Normas higiénico sanitarias (Dec 3075/97)
","","","Food distribution/supplementation for prevention of acute malnutrition","","http://www.junaeb.cl","http://www.mineducacion.gov.co/1621/articles-321386_PAE.pdfhttp://www.mineducacion.gov.co/1621/articles-323866_archivo_pdf_enfoque_PAE.pdf","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHL%20Programa%20de%20Alimentaci%C3%B3n%20Escolar%20%28PAE%29.pdf" "8044","CRI","Costa Rica","","Estrategia de Educación alimentaría Nutricional: Guías Alimentarias","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","1997","","","Ministerio de Salud","","1997","Adopted","","1997","Ministerio de Salud","Education and research|Health|Social welfare","Ministerio de Educación Pública, Ministerio de Salud, Caja Costarricense de Seguro Social.","","","","","","","","","","","Research/academia","Escuela de Nutrición de la Universidad de Costa Rica","","","","","","","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Food fortification","","http://www.ministeriodesalud.go.cr","","WHO Global Nutrition Policy Review 2009-2010","" "23868","AGO","Angola","","Plano Estratégico Nacional para a Iodização do Sal e controlo das Doenças por Deficiência do Iodo (DDI) [Strategic Plan for Salt Iodization and the control of diseases caused by iodine deficiency]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Portuguese","","2002","","2004","Comissão Nacional Técnica para a lodização do Sal (CNTIS)","","2002","Adopted","11","2002","Resolução n.º 28-B/02 de 29 de Novembro","Trade|Health|Food and agriculture|Environment","Ministérios das Pescas e Ambiente, Saúde, Comércio e Agricultura","","","","","","","","","","","","","","","","","4. Objectivo geral do programa:
Eliminação das Doenças por Deficiência do Iodo (DDI) até ao ano 2004, através da iodização de mais 95% do sal para consumo humano e animal e o estabelecimento de condições de sustentação do processo de iodização de sal na indústria salineira.
4.1 Objectivos específicos:
a) garantir a iodização de pelo menos 95% do sal produzido em Angola através do reforço e instalação de capacidades de iodização em todas as províncias produtoras de sal;
b) reforçar o sistema organizativo através da consolidação/criação de Comissões Provinciais Técnicas de lodização de Sal (CPTIS) em todas as províncias, com trabalho permanente e eficiente;
c) estabelecer o controlo da qualidade do sal produzido e comercializado através da implementação de um sistema funcional de controlo;
d) estabelecer um sistema de vigilância epidemiológica que permita conhecer a magnitude e evolução das Doenças por Deficiência do lodo (DDI) em Angola;
e) desenhar e implementar uma estratégia nacional de Informação, Educação e Comunicação a todos os estratos da população sobre a iodização universal do sal e para a promoção do consumo humano e animal de sal iodizado.
","","","","","","","","","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/AGO%202002%20Resolu%C3%A7%C3%A3o%20n.%2028-B02.pdf" "8410","NAM","Namibia","","National Policy on Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","2008","MOHSS","","2003","","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Information|Labour|Sub-national|Other","MOHSS National Multi-sectoral AIDS Coordination Committee (NAMACOC), Gender, Regional Government, Sport and Culture","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","","","","","","Goal:
To ensure the survival, healthy development, and protection of the child from birth up to 5 years and the healthy status of mothers.
Objectives:
Strategies:
Strategic directions for action
Expected results
Structure indicators
Renforcer le bien-être des enfants et des adolescents.
Mieux connaître les pratiques de terrain.
Artikel 1
Artikel 3
The key objectives for Fruit in Schools are to see:
1.2 Goal and Objectives
Infant and young child feeding is an integral part of the overall objective of ensuring the socio-economic well being of all Nigerians. It is in this context that the problem of malnutrition exists and within which the goal and objectives of this policy are derived.
1.2.1 Goal
The overall goal of the National Policy on Infant and Young Child Feeding in Nigeria is to ensure the optimal growth, protection and development of the Nigerian child from birth to the first five years of life.
1.2.2 Specific Objectives:
i. To promote, protect and support exclusive breastfeeding in the first six months of life.
ii. To create and sustain a positive image for breastfeeding throughout the society.
iii. To empower all women (including women who work outside their homes) to adopt and practice optimal infant feeding.
iv. To promote the timely introduction of appropriate and adequate complementary foods while continuing breastfeeding up to 24 months and beyond.
v. To ensure the provision of specific feeding recommendations for all infants and young children irrespective of their circumstances of birth and health status.
vi. To promote the provision of appropriate information for nutrition counselling and support for households in the prevention of malnutrition in children.
vii. To develop and strengthen activities that will protect, promote and support adequate infant and young child feeding practices.
viii. To raise awareness on issues affecting infant and young child feeding in Nigeria.
ix. To provide an enabling environment for mothers, family members and communities to make and implement informed decisions on optimal feeding of infants and young children.
x. To support and enhance the provision of enabling environment without any form of discrimination for working mothers, fathers and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
Chapter 2 and 3 promote breastfeeding and complementary feeding, with particular attention to ""special situation"" groups:
Infants and young children of HIV positive mothers;
Sick infants and young children, particularly 1) with persistent diarrhoea 2) living with HIV/AIDS;
Low birth weight infants;
Motherless/adopted infants and young children;
Infants and young children in emergency situations;
Infants of adolescent mothers;
Infants with cleft-palate.
The National Policy on infant and young child feeding in Nigeria shall achieve its goal and objectives through the following key strategies:-Legal, gender and cultural considerations-Advocacy and social mobilisation-Information, Education, Communication (IEC)-Capacity building and development-Counselling and support services-Research-Monitoring and evaluation-Supervision-Coordination
Objetivo geral
Este módulo tem como objetivo propiciar ao cursista a aquisição de informações teóricas e práticas que fundamentem sua compreensão e atuação, de forma eficiente e eficaz, na operacionalização, no controle social e no acompanhamento do Programa Nacional de Alimentação Escolar (Pnae). Dessa forma, cada unidade de estudo do módulo deve possibilitar a você o alcance dos seguintes objetivos específicos:
Unidade I – Alimentação escolar: um dos fundamentos para uma educação de qualidade
Unidade II – Conhecendo melhor o Pnae
Unidade III - Alimentação e nutrição
Unidade IV - Gestão e operacionalização do Pnae
Unidade V – A prestação de contas no âmbito do Pnae
Unidade VI – Conselho de Alimentação Escolar (CAE)
O Programa Nacional de Alimentação Escolar (PNAE) oferece alimentação escolar e ações de educação alimentar e nutricional a estudantes de todas as etapas da educação básica pública. O governo federal repassa, a estados, municípios e escolas federais, valores financeiros de caráter suplementar efetuados em 10 parcelas mensais (de fevereiro a novembro) para a cobertura de 200 dias letivos, conforme o número de matriculados em cada rede de ensino.
O PNAE é acompanhado e fiscalizado diretamente pela sociedade, por meio dos Conselhos de Alimentação Escolar (CAE), e também pelo FNDE, pelo Tribunal de Contas da União (TCU), pela Controladoria Geral da União (CGU) e pelo Ministério Público.
","O FNDE é órgão do governo federal, responsável pela assistência financeira, em caráter suplementar, ou seja, é a autarquia que efetua o cálculo dos valores financeiros a serem repassados à clientela beneficiária do Pnae. Também é quem responde pelo estabelecimento de normas, acompanhamento, monitoramento e fiscalização da execução do Pnae, além de avaliar sua eficiência, eficácia e efetividade.
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Nutrition counselling on healthy diets","","http://www.fnde.gov.br/programas/pnae","","WHO Global Nutrition Policy Review 2009-2010","" "8047","CHL","Chile","","Estrategia Global Contra la Obesidad EGO CHILE","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2006","","","Ministerio de Salud","","2006","Adopted","","2006","","Nutrition council|Health|Education and research|Women, children, families|Sport","Ministerio Educación, MINSAL","","","","","","","","","","","Research/academia","Universidades","Private sector","Empresa Privada","","","Objetivo General
Fomentar políticas y planes de acción intersectoriales, destinados a mejorar los hábitos alimentarios y aumentar la actividad física en la población (políticas sostenibles, integrales y con participación de toda la sociedad).
","Ejes de Intervención
1.- Relevar el tema nutricional a nivel del equipo de salud y de la población.
2.- Insertar la Consejería en Vida Sana en todos los controles habituales de salud de la mujer y del niño(a).
3.- Incorporar la nueva gráfica de evaluación del estado nutricional de la embarazada
4.- Evitar excesivo aumento de peso en embarazadas y controlar peso en mujeres en edad fértil
5.- Promover la recuperación de peso pregestacional: insertar control 3er y 6to mes postparto.
6.- Promover lactancia materna
7.- Educar en alimentación al destete: nueva guía alimentaria
8.- Intervenir oportunamente en la infancia e identificar factores de riesgo de ECNTs en la infancia: consulta nutricional al niño sano al 5to mes y a los 3,5 años.
9.- Incorporar a niños(as) y adultos en normativas vigentes de evaluación nutricional, alimentación y actividad física y manejo de malnutrición.
10.- Establecer redes de apoyo intra e intersectoriales.
","Aplicación de la Estrategia
VII. Réalisation des objectifs de la stratégie :
a) La première mesure pour atteindre les objectifs de la présente stratégie consiste à réaffirmer la pertinence et même l’urgence des quatre cibles opérationnelles de la Déclaration « Innocenti » sur la protection, la promotion et le soutien de l’allaitement maternel :
b) Dans le cadre de l’initiative des hôpitaux « amis des bébés », le Mali à labellisé de 2002 à 2006, 19 structures sanitaires au niveau du District de Bamako et dans certaines régions (CSREF et CSCOM).
En outre, la Déclaration « Innocenti » se préoccupe uniquement de l’allaitement maternel. Il faut donc des cibles complémentaires pour refléter une approche globale répondant aux besoins en matière de soins et d’alimentation pendant les trois premières années de la vie au moyen de tout un ensemble de mesures liées entre elles.
c) A la lumière des données scientifiques accumulées et de l’expérience acquise en matière de politiques et de programmes, le moment est venu pour le Mali, avec l’appui des organisations internationales et des autres parties intéressées :
d) Compte tenu de ces considérations, la stratégie Nationale aura comme priorité l’atteinte des cibles opérationnelles supplémentaires ci-après :
2. OBJECTIF GLOBAL DU PROGRAMME
L’objectif global du programme est de contribuer à améliorer la santé des populations pour la survie et le développement humain durable
3. BUT DU PROGRAMME
Le but du programme est de réduire les prévalences des carences en micronutriments (fer, vitamine A, iode), chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
4. OBJECTIFS SPECIFIQUES
En termes d’objectifs spécifiques, le programme se propose de :
5. 1. Enrichissement en fer et vitamine A des aliments dont la technologie est bien maitrisée
5. 2 Accélération de l’iodation du sel et utilisation des acquis comme référence pour les autres micronutriments
5.3 – Partenariat
","See document table ANNEX1, pages 33-43
","","Outcome indicators|Process indicators","Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Wheat flours","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202006%20Plan%20Strat%C3%A9gique%20pour%20la%20Fortification.pdf" "8002","LKA","Sri Lanka","","School Canteen Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","","Ministry of Education and Ministry of Health","","2006","Adopted","","","Ministry of Education and Ministry of Health","Health|Education and research","","","","","","","","","","","","","","","","","","","Meausres will be taken to optimise the educational performane among school children by improving their nutritional status by drawing attention to aabove mentioned areas and adoption the following strategies.
1. The Government will ensure the right of school children to have nutritious, culturally acceptable food available at a reasonable cost within the school premises
2. Ensure food hygiene
3. Facilitate children to get their meals during school hours,
4. Develop the school canteen as a “health promoting center”
5. Promote and provide child friendly services in school canteens
6. Allocation of necessary funds to improve facilities of school canteens
7. Support & strengthen human resource development to improve quality of services to a level acceptable to the consumer
8. Build up a regular monitoring system with the participation of relevant officers in both health and education sectors in National, Provincial, District, Zonal and Divisional levels
9. Take every opportunity to develop healthy dietary habits among school children by improving their knowledge, attitude and practices over diet
10. Evaluate at national level to assess the achievements of the broad aims of the policy
","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme","","https://fhb.health.gov.lk/images/FHB%20resources/School%20Health/circular/School%20Canteen%20Policy%202006%20-%20English.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LKA%202006%20School%20Canteen%20Policy%202006%20-%20English.pdf" "8145","VNM","Viet Nam","","National IYCF Action Plan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2006","","2010","National Institute of Nutrition","","2006","Adopted","","2006","MOH","Education and research|Health|Information","National Institute of Nutrition Education and research, Health, Information: Ministry of Education and Training, National Institute of Nutrition, Ministry of Information and Culture","","","","","","","","","National NGOs","National NGOs: Women Union","","","","","","","","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies","","http://www.viendinhduong.vn/home/vi/25/Download.aspx","","WHO Global Nutrition Policy Review 2009-2010","" "11548","ZMB","Zambia","","National School Health and Nutrition Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","","Ministry of Education","3","2006","","","","","Education and research|Food and agriculture|Health|Other|Social welfare","Ministry of Education, Ministry of Agriculture and Cooperatives, Ministry of Health; National Food and Nutrition Commission, Ministry of Local Government and Housing, Ministry of Community Development and Social Services","","","","","","","","","","","","","","","","","Policy Objectives:
a) Promote and improve nutrition status of learners in order to enhance and sustain their physical, social and mental well-being.
b) Promote and maintain the health status of learners through the initiation of effective health promoting activities.
c) Improve collaboration among line ministries in planning and implementation of SHN interventions.
d) Strengthening school and community based health and nutrition activities.
e) Provide health and nutrition education and promotion of activities at all levels of the education system.
f) Promote and sustain a safe and healthy learning environment.
g) Ensure capacity building among stakeholders.
POLICY STATEMENTS:
Health:
a) a regular physical examination, treatment and referral systems in all learning institution are re-established and sustained;
b) all eligible learners are immunized;
c) guidance and Counselling services are strengthened;
d) appropriate protective clothing is provided to learners;
e) appropriate facilities for learners with Special Education Needs (SEN) are provided;
f) physical Education in all learning institutions is strengthened;
g) adequate clean and safe water is available;
h) regular personal hygiene inspections on learners are carried out;
i) appropriate and adequate sanitary facilities are available;
j) the school environment and structures are safe, clean and maintained;
k) family Life and Sexuality Education is promoted in all schools;
l) initiatives aimed at controlling, preventing and mitigating the spread and impact of STIs/HIV AND AIDS on the school community are established and strengthened;
m) preventive and control measures against communicable and non-communicable diseases are instituted;
n) school based anti-substance abuse programmes in all schools are intensified; and
o) collaboration and partnership with relevant stakeholders are promoted and strengthened;
Nutrition:
a) health and nutrition education is institutionalised at all levels of the school system;
b) eligible learners receive micronutrient supplements;
c) a school de-worming programme is established;
d) food production units are revitalised in all learning institutions;
e) the school feeding services are initiated and communities are involved; and
f) growth monitoring and promotion is institutionalised and implemented;
Institutional Framework:
a) SHN focal persons at all levels in the MoE, MoH, MACO and MCDSS are appointed;
b) SHN monitoring and evaluating systems are established; and utilized;
c) partnerships with all stakeholders in SHN activities are strengthened;
d) SHN is institutionalised at all levels of the Education system;
e) a procurement and distribution system for drugs, micronutrients supplements and supplies is established; and sustained and;
f) networking and sharing information between learning institutions, districts and provinces is initiated and strengthened at all levels;
Legal Framework:
(a) SHN activities are implemented as provided for within the existing pieces of legislation.
(b) United Nations and the African Union Children’s Charters and any other relevant Charters are incorporated into SHN activities.
The overall goal of the National Strategy is to improve the nutritional status, growth and development, health, and survival of infants and young children in Bangladesh through optimal infant and young child feeding practices.The specific objectives of the National Strategy, to be achieved by 2010, are:
-Increase the percentage of newborns who are breastfed within one hour of birth from 24% to 50% (early initiation of breastfeeding)
-Increase the percentage of infants aged less than 6 months of age who are exclusively breastfed from 42% to 60% (exclusive breastfeeding)
-Maintain the percentage of children aged 20-23 months who are still breastfed at 90% (continued breastfeeding)
- Increase the percentage of children aged 6-9 months who are breastfed and receive appropriate complementary foods (rice or starch plus foods from animal sources and one other item of fruit, pulses or vegetable) to 50% (complementary feeding)
Legislation, policy and standards
Strategy 1: Code of marketing of breast-milk substitutes
- Strengthen the implementation, monitoring and enforcement of the Breastmilk Substitutes (Regulation of Marketing) Ordinance and amendments.
Strategy 2: Maternity protection in the workplace
- Enact adequate legislation protecting the breastfeeding rights of working women in a full range of employment and establish the means for its enforcement.
Strategy 3: Codex Alimentarius
- Ensure that processed infant and complementary foods are safe and nutritionally adequate, in accordance with the relevant Codex Alimentarius standards.
Strategy 4: National policies and plans
- Incorporate infant and young child feeding interventions into national development policies and plans, major health initiatives and other projects to advocate for its importance and mobilize resources.
Health system support
Strategy 5: Baby-Friendly Hospital Initiative
- Ensure that every health facility successfully and sustainably practices all the ""Ten steps to successful breastfeeding"" and other requirements of the BFHI.
Strategy 6: Mainstreaming and prioritization of IYCF activities
- Integrate skilled behavior change counseling and support for infant and young child feeding into all points of contact between mothers and health service providers during pregnancy and the first two years of life of a child.
Strategy 7: Knowledge and skills of health service providers
- Improve the knowledge and skills of health service providers at all levels to give adequate support to mothers on infant and young child feeding, including skills training on interpersonal communication, behaviour change counselling and community mobilization.Community-based support
Strategy 8: Community-based support
- Develop community-based networks to help support appropriate infant and young child feeding at the community level, e.g. mother-to-mother support groups and peer or lay counsellors.IYCF in exceptionally difficult circumstances
Strategy 9: IYCF in exceptionally difficult circumstances
Strategy 9a: HIV and IYCF
- Develop capacity among the health system, community and family to provide adequate support to HIV-positive women to enable them to select the best feeding option for themselves and their infants, and to successfully carry out their infant feeding decisions.
Strategy 9b: Emergencies and IYCF
- Develop capacity among the health system, community and family to ensure appropriate feeding and care for infants and young children in emergencies.
Strategy 9c: Malnutrition and IYCF
- Develop the capacity among the health system (both facility and community-based), community and family to manage malnutrition, including severe wasting.
NATIONAL STRATEGY
Actions in support of anaemia prevention and control must be monitored and evaluated to test and assess program effectiveness, justify the continuation or modification of interventions and provide feedback at all levels. Monitoring of an ongoing program is continuous and aims to provide the management and other stakeholders with early indications of progress (or lack thereof) in the achievement of results and objectives. Evaluation is a periodic exercise that attempts to systematically and objectively assess progress towards and the achievement of a program's objectives or goals. Because progress in anaemia prevention and control depends on the achievement of behavioural aims and objectives, monitoring and evaluation of behavioural indicators should be given special attention.
A monitoring and evaluation plan should be developed to provide a standardized framework on how needed information will be collected, processed, analysed, interpreted, shared and used. All organizations working in the field of anaemia prevention and control should follow the same monitoring and evaluation plan to ensure comparability. It is particularly important to ensure the consistent use of indicators for monitoring and evaluating trends in anaemia prevention and control. Where possible, monitoring indicators should be incorporated into existing health information systems. Outcome and impact indicators can be included in surveys such as the Bangladesh Health and Demographic Survey, Child Nutrition Survey, and Multiple Indicator Cluster Survey.
Research, including operations research, is needed to determine the factors that contribute to anaemia and to identify cost-effective approaches to its prevention and control for evidence-based advocacy and programme implementation.
BROAD PLAN OF ACTION
3.6.1 Develop a monitoring and evaluation framework/plan to monitor and evaluate the effectiveness of IYCF interventions:
Select a standard set of input, process, output and impact indicators, including behavioural indicators
For each indicator, identify criteria and targets; trigger points for remedial action; data collection methodology, and types and sources of data.
3.11.2 Incorporate IYCF indicators into existing information systems by modifying monitoring and reporting formats and training health service providers to collect monitoring data as part of their routine activities
3.11.3 Review the monitoring data at the sub-district, district and national level and provide constant feedback to stakeholders for appropriate action.3
.11.4 Conduct periodic evaluations of the impact of interventions on infant and young child practices every 2-3 years
3.11.5 Identify priority research gaps to improve the design of interventions and programmes, and institutions which can help, technically and/or financially, to conduct and/or support the needed research.
3.11.6 Conduct assessments, operations research and evaluations of interventions related to infant and young child feeding practices.
3.11.7 Disseminate results of research, and revise strategies, interventions and guidelines in response to new knowledge and programme experiences and outcomes.
The overall goal of the National Strategy is to reduce by one quarter the prevalence of anaemia among high-risk groups in Bangladesh by 2015.The objectives to be achieved by 2015 are:
- Provide a package of interventions to prevent and control anaemia in 60% of high-risk groups, including micronutrient supplementation, parasitic diseases control, and promotion of key dietary behaviours known to improve micronutrient intake.
- Fortify at least one food vehicle with iron and other micronutrients needed for anaemia prevention
- Increase the availability of affordable micro-nutrient rich foods through household food production, crop diversification, biotechnology and biofortification.
As there are many causes of anaemia, multiple strategies are needed for its prevention and control. These strategies fall into two categories: population-based strategies and targeted strategies for high-risk groups:
Targeted strategies for high-risk groups
Strategy 1: Micronutrient supplementation
- Provide iron-folate (IFA) or multiple micronutrient (MMN) supplements to low birth weight infants aged 2-5 months and all children aged 6-23 months, pregnant women, and breastfeeding women for the first three months after delivery, adolescent girls and newly wed women in the recommended dose and frequency.
- If resources are available, provide IFA or MMN supplements to other vulnerable groups, such as children aged 24-59 months, school-aged children and non-pregnant women of reproductive age in the recommended dose and frequency.
- Counsel women and caregivers on how to take the IFA/MMN supplements, the importance of taking the full dose, and help them solve any problems they have in complying, such as managing side effects.
- Screen all children, adolescent girls and women for severe anaemia at every contact with a health service provider using the most appropriate and feasible screening method at the health care level. Provide appropriate treatment for anaemia or refer children and women for treatment.
- In emergencies, provide MMN supplements or therapeutic spreads to children aged less than 5 years, pregnant women, and breastfeeding women.
Strategy 2: Dietary improvement
- Protect, promote and support breastfeeding and complementary feeding practices, including
- Initiation of breastfeeding immediately after delivery (within half an hour)
- Exclusive breastfeeding for the first six months (180 days) of life
- Timely and appropriate introduction of complementary feeding on completion of six months (180 days) of life
- Continued breastfeeding until the child is at least 2 years
- Advise adolescent girls, mothers and caregivers on how to improve the dietary intake for themselves and their young children:
- Increase intake of meat and fish, where economically and culturally feasible
- Increase intake of locally available and affordable plant foods that are rich in micronutrients (e.g. green leafy vegetables, pulses, and legumes) and contain vitamin C to enhance iron absorption from plant foods (e.g. citrus fruits and guava)
- Consume foods and beverages which contain substances that inhibit iron absorption from plant foods at least one hour after meals (e.g. tea, milk and milk products)
- Use food processing techniques such as germination and fermentation to improve iron absorption from plant foods
- Using cooking techniques that minimize the loss of micronutrients and increase the bioavailability of micronutrients (e.g. cut vegetables after washing, add small amounts of oil, and minimize cooking times).
- Educate school children about the importance of nutrition and options for improving nutrient intake.
- Promote the consumption of fortified foods, where available and affordable.
Strategy 3: Parasitic disease control
Soil-transmitted helminths and diarrhoea
- Provide presumptive anti-helmintic treatment to children aged 24-59 months2 and adolescent girls once every six months.
- Provide a single dose of presumptive anti-helmintic treatment to pregnant women at the earliest opportunity in the second trimester3. If the local prevalence of hookworm infections is >50%, provide a second dose of anthelmintic treatment at the earliest opportunity after delivery.
- If resources allow, provide anthelmintic treatment to children aged 5-11 years every six months4.
- Provide information to women and caregivers on home care of diarrhoea (oral rehydration therapy and continued feeding), the danger signs of severe diarrhoea, and when and how to seek medical care.
- Promote good hygiene and sanitary practices to prevent infection, including the use of shoes and latrines, and hand washing after defecation, before food preparation and before eating.
Malaria (areas of malaria transmission only)
- Provide information to women and caregivers on the danger signs of malaria, and when and how to seek treatment.
- Provide rapid malaria treatment to young children and pregnant women with symptoms of fever or malaria in line with national malaria management protocol
- Promote protection measures against malaria (use of insecticide-treated bed-nets, particularly by pregnant women and children aged less than 5 years, and environmental control of mosquitoes)
Strategy 4: Family planning and safe motherhood
- Encourage women to attend ANC services as early as possible in pregnancy, and PNC after delivery.
- Provide micronutrient supplementation (Strategy 1), counseling on dietary improvement (Strategy 2), and interventions to prevent and treat hookworm infection and malaria, where endemic (Strategy 3) to pregnant and breastfeeding women.
- Mitigate and manage blood loss during delivery and in the postpartum period using appropriate methods.
- Intensify efforts with adolescents, families and communities to delay age at marriage and age at first pregnancy.
- Promote family planning methods to delay and space birthsPopulation-based strategies
Strategy 5: Food fortification
- Set legislation and regulations for fortification with iron and other micronutrients.
- Develop, produce and market foods fortified with iron and/or other micronutrients (including folic acid, vitamin B-12 and vitamin A) for the general population.
- Develop, produce, and market low cost foods fortified with iron and/or other micronutrients for specific vulnerable groups, particularly infants and young children.
- Fortify food aid products for development and emergency response programmes with iron and other micronutrients, including school-feeding programmes.
- Promote (through social marketing) foods fortified with iron and other micronutrients.
Strategy 6: Production of micronutrient-rich foods through household food production, crop diversification, biotechnology and biofortification
- Promote year-round production by households of micronutrient-rich foods or crops in home gardens, fruit tree plantation, small animal husbandry and fisheries.
- Promote the development of new varieties of staples that are rich in micronutrients (biotechnology and biofortification)
6. Strategic areas:
Cele programu:
Cele szczegółowe programu to:
3. Plan działań – opis działań, które mają doprowadzić do osiągnięcia celów Poprawa sposobu żywienia, zwiększenie aktywności fizycznej i poprawa stanu odżywienia ludności w Polsce w celu zatrzymania epidemii nadwagi i otyłości oraz zmniejszenia wydatków na ochronę zdrowia, a także zmniejszania częstości występowania żywieniowych czynników ryzyka przewlekłych chorób niezakaźnych poprzez:
5) wskaźniki monitorowania oczekiwanych efektów
Government
Objective 1.1(a): The Ministry of Health provides the leadership for breastfeeding strategy and policy.
Objective 1.2(a): The Ministry of Health continues to strengthen the accuracy and completeness of the existing dataset on breastfeeding.
Objective 1.3(a): Identification of New Zealand-specific breastfeeding research needs.
Objective 1.4(b) The Ministry of Health supports a programme of research into marketing of infant formula in New Zealand.
Objective 2.1(b): The Ministry of Health works with District Health Boards (DHBs) to assessand plan for improving access to ante-natal education.
Objective 2.2(b): Communities work with DHBs and other providers to establish new or supportexisting peer support programmes for breastfeeding.
Objective 2.3(a): the second phase of the national breastfeeding social marketing campaignpromotes positive attitudes to breastfeeding in the community and public places.
Health services
Objective 3.1(a): All DHBs achieve and maintain Baby Friendly Hospital accreditation.
Objective 3.2(b): DHBs are aware of and act on the breastfeeding support needs of their Māori,Pacific and other ethnic communities.
Workplace childcare and early childhood education
Objective 4.1(a): The Ministry of Health continues to link with other agencies (for examplethe Families Commission, Department of Labour) to support the development of a policyframework for options for extending current paid parental leave entitlements.
","","Imrpoving breastfeeding rates in New Zealand (also among Maiori): Measurable improvements in the rates and duration of breastfeeding
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vulnerable groups","","http://www.health.govt.nz/publication/national-strategic-plan-action-breastfeeding-2008-2012","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NZL%202009%20National%20Strategic%20Plan%20of%20Action%20for%20Breastfeeding%202008-2012.pdf" "17859","PSE","West Bank and Gaza Strip","National Breastfeeding Committee","National Strategy for Infant and Young Child Feeding االخطة الاستراتيجية الوطنية لتغذية الرضع وصغار الاطفال","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Arabic","","2008","","2010","Ministry of Health","","2008","","","","","Health|Other|Social welfare|Women, children, families","National Breastfeeding Committee, Ministry of Economics, Ministry of Labour, Ministry of National Economy, Ministry of Social Affairs, Ministry of Women's Affairs","United Nations Children's Fund (UNICEF)|United Nations Relief and Works Agency (UNRWA)|World Health Organization (WHO)","","","","","","","","National NGOs","","Research/academia","","","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Complementary feeding|Growth monitoring and promotion|Nutrition counselling on healthy diets","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PSE%202008%20National%20Strategy%20for%20Infant%20and%20Young%20Child%20Feeding.pdf" "17770","AFG","Afghanistan","","National Infant and Young Child Feeding Policy and Strategy 2009-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2009","","2013","Ministry of Public Health","9","2009","Adopted","","2009","Executive Board","Other|Education and research|Food and agriculture|Health|Trade|Women, children, families","Breastfeeding Promotion Network of India (BPNI), Interior (MoI) to promote IYCF and the application of the Code of Marketing of BMS, Religious Affairs, Rehabilitation and Rural Development (MRRD), Justice, Labor and Social Affairs","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Basics Support for Institutionalizing Child Survival (BASICS)|International Baby Food Action Network (IBFAN)|Nutrition International|World Alliance for Breastfeeding Action (WABA)","","US Agency for International Development (USAID)","","","","","","","","","","","","2.3. Goal and objective of the National IYCF Policy and Strategy
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghanistan National Health and Nutrition Sector Strategy 2008-2013 of reducing child and maternal mortality and malnutrition.
Its overall goal is the same as the overall goal of the Public Nutrition Policy and Strategy, namely: To reduce all forms of undernutrition, thereby improving the growth, development and health of Afghan infants and young children, through improved infant and young child feeding practices.
The objective of the Infant and Young Child Feeding Policy, and its associated Strategy is:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20%, by 2013).
Strategic components and approaches to achieve this objective are described in section 3 of the present document.
2.4. Purpose of the Infant and Young Child Feeding Policy and Strategy
The purpose of the present Policy and Strategy is to describe the Government of Afghanistan’s position on IYCF, in accordance with the Global Strategy on IYCF. All key stakeholders directly or indirectly involved in IYCF, notably health sector professionals, NGOs, UN agencies, military, and private sector, are responsible, and will be held accountable, for respecting the present Policy.
This document also clarifies the strategies that need to be adopted and interventions to be implemented to achieve the policy objectives. It will serve to support advocacy and resource mobilization, as well as coordination between the main implementing partners (MoPH Departments, BPHS partners, NGOs, UN, private sector, communities). Finally, it provides guidance on how to monitor the protection and promotion of optimal IYCF in Afghanistan.
","Strategy for Promoting Optimal Infant and Young Child Feeding
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghan National Health and Nutrition Sector Strategy and the overall goal of the Public Nutrition Policy and Strategy by focusing on the following objective:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20% by 2013).
This objective will be achieved through the following three strategy components:
1. Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
National IYCF Policy and Strategy
1. Disseminate the National IYCF Policy and Strategy amongst all key stakeholders (MoPH, MAIL, MoJ, MoMI, MoEd, MoRA, MoWA, NGO’s, private sector).
2. Regular updating of IYCF action plan and preparation of a resource mobilization plan to support the implementation of the IYCF Policy & Strategy
3. Review MoPH related sub-policies, strategies and guidelines and make sure IYCF has been reflected in these documents
The Code of Marketing of Breast-milk Substitutes
4. Establish a National Committee for the Enforcement of the Code
5. Establish enforcement mechanisms for the Code of Marketing of BMS
6. Disseminate information on the Code (including translations) and related legislation to all key stakeholders (Provincial Departments of Health, PRTs, private sector, all health facilities, MOWA, NGOs, etc.) through posters, leaflets, and workshops
7. Training of Code monitors (IBFAN)
Maternity protection
8. Establish enforcement mechanisms and develop guidelines for the implementation of the Maternity Protection Act
9. Inform working women of their rights under the Maternity Protection Act (e.g. through leaflets and radio; can be part of IYCF Public Awareness Campaign)
IYCF Guidelines
10. Review existing international guidelines and national training packages and develop a comprehensive and coherent set of harmonized guidelines covering IYCF policy and priorities and strategic interventions, namely: IYCF promotion in different health facilities (including BFHI guidelines); IYCF promotion at community level; Infant and Young Child Feeding in Emergencies; Implementation of the Code, etc.
11. Disseminate guidelines to the relevant stakeholders, and conduct trainings on their implementation (c.f. also training activities under outputs 2 and 3)
Infant and Young Child Feeding in Emergencies
12. As part of the Afghan IYCF guidelines, develop a section on IYCF in Emergencies based on the internationally endorsed Operational Guidance for IFE
13. Disseminate the IFE Guidelines to all relevant stakeholders (including the Disaster Management Committee, the PRT, NGOs and Provincial Development Councils) and ensure they are implemented in emergency situations.
2. Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required for IYCF, through IEC/BCC and community support interventions.
Public awareness Raising
Establishment of community support groups and interventions
Integration of IYCF in non-health community-level interventions
3. IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities.
Capacity-building of various categories of personnel involved in implementation will be an integrated component of each strategic priority/output. Advocacy and resource mobilization will be essential to enable the implementation of the activities required to achieve these outputs. An advocacy and resource mobilization plan will therefore be developed. The activities to be implemented to achieve these outputs/strategic priorities are described below.
Expansion of Baby-Friendly Hospital Initiative to more hospitals and selected health facilities providing MCH services
1. Review lesson learned from the current BFHI
2. Train pool of BF assessors/advocates at the central and regional level.
3. Develop tools, conduct assessment/re-assessment to certifying health facilities as Baby-friendly
4. Train health facility staff on measures required to comply with BFHI criteria and implement these measures
5. Supervise and monitor facilities and provide certificates for facilities complying with BFHI criteria
Integrationif IYCF counselling in all health gacilities
6. Develop guidelines and establish IYCF corners in health facilities, including breastfeeding counselling and participatory cooking sessions (N.B. can be part of child health corner)
7. Ensure IYCF counselling is part of health education activities, including breastfeeding demonstration and participatory cooking sessions
8. Ensure breastfeeding counselling and re-lactation assistance are part of the management of acute malnutrition (in TFU and CMAM)
9. Identify at least one referral centre in each province for referral of complicated and difficult lactation and IYCF cases.
Training of health staff on IYCF
10. Integrate IYCF into the curricula of all medical and paramedic education institutions including community midwifery school and postgraduate programs (esp. residency training programs in paediatrics, obstetrics and gynaecology).
11. Develop training packages and job aids on IYCF for different health staff categories, including: doctors, nurses, midwives, community midwives, and CHWs
12. Integrate IYCF training modules as part of in-service trainings, in particular for MCH staff, CHWs & midwives (e.g. as part of C-IMCI training)
13. Distribute printed material and job aids to all facilities, including for CHWs and community midwives as part of C-IMCI
15. Train and establish pool of trainers at the national level and in “each region” on MBFI and IYCF, in particular by training Provincial Nutrition Officers on IYCF
16. Train at least 2 MCH staff of each health facility.
17. Train out-reach staff to enable them to integrate IYCF in out-reach services.
","Indicator (Baseline, Target)
Overall Goal: The prevalence of chronic and global acute undernutrition among children 0-59 months and the prevalence of MDDs are reduced by 10% of current levels
Objective: To increase the percentage of child caregivers that have adopted appropriate infant and young child feeding and caring practices.
(see new WHO indicators for IYCF in annex 5)
Component 1: Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
Component 2: Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required to apply adequate IYCF through IEC/BCC and community support interventions
Component 3: IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities
","Outcome indicators|Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Management of severe acute malnutrition|Home, school or community gardens|Improved hygiene / handwashing","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Infant%20and%20Young%20Child%20Feeding%20Policy%20and%20Strategy.pdf" "7926","FJI","Fiji","","National Food and Nutrition Policy for Schools","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2009","","","Ministry of Education","","2009","Adopted","","2009","Ministry of Education","Health|Education and research|Sport","Ministry of Health, Ministry of Education, national heritage, culture, and sports","","","","","","","","","","","","","","","","","","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School fruit and vegetable scheme|School gardens|Creation of healthy food environment","","http://www.nutrition.gov.fj","","WHO Global Nutrition Policy Review 2009-2010","" "7924","KOR","Republic of Korea","","School Lunch Program","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2009","","","MEHRD","","1990","Adopted","","1990","Ministry of Education & Human Resources Development (MEHRD)","Education and research|Sub-national","MEHRD Education and research, Sub-national: MEHRD, School District Office, Local Governments (provinces, cities, counties, and districts)","","","","","","","","","","","","","","","","","","","","","","Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Nutrition sensitive actions|Food security and agriculture","","http://www.mest.go.kr/me_kor/index.jsp","","WHO Global Nutrition Policy Review 2009-2010","" "14793","UGA","Uganda","","The Operational Framework for Nutrition in the National Child Survival Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2009","","","Ministry of Health","","2009","Adopted","","2009","MoH","Cabinet/Presidency|Education and research|Food and agriculture|Health|Social welfare","Ministry of Health Cabinet/Presidency, Education and research, Food and agriculture, Health, Social welfare: Ministry of Health, Ministry of Gender, Labour and Social Development","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","Global Alliance for Improved Nutrition (GAIN)|International Baby Food Action Network (IBFAN)","International NGOs: Global Alliance for Improved Nutrition (GAIN), International Baby Food Action Network (IBFAN),","US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID)","","","","","Research/academia","Gulu University, Makerere University","","","","","
2.2.1 Goal:
To operationalize the nutrition component of the Child Survival Strategy (CSS) in order to accelerate the reduction of under-five mortality, and thus contribute to the National Development Plan (NDP), the Health Sector Strategic Plan (HSSP) III, and the MDGs.
2.2.2 Overall Objective
To strengthen the implementation of a defined package of proven nutritional interventions that are cost effective and to achieve and sustain high coverage.
2.2.3 Specific Objectives
1. To implement cost effective nutrition interventions through community, population/scheduled, and clinical services.
2. To scale up proven nutrition interventions through community, population /scheduled and clinical services.
3. To sustain high coverage of proven interventions through community, population/scheduled and clinical services.
","Thematic Objective 1: Mainstreaming maternal nutrition interventions designed to ensure
adequate pregnancy outcomes and healthy infancy
Interventions
1. Providing iron and folic acid tablets to adolescents in and out of school, and to pregnant and
lactating mothers
2. Encouragement and support of antenatal care services through health education
3. Promotion of adequate intake of nutrient dense foods by the mother during pregnancy and
lactation, and of more daytime rest during pregnancy
4. Post-partum supplementation with vitamin A, iron and folate
5. Consideration of maize meal fortification with folic acid to help assure maintenance of
adequate serum folate prior to conception
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 2: Mainstreaming infant and young child nutrition interventions to ensure
growth and development
Interventions
1. Counselling during ante-natal and post-natal care to promote and support exclusive
breastfeeding.
2. Continued and intensified growth monitoring and promotion with intensive counselling to
address needed behavioural change, and referral as necessary for facility-based attention.
3. Promotion and support for exclusive breastfeeding for six months, timely introduction of
adequate complementary feeding, and continued breastfeeding to at least 24 months
4. Semi-annual Vitamin A supplementation to infants and children 6 to 59 months
5. Semi-annual deworming of children aged 1 to 14 years
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 3: Mainstreaming nutrition to ensure control and prevention of micronutrient
deficiencies
Interventions
1. Establishment of a comprehensive policy framework for micronutrient deficiency control
2. Support for implementation of a consolidated policy on micronutrient deficiency control
3. Advocacy for the control and prevention of micronutrient deficiencies
4. Control of iodine deficiency disorders
5. Vitamin A supplementation for children and post partum women
6. Iron supplementation for anaemic children and non pregnant women
7. Iron and folic acid supplementation for adolescent girls and for pregnant and lactating
women
8. Deworming of young children, school children and pregnant women
9. Food fortification, particularly of complementary foods with vitamin A, iron and other
micronutrients
10. Control of zinc deficiency through food fortification and supplementation as part of diarrhea
management
11. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 4: Mainstreaming the treatment of acute malnutrition into the health delivery
system with nutrition interventions to control for co- morbidities
Interventions
1. Identification, referral and management of cases of acute malnutrition
2. Nutrition management and support of sick children following IMCI protocols.
Thematic Objective 5: Mainstreaming nutrition into the treatment and management of HIV/AIDS
Interventions:
1. Providing nutritional services and supplements in the context of HIV/AIDS
2. Support for Infant and Young Child Feeding (IYCF) in the context of HIV
3. Prevention of mother to child transmission of HIV.
Thematic Objective 6: Mainstreaming nutrition interventions into emergency planning,
preparedness and response
Interventions
1. Providing nutrition services in emergencies
2. Support for Infant and Young Child Feeding in emergencies.
Thematic Objective 7: Cross cutting issues
Interventions
1. Operational research
2. Human capacity strengthening
3. Linking services across ministries
4. Family Care Practices.
Thematic Objective 8: Development of a comprehensive communication strategy to support all
nutrition interventions
Interventions
1. Development of an effective and comprehensive communication strategy designed to
encourage optimal IYCN for use at all levels
2. Production of appropriate information, education and communication materials at all levels
3. Development of advocacy packages for policy makers, program managers and communities.
","M&E indicators are available.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Capacity building for the Code|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","http://www.health.go.ug/nutrition/docs/infant/Operational_Framework.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202009%20The%20Operational%20Framework%20for%20Nutrition%20in%20the%20National%20Child%20Survival%20Strategy.pdf" "17841","AFG","Afghanistan","","Strategy for the Prevention and Control of Vitamin and Mineral Deficiencies in Afghanistan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2010","","","Ministry of Public Health","","2010","","","","","Food and agriculture|Health|Other|Trade","Ministry of Public Health Ministries of Health, Agriculture, Trade; Public Nutrition Department","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Nutrition International","","The World Bank|US Agency for International Development (USAID)","International Donor Agencies,","","","National NGOs","","","Academic Institutions","","food industry: producers, importers and retailers","Other","Afgan National Standards Agency, Provincial Nutrition Officer, Salt Millers Association, Flour Millers Association","2.1.3. Goal
Contribute to the reduction of infant, child and maternal mortality and morbidity caused by malnutrition.
2.1.4. Objectives
By the end of 2013 in Afghanistan:
1. Reach and sustain >90% coverage of high dose Vitamin A capsule distribution among children 6 – 59 months.
2. Enable >50% of households to regularly access Vitamin A and D fortified cooking oil and ghee (clarified butter).
3. Enable >90% of households to regularly access and consume iodized salt.
4. Increase the coverage of iron and folic acid (IFA) supplementation for pregnant and lactating women and iron supplementation of children less than 24 months of age through Basic Package of Health Services to 50%.
5. Fortify all industrially produced flour produced or imported into the country with vitamins and minerals according to international recommendations.
6. Enable 30% of households to utilize commercially or home-fortified complementary foods to feed their children.
7. Increase use of zinc supplementation as a component of diarrhoea treatment among more than 80% of affected preschool children.
8. Build national human capacity in nutrition science and food science and industry to adequately prevent and control vitamin and mineral deficiency in Afghanistan.
The overall aim of the “National Nutrition Policy and Strategy” of the MoPH is to “prevent, control and treat major micronutrient deficiency disorders and their outbreaks throughout the country with a major focus on iodine, iron, zinc, folic acid, Vitamin A and Vitamin C”. Some population-based interventions as well as a number of targeted local projects have been implemented to address vitamin and mineral deficiencies with support from international donor agencies such as UNICEF, WFP, FAO, USAID, and The Micronutrient Initiative. These programs should be strengthened or expanded while additional evidence-based interventions could be implemented to help improve the micronutrient status of the Afghan population, especially among women and young children.
Based on experiences from successful vitamin and mineral deficiency intervention programs in other countries, evidence from published literature, and the current public nutrition situation and capacity in Afghanistan, recommendations are proposed based on three broad themes:
1) Strengthen micronutrient deficiency prevention (and treatment) through the BPHS;
2) Expand and strengthen public-private-civic sector partnerships; and
3) Develop public and private sector human capacity and expertise.
","Strategies:
2.2. Three Pillars of the Proposed Strategy
2.2.1. Strengthen Preventive and Therapeutic Micronutrient Deficiency Interventions through the BPHS
To improve the coverage and effectiveness of micronutrient supplement and in-home fortificants distribution through the public health facilities and the BPHS, innovative and appropriate strategies are needed to encourage and enable large proportions of women and children to access health facilities for preventive and therapeutic services. In the past few years, the MoPH and its partners have been working to increase population access to primary health care and to improve the quality of preventive and therapeutic health services in the country. Such efforts have helped to decrease infant mortality rate from 165 to 129 and under-five mortality rate from 257 to 190 (per 1000 live births).
2.2.2. Public-Private Sector Partnerships: Recognizing the Role, Responsibility and Potential Capacity of the Food Industry and Local Markets in Afghanistan
It should be understood that the food industry – producers, importers, wholesalers and retailers have an essential role in enabling the majority of the population of Afghanistan to access vitamin and mineral rich foods and supplements. The role of government is to implement appropriate policies, and promulgate and enforce needed laws, regulations and standards to allow for the production, importation and sale of nutrient-rich foods, especially quality fortified products and vitamin and mineral supplements.
2.2.3. Strengthen National Nutrition Capacity
To help enable the national and local public nutrition and health personnel to advocate for, plan, design, implement, monitor, and evaluate effective population based vitamin and mineral deficiency prevention and control programs, it is essential that they have the needed technical and programmatic skills and expertise. Although participation in short-term training programs has helped to increase the knowledge of the limited number of Public Nutrition Department (PND) staff within MoPH at the Central level, most staff at the local levels does not have the minimum needed skills in public nutrition. Further, as mentioned above, there has been substantial turnover of PND staff since the Department was established in 2002. Currently, Afghanistan has no academically trained nutritionists with public health or clinical expertise, and the nutrition curriculum offered to medical and nursing students is reported to be relatively weak.
It is therefore recommended that a cadre of post-graduate Afghan nationals be encouraged and supported to attend graduate level training abroad in human and public nutrition science, policy and epidemiology, as well as food science. The existing nutrition curriculum offered to medical and nursing students should be 36 evaluated and appropriately modified to help meet the training needs of future Afghan physicians and nurses who make up the back-bone of the national health care system. To build a solid foundation for the future, bachelor and graduate level academic degree programs in nutrition and food science as well as public nutrition should be offered through public and private academic institutions within Afghanistan.
","
Indicators:
# of available doses of Vitamin A supplement
Estimated # of children to be supplemented
# of children who received Vitamin A supplement
# of children surveyed in target area
# of children with low serum retinol
# of children tested in target area
# of available doses of prenatal Fe/FA supplement
Estimated # of pregnant women to be covered
# of pregnant women who received supplement
# of target pregnant women surveyed
# of pregnant women with anemia_______
# of pregnant women tested for hemoglobin levels
Quantity of quality iodized salt produced and/or imported
Quantity of salt needed by target population
# of households using quality iodized salt
# of target households surveyed
# of women or school-age children with low urinary iodine
# of target women or school-age children tested
Quantity of quality fortified flour produced and/or imported
Quantity of flour needed by target population
# of households using quality fortified flour
# of target households surveyed
# of women of with iron deficiency
# of target women tested
# of birth with neural tube defects
# of live births among target population
Quantity of quality fortified oil/ghee produced and/or imported
Quantity of oil/ghee needed by target population
# of households using quality fortified oil/ghee
# of target households surveyed
# of women of with vitamin A deficiency
# of target women tested
","","","Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Vitamin and mineral nutrition|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|Complementary foods|Nutrition and infectious disease|Nutrition sensitive actions|Food security and agriculture|Health related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202010%20Strategy%20for%20the%20Prevention%20and%20Control%20of%20Vitamin%20and%20Mineral%20Deficiencies.pdf" "8051","SLV","El Salvador","","Plan Nacional de Prevencion y Control de las Deficiencias Nacionales por Micronutrientes","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2010","","","Ministerio de Salud","","1995","Adopted","","1995","Ministerio de Salud Pública y Asistencia social MSPAS","Education and research|Health","Ministerio de Salud Pública y Asistencia social MSPAS, Ministerio de Educación MINED","Other|World Health Organization (WHO)","INCAP, Organizaciones sistema de Naciones Unidas.","","","US Agency for International Development (USAID)","","","","","","","","","","","","","","","","","Vitamin A|Iron and folic acid|Zinc","","http://elsalvador.nutrinet.org","","WHO Global Nutrition Policy Review 2009-2010","" "25920","NGA","Nigeria","","National Policy on Infant and Young Child Feeding in Nigeria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","","Federal Ministry of Health, Department of Family Health","11","2010","","","","","Health|Food and agriculture|Women, children, families|Information","Federal Ministry of Health, Department of Family Health; Federal ministry of Women Affairs;Federal Ministry of Information and Communication;National Agency on Food and Drug Administration and Control (NPHCDA);National Primary Health Care Development Agency (NPHCDA);","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Nutrition International","","","","","","National NGOs","Nutrition Society of Nigeria","Research/academia","","","","","","
Goal and Objectives
Infant and young child feeding is an integral part of the overall objective of ensuring the socio-economic well-being of all Nigerians. It is in this context that the problem of malnutrition exists and within which the goal and objectives of this Policy are derived.
Goal
The overall goal of the National Policy on Infant and Young Child Feeding in Nigeria is to ensure the optimal growth, protection and development of the Nigerian child from birth to the first five years of life.
Specific Objectives:
i. To protect, promote and support exclusive breastfeeding in the first six months of life
ii. To create and sustain a positive image for breastfeeding throughout the society
iii. To empower all women (including women who work outside their homes) to adopt and practice optimal infant feeding.
iv. To promote the timely introduction of appropriate and adequate complementary foods while continuing breastfeeding up to 24 months and beyond.
v. To ensure the provision of specific feeding recommendations for all infants and young children irrespective of their circumstances of birth and health status.
vi. To promote the provision of appropriate information for nutrition counseling and support for households in the prevention of malnutrition in children.
vii. To develop and strengthen activities that will protect, promote and support adequate infant and young child feeding practices.
viii. To raise awareness on issues affecting infant and young child feeding in Nigeria
ix. To support and enhance the provision of an enabling environment without any form of discrimination for working mothers, fathers and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
x. To promote the prevention of mother-to-child transmission of HIV and ensure HIV-free survival through appropriate and safe measures that ensure optimal infant and young child feeding.
xi. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding, including in emergency situations.
xii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Vitamin A|Iron|HIV/AIDS and nutrition","","http://www.health.gov.ng/index.php/resources/policy-documents/family-health","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202010%20National%20Policy%20on%20Infant%20and%20Young%20Child%20Feeding%20in%20Nigeria.pdf" "11638","SLV","El Salvador","","Política de Protección, Promoción y Apoyo a la Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Ministerio de Salud","","2011","Adopted","","2011","Ministerio de Salud","Nutrition council|Health|Education and research|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO","","","","","","","","","","","","","","","
Objetivo General
Garantizar el ejercicio del derecho a la lactancia materna de las niñas, niños, madres y familias salvadoreñas, como elemento indispensable para lograr un óptimo estado de salud, desarrollo y nutrición.
Objetivos Específicos
1. Fortalecer el marco legal y normativo para la protección, promoción y apoyo de la lactancia materna en El Salvador.
2. Asegurar la promoción de la lactancia materna para la población salvadoreña, teniendo en cuenta las diferentes condiciones sociales, culturales y medio ambientales.
3. Fortalecer los mecanismos de apoyo a la lactancia materna a nivel comunitario, laboral y en la prestacción de los servicios de salud con participación intersectorial.
4. Generar condiciones que faciliten la lactancia materna en situaciones especiales y a grupos vulnerables.
","Para cada uno de los objetivos específicos, se definieron estrategias y líneas de acción.
1.1. Elaboración y actualización de instrumentos legales y normativos para la protección de la práctica de la lactancia materna a través de un proceso participativo.
1.1.1. Promover la adopción de los convenios y recomendaciones internacionales relacionadas con la práctica de la lactancia materna.
1.1.2. Promover el proceso de elaboración y aprobación de la Ley de protección, promociónl y apoyo a la lactancia materna que incluya los artículos del Código Internacional de Comercialización de sucedáneos de la Leche Materna.
1.1.3. Establecer mecanismos de monitoreo y evaluación de las prácticas de comercialización de los sucedáneos de la leche materna.
1.1.4. Promover y vigilar el cumplimiento de la legislación relacionada a las licencias por maternidad y período de lactancia de la madre trabajadora tanto en el sector público como en el privado, incluyendo aquellas que ejercen formas atípicas de trabajo.
1.1.5. Actualizar y armonizar la normativa del Sistema Nacional de Salud relacionada con la atención integral de la madre, el recién nacido y el lactante, la lactancia materna y la alimentación infantil.
2.1. Crear y desarrollar herramientas innovadoras e inclusivas de información, educación y comunicación sobre lactancia materna a nivel nacional, con enfoque de derecho, género y participación social.
2.1.1. Fortalecer el Comité Nacional de Lactancia Materna para la integración de las herramientas de información, educación y comunicación.
2.1.2. Implementar planes de información, educación y comunicación sobre la práctica de lactancia materna, dirigido al personal de salud que atiende a mujeres, niñez, familia, comunidad y otros actores sociales.
2.1.3. Implementar campañas permanentes dirigidas a mujeres, familia y comunidad, que contribuya a crear valores y comportamientos culturales favorables a la lactancia materna con participación intersectorial e interinstitucional a través de diferentes medios.
2.1.4. Gestionar la incorporación de la temática de lactancia materna con efoque de derecho y metodología innovadora en la currícula del sistema educativo del paísl.
3.1. Propiciar las condiciones necesarias para asegurar la práctica de la lactancia materna exclusiva hasta los seis meses y prolongada hasta los dos años y más.
3.1.1. En las instituciones de Salud:
3.1.1.1. Implementar en todos los hospitales del Sistema Nacional de Salud y del sector privado que cuentes con atención de partos, la iniciativa de Hospitales Amigos de la Niñez y las Madres a través del cumplimiento de los diez pasos para una lactancia exitosa:
3.1.1.2. Implementar en los establecimientos del primer nivel del Sistema Nacional de Salud y del sector privado la iniciativa de Unidades de Salud Amigas de la Niñez y las Madres que incluya:
3.1.2. Ámbito laboral:
3.1.3. Ámbito comunitario:
4.1. Velar por el ejercicio del derecho de lactancia materna en aquellas situaciones especiales que limitan su práctica.
4.1.1. Creación y desarrollo de los bancos de leche humana a nivel institucional para alimentar a las niñas y niños en situaciones especiales.
4.1.2. Garantizar las condiciones para iniciar o continuar la práctica de lactancia materna durante y despúes de una situación de emergencia y desastre.
4.1.3. Ampliar en la red de establecimientos del Sistema Nacional de Salud y en el sector privado el desarrollo de la estrategia canguro.
","
No los incluye el documento.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes","","http://siteresources.worldbank.org/EXTLACREGTOPNUT/Resources/4160377-1357590589927/8996498-1357590799892/8996560-1357606699744/POLITICA_LACTANCIA_MATERNA_FINAL.pdf","El 17 de agosto de 2011, la Primera Dama de la República y Secretaria de Inclusión Social, Dra. Vanda Pignato, junto a la Ministra de Salud, Dra. María Isabel Rodríguez, oficializaron la Política de Lactancia Materna.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/POLITICA_LACTANCIA_MATERNA_FINAL.pdf" "39752","FRA","France","","Plan Obésité 2010-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","7","2011","","2013","Ministère du Travail, de l’Emploi et de la Santé","","2010","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Information|Labour|Other","Ministère de l'intérieur, de l'outre-mer, des collectivités territoriales et de l'immigration.","","","","","","","","","","","","","Private sector","","","","AXE 2 → Mobiliser les partenaires de la prévention, agir sur l’environnement et promouvoir l’activité physique
","Mesure 2.1 : Actions préventives conduites dans le cadre du PNA
Pour son volet « prévention », le Plan obésité s’appuie sur les axes suivants du Programme national pour l’alimentation (les actions du PNA intégrées dans le Plan obésité ont pour numéro 15 (15.1, 15.2…)).
Faciliter l’accès de tous à une alimentation de qualité (Axe I)
- Mieux manger en situation précaire (I.1) :
- Prendre de bonnes habitudes alimentaires dans le cadre scolaire ou périscolaire (I.2) :
Améliorer l’offre alimentaire (Axe II)
- Généraliser les démarches volontaires et les partenariats publics/privés permettant d’innover pour améliorer la qualité des aliments (II.1).
- Développer des variétés végétales à haute valeur environnementale, nutritionnelle, et organoleptique (II.2).
Améliorer la connaissance et l’information sur l’alimentation (Axe III)
- Former les jeunes consommateurs de demain (III.1) :
- Éduquer les consommateurs (III.2) :
- Informer les consommateurs (III.3) :
Mesure 2.2 : Actions préventives conduites dans le cadre du PNNS
Pour son volet « Prévention », le Plan obésité s’appuiera sur les axes suivants du PNNS (les actions du PNNS intégrées dans le Plan obésité ont pour numéro 16 (16.1, 16.2…)).
Développer l’activité physique et sportive et limiter la sédentarité (Axe 2)
- Promouvoir, développer et augmenter le niveau d’activité physique quotidienne pour tous (mesure 1).
- Promouvoir l’activité physique et sportive adaptée (APA) chez les populations défavorisées, en situation de handicap, atteintes de maladies chroniques, ou âgées (mesure 2).
Valoriser le PNNS comme référence pour les actions en nutrition ainsi que l’implication des parties prenantes (Axe 4)
- Mettre en place une stratégie de communication du PNNS (mesure 1, action 29).
- Développer les chartes d’engagements des collectivités territoriales actives du PNNS (mesure 2, actions 30, 31 et 32).
- Développer la charte « entreprises actives du PNNS » (mesure 3, action 33).
- Faire connaître et valoriser les actions et documents validés par le PNNS (mesure 4, actions 34, 35 et 36).
Réduire, par des actions spécifiques, les inégalités sociales de santé dans le champ de la nutrition au sein d’actions générales de prévention (Axe 1)
- Mettre en place des interventions spécifiques pour réduire les inégalités sociales de santé (ISS) en matière nutritionnelle (mesure 1, actions 1 à 5).
- Développer et valoriser les chartes d’engagement volontaires de progrès nutritionnel pour une offre alimentaire allant dans le sens des objectifs du PNNS (mesure 2, action 8).
- Développer des actions d’information et d’éducation nutritionnelle (mesure 4) :
- Promouvoir l’allaitement maternel (mesure 5, action 13).
Organiser le dépistage et la prise en charge des patients en nutrition (Axe 3)
- Prévenir et prendre en charge les troubles nutritionnels des populations en situation de handicap (Mesure 4, action 28).
","","","","Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Breastfeeding promotion/counselling|School-based health and nutrition programmes|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food security and agriculture|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/FRA_B11_Plan_Obesite_2010_2013-2.pdf, https://extranet.who.int/ncdccs/Data/FRA_B11_Obésity plan.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA%202010%20Plan%20Obesite.pdf" "14839","ISR","Israel","","Health Behaviors, Prevention and Treatment of Obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2011","","2020","Ministry of Health","","2011","Adopted","","2016","Ministry of health","Health|Education and research|Sub-national|Other","Health Behaviors Committee","","","","","","","","","","","","","Private sector","Food Processing Industry","Other","Institute of Medicine of the U.S. National Academy; Media; Education Institutions; Clinics","Prevention and Treatment of Obesity
Outcome objectives
1. Reduce the proportion of adults 18 years and older who are considered obese by 11.2%.
2. Reduce the proportion of adults 18 years and older in the Jewish population who are considered obese by 10%.
3. Reduce the proportion of adults 18 years and older in the Arab population who are considered obese by 15%.
4. Increase the proportion of adults 18 years and older who are at a healthy weight by 10%.
5. Reduce the proportion of children and adolescents who are considered obese by 10%.
Developmental objectives
1. Measuring the waist circumference of all adults.
2. Conducting surveys, including anthropometric measurements (e.g height and weight) on a regular basis (at least once every five years for all age groups).
3. Assessment of the contribution of advanced nutritional labeling strategies in helping consumers choose healthful food.
Healthful Nutrition
Key objectives
Year 2020 targets were set by defining ambitious but achievable targets as per international best practice. Nutrients for which less than 75% of the population meet the EAR (Estimated Average Requirement) are listed.
Target values (%) by year 2020:
Fruits & Vegetables: 50% consuming 3 vegetables and 2 fruits per day
Calcium: 50% meeting EAR
Magnesium: 97% meeting EAR
Potassium: 50% meeting EAR
Zinc: 97% meeting EAR
Iron: 97% meeting EAR
Vitamin A: 97% meeting EAR
Vitamin B1: 75% meeting EAR
Vitamin B2: 97% meeting EAR
Vitamin B3: 97% meeting EAR
Vitamin B6: 97% meeting EAR
Folic acid: 97% meeting EAR
Vitamin B12: 97% meeting EAR
Vitamin C: 97% meeting EAR
","
Prevention of Obesity
The health system
1. Monitor BMI on an annual basis, and in the future, measure waist circumference in primary care clinic.
2. Provide incentives for maintenance of a healthy lifestyle such as engaging in physical activity and adhering to healthy nutrition (via discrete funding through the Health Basket).
Industry and government
Encourage the provision of healthful food through legislation or through negotiation with the food industry to reduce the price of healthful food products and improving their content, along with reducing portion sizes, encouraging the low energy density foods, and providing information regarding the nutritional composition of ready to eat or prepared foods sold in supermarket chains, fast food chains or served in restaurants.
The media
1. Limit advertising of food with low nutritional value during children’s peak television viewing hours.
2. The media should be encouraged to use positive role models to further the consumption of healthful food.
Schools
1. Limit the sale of low nutritional value food and drink and increase the availability of healthful foods in cafeterias and vending machines.
2. Adopt innovative approaches in the teaching of nutrition, physical activity and wellness, as well as select and train appropriate teaching staff.
3. Monitor students’ BMI from the age of six and above.
4. Include education for a healthy lifestyle in the school curriculum.
Family
1. Reduce children’s “screen time” (television, computer, video games) by one of the following behavioral methods:
• Skill building, goal setting and reinforcement techniques.
• Parent or family support through provision of information on successful environmental strategies for reducing access to television, video games, and computers.
• Encourage a “TV turnoff challenge” in which participants are encouraged not to watch television for a specified number of days.
2. Encourage family meals, including provision of support for healthy decision-making with regard to the type and quantity of food, as well as the frequency of meals.
Treatment of Obesity
The health system
1. Monitor weight in the clinics by means of BMI screening and lifestyle counseling, including an assessment of barriers and readiness to make behavioral changes. This will generally be performed by the primary care team. The US Preventive Services Task Force (USPSTF) recommends BMI screening in children aged six and above.
2. Offer behavioral therapy or cognitive behavioral therapy for people suffering from obesity, through monthly or more frequent sessions. Obese children should be offered at least 25 hours of therapy over 6 months by skilled professionals such as dieticians.
3. Individual or group counseling with the aim of maintaining desired weight, through personal counseling or with written materials, as well as with technology such as the Internet, e-mail, computer programs, computerized telephone systems focused on health-promoting nutrition and physical exercise, and using pedometers with written or computerized tracking of the number of steps taken daily.
4. Offer incentives for participation in weight loss classes or workshops.
5. In cases where behavioral change has not been sufficiently successful, weight loss medication should be considered.
6. If all the above do not succeed and the person involved has a body mass index of ≥ 40 or ≥ 35 with obesity-related morbidity (e.g., diabetes), bariatric surgery should be considered.
The workplace
1. Increase employees’ knowledge of health-promoting nutrition and physical exercise by means of lectures, written information, or designated computer software.
2. Change employee behavior by means of behavioral and social strategies such as individual or group behavioral counseling, skill-building activities such as cue control, providing encouragement or rewards, and inclusion of co-workers or family members to build support systems.
3. Enact changes in policy or in the work environment, such as improving access to healthful foods by changing cafeteria offerings and vending machine content, along with provision of on-site and on-the-job time for physical activity.
Schools and families
1. Develop and field multi-year school curricula on topics such as reducing “screen time”, increasing physical activity, increasing consumption of fruits and vegetables, and reducing consumption of unhealthful foods. Involve parents in the development and family-relevant implementation of programs.
2. Cast parents as agents of change promoting a healthy lifestyle for the entire family. Efforts should be focused on families that are motivated to succeed and willing to devote effort in changing the lifestyle of the entire family.
Healthful Nutrition
Prioritized interventions:
1. Mandatory fortification of basic foods with the vitamins and minerals listed below :
a. All flour imported and/or produced in Israel should be fortified with iron (44mg/kg) and the full vitamin B complex.
b. All salt, imported and domestic, should be fortified with iodine (20 mg/kg). Future reductions of recommended salt intake and salt concentration in processed foods should be taken into account.
c. All dairy products (including milks, yoghurts, soft cheese, and milk substitutes) should be fortified with vitamin D (400 IU/liter).
d. Continued fluoridation of all community water supplies.
2. Healthful food and drink should be assured through reguation, establishment of labeling standards for macro- and micronutrients, and provision of healthful menus in cafeterias of large organizations. Particular attention should be paid to the following:
a. Banning of importing, production, and sale of trans fats-rich foods by the year 2013. These should not be replaced with saturated fats. Clearly label high trans or saturated fat foods.
b. Reduce the sodium content of manufactured foods by 25% by the year 2015, and 35% by 2020, while clearly labeling the salt content of processed foods.
c. Reduce the sugar content in processed foods by 15% by 2020. Clearly label sugars of all kinds on all products.
3. Healthcare providers should counseling people with nutritionally-sensitive chronic diseases and/or risk factors for disease, in keeping with international best practice. This includes the prescription of the following supplements (which should be funded through the Health Basket):
a. Vitamin D: Daily vitamin D supplements (400 IU/d for children and 1000 IU for those 71+) and/or measured daily exposure to the midday sun, considering individual dermal solar sensitivity.
b. Folic acid: Women of childbearing age should be encouraged by all health and social agency providers to consume 400 mg/d.
c. Iron: Infants aged 4 to 12 months should receive 15 mg of iron per day. Assess iron-deficiency status at 9 -12 months, 18 months in all infants. Assess at 24 months in high risk toddlers (Arab/Bedouin, ultraorthodox, low SES, low birth weight, and premature birth) to determine need for continued supplementation.
d. Parenteral supplementation with Vitamin K at birth to all newborns.
","
8.2 Monitoring
Monitoring must take place at the individual level by healthcare providers. The Sick Funds should continue to monitor BMI, along with other health and nutrition indicators, paying particular attention to the nutritional needs of each life-stage. Along with the Well-baby clinics (Tipot Chalav), the Sick Funds should continue to monitor the nutritional status of infants, children, adolescents, as well as the elderly and other high nutritional risk groups. This data should be made available on a continuing basis.
National and municipal authorities should monitor the food provided in institutions, pre-schools and schools, workplaces and in the IDF. When new policies require changes in the ingredients of food products, the responsibility for monitoring rests with the manufacturers, but must be overseen by the government.
9.4 Monitoring, research, and oversight
Nutrition is a dynamic field of public health and agricultural, epidemiologic, and nutritional sciences. It is in a continuing state of development and reevaluation as the scientific base expands. The Ministry of Health should conduct MABAT nutrition status monitoring every ten years, with specific surveys during intervening years. Infant and child growth (height, weight, head circumference, and BMI) should be monitored annually and published in summary reports and presented by age (e.g., anthropometric data on infants and children), gender, ethnic group, region of residence, and maternal education levels. Funding for continuing nutrition research by academic centers, in cooperation with the Ministry of Health, should be made available to broaden the information base available for policy generation and revision
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-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|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin B12|Other B-vitamins|Fluoride|Micronutrient supplementation|Food fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Milk|Food distribution/supplementation for prevention of acute malnutrition|Conditional cash transfer programmes|Vulnerable groups","","https://www.health.gov.il/PublicationsFiles/Obesity-prof_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISR%202011%20Health%20Behaviors_0.pdf" "36107","LUX","Luxembourg","","Plan d'actions national pour la protection, promotion et le soutien de l'allaitement au Luxembourg 2011-2015 [National Action Plan for the protection, promotion and support for breastfeeding]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2011","","2015","Ministère de la Santé","","2012","Adopted","","2006","Ministère de la Santé","Health|Education and research|Women, children, families","","","","International Committee of the Red Cross (ICRC)|Other","Ligue Médico-sociale","","","","","National NGOs","","Research/academia","","Private sector","Professional Unions; Media","","","1. Continuer le développement des programmes et des politiques en faveur de l’allaitement maternel.
2. Maintenir et perfectionner le système de recueil de données, d’évaluation, de surveillance et d’information épidémiologique sur l’alimentation du bébé.
3. Optimiser l’information, les conseils et le soutien des mères dès la grossesse et à travers toute la période de l’allaitement et y inclure leurs familles et leur environnement.
4. Améliorer la promotion, la protection et le soutien de l’allaitement maternel dans tous les secteurs de vie de l´enfant et de la mère
5. Encourager la recherche sur le lait maternel, sur l’allaitement et les bébés allaités
","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Minimum acceptable diet|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Monitoring of the Code|Regulation on marketing of complementary foods|Conditional cash transfer programmes","","http://www.sante.public.lu/fr/publications/p/plan-actions-allaitement-maternel-2011-2015/index.html","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LUX%202012%20Breastfeeding%20Action%20Plan.pdf" "23604","ETH","Ethiopia","","National School Health and Nutrition Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2012","","","Ministry of Education","","2012","","","","","Education and research","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","","Save the Children","","","","","","","","","","","","","","1.3. GOAL
To improve access and educational achievement of schoolchildren through health and nutrition interventions in educational establishments in Ethiopia.
1.4. OBJECTIVES
The main objectives are:
The specific objectives are:
Kuwait Action Plan for SFA intake reduction and TFA Elimination
The overall aim of the Healthy Weight for Life Strategy is to curb and reverse the growing proportion of overweight and obese children and adults in the population in order to reduce the health, social and economic consequences of excess body weight.
","The Public Health Case for Action
Economic Evaluation of Overweight and Obesity
Promoting Healthy Eating
Promoting Physical Activity
Healthcare Services
In order to measure the effectiveness of this Strategy, we aim to demonstrate the following improvements in children and adults by 2020:
• Reduction in the self-reported proportion of the adult population who are overweight from 36% to at least 33%.
• Reduction in the self-reported proportion of the adult population who are obese from 22% to at least 18%.
• Reduction in the proportion (measured by anthropometric studies) of 7 year olds who are overweight and obese from 32% to 27%.
• Maintenance of the proportion of 13 year olds above the 95% weight centile (obese) below 15%.
Monitoring of the targets will take place on a triennial basis (in 2015 and 2018) followed by an end of plan evaluation. The Healthy Weight for Life Implementation Group will be responsible for ensuring that the actions within the different settings are achieved according to the timeframe set and within the allocated budget.
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Capacity building for the Code|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|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|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|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Vulnerable groups","","https://health.gov.mt/en/Documents/National-Health-Strategies/hwl_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202012%20Healthy%20Weight%20for%20Life.pdf" "23714","BIH","Bosnia and Herzegovina","","Policy for Improving Child Nutrition in Federation of Bosnia and Herzegovina","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2013","","","Government of the Federation of Bosnia and Herzegovina","2","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Transport|Trade|Industry","","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","","","","","","Other","Media; Education Institutions; Food Producers","
1. Vision
Federation BiH is committed to ensure optimal nutrition to every child, in line with national and international recommendations and standards, and thereby improve the diet and nutritional status of children in Federation BiH
2. Decalaration
5. OBJECTIVE AND PRIORITY COURSES OF ACTION
5.1 Objective Improve feeding and nutritional status of children in FBiH, as an important prerequisite for proper growth and development, as well as prevention of diseases caused by inadequate nutrition and unbalanced diets with a focus on mass NCDs.
5.2 Action areas
The Policy will be implemented through crosssectoral coordination and integrated action through the following action areas:
Chapter 5.2.1 Description of Action areas contains a broad set of strategies and actions
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|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|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food safety|Food security and agriculture|Vulnerable groups","","http://www.unicef.org/bih/Politika_ishraneF_BiH(1).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BIH%202013%20Policy%20for%20Improving%20Child%20Nutrition.pdf" "23499","BFA","Burkina Faso","","Plan de passage à l'échelle des pratiques optimales d'ANJE","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2013","","2025","Ministere de la Sante","","2014","","","","","Education and research|Food and agriculture|Health|Women, children, families","Ministère de la Santé, Direction de la Nutrition, Ministère de l’agriculture et de la sécurité alimentaire, Ministère des ressources animals et Halieutiques, Ministère de l’éducation nationale et de l’alphabétisation, Ministère de la recherche et de l’innova","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)","Medicus Mundi Italia, Alive & Thrive","Bill and Melinda Gates Foundation","Medicus Mundi Italia, Alive & Thrive","","","National NGOs","ONG RENCAP","","ONG RENCAP","","","","","II. BUT ET OBJECTIFS DU PLAN
2.1. But
Contribuer à la réduction d’au moins 40% du retard de croissance chez les enfants âgés de 0 – 59 mois d’ici 2025 et à la réduction de la mortalité infanto-juvénile au Burkina Faso.
2.2. Objectif Général
Augmenter le taux de pratique d’allaitement maternel exclusif chez les enfants âgés de moins de 6 mois de 38% en 2012 à au moins 80% en 2025 et le taux de pratique d’alimentation minimale acceptable chez les enfants âgés de 6 – 23 mois de 3.5% en 2012 à au moins 30% en 2025.
2.3. Objectifs spécifiques
En termes d’objectifs spécifiques, le plan de passage à l’échelle de la promotion des pratiques optimales d’ANJE se propose de :
1. Renforcer la qualité et la couverture des interventions communautaires de promotion des pratiques optimales d’ANJE.
2. Créer au niveau communautaire un environnement favorable à la protection et à la promotion des pratiques optimales d’ANJE.
3. Mettre en oeuvre au niveau national un plan de communication d’appui aux activités communautaires.
4. Appuyer la protection et la promotion des pratiques optimales d’ANJE au niveau des structures sanitaires.
5. Renforcer l’application du code international de commercialisation des substituts du lait maternel par une adoption du texte réglementaire relu et la mise en place d’un système de surveillance
6. Renforcer les compétences pour la gestion de l’ANJE dans les situations difficiles (VIH, urgences).
2.4. Résultats attendus
Résultat 1 : D’ici fin 2022, 1122519 soit 90% des femmes enceintes et 1791949 soit 90% des mères d’enfants de 0 à 23 mois de la population totale du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
Résultat 2 : D’ici fin 2022, un environnement favorable à la mise en oeuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies, bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
Résultat 3 : D’ici fin 2022, au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso.
Résultat 4. D’ici fin 2022, la mise en oeuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
Résultat 5. D’ici fin 2016, une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
Résultat 6 : D’ici fin 2022, les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH, situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
","Tableau II : Paquet Intégré des Services d’ANJE à travers le cycle de vie
GASPA Composante du Paquet Intégré des Services d’ANJE
1 Femmes enceintes
Promotion de la consultation prénatale et de l’accouchement assisté
Promotion d’une bonne nutrition chez les femmes enceintes
Appréciation de la perception de la femme enceinte sur la mise au sein précoce et de l’AME pour des conseils appropriés.
Appui à la mise au sein précoce par des conseils appropriés et la création d’un environnement propice.
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
2 Femmes allaitantes d’enfants de moins de 6 mois d’âge
Suivi de l’option des mères pour l’alimentation de leurs nourrissons pour des conseils appropriés
Promotion d’une bonne nutrition chez les femmes allaitantes
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
3 Mère d’enfants ages de 6 – 24 mois.
Rappel systématique de l’introduction d’aliments de complément dès 6 mois
Evaluation de la poursuite de l’allaitement pour des conseils appropriés
Evaluation de la fréquence des repas pour des conseils appropriés
Evaluation de la diversité alimentaire pour des conseils appropriés
Promotion de l’accessibilité à des sources de micronutriments (farine infantile enrichie, fortification à domicile, production vivrière améliorée, produits forestiers non ligneux)
Promotion du principe des mélanges multiples pour la préparation de menus et farine de complément équilibrés par la démonstration culinaire
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
Promotion de la production vivrière améliorée pour la diversification alimentaire
Suivi de l’état nutritionnel des enfants et des mères
Promotion des jeux d’éveil et d’affection chez les enfants
","Indicateurs objectivement vérifiables
Réduction de 40% du retard de croissance chez les enfants ages de 0 – 59 mois d’ici 2025.
Le pourcentage des mères d’enfants âgés de 0 – 23 mois capables de citer trois avantages corrects de la mise au sein précoce augmente au moins de 80% au niveau national en 2025 par rapport à la situation de base.
Le pourcentage de mères d’enfants âgés de 0 – 23 mois capables de décrire correctement les critères pour une alimentation minimale acceptable augmente au moins de 50% en 2025 au niveau national par rapport à la situation de base.
Le taux d’initiation de l'allaitement dans la première heure après la naissance augmente de 29 2% en 2012 à 80% en 2025 au niveau national.
Le taux d’allaitement exclusif des enfants de moins de 6 mois augmente de 38% en 2012 à 80% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une fréquence minimale des repas augmente de 66 6% en 2012 à 85% en 2025 au niveau national.
Pourcentage des enfants de 6-23 mois ayant une diversité alimentaire minimale augmente de 4 8% en 2012 à 30% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une alimentation minimale acceptable (score minimum de diversité alimentaire et fréquence minimale des repas) augmente de 3 5% en 2012 à 30% en 2025 au niveau national.
D’ici fin 2022 1 122 519 soit 90% des femmes enceintes et 1 791 949 soit 90% des mères d’enfants de 0 à 23 mois de la population total du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
D’ici fin 2022 un environnement favorable à la mise en œuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
D’ici fin 2022 au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso
D’ici fin 2022 la mise en œuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
D’ici fin 2016 une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
D’ici fin 2022 les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
D’ici fin 2022 les capacités de 18 ONG RENCAP dans le cadre de la politique de contractualisation des interventions communautaires sont renforcés dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 au moins 35 839agents de santé communautaire sont formés pour le respect d’une norme de qualité dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE au niveau des 63 districts sanitaires du Burkina Faso.
D’ici fin 2022 au moins35 839 personnes ressources volontaires (élus locaux enseignants représentant des groupements de femmes représentant des groupements de jeunes animateurs de radios communautaires leaders communautaires guides religieux ou guides traditionnels) sont identifiées et orientées pour appuyer les ASBC dans la diffusion des pratiques optimales d’ANJE et contribuer à la levée des barrières.
D’ici fin 2022 au moins 35 839 ASBC sont outillés en kits de démonstration culinaire et en boîtes à image pour animer des sessions de groupes d’apprentissage de femmes enceintes et de mères d’enfants âgés de 0 – 23 dans le cadre de la mise en œuvre au niveau communautaire du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 63 fermes modèles sont créées au niveau des districts sanitaire pour servir de cadre de démonstration et de renforcement de capacité de 1 383 760 mères d’enfants 6 – 23 mois sur les activités de production vivrière améliorés (cultures maraîchères et l’arboriculture fruitière petit élevage).
D’ici fin 2022 630 promotrices de production vivrière sont formées dans la gestion de 63 fermes modèles pour assurer le transfert de compétences en direction des GASPA.
92 251 sessions de formation en direction de 1 383 760 mères d'enfants âgés de 6 - 23 mois à travers les Groupes d’Apprentissage et de Suivi des Pratiques optimales d’ANJE sont organisées sur les techniques de production vivrière améliorés
D’ici fin 2022 691 880 mères d’enfants âgés de 0 – 23 mois sont appuyées selon un système de transfert monétaire pour mettre en œuvre leur plan d’action de conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage).
D’ici fin 2022 l’accessibilité des farines infantiles enrichies aux enfants des zones les plus vulnérables (milieu rural zone péri- urbaine) est améliorée par la création de 1260 points de vente à travers le pays.
D'ici 2016 le Burkina Faso dispose d'une stratégie d'extension de la fortification à domicile sur la base de la conduite d'une phase pilote au niveau de la région du Nord.
Au moins une campagne de mass média est organisée annuellement en lien avec la célébration avec la semaine mondiale d’allaitement maternel.
D’ici fin 2014 le Burkina Faso dispose d’un kit d’outils de formation pratiques des prestataires de santé sur l’ANJE qui intègre (1) le guide pratique du formateur (2) et le manuel du participant
D’ici 2015 les curricula de formation du personnel de santé en pré-emploi intègrent la promotion des pratiques optimales d’ANJE.
D’ici fin 2014 le Burkina Faso dispose d'un pool national de formateurs sur l'ANJE de 25 membres intégrant les agents de la DN.
D’ici fin 2018 le Burkina Faso dispose de 13 pools régionaux de formateurs sur l'ANJE de 65 membres pour appuyer les formations décentralisées.
D’ici fin 2023 au moins 5 456 prestataires de santé des formations sanitaires du Burkina Faso sont formés pour jouer leur partition dans la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici 2022 6 000 aide-mémoire pratiques des prestataires de santé pour la délivrance du paquet intégré des services d'ANJE sont mis en place dans les 1 728 formations sanitaires.
D’ici 2022 des outils d’institutionnalisation et de suivi des dix conditions pour le succès de l’allaitement maternel au niveau des services liés à la maternité sont mis en place dans les 1 728 formations sanitaires.
L’arrêté de 1993 d’application du code international de substitut du lait maternel a été revu par un comité de relecture et adopté par le Parlement.
Un comité de vulgarisation et de surveillance de la version revue de l’arrêté d’application du code internationale des substituts du lait maternel est mis en place et produit semestriellement un rapport sur les violations du code et les actions correctrices.
Des aspects d’application du code international des substituts du lait maternel sont intégrés dans les outils de formation des prestataires de santé sur l’ANJE.
D’ici fin 2015 les aspects de gestion de l’ANJE dans les situations difficiles (VIH urgences) sont effectivement pris en compte dans par leur intégration dans le kit d’outils de formation pratiques sur l’ANJE validés et adoptés au niveau national.
D’ici fin 2015 le Burkina Faso adopte une position tranchée conforme aux recommandations de l’OMS 2010 au sujet de l’alimentation des enfants nés de mères séropositives par rapport au niveau d’accessibilité ou non du traitement préventif ARV chez la mère et l’enfant au cours de la grossesse et après la naissance.
D’ici fin 2015 le plan national de contingence multirisques de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d’ANJE.
Kit d’outils de formation des acteurs communautaires développés d'ici fin 2013.
Outils développés
L'atelier de validation et d'adoption organisé en 2013
Reproduction annuelle de 2000 Guides du formateur des agents communautaires sur l'ANJE 5000 Manuels de l’agent communautaire entre 2014 et 2019
5000 Aide-mémoires reproduits annuellement entre 2014 et 2019.
90 agents des ONG-RENCAP formés à travers 6 sessions de formation entre 2013 et 2018.
468 agents d’OBCE formés travers 19 sessions de formation entre 2013 et 2018
1543 diagnostics de base suivis de restitution aux communautés ciblées réalisés dans les aires communautaires des formations sanitaires (CMA CM et CSPS) d'ici 2023.
35 839 agents de santé communautaire ou autres agents communautaires formés à travers 1473 sessions de formation entre 2013 et 2022
35 839 personnes ressources volontaires orientés à travers 1434 sessions d’orientation sur l’utilisation des aide-mémoire entre 2013 et 2022
Au moins 143 356 Outils PRV reproduites d'ici 2022
35 839 boites à images et de kits de démonstration culinaires mis en place au niveau communautaire.
100% des femmes enceintes sont identifiées pour recevoir les services d’ANJE (2) 100% des mères d'enfants 0 – 23 mois sont identifiées pour recevoir les services d’ANJE. (3) Au moins 194 298 groupes d’apprentissage des femmes (soit 15 femmes par groupe) sont constitués.
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des femmes enceintes sont réalisées (soit 67 352 séances réalisées sur 74 835 planifiées mensuellement).
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des mères d’enfants 0
– 23 mois sont réalisées (soit 107 517 séances réalisées sur 119 463 planifiées mensuellement).
D’ici fin 2022 au moins 80% des femmes enceintes attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 898 015 présences sur les 1 122 519 attendues).
D’ici fin 2022 au moins 80% des mères d’enfants 0 – 23 mois attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 1 433 559 de présence sur les 1 791 949 attendues).
D’ici fin 2022 au moins 80% des dialogues communautaires planifiés trimestriellement par les personnes ressources volontaires sont réalisées en direction des cibles secondaires (maris grand mères leaders communautaires) (soit 278 176 réalisées sur 347 720 planifiées trimestriellement).
16 412 activités de mobilisations sociale autour des pratiques optimales d’ANJE semestriellement d'ici 2023 au niveau l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées.
16 412 activités de mobilisations sociales autour des pratiques optimales d’ANJE au niveau de l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées sur la base d’un paquet minimum d’appui financier
Pourcentage de réalisation des missions de supervision des OBCE en direction des ASBC en collaboration avec les ONG réalisées.
Pourcentage de réalisation des missions de supervision des prestataires de santé en direction des sites communautaires de mise en œuvre du PISA en collaboration avec les ONG partenaires des districts sanitaires.
Reproduction de 2000 guide du facilitateur et 5000 manuels du participant annuellement entre 2014 et 2022
Guide et manuel sur les techniques d'activités de production vivrière améliorée.
63 fermes modèles mis en place entre 2014 et 2022.
630 promoteurs de production vivrière formés entre 2014 et 2018.
1 383 760 mères d’enfants 6 – 23 mois sur les techniques de production vivrière améliorée entre 2014 et 2022
691 880 mères d'enfants âgés de 6 - 23 mois bénéficient de transfert monétaire pour exécuter leur plan d'action de production vivrière améliorée (maraîchage ou petit élevage)
1 260 points de vente de farines infantiles enrichies et/ou bouillies enrichies au niveau des districts sanitaires entre 2014 et 2022
Au moins une campagne de marketing sociale sur les farines infantiles enrichies organisée annuellement entre 2014 et 2022
Produire annuellement 5000 guides français et 5000 guides en langue locale de recettes locales par an entre
La phase pilote sur la fortification à domicile est effectivement réalisée évaluée.
Atelier effectivement tenu en 2016.
Un plan d'extension de la fortification à domicile élaboré sur la base des leçons apprises de la phase pilote de fortification à domicile.
Existence du plan stratégique de communication pour la mise en œuvre du PISA
90% des activités planifiées dans le plan stratégique de communication pour la mise en œuvre du PISA sont financés et réalisées
Au moins une activité de plaidoyer organisée annuellement sur les sujets prioritaires en rapport avec les interventions d'ANJE
Au moins une campagne de communication sur l'ANJE réalisée annuellement en lien avec la célébration de la semaine mondiale d'allaitement maternel
Existence du kit d'outils de formation sur l'ANJE à partir de 2013.
L'atelier de validation et d'adoption organisé en 2013
Reproduire annuellement 1000 guides du formateur et 2000 manuels du prestataire de santé sur l'ANJE entre 2014 et 2022.
Une session de formation d'un pool national de formateurs sur l'ANJE de 25 membres organisée en 2014
8 sessions de formation au profit de formateurs régionaux sur l'ANJE constitué chacun de 10 membres au niveau de chaque région du Burkina Faso
5436 prestataires de santé formés à travers 217 sessions de formation entre 2013 et 2018 au niveau des districts sanitaires du Burkina Faso
Outils développés et mis en place au niveau des services de maternité
1000 aide-mémoires reproduits annuellement entre 2014 et 2019.
Des sessions d'orientation sur l'ANJE sont organisées annuellement en direction du personnel enseignant et des prestataires en fin de cycle de formation en pré-emploi entre 2014 et 2016. (2) - Un atelier est organisé pour étudier les modalités de renforcement des services d'ANJE dans le curriculum de formation des agents de santé en pré-emploi à partir de 2017.
Au moins 90% des missions d'appui et de supervision des Equipes cadres de districts sanitaires en direction des prestataires de santé des formations sanitaires planifiées annuellement sont réalisées.
Au moins 90% des missions d'appui et de supervision de la Direction de la Nutrition en direction des districts sanitaires et des hôpitaux en collaboration avec le pool national de formateurs ANJE les équipes régionales et les partenaires techniques planifiées annuellement sont réalisées.
Le comité existe et est fonctionnel.
Tenue de l'atelier de validation de la revue de l'arrêté d'application du code international de commercialisation des substituts du lait maternel tenu avant fin 2016
Tenue de la session de plaidoyer avant fin 2015.
Le mécanisme existe et est fonctionnel d'ici 2017 (2) l'arrêté est diffusé et vulgarisé d'ici 2017
le mécanisme existe et est fonctionnel d'ici 2017 (2) au moins 2 sorties sont réalisées par an.
Un atelier national d'affinement des recommandations actuelles au sujet de l'alimentation des enfants nés de mères séropositives est organisé d'ici fin 2014.
5000 boites à images révisées sont reproduites annuellement entre 2015 et 2020
Existence au moins d'un module consacré à la gestion de l'ANJE dans les situations difficiles (Urgence VIH)
D'ici 2015 le plan national de contingence multirisque de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d'ANJE
Au moins 200 agents humanitaires présetes au Burkina Faso sur la gestion de l'ANJE dans les situations d'urgence d'ici 2015.
Les plans de réponses aux urgences du système des Nations Unies intègrent au moins un axe stratégique sur la gestion de l'ANJE avec un budget associé à partir de 2014.
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia|Minimum acceptable diet|Dietary practice|Fruit and vegetable intake|Fruits|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food safety|Food security and agriculture|Health related|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202014%20Plan%20de%20passage%20%C3%A0%20l%27echelle%20ANJE.pdf" "36100","ISL","Iceland","","Action plan to reduce the prevalence of obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Icelandic","","2013","","","Ministry of Welfare","2","2013","","","","","Health|Education and research|Social welfare|Finance, budget and planning|Transport|Trade|Sub-national|Other","Office of Medical Director for Health","World Health Organization (WHO)","","","","","","","","National NGOs","VIRK; Icelandic Medical Association; Association of Icelandic Physiotherapists; Icelandic Sports Academy Association","Research/academia","Landspítali University Hospital; University of Iceland; Faculty of Health Sciences.","","","Other","Laboratory of Nutrition; Health Care Centers and Health Care Providers; Media; Food Industry","Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
Objetivo geral
Orientar e estimular, por meio de estratégias intersetoriais, ações para a prevenção e controle da obesidade na população brasileira, promovendo a alimentação
adequada e saudável e a prática habitual de atividade física.
Objetivos específicos
A Estratégia Intersetorial de Prevenção e Controle da Obesidade: promovendo modos de vida e alimentação adequada e saudável para a população brasileira
será implementada considerando as seguintes diretrizes:
Objetivos
Objetivo General
Prevenir y reducir las deficiencias de micronutrientes en la población colombiana, con énfasis en niños y niñas hasta 12 años, gestantes y mujeres en edad fértil.
Objetivos Específicos
a. Fortalecer acciones prioritarias en salud como ventana de oportunidad para la prevención de la deficiencia de micronutrientes.
b. Promover la diversificación de la alimentación con la combinación de alimentos variados, nutritivos, propios de las regiones y en cantidades adecuadas que permitan el aporte de nutrientes sugerido para la edad y estado fisiológico de la población.
c. Fomentar otros procesos de fortificación de alimentos con el fin de contribuir al control de las deficiencias ya identificadas en la población.
d. Establecer lineamientos que orienten la biofortificación o fortificación biológica de los alimentos como una solución innovadora para abordar la desnutrición por micronutrientes de una manera sostenible.
","1. DIVERSIFICACIÓN DE LA ALIMENTACIÓN
Estrategias generales para diversificar la alimentación
2. FORTALECIMIENTO DE ACCIONES PRIORITARIAS: Pinzamiento del cordón umbilical cuando este deje de latir - Lactancia materna y Alimentación complementaria - Desparasitación
a. Hacer pinzamiento del cordón umbilical cuando este deje de latir.
b. Fortalecimiento de la Lactancia Materna y la alimentación complementaria.
c. Desparasitación - Quimioterapia preventiva antihelmíntica.
3. FORTIFICACIÓN
a. Fortificación de alimentos de consumo masivo
b. Fortificación de alimentos específicos
c. Fortificación casera con micronutrientes en polvo
4. BIOFORTIFICACIÓN O FORTIFICACIÓN BIOLÓGICA DE ALIMENTOS.
5. SUPLEMENTACIÓN CON MICRONUTRIENTES
","El seguimiento a la implementación de la diversidad alimentaria es una necesidad si se desea tener una idea clara de los resultados e impactos de los programas sobre las metas nutricionales, incluyendo, la disminución en la prevalencia de la deficiencia de micronutrientes. Para ello se han planteado diferentes indicadores que permiten identificar no solo la adecuación de nutrientes en una variedad de grupos de población y contextos, sino del potencial de diversificación de la dieta a nivel del hogar.
En forma general, la diversidad de la dieta se mide considerando el número de alimentos o grupos de alimentos que se consumen durante un periodo de referencia. El período de referencia por lo general oscila entre uno y tres días, pero también se encuentran estudios donde han empleado periodos hasta de 15 días (Drewnowski et al. 1997). En países desarrollados se emplea el recuento de alimentos (Krebs-Smith et al. 1987) o el número de porciones de los diferentes grupos de alimentos según lo establecido por las guías alimentarias o las directrices dietéticas de cada país. De manera complementaria se han propuesto indicadores específicos, como el de puntuación de la dieta, de (Krebs-smith el al 1987) que asigna valor a los grupos según el número de porciones de los diferentes grupos de alimentos, de conformidad con las guías alimentarias. De igual manera se han propuesto medidas, estimadas en periodos de tiempo de tres días y que incluyen: variedad global o recuento simple de alimentos; una puntuación de variedad entre los principales grupos identificando número de alimentos específicos consumidos o una puntuación de variedad dentro de los principales grupos contando subgrupos.
","","","Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Complementary foods|Biofortifcation","","https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/SNA/Estrategia-nacional-prevencion-control-deficiencia-micronutrientes.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202014%20Estrategia%20Nacional%20para%20la%20Prevenci%C3%B3n%20y%20Control%20de%20las%20Deficiencias%20de%20Micronutrientes%20en%20Colombia.pdf" "24466","SOM","Somalia","","Somali National Micronutrient Deficiency Control Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","2016","","","2014","","","","","Health|Food and agriculture|Education and research|Social welfare","The Ministry should advocate and sensitize all stakeholders notably agriculture and other line ministries, institutions, development partners and industry on the national strategy on Micronutrient Deficiency Control and Management. It should pay particular attention to integrating micronutrient control into the health, nutrition, education, social welfare and other relevant programmes and the broader health care programs for women and children.","","","","","","","","","","","","","","","","","Goal: The overall goal of the National Strategy on Prevention and Control of Micronutrient Deficiencies (NSPCMD) is to improve the overall health, nutritional status, survival, growth, development and productivity of the population by preventing and alleviating micronutrient deficiencies.
Objectives:
To provide guidelines on interventions and actions for improved access and affordability to micronutrients through increased consumption of micronutrient rich foods, fortified foods and supplements and compliance to micronutrient guidelines and regulations
To provide a common platform for resource mobilization for the implementation of the national micronutrient deficiency prevention and control programmes
To promote efficient implementation and programme delivery of micronutrient interventions that can create impact among the marginalized through improved planning, capacity development, monitoring, coordination and collaboration of partners in the country
To improve knowledge, awareness and utilization of micronutrient deficiency control interventions through advocacy, social mobilization and behavior change communication
To strengthen research and monitoring and evaluation of National Micronutrient Deficiency Prevention and Control programmes in the country
","Micronutrient Priority Areas of Action
Vitamin A
1. Strengthening VAC supplementation strategy for children aged 6-59 months, especially those living in hard-to-reach areas and moderately malnourished children.
2. Revisiting existing policy for post-partum VAC supplementation programme in the context of recent WHO recommendation.
3. Reinforcing compliance by private sectors as key players in the vitamin A fortification program.
Iodine
1. Revising existing Salt Law to implement the use of iodized salt in livestock and processed food.
2. Declaring USI as a programme of national importance and intervening in a mission mode (Salt Mission).
3. Transforming USI project into a sustainable programme and mainstreaming USI activities within NNS.
4. Initiating a Market Intervention Operation (MIO) to determine the right price for consumers.
5. Introducing iodized salt into safety net programmes.
6. Taking strong administrative action against non-performing mills.
7. Imposing restriction on import of refined edible salt, with proper quality checks and with the exception of emergency situations.
Iron
1. Reviewing policy on IFA supplementation guidelines for adolescent girls and NPNL women; consider adding other micronutrients to supplements.
2. Considering policy on multiple micronutrient supplementation during pregnancy.
3. Need based targeted MNP supplementation programme for young children aged 6-23 months.
Zinc
1. Developing and implementing policy on rice fortification with zinc as one of the multiple micronutrients for the poorest group through government safety net programmes and other groups (open market sale, rationing, etc.).
2. Considering bio-fortification of rice with zinc for mass populations.
Vitamin B12
1. Considering possibility of adding animal source foods in appropriate form for vulnerable groups through safety net and food security programme. This can also increase consumption of other micronutrients, such as vitamins A, D, B12, iron and zinc.
Vitamin D and Calcium
1. Developing and implementing policy on food fortification with vitamin D (such as edible oil – consider double fortification).
2. Strengthening calcium supplementation during pregnancy, as per WHO guideline.
","See Table 16 and Table 17, pages 72 and 73
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Nutrition in the school curriculum|School gardens|Vitamin A|Calcium|Iodine|Iron and folic acid|Vitamin D|Zinc|Micronutrient powder for home fortification|Food fortification|Nutrition education|Rice|Food grade salt|Edible oils and margarine|Biofortifcation|Deworming|Food security and agriculture|Home, school or community gardens|Vulnerable groups","","http://iphn.dghs.gov.bd/wp-content/uploads/2016/01/NMDCS-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202015%20National%20Strategy%20on%20prevention%20and%20control%20of%20micronutrient%20deficiency.pdf" "36190","BRB","Barbados","","National Plan of Action for Childhood Obesity Prevention and Control","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2018","","","2015","Adopted","","2014","MoH","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Sport|Urban planning|Trade|Information|Other","Ministries: Health, Education, Agriculture, Trade, National NCD Comission, National Nutrition Center (NNC), Inter Ministerial Committee, Cabinet, Government Information Services","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","WHO, PAHO, FAO, Unicef, UN Women, WTO, UNDP, UNFPA","","","Japan International Co-operation Agency (JICA)","","European Union","","National NGOs","SCOs, Faith based organizations (FBOs), Parent-Teacher Association","Research/academia","","Private sector","Food producers, distributors, restaurants, marketing agents, media, service operators, food vendors","Other","Inter-American Institute for Cooperation on Agriculture (IICA), Barbados National Standards Institute, Healthy Caribbean Coalition (HCC), education facilitators, health professionals working in primary care and tertiary health institutions","Goal:
The ultimate goal is to reverse the upward trends in obesity by 5% by 2019
Objectives:
The broad strategies discussed and agreed in line with the PAHO Regional Plan of Action for the Prevention of Obesity in Children and Adolescents and the Barbados NCD Strategic Plan are as follows:
1. Strengthening Coordination and Management of Obesity Prevention
2. Strengthening Breastfeeding Practices
3. Promoting Physical Activity
4. Developing and Implementing Dietary Regulatory and Fiscal Policies
5. Implementing Health Promoting School Initiatives
","Full list of indicators/targets found in Results Framework on p. 16
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://gisbarbados.gov.bb/download/national-plan-of-action-for-childhood-obesity/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB%202015%20National%20Plan%20of%20Action%20for%20Childhood%20Obesity.pdf" "24707","BFA","Burkina Faso","","Plan de Renforcement de la Lutte Contre les Carences en Micronutriments","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2015","","2020","Ministere de la Sante","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Industry","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Helen Keller International (HKI)|Nutrition International|Terre des Hommes","","","","","","","","","","","","","","Objectif général
financements pour une mise en oeuvre efficiente de la lutte contre les carences en Contribuer à la réduction des carences en micronutriments au Burkina Faso d’ici 2020.
Objectifs spécifiques
Supplémentation médicamenteuse
La fortification à domicile
L’iodation universelle du sel
Education nutritionnelle
Renforcement du suivi et de l’évaluation des interventions
","Table Pages 44-45
","Outcome indicators","","Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Maize flours|Complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202015%20Plan%20contre%20les%20carences%20en%20micronutriments.pdf" "25715","HRV","Croatia","","Strateški plan za smanjenje prekomjernog unosa soli [Strategic Plan for Salt Intake Reduction]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","","2015","","2019","Ministry of Health","9","2014","Adopted","","2014","Ministry of Health","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Other","Ministry of Foreign Affairs and European Affairs; Central Bureau of Statistics","","","","","","","","","National NGOs","Croatian Society for Hypertension; Croatian Society for Atherosclerosis; Croatian Society for Public Health","Research/academia","Croatian Public Health Institute; Faculty of Medicine of the University of Zagreb","Private sector","Food Industry","Other","Croatian Initiative on Salt and Health (CRASH); Mass Media; Croatian Food Agency","VIZIJA: Stanovništvo Republike Hrvatske je umanjilo zdravstvene rizike povezane s prekomjernim unosom kuhinjske soli.
MISIJA: Sustavnim javnozdravstvenim intervencijama i međusektorskom suradnjom povećati razinu svijesti o optimalnom unosu kuhinjske soli uz posljedičnu promjenu navika cjelokupnog stanovništva i osiguranje preduvjeta u svim resorima društva za dostupnost i odabir hrane s manjim udjelom kuhinjske soli.
Cilj Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj jest postupno smanjivati unos kuhinjske soli u općoj populaciji Republike Hrvatske za prosječno 4% godišnje, sa sadašnjih 11,6 grama dnevno na 9,3 grama 2019. godine.
Temeljem iskustva i procjenom rezultata postignutih u drugim državama uz navedeno smanjenje unosa kuhinjske soli za oko 2 g na populacijskoj razini očekuje se značajno sniženje prevalencije arterijske hipertenzije i ostalih kardiovaskularnih i cerebrovaskularnih bolesti.
S obzirom na vodeće uzroke prekomjernog unosa kuhinjske soli definirani su sljedeći prioriteti:
Budući da preko 70% dnevnog unosa kuhinjske soli konzumiramo putem gotove ili polugotove hrane, cilj se mora ostvariti u suradnji s ugostiteljstvom i prehrambenom industrijom, naročito pekarskom jer se kruhom i pekarskim proizvodima unosi 30 - 40% kuhinjske soli.
","4.1 Analiza i planiranje
Mjera 1. Izrada plana smanjenja udjela kuhinjske soli u ugostiteljstvu i prehrambenoj industriji po pojedinim grupama hrane
Mjera 2. Praćenje troškova kroz istraživanje vezano za bolesti povezane s prekomjernim unosom kuhinjske soli
Mjera 3. Istraživanje o konzumaciji soli u Republici Hrvatskoj
4.2 Djelovanje prema proizvođačima i distributerima hrane
Mjera 1. Poticanje proizvodnje hrane s manjim udjelom kuhinjske soli u prehrambenoj industriji
Mjera 2. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i institucionalnim kuhinjama
Mjera 3. Uvođenje zakonske i podzakonske regulative sustava jasnog, jednostavnog, obveznog i dodatnog navođenja udjela kuhinjske soli na svim prehrambenim proizvodima.
4.3 Djelovanje prema građanima – posredno i neposredno
Mjera 1. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja
Mjera 2. Promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli
4.4 Monitoring i evaluacija
Mjera 1. Stalni nadzor i vrednovanje postignutih rezultata
The Whole School Approach to Healthy Lifestyle: Healthy Eating and Physical Activity Policy aims to:
The Ministry for Education and Employment has the lead responsibility for monitoring the implementation of this policy.
The package launched in October 2015, has three focus areas made up of 22 initiatives, which are either new or an expansion of existing initiatives:
The focus is on food, the environment and being active at each life stage, starting during pregnancy and early childhood.
The package brings together initiatives across government agencies, the private sector, communities, schools, families and whānau.
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Front of pack labelling|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|Nutrition education","","https://extranet.who.int/ncdccs/Data/NZL_B11_New%20Zealand%20Childhood%20Obesity%20Plan.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NZL%202015%20New%20Zealand%20Childhood%20Obesity%20Plan.pdf" "25770","TJK","Tajikistan","","Концепция улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан /Policy on improving child nutrition in educational facilities ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","2","2015","","","","","2015","Adopted","2","2015","Government of Tajikistan","Health|Food and agriculture|Education and research|Industry|Other","National Agency for Standards and Certification","World Food Programme (WFP)","","","","","","","","","","","","","","Other","Nutrition Institute of the Russian Federation","3. Цели и задачи улучшения школьного питания в Республике Таджикистан
15. Основными целями Концепции являются:
а) разработка Государственной и устойчивой национальной программы школьного питания с максимальным охватом в целях содействия достижению целей в следующих секторах: образование (качество образования, вовлеченность, посещаемость), социальная защита (особенно для наиболее уязвимых лиц), питание;
б) в условиях экономических и физических ограничений создание Программы школьного питания в соответствии с международными нормами по качеству, количеству и разнообразию питания, способствующего улучшению здоровья обучающихся в Республике Таджикистан;
в) вклад в устойчивое развитие, рост и конкурентоспособность агропромышленного сектора Республики Таджикистан посредством производства продуктов высокого качества и стимулирования продовольственных рынков;
г) вклад в страновой потенциал Республики Таджикистан и зашита от внутренних и внешних угроз продовольственной безопасности.
","16. Для достижения указанных целей необходимо решение следующих задач:
а) развитие соответствующей нормативной правовой базы для Национальной программы школьного питания по созданию эффективной системы управления и мониторинга Программы, а также сохранению качественных и количественных норм контроля за питанием, гигиеной и обслуживанием.
б) разработка рамочной программы бюджетирования, с учетом финансовой поддержки государства и частного сектора, включая местные, национальные и международные источники, способные обеспечивать финансовую устойчивость Программы школьного питания.
в) развитие потенциала местного пищевого производства, взаимосвязанного с Программой школьного питания, включая модернизацию производства и товаропроводящей инфраструктуры, основанной на современных технологиях.
г) поддержка и усиление взаимодействия партнеров на местном, национальном и международном уровнях с целью повысить уровень сотрудничества, диверсифицировать источники финансирования и увеличить возможности применения лучших практик для реализации и управления Программой.
д) продвижение Концепции здорового школьного питания на всех уровнях, включая гражданское общество.
","28. Первый этап (2015-2016 годы). На первом этапе осуществляется:
29. Второй этап (2017-2020 годы). На втором этапе осуществляется реализация Стратегии устойчивой национальной программы школьного питания путем:
30. Третий этап (после 2020 года). На третьем этапе осуществляется переход к самостоятельной реализации программ улучшения школьного питания в рамках ежегодно предусмотренных средств Государственного бюджета и за счёт других источников, не запрещённых законодательством Республики Таджикистан, завершается формирование современной отрасли школьного питания в соответствии с международными стандартами современных и эффективных программ школьного питания.
","Process indicators","","School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food security and agriculture|Food sovereignty","","http://moh.tj/wp-content/uploads/2017/08/pdf_4-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202015%20School%20Nutrition.pdf" "24689","BEN","Benin","","Directives nationales pour la surveillance de la croissance et du développement de l’enfant au Benin","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","6","2016","","","Ministère de la Santé/DIRECTION DE LA SANTE DE LA MERE ET DE L’ENFANT","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","Objectif général
Améliorer les pratiques de la surveillance de la croissance et du développement de l’enfant pendant et après la fenêtre d’opportunité des 1000 premiers jours de vie.
Objectifs Spécifiques
surveillance de l’état nutritionnel de la femme enceinte
surveillance de l’état nutritionnel chez la femme allaitante
surveillance de la croissance et le développement des enfants 0-24 mois
surveillance de la croissance et du développement de l’enfant après les 1000 premiers jours de vie
","
2.1. But
Contribuer à la réduction de la mortalité infantile à travers l’allaitement maternel.
2.2. Objectif général
Améliorer l’état nutritionnel des enfants de 0 à 24 mois, à travers la pratique adéquate de l’allaitement maternel d’ici fin 2020
2.3. Objectifs spécifiques
D’ici 2020 :
•Porter de 46,6 à 80% le taux de mise au sein dès la première heure de vie ;
•Porter de 41,4 à 60%, le taux d’allaitement maternel exclusif jusqu’à six mois ;
•Accroître de 45,5 à 70%, le taux d’allaitement maternel continu jusqu’à 24 mois en plus de la diversification alimentaire.
2.4. Objectifs intermédiaires
2.4.1. Chez les mères
D’ici 2020 :
1. Amener 90% des mères à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
2. Augmenter à 75% la proportion des mères qui adoptent un bon positionnement du nouveau-né au sein et une bonne prise de sein,
3. Porter à 75%, la proportion des mères qui pratiquent adéquatement la technique d’expression du lait maternel,
4. Augmenter à 60%, la proportion des mères qui jouissent de leurs droits relatifs à l’allaitement maternel au Bénin.
5. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
6. Amener 80% des mères à appliquer la Méthode Kangourou chez les enfants de faible poids de naissance (hypotrophe et prématuré) ;
7. Rendre disponible dans toutes les formations socio-sanitaires, les fiches techniques et les affiches sur l’allaitement maternel ;
2.4.2. Chez les membres de la communauté
8. Augmenter à 80%, la proportion des mères qui continuent l’allaitement maternel jusqu’à 24 mois en plus de la diversification alimentaire adéquate,
9. Amener 50% des membres de la communauté à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
10. Mettre en place au moins un groupe de soutien à l’allaitement dans chaque village ou quartier de ville.
2.4.3. Chez le personnel socio-sanitaire
11. Amener75% du personnel socio-sanitaire à avoir une bonne connaissance sur les avantages, les méthodes d’expression et de conservation du lait maternel ainsi que la durée de conservation,
12. Augmenter à 75%, la proportion du personnel socio-sanitaire qui donne des conseils adéquats sur l’AM lors des séances d’éducation individuelle et collective
13. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
2.4.4. Au plan administratif, politique et législatif
14. Renforcer les connaissances des différents acteurs (employeurs, agents socio-sanitaires, mères) sur les textes et les lois en faveur de l’AM.
15. Inciter à la révision et l’application des textes et lois en faveur de l’AM
","
I- STRATEGIES
Pour atteindre ces objectifs, les orientations stratégiques suivantes sont proposées :
process indicators: see pages 19-27
outcome indicators: see pages 30-34
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Regulation on marketing of complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20de%20Renforcement%20Alllaitement%20maternel.pdf" "39449","COG","Congo","","Strategie Nationale de Lutte Contre les Carences en Micronutriments 2016-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2020","Ministere de la Sante et de la Population","2","2016","Adopted","","2016","","Nutrition council|Health|Food and agriculture|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Other|The World Bank","Fonds Mondial","European Union","","National NGOs","","","","Private sector","la Minoterie du Congo (MINOCO)","","","BUT
Cette stratégie vise à contribuer à l’amélioration du statut nutritionnel des populations congolaises.
OBJECTIF GENERAL
Améliorer le statut en micronutriments des populations congolaises, en particulier, les femmes enceintes et allaitantes, les enfants et les adolescents.
OBJECTIFS STRATEGIQUES
2.5.1 Renforcement des cadres institutionnel, législatif, réglementaire et normatif de la lutte contre les carences en micronutriments
Actions prioritaires :
2.5.2 Supplémentation en micronutriments les enfants, les femmes enceintes et allaitantes
Actions prioritaires
2.5.3 Fortification des aliments de large consommation en micronutriments
Actions prioritaires :
2.5.4 Renforcement de la production des aliments riches en micronutriments
Actions prioritaires :
2.5.5 Mettre en œuvre des interventions de santé publique
Actions prioritaires :
2.5.6 Communication pour le développement
Actions prioritaires
2.5.7 Renforcer la Recherche appliquée en matière de lutte contre les carences en micronutriments
Actions prioritaires :
Renforcement des capacités des laboratoires de recherche
","See tables 5-8, pages 23-24
","","","Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|School gardens|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Staple foods|Refined sugar|Complementary foods|Biofortifcation|Nutrition & infectious disease|Food security and agriculture|Home, school or community gardens|Vaccination","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202016%20Strategie%20nationale%20en%20micronutriments.pdf" "25717","HRV","Croatia","","Nacionalna Strategija za Provedbu Sheme Školskog Voca i Povrca [National Strategy for the Implementation of School Fruit and Vegetable Scheme]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","8","2016","7","2017","Ministry of Agriculture","4","2016","Adopted","4","2016","Government of Croatia","Health|Food and agriculture|Education and research|Sport","","","","","","","","Other","European Agricultural Guarantee Fund (EAGF)","","","Research/academia","Croatian Institute for Public Health","Private sector","Local Agriculture Industry","Other","Elementary and Secondary Schools; Fruit and Vegetable Suppliers","POLAZNA OSNOVA, CILJEVI I SVRHA
U cilju poboljšanja prehrambenih navika djece i podizanja svijesti u široj javnosti o značaju zdrave prehrane u njihovom razvoju u osnovnim i srednjim školama u Republici Hrvatskoj provodi se Shema školskog voća i povrća.
CILJNA SKUPINA
Procjenjujemo da će u školskoj godini 2016./2017. u Shemi školskog voća i povrća sudjelovati blizu 450.000 učenika, oko 290.000 učenika osnovne škole i oko 160.000 učenika srednje škole, u oko 1.200 škola u Republici Hrvatskoj.
PRIHVATLJIVI PROIZVODI
Preporučena dnevna količina voća i povrća koja će se raspodijeliti djeci iznosi od 100 do 150 g po djetetu.
Listu prihvatljivog voća i povrća potvrdilo je Ministarstvo zdravlja i preporučilo dnevnu količinu voća i povrća po djetetu.
Glavni kriteriji pri odabiru voća i povrća su:
PRATEĆE MJERE
Kako bi se osigurala učinkovitost Sheme školskog voća i povrća među djecom u osnovnoj i srednjoj školi provodit će se neke od sljedećih pratećih mjera:
Sustavnom edukacijom djece kroz prateće mjere pridonijet će se:
MODALITETI DISTRIBUCIJE I POSTUPAK SELEKCIJE
Isporuka prihvatljivog voća i povrća će se obavljati najmanje jednom tjedno tijekom 35 tjedana nastavne godine. Dobavljači će isporučivati prihvatljivo voće i povrće u dane održavanja nastave u skladu sa školskim kalendarom.
Voće i povrće isporučeno u okviru Sheme školskog voća i povrća, škole će raspodijeliti učenicima osnovnih i srednjih škola najmanje jednom tjedno, kao zaseban obrok neovisan od obroka školske prehrane.
Dobavljači voća i povrća u okviru Sheme školskog voća i povrća odabiru se putem javnog poziva na temelju propisanih uvjeta.
Škole koje je potvrdilo Ministarstvo znanosti, obrazovanja i sporta za koje je poznat broj učenika po školi mogu sudjelovati u Shemi školskog voća i povrća i odabiru dobavljača s popisa dobavljača koji su udovoljili uvjetima javnog poziva.
Rezultati učestalosti potrošnje voća i povrća tijekom radnog tjedna pokazuju da veći postotak učenika svakodnevno konzumira svježe voće 49% nego svježe povrće 35%.
U odnosu na prošlu školsku godinu došlo je do povećanja konzumiranja voća i povrća u školi od 2% što se može pripisati provedbi Sheme školskog voća i povrća u školama.
Propósito:
Incrementar la práctica de la lactancia materna exclusiva y prolongada hasta los dos años, en el ámbito familiar y comunitario, contribuyendo a la salud integral de la niñez de El Salvador.
Objetivo:
Establecer las estrategias, mecanismos y acciones que favorezcan la promoción, protección y apoyo a la lactancia materna durante el período del 2016 al 2019.
","Actividades
Indicadores
Línea estratégica 3: Monitoreo y evaluación
Objetivo Específico:
Establecer mecanismos y acciones que permitan monitorear y evaluar la promoción, protección y apoyo a la lactancia materna.
Actividades e Indicadores
Monitoreo y evaluación del cumplimiento del plan estratégico intersectorial de promoción protección y apoyo a la lactancia materna.
Evaluación del cumplimiento del Código internacional de comercialización de sucedáneos de la leche materna.
Vigilancia a travès de auditorias permanentes de trabajo sobre la implementaciòn de las salas de lactancia materna y del cumplimiento de la hora de permiso por patrono
Actualización de la Inciativa de Hospitales amigos de la niñez y las madres
Acreditación de 10 nuevos hospitales como amigos de la niñez y las madres
1.1. მოსახლეობის ინფორმირება სურსათში ინდუსტრიული ტრანსცხიმების ადამიანის ჯანმრთელობაზე მავნე ზეგავლენის და ჯანსაღი კვების პრინციპებთან დაკავშირებით
1.2. ბიზნესოპერატორების ინფორმირება დაგეგმილ ცვლილებებთან ან და მათ მიერ შესაბამისი აქტივობების (ახალი რეცეპტურის დანერგვა, მომწოდებლების მოძიება და ხც.)განხორციელებასთან დაკავშირებით
2.1. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის, როგორც უვნებლობის მაჩვენებლის, ნორმირება: სურსათში ინდუსტრიული ტრანსცხიმების ნორმად განისაზღვროს 2 გრ ტრანსიზომერი 100 გრ მცენარეულ ცხიმზე გადაანგარიშებით
2.2. ჩვილ ბავშვთა კვების პროდუქტებსა და ბავშვთა კვების პროდუქტებში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში (სკოლა, საბავშვო ბაღი, სანატორიუმი, ბანაკი, სპორტული სკოლა, ბავშვთა სახლი, ბავშვთა გასართობი ცენტრი სამედიცინო დაწესებულება და ა.შ.) გამოყენებულ სურსათში ინდუსტრიული ტრანსცხიმების არსებობის აკრძალვა
3.3. ბავშვთა კვების პროდუქტებისა და ბავშვთა ორგანიზებულ კვების დაწესებულებებში გამოყენებული სურსათის კონტროლის განხორციელება ინდუსტრიული ტრანსცხიმების შემცველობაზე (როგორც ბაზარზე (მათ შორის საზოგადოებრივი კვების ობიექტში) განთავსებულ, ისე იმპორტირებულ სურსათში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში გამოყენებულ ურსათში)
3.2 Εκπόνηση µελετών και ερευνητικών προγραµµάτων
Κάθε δράση που αφορά σε θέµατα ασφάλειας τροφίµων και δηµόσιας υγείας οφείλει να βασίζεται σε επιστηµονικά δεδοµένα όπως αυτά προκύπτουν από άρτια σχεδιασµένες και ορθά εκπονηµένες µελέτες. Σε αυτό το πλαίσιο υλοποιήθηκαν δύο µελέτες:
General Objective
To prioritise policy options on food, physical activity and environment to combat obesity in Malaysia.
Specific Objectives
To prioritise hard policy options to combat obesity in Malaysia.
To prioritise soft policy programmes/ interventions to combat obesity in Malaysia
School Setting
Ban sales of food and beverages that are not encouraged to be sold in school canteen.
Ban marketing of unhealthy food/ beverages to children in print and fixed outdoor advertising within 50 metres of schools (media, bus stops, billboards)
Mandatory to provide free, clean and safe (water fountain/ dispenser) in schools, higher learning institutions and workplaces.
Improve provision of quality physical activity in educational settings (from preschool to tertiary level) including opportunities for physical activity before, during and after the formal school day.
Voucher for sport/physical activity equipment.
Mandatory employment of nutritionists in schools for each PPD employed by MOE.
Recognition shall be given to schools for organising physical activity
Institution of Higher Learning and Workplace Setting
Mandatory to sell/ provide fruits in food outlets in government agencies.
Encourage to sell/ provide fruits in food outlets in private sectors.
Mandatory for healthy food choices made available in workplace canteens and higher learning institutions.
Mandatory establishment of sports and welfare club at department and ministries in government agencies.
Encourage physical activity after working hours to government servants in government agencies.
Mandatory for every government servant to involve in physical activity.
Mandatory for government agencies to implement physical activity in every meeting/ seminar/ course that will set example to others.
Specific allocation for procurement of physical activity/ sport related materials, equipment and organising related events in every agency.
Healthy BMI as part of performance appraisal in the workplace.
Qualified physical activity instructor is placed in every agency to implement physical activity.
Promote work-life balance (work efficiently within working hours) in order to encourage employees to carry out physical activity.
General Population Setting
Increase consumption and access to affordable and fresh vegetables (including ulam) and fruits by increasing the number of Pasar Tani outlet.
Mandatory for cafeteria operators and caterers to be trained and certified on healthy food provisions and preparations (as a core module).
Banning television advertising of foods/ beverages high in fat and/ or high in sugar that is appealing to children.
Mandatory for vending machines to sell healthier food and beverages options in public places.
Mandatory to display nutrition information for all vending machines.
Mandatory to display prominently nutrition information on menus at food outlet (e.g.: fast food restaurants, franchise restaurants).
Excise and/ or GST on unhealthy foods (foods high in fats, salt and sugars) e.g.: sweetened creamer, condensed milk, sugar sweetened beverages (SSBs) carbonated drinks, juices, processed foods.
Impose extra charges for excess/ unfinished food taken in hotels/ restaurants (buffet).
Reduce import duty on fruits and vegetables.
Initiatives to reduce sitting time during working hours.
Increase availability of facilities in the community to promote physical activity and exercise in safe environment (e.g.: public parks, public sport complexes, jogging and cycling paths and public gymnasium).
Mandatory for local authority to provide cyclists and pedestrians safe and accessible sidewalks, walking path and cycling paths.
Implement public awareness activities to promote the benefits of physically active lifestyle.
To manage weight and health through skill building in parenting, meal planning and behavioural management through training courses.
Establish a weight management program for overweight and obese individuals in workplace settings.
Develop National Physical Activity Guidelines.
Every local authority has to organise Car Free Campaign once a month to create supportive environment for physical activity.
Provide parking space for bicycle in every station of public transportations.
Increase the limit of income tax deduction/ relief from RM300 to RM600 for procurement of on exercise equipment.
Tax deduction to employers (private sectors) on the expenses made for sports and physical activity equipment as defined in Sport Development Act to the employees.
Mandatory for local media to allocate more airtime/ advertisement space during appropriate time for promotion of physical activity.
Establish public-private partnership to promote healthy eating and physical activity
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Mandatory restriction of operating hours up to 12 midnight for all food outlets.
Mandatory to relocate street stalls to hawker centres for the purpose of ensuring opening time, food safety and healthier choices.
Reduce cooking oil subsidies.
Restrict the number of new food outlets including 24 hours food outlets within 400 metres radius of new resident areas.
Provide incentive (e.g.: provision of raw agricultural inputs, tax discounts for producers) for local production, processing and distribution or importation, and marketing of healthier food options.
Mandatory employment of nutritionists/ dietitians in major food outlets.
Every local authority to provide billboards, advertising space at Ministry of Youth and strategic sites for promotion of physical activity.
1. Vision and missions
Vision: To promote physical, mental and social health of entire students
Mission: Developing Health Promoting Schools for learning and working environment for all education families
Purpose of this strategy is to provide systematic framework to promote physical, mental and social health of entire students and promote healthy behaviour to prevent communicable and non-communicable diseases as well as determinants of health and risk factors to prevent diseases through comprehensive health promoting school approach
","Strategic 2: Improve health and well-being through health literacy and Services
This strategy is the key toward prevention and promotion of health in school settings that include school students, teachers, parents and community participation in children’s health and well-being, as well as provide multiple effects on health and sustainable development.
Based on standard of health promoting school, basic health services and health education need to be in place. To strengthen current promotion of healthy lifestyles, health literacy is emphasis
Four level of services based on the situation in each school;
Basic health services (minimum package) (BHS): mostly feasible in all school
without financial support
Basic health education and literacy on healthy behaviour (physical activity, diet, personal hygiene, awareness of tobacco products and alcohol consumption, etc.)
Promote physical activity and active life-style to reduce NCD risk factors, and sustainable development
Prevention of infectious disease through improving hygiene include oral health and menstrual hygiene
Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
Prevent injury and develop the safety environment in/around school
Basic sanitation and waste management in school( Basic WASH facilities)
Basic life-skills education including reproductive health
Basic health promotion package plus (BHP+): including the “basic health services”
with additional items that are mostly feasible in all school with financial support
Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
Provide the school health service for improvement of overall health for students including parents, peer and community supports including address bullying and violence in schools
Prevent and control specific communicable diseases (HIV/AIDs, Dengue, TB, malaria, encephalitis, leprosy, etc.)
Intermediate package with advancement (IPA): including the implementation of all the
basic school health services, other health promotion package, and select these objectives based on the school/community situations and resources
Oral Health Check-up by dentist
Eye check-up byotolaryngologist
Reproductive health and gender equality
Prevent alcohol and substance abuse
Advance stage of school health services (ASH): depend on resource and needs in
each school the following activities can be integrated to response to specific needs.
As the country still have low capacity on counselling and psychosocial support for schools, mental health issue required more advance steps to advocate for human resources, training, research, and active participations of students to address mental health issue in schools.
Mental health including suicide prevention, screening and treatment of mental health related problems.
Strengthen school resilience for climate change and disaster preparation
Whole-school approach:
Based on the Myanmar students’ health concerns reported in recent surveys GYTS and GSHS, whole-school approach need to be adopted to address high priorities health issues namely tobacco and alcohol consumption, bullies, carbonated and sugary added drinks, and injuries.
Whole-school approach is proven to be most effective to change behaviour and address
factors hazardous to health. Strategically, comprehensive school health should address the
immediate health issues by:
…
Call for healthier schools
Make it school policy to control sale and distribution of carbonated sugary drinks in school
Remove sugar added drinks in canteen or school dispensers in all occasion (especially in school events)
Health education to students and parents on effects of carbonated sugary drinks
Conduct health literacy on healthy and nutritious food and beverages
…
Partnership with community to generate secure, safe, healthy environment for children inside and outside school boundary
Community plays crucial roles in protection and safe guard school environment both inside and outside the boundary. Major activities may include
Coordination with communities to create secure, safe, and healthy environment for students of all ages
Community leaders could be part of school health committee to share their view, learn and contribute to building safe, protective, and healthy environment for children. Community involvement in school food gardening or building safe playground is common in many countries. Positive impacts from community engagement also include child’s watch programme to prevent bully and violence; to stop selling of alcohol, cigarette, drugs and substances to students; to zone out selling of unhealthy products such as carbonated drinks, high sugar content beverages and snacks, as well as to introduce speed limit around the schools, street crossing regulation, and other preventions of traffic accident, injuries and disability prevention.
...
Major Activities
...
2.2.4 Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
2.3.1 Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
…
Recommendations for School Level Implementation
A. List of Facilities and Equipment in school
...
Activities and services: Facilities
Equipment and costing
Basic health promotion package plus (BHP+)
Promote healthy diet and nutrition (reduce obesity and address double burden of malnutrition)
School feeding:
- foodstuffs, kitchen, drinking water, cooking materials, cook
Health check-up (height and weight) and assessment and feedback of their nutritional condition
height and weight scale
Student medical examination
record cards recording sheet
Gardening / plant cultivation in school for nutritional improvement
farmland, farming material, seed, irrigation water, organic fertilizer
Calculation of energy intake and consumption.
information for the calculation
Healthy lunch box guide and demonstration
Healthy lunch box examples
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
text book/ charts
…
Objectives:
...
4. Promote healthy diet and nutrition (reduce obesity and address double burden of malnutrition)
Beneficial/target groups:
Kindergarten and primary school children
Recommended activities and services needed
- School feeding if possible, by the supports of donors
- Health check-up (height and weight) and assessment and feedback of their nutritional condition
- Student medical examination record cards
- Gardening / plant cultivation in school for nutritional improvement
Suggested Strategies for school level policy or administration:
Develop the school lunch/feeding program based on the socioeconomic analysis of school and community
Strengthen the Health check-up system including record sheet management.
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
Beneficial/target groups:
Secondary school students
Recommended activities and services needed:
- Health check-up (height and weight) and self-assessment their nutritional condition
- Calculation of energy intake and consumption.
Suggested Strategies for school level policy or administration:
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
Beneficial/target groups:
Teachers and parents
Recommended activities and services needed:
- Healthy lunch box
- School canteens programme
- regulation of school canteen about selling foodstuffs and food safety measures
Suggested Strategies for school level policy or administration:
Education on healthy lunch box and screening of food handlers at home and in school
","C. Recommended checklist for School implementation
HPS Activities implementation status in school
...
Nutrition and School feeding program
% of children who receive the school feeding program
How many days dose SFP conduct in school
note/scale
% of children times/y
…
I. Goal and Implementation index
General Indicator
General indicator of children's health improvement 2013-14 2017 2018 2019 2020 2011 2022
Health check up
Rate of overweight / obese children by age and gender: 2013-14 (3.4%); 2020 <3%; 2022 <2%
Rate of thin or malnutrition children by age and gender: 2020 <10%; 2022 <7%
","","","Overweight in school children|Dietary practice|Sugar intake|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens","","http://mohs.gov.mm/su/hzqTZG","","","" "39764","PRT","Portugal","","Estratégia Integrada para a Promoção da Alimentação Saudável (EIPAS) [Integrated Strategy for the Promotion of Healthy Eating]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Portuguese","","2017","","","Finanças, Administração Interna, Educação, Saúde, Economia, Agricultura, Florestas e Desenvolvimento Rural e Mar","12","2017","Adopted","12","2017","Despacho n.º 11418/2017, Diário da República, 2.ª série — N.º 249 — 29 de dezembro de 2017","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry","Finanças, Administração Interna, Educação, Saúde, Economia, Agricultura, Florestas e Desenvolvimento Rural e Mar","","","","","","","","","National NGOs","","","","","","","","","6. Стратегия предусматривает поэтапное расширение охвата системой школьного питания общеобразовательных учреждений в зависимости от экономических возможностей, социального и демографического развития Республики Таджикистан и отдельных регионов.
7. Стратегия разработана с учетом возможности предоставления бесплатного питания детям из необеспеченных семей и частичного софинансирования стоимости школьного питания для семей с низким уровнем доходов.
28. Реализация стратегии будет осуществляться в соответствии с целями, задачами и основными направлениями развития системы школьного питания, определенными в концепции улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан.
29. Целью стратегии является обеспечение условий для сохранения и укрепления здоровья и совершенствования образовательных результатов учащихся через устойчивое развитие школьного питания в Республике Таджикистан.
30. Для обеспечения устойчивого развития школьного питания в Республики Таджикистане требуется решение следующих задач:
31. Решение предусмотренных настоящей стратегией задач осуществляется путем разработки и реализации краткосрочных, среднесрочных и долгосрочных программ, пилотных проектов и иных мероприятий по отдельным направлениям реализации настоящей стратегии
","32. Основными направлениями действий по совершенствованию государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
46. На первом этапе (2017 - 2018 годы) осуществляется формирование базовых условий, необходимых для развития системы школьного питания в Республике Таджикистан и решения задач, определяемых настоящей стратегией:
47. На втором этапе (2019 - 2020 годы) осуществляется:
49. На третьем этапе (2021 - 2026 годы) осуществляется:
38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
In het Nationaal Preventieakkoord staan maatregelen tegen overgewicht en obesitas. Enkele maatregelen die in het preventieakkoord staan:
Schijf van Vijf en de gezonde keuze Het eten van producten uit de Schijf van Vijf is de basis van een gezond voedingspatroon. Het eten van groenten, fruit, volkoren producten en het drinken van water maakt hier in belangrijke mate onderdeel van uit.
We spreken gezamenlijk de volgende ambities uit:
Om bovenstaande ambities te bereiken dragen we allen bij aan het behalen van de volgende doelen in 2040:
BÖLÜM 3. BESLENME DOSTU OKULLAR PROGRAMI DENETİM ESASLARI
...
1. Beslenme Dostu Okul Planı hazırlamak için “Okul Sağlığı Yönetim Ekibi” bulunmaktadır
...
5. Okul çağı çocuklarının gereksinimlerine ve kültürel yapıya uygun bir beslenme eğitimi öğretim programları doğrultusunda etkin bir şekilde verilmektedir
...
B) EĞİTİM FAALİYETLERİ VE FARKINDALIĞIN ARTIRILMASI ( 20 PUAN )
1. Sağlıklı beslenme ve hareketli yaşam konularında sınıf içinde münazara ortamı yaratılmakta, akran eğitiminden yararlanılarak öğrencilerin birbirlerini eğitmelerine ve beslenme konularını birlikte tartışmalarına zemin hazırlanmaktadır
...
4. Velilere yönelik sağlık, sağlıklı beslenme, hareketli yaşam vb. konularda bilgilendirme çalışmaları yapılmaktadır
...
5. Okul çalışanlarına sağlık, sağlıklı beslenme, hareketli yaşam vb. konularda eğitim verilmektedir
...
C) OKUL SAĞLIĞI HİZMETLERİ
1. Öğrencilerin boy/kilo ölçümleri yılda en az bir kere yapılmakta ve sonuçlar öğrenci ve velilerle paylaşılmaktadır
...
2. Risk grubundaki (zayıf, fazla kilolu, şişman) öğrenciler velileri ile görüşmeler/bilgilendirme faaliyetleri yapılarak sağlık kuruluşlarına yönlendirilmektedir
...
D) DESTEKLEYİCİ OKUL ÇEVRESİ OLUŞTURMA VE FİZİKİ KOŞULLAR ( 44 PUAN )
1. Sağlıklı beslenme ve hareketli yaşam konularında doğru mesajlar var ve bu mesajlar okul içi uygun yerlerde (sınıf panoları, koridor panoları vb.) sergilenmektedir
...
7. Öğrencilerin ara öğün yapmaları teşvik edilmekte ve ara öğün içerikleri öğretmenlerce/ilgili uzmanlarca kontrol edilmektedir
...
8. Okul çevresinde hizmet veren yiyecek/içecek satışı yapan yerlerin denetlenmesi ve kontrolü için rutin aralıklarla ilgili kurumlardan destek alınmaktadır
...
9. Güvenli hijyen ve sanitasyon davranışı desteklenmektedir
...
11. Okulun yemekhane/taşımalı yemek hizmeti yoksa 12. maddeye geçilir, varsa a,b,c,d maddeleri puanlanır
...
b. Menüler Sağlık Bakanlığı’nın yayımladığı menü modelleri örnek alınarak hazırlanmaktadır
...
d. Okuldaki yemekhane ortamları, yiyecek-içecekler ve yiyecek-içecek hizmeti sunanların faaliyetleri ilgili mevzuatlara uygundur
...
12. Okulun kantini/kooperatifi varsa a,b,c,d,e maddeleri puanlanır
a. Okul kantin/kooperatifinde; süt ve/veya ayran ve/veya yoğurt satışı yapılmaktadır
b. Okul kantin/kooperatifinde; tane ile meyve/sebze ve/veya taze sıkılmış meyve/sebze suyu satışı yapılmaktadır
c. Yetersiz ve dengesiz beslenmeye neden olabilecek yiyecek ve içeceklerin tüketimini özendirici reklam, promosyon, tanıtım amaçlı afiş, poster, broşür bulunmamaktadır ve bu ürünlerin satışı yapılmamaktadır
...
d. Okuldaki kantin/kooperatif ortamları, yiyecek-içecekler ve kantin/kooperatif hizmeti sunanların faaliyetleri ilgili mevzuatlara uygundur ( 2 puan )
...
","","","","","Overweight in school children|Fat intake|Sugar intake|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 meal standard|Monitoring of children’s growth in school|Promotion of fruit and vegetable intake|Creation of healthy food environment|Physical activity and healthy lifestyle|Food safety|Improved hygiene / handwashing","","https://hsgm.saglik.gov.tr/tr/okul-sagligi/beslenme-dostu-okullar-program%C4%B1.html ","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUR%202018%20Beslenme%20Dostu%20Okullar%20Programi.pdf" "39760","PYF","French Polynesia","","Programme d’actions Polynésien sur l’alimentation équilibrée et la pratique d’activité physique 2019-2023","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2019","","2023","Ministère de la santé et de la prévention en charge de la protection sociale généralisée-Direction de la santé","","2019","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Trade|Industry|Information|Labour|Other","Communes","","","","","","","","","National NGOs","Associations","","","Private sector","","","","Objectif général :
- Lutter contre le développement des MNT sur l’ensemble de la population en Polynésie française
Objectifs spécifiques :
- Développer des modes alimentaires sains pour la santé
Objectifs opérationnels :
- Agir sur la réglementation pour développer un environnement alimentaire sain
- Promouvoir la qualité nutritionnelle des produits locaux
- Réglementer la distribution et commercialisation des produits dont la surconsommation est néfaste pour la santé
- Poursuivre les campagnes d’informations concernant l’alimentation équilibrée
","
II.2. AXE 2 : Actions spécifiques sur l’alimentation équilibrée
- Le progrès nutritionnel
- L’alimentation de base
- La réglementation
Detailed indicators by action area can be found in tables p61-97
","Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Household food security|Home, school or community gardens|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B23_2019-02-12-Programme AEAP.pdf","","WHO 2019 NCD Country Capacity Survey","" "82178","TTO","Trinidad and Tobago","","National Breastfeeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","8","2020","","","Ministry of Health","8","2020","","","","","Health|Education and research|Women, children, families","Ministry of Health; the Breastfeeding Committees; Regional Health Authorities; the Breastfeeding Association of Trinidad and Tobago; the Directorate of Women’s Health; the Directorate of Health Policy, Research and Planning","","","","","","","","","National NGOs","","","","","","","","3.4 Goal of the Policy
The goal of the policy is to reinvigorate and reinforce a breastfeeding culture aimed at promoting breastfeeding from birth and improving infant and young child feeding practices for the attainment of a target of at least 50% of babies exclusively breastfed in Trinidad and Tobago by 2025.
3.5 Objectives of the Policy
3.6 Policy Scope and Coverage
This Policy applies to all stakeholders in the private and public sectors of Trinidad and Tobago offering services and products related to breastfeeding. This includes relevant health care staff and family support, the community and NGOs, civil society and other support groups, and manufacturers and marketing personnel employed in the sale and promotion of breast-milk substitutes and complementary foods using international standards.
The scope of this policy is as follows: -
Objetivo General
Incrementar el número de niñas y niños que son alimentados al seno materno desde su nacimiento y hasta los dos años de edad.
Objetivos Específicos
Metas
Ejes estratégicos
Fortalecer las competencias institucionales para la promoción, protección y apoyo de la lactancia materna
Ejes estratégicos
Impulsar la participación de la iniciativa privada en la promoción y apoyo a la lactancia materna
Ejes estratégicos
Vigilar el cumplimiento del Código Internacional de Comercialización de Sucedáneos de la Leche Materna
Eje estratégico
Fomentar la práctica del amamantamiento natural en los municipios de la Cruzada Nacional contra el Hambre
Ejes estratégicos
Eje transversal: Capacitación al personal de salud, estudiantes universitarios de áreas médicas y afines, así como a la población en general
Actividades
Seguimiento y Evaluación
Realizar la evaluación periódica de las acciones tanto de la estrategia como de su impacto. Gestionar la inclusión de los indicadores de práctica de lactancia materna en sus diversas modalidades de práctica en la Encuesta Nacional de Nutrición 2018. Desarrollar indicadores que midan el proceso y el impacto de la Estrategia Nacional. Gestionar la inclusión de estos indicadores en los diversos sistemas de información del Sistema Nacional de Salud.
Indicadores
Objetivo General
Promover comportamientos alimentarios adecuados y actividad física en la población salvadoreña, que contribuya a disminuir los problemas de malnutrición y las Enfermedades No Transmisibles (ENT), a través de acciones multisectoriales de educación, comunicación e incidencia social. A. Objetivos específicos: 1. Fortalecer la adopción de patrones alimentarios adecuados, para la prevención de la malnutrición y las ENT.
2. Promover la práctica de lactancia materna exclusiva y alimentación complementaria adecuada.
3. Fomentar la corresponsabilidad social, a través de acciones de incidencia y abogacía.
4. Fomentar la práctica de actividad física como un factor protector de la salud y de prevención de las ENT.
","Componente de la Estrategia Educativa
Plan de Implementación
La estrategia se realizará en dos fases: una preparatoria en la cual se elaborarán materiales, instrumentos, gestión de recursos y otros elementos necesarios para una adecuada gestión y la fase de implementación propiamente dicha.
1. Fase preparatoria
Se desarrollarán las siguientes acciones:
a) Consensuar con las instituciones participantes el Plan de implementación y los aportes y compromisos de cada una de ellas.
b) Definición de grupos de población a priorizar, áreas geográficas, alcance para la implementación de la Estrategia y el período de ejecución.
c) Gestión de recursos humanos y financieros para la implementación.
d) Socialización de la estrategia a tomadores de decisiones del Gobierno, titulares de las poblaciones meta terciarias, sector privado, parlamentarios, gobernadores y alcaldes.
e) Elaboración de módulos de contenidos educativos y materiales de apoyo para las acciones a realizar con las poblaciones meta primarias y secundarias.
f) Diseño de la Campaña de comunicación social con medios de comunicación:
2. Fase de Implementación de la Estrategia
Durante esta fase de desarrollarán las siguientes acciones:
a) Socialización de la estrategia a ejecutores.
b) Socialización de la estrategia a medios de comunicación.
c) Fortalecimiento de capacidades de los funcionarios participantes.
d) Capacitación de las poblaciones meta secundarias.
e) Implementación de las campañas en los medios de comunicación.
f) Desarrollo de acciones con las poblaciones meta primarias.
g) Movilización social.
","Monitoreo y Evaluación
La estrategia contará con un sistema de monitoreo y evaluación, el cual considerará los Planes de monitoreo específicos por cada componente de la estrategia, desagregándose todas las actividades planificadas a realizar para cada uno de ellos, definiéndose indicadores de proceso y/o impacto según corresponda. Las acciones a realizar para evaluar el desarrollo de la estrategia educativa se detallan a continuación: a) Línea de Base al inicio de la Estrategia b) Visitas de campo para evaluación de acciones a nivel territorial por parte de funcionarios de las instituciones ejecutoras c) Reuniones de coordinación y seguimiento al avance de la estrategia d) Evaluación de la situación nutricional de las audiencias primarias a través de la información generada en el Sistema de Información en Salud y del Sistema de Vigilancia Nutricional. e) Evaluación de resultados CAP como efecto de las campañas y acciones territoriales en el cambio de comportamientos al final del 3er año de implementación. f) Desarrollo de jornadas de evaluación y retroalimentación con el primer nivel de atención. g) Evaluación CAP al final de los 4 años de implementación de la Estrategia.
","Process indicators","","Anaemia|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Folic acid|Calcium|Micronutrient supplementation|Nutrition education","","http://asp.salud.gob.sv/regulacion/pdf/estrategias/Estrategia_multisectorial_educativa_comunicacion_social_promover_comportamientos_alimentarios_poblacion-salvadorena-CONASAN.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV%202019%20Estrategia_multisectorial_educativa_comunicacion_social_promover_comportamientos_alimentarios_poblacion-salvadorena-CONASAN.pdf" "40684","CUB","Cuba","","Programa Nacional de Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Dirección Nacional Materno Infantil, MINSAP","","2011","Adopted","","","","Nutrition council|Health|Women, children, families|Sub-national","Comisión Nacional, integrada por miembros permanentes del MINSAP, MINED, MES, INDER, MINCULT, FMC, CDR, OPJM, FEEM, FEU, MINJUS, ICRT, CTC, responsable del Programa Nacional de VIH/SIDA y órganos del Poder Popular.8.1.2. Un Grupo Técnico Asesor Nacional integrado por la Dirección Nacional Materno Infantil, Dirección Nacional de Atención Primaria de Salud, Dirección Nacional de Hospitales, Promoción de Salud, Epidemiología, MINED, MES, organizaciones políticas y de masas y otros, según resulte conveniente.","","","","","","","","","","","","","","","","","Objetivo general
Mejorar, a través de una alimentación óptima, el estado de nutrición, el crecimiento y el desarrollo, la salud y, de este modo, la supervivencia de los lactantes y los niños pequeños, lo que contribuye a elevar la calidad de vida del adulto.
Objetivos Específicos
Actividades Específicas
Para cumplir el objetivo 1:
Para cumplir el objetivo 2:
Para cumplir el objetivo 3:
Para cumplir el objetivo 4:
Para cumplir el objetivo 5:
Evaluación
El cumplimiento de las actividades del Programa se analizará una vez al año en las Reuniones Nacionales Territoriales del PAMI, semestralmente en las Provinciales y trimestralmente en las Municipales.
Evaluación parcial
Evaluación final
a. But
Améliorer la santé des enfants et des mères par la promotion des bonnes pratiques nutritionnelles
b. Objectif général
Contribuer à accroître le taux d’allaitement maternel exclusif de 12% à 50 % d’ici 2020
c. Objectifs spécifiques
4- Renforcer l’application du code international de commercialisation des substituts du lait maternel par la mise en place d’un système de surveillance.
5- Renforcer la qualité et la couverture des interventions communautaires de promotion des pratiques optimales d’allaitement
","4.1. Osigurati nastavak programa ""Rodilište-prijatelj djece” provodeći sustav ocjenjivanja/reocjenivanja u četverogodišnjem razdoblju u skladu s revizijom programa SZO/UNICEF-a ""Rodilište-prijatelj djece"" iz 2018. i uvrštavanje kriterija u standarde kvalitete.
4.2. Primjena Medunarodnog pravilnika o reklamiranju nadomjestaka za majčino mlijeko u Republici Hrvatskoj i pratećih Rezolucija Svjetske zdravstvene skupštine
4.3. Usvojiti i primijeniti smjernice o prehrani dojenčadi i male djece prema Globalnoj strategiji za prehranu dojenčadi i male djece, a posebno za dojenčad i djecu u kriznim situacijama i HIV pozitivnih majki
4.4. Veću zastupljenost sadržaja o dojenju uvesti u kurikulum srednjoškolskog obrazovanja
4.5. Unaprijediti sustav praćenja i evaluacije dojenja
4.6. Pokrenuti inicijativu „Rodilište-prijatelj majki”
4.7. Provesti Pilot projekt „10-koraka do uspješnog dojenja” na dječjim bolničkim odjelima
4.8. Provoditi promicanje dojenja u jedinicama intenzivnog neonatalnog liječenja i njege
4.9. Poticati djelovanje i rad zajednica koje štite i promiču dojenje
4.10. Poticati preventivne mjere u zaštiti i promicanju dojenja
","5.1. Indikatori dojenja za godišnje praćenje na nacionalnoj razini
1. Udio isključivo dojene djece u Republici Hrvatskoj :
- isključivo dojenje s 0-1 mjesec: 85%
- isključivo dojenje s 2-3 mjeseca: 70%
- isključivo dojenje s 4-5 mjeseci: 50%
- isključivo dojenje s navršena 3 mjeseca: 70 % dojenčadi
- isključivo dojenje s navršenih 6 mjeseci: 20% dojenčadi.
2. Udio dojene djece u Republici Hrvatskoj:
- ukupno dojenje s navršena 3 mjeseca: 85%
- ukupno dojenje sa 6 mjeseci: 70%
- ukupno dojenje s navršenih 12 mjeseci: 50%
- ukupno dojenje s navršenih 24 mjeseci: 20%
5.2. Indikatori dojenja Inicijative svjetskih trendova o dojenju
POLICY GOAL
To provide a national framework that promotes and facilitates healthy eating habits and a physically active lifestyle among students in Jamaica in keeping with the Sustainable Development Goals (SDGs 2030).
POLICY OBJECTIVES
The policy aims to: -
1. provide and implement nutritional standards and guidelines.
3. create an environment in schools in which a variety of healthy food options from the six food groups are available and promoted.
2. optimise the nutritional status of children in order to improve and sustain the physical, social and mental well-being of children in Jamaica.
4. increase to 85 per cent by 2030, the number of schools that provide dietary choices to complement meals in order to meet the nutritional needs of students.
5. increase to 85 per cent by 2025, the number of schools which provide mandatory opportunities for physical activity to students at all grade levels.
The policy focuses on five overarching priority areas, which together cover the key aspects of nutrition and wellness in the school environment.
These areas are:
The Food Services Environment and Education
Provision of Meals to meet Nutrition Standards
The Physical Activity Environment
Health Promotion and Lifestyle Habits Development
Curriculum Development
FOOD SERVICES ENVIRONMENT Policy statement:
Food Service Environment Descriptors: -
The food services environment consists of canteens, tuck shops, canteen concessionaires and vendors at the school gate, or within 200 metres of the school gate (premises). This environment will be governed by the standards, regulations and policy guidelines of the feeding programme.
Food establishments and community shops outside of the immediate vicinity of the school do not fall within the scope of this Policy.
This will be accomplished using the following strategies:
The development of regulations to guide the operations of school vendors in the vicinity of the school.
The provision and utilization of an appropriate institutional framework including training to support the implementation of the nutrition standards.
PROVISION OF MEALS
Policy statement:
The Government of Jamaica shall ensure the provision/availability, and accessibility of healthy and nutritious meals to all students.
This will be accomplished using the following strategies:
i. The promulgation of Food Based Dietary Guidelines and the National School Nutrition Standards for Jamaica to regulate the provision and consumption of food by students in schools.
PHYSICAL ACTIVITY ENVIRONMENT
Policy Statement:
The Government of Jamaica through the Ministry of Education and Youth shall provide a school environment with safe age-appropriate facilities and equipment and provide opportunities for sufficient physical activity that will contribute to the growth and development of the students.
This will be accomplished using the following strategies:
i. physical activities for children from early childhood to Grade 13.
HEALTH PROMOTION
Policy Statement:
The Government of Jamaica through the MoEY and the MOHW shall promote the benefits of good nutrition, physical activity and their relationship to the growth and development of children in educational facilities.
This will be accomplished using the following strategies:
1. Encourage and promote food and drink appropriate to the target group in order to enhance and sustain their physical, social and mental well-being.
o Nutrition, health and education manuals and practices standardized at all levels of the school system.
o Providing services to assess Recommended Dietary Allowance (RDA) for students.
o Promote the consumption of local agricultural produce.
o Promote intake of water and fresh fruit days.
2. Promote food safety principles to ensure the provision of food that has been stored, prepared and served in a safe and hygienic manner.
Ensure:
o Adequate supply of clean and safe water is available at all schools.
o Appropriate and sanitary health facilities are available.
o Promote proper handwashing principles and encourage proper hygiene before handling food or eating.
o Ensure food handling staff are adequately trained and possess the requisite certification.
In order to create an enabling policy environment and align with the strategic directions in FNP, FNS will have the following strategic objectives:
Page 66 - Page 175
Page 66 - Page 175
The current strategy prioritizes optimal nutritional outcomes across the lifecycle amongst all persons residing in Lebanon to contribute to improving overall health and wellbeing.
Five key strategy areas
Page 50- 57
","","","Stunting in children 0-5 yrs|Anaemia|Breastfeeding|Complementary feeding|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Front of pack 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|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Iodine|Iron|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food safety|Food security and agriculture|Home, school or community gardens|Vulnerable groups","","https://faolex.fao.org/docs/pdf/leb216967E.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%202021%20National%20Nutrition%20Strategy%20and%20Action%20Plan%202021%20-%202026.pdf" "25747","CZE","Czechia","","Zdraví 2020 Národní strategie ochrany a podpory zdraví a prevence nemocí. Akční plán č. 2: Správná výživa a stravovací návyky populace na období 2015–2020 b) Prevence obezity [Health 2020 Action Plan 2b: Obesity Prevention]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Czech","","2015","","2020","Ministry of Health","9","2015","Adopted","3","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Labour","","","","","","","","","","","","","","","","Other","Food producers and retailers","4. Předpokládané benefity APSV a jejich indikátory
Ad 1.1: Počet legislativních změn a celostátních opatření podporujících správnou výživu; Funkční systém mezirezortní odpovědnosti za správnou výživu; existence státem garantované, pro obyvatele volně přístupné databáze nutričního složení potravin.
Ad 1.2. Pokles obsahu soli v komoditách (chléb a pečivo, masné výrobky a dalších nejvíce obsahem soli a spotřebou zatěžujících komodit) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let; posílení domácí produkce vhodných potravin.
Ad.1.3. Plnění ukazatelů spotřebního koše a pestrosti v 80 % školních jídelen; pokles nabídky nevhodných potravin v doplňkovém prodeji škol a školských zařízení o 100 %; zavedení nutričních doporučení pro školní stravování, proškolení pracovníků ve školním stravování; zvýšení nabídky zeleniny ve školních obědech o 30 %.
Ad 1.4. Pokles marketingu (reklamy) nevhodných potravin v čase od 7 do 19 hod o 50 %
V. Երեխաների սնուցման բարելավմանն ուղղված ազգային ռազմավարության նպատակները և իրականացման հիմնական ուղղությունները
71.Սույն ռազմավարության հիմնարար նպատակը երեխաների սնուցման կազմակերպման պատշաճ գործելակերպի ներդրումն է, ուղղված նրանց առողջ աճի և զարգացման ապահովմանը, հիվանդացության և մահացության կրճատմանը, այդ թվում` վաղ հասակի երեխաների սնուցման գործելակերպի բարելավման, կրծքով կերակրման աջակցության և խրախուսման ճանապարհով:
72. Ռազմավարության հիմնարար նպատակի հասանելիությունը հնարավոր է ապահովել ստորև ներկայացված կոնկրետ թիրախային խմբերին ուղղված նպատակների հաղթահարման պարագայում(2020թ. սահմանային ժամկետում): Այն է.
","","1) Վաղ տարիքի երեխաների համար.
ա. մինչև 6 ամսական երեխաների շրջանում բացառապես կրծքով սնուցման ցուցանիշի աճ 1/4-ով: 2020թ. կապահովվի ցուցանիշի 45 % և ավելի մակարդակ` 2010թ.-ի 35%-ի փոխարեն:
բ. Կրծքով կերակրման վաղ նախաձեռնման ցուցանիշի բարելավում 30%-ով: : 2020թ այս ցուցանիշը կկազմի 47 % ` 2010թ.-ի 36%-ի փոխարեն:
գ. Բացառապես կրծքով կերակրման «մեդիան» ցուցանիշի բարելավում 1/2-ով: 2020թ. այն կկազմի նվազագույնը 3 ամիս` 2010թ.-ի մեկ ամսվա փոխարեն:
դ. Մինչև մեկ տարեկան երեխաների ընդհանուր թվի մեջ ժամանակին և համարժեք հավելյալ սնուցում ստացած երեխաների թվի բարելավվում նվազագույնը 20 %-ով: 2020թ այս ցուցանիշը կկազմի 40% և ավելի` 2010թ.-ի 34%-ի փոխարեն:
ե. Մինչև 6 ամսական երեխաների մոտ շշերի և ծծակների գործածության կրճատում 1/3-ով: 2020թ. այս ցուցանիշը չի գերազանցի 36 %` 2010թ.-ի 51%-ի փոխարեն:
զ. Վաղ հասակի երեխաների թերաճի/քրոնիկական թերսնուցման տարածվածության նվազեցում 1/4-ով, խորքային պատճառների ուսումնասիրում: 2020թ. մինչև 5 տարեկան երեխաների շրջանում տարիք-հասակային հարաբերակցության գործակցի ստանդարտ շեղումը` թերաճի ցուցանիշը, չի գերազանցի 15%-ը` 2010թ.-ի 19%-ի փոխարեն:
է. «Մանկանը բարեկամ» նախաձեռնության ծավալների և այդ կոչումն ունեցող բուժհաստատությունների թվի ավելացում 25-%-ով:
ը. Մինչև 5 տ. երեխաների շրջանում սակավարյունության տարածվածության կրճատում նվազագույնը 1/4-ով: 2020թ. այն չպետք է գերազանցի 25%-ը:` 2005թ.-ի 37 % համեմատ:
թ. Ցածր քաշով նորածինների ցուցանիշի կրճատում նվազագույնը 1/3-ով: 2020թ. այն չպետք է գերազանցի 6%-ը` 2010թ.-ի 7.6%-ի համեմատ:
ժ. Հիվանդ երեխաների սնուցման վերաբերյալ մայրերի գիտելիքները բարելավում 15%-ով: 2020թ. ճիշտ գործելակերպ ցուցաբերած մայրերի ցուցանիշը կկազմի` 90%` 2010թ.-ի 77 %-ի փոխարեն:
ժա. 0-5տ. երեխաներ ունեցող տնային տնտեսություններում համարժեք յոդացված աղի օգտագործման 95% և ավելի ցուցանիշի շարունակական ապահովում:
2) Դպրոցահասակ երեխաների համար
ա. Դպրոցներում առողջ սնուցմանը և ապրելակերպին նպաստող պայմանների բարելավում` «Առողջ դպրոցներ» ծրագրի ներդրման ճանապարհով: Արդյունքում առողջ սնուցման կազմակերպման սկզբունքների ներառմամբ առողջության դպրոցական քաղաքականություն ունեցող դպրոցների թիվը 2020թ. կլինի ոչ պակաս 30-ից:
բ. Երեխաների և դեռահասների համար առողջ սնուցման 12 քայլերի և ֆիզիկական ակտիվության առավելությունների վերաբերյալ գիտելիքների հասանելիության ապահովում, որի արդյունքում դպրոցահասակ երեխաների մոտ կարձանագրվի սննդային վարքագիծը և ֆիզիկական ակտիվությունը բնորոշող` բացասական միտում ունեցող առանձին ցուցանիշների աճի կանգ, իսկ որպես առավելագույն ակնկալվող արդյունք` դպրոցահասակ երեխաների շրջանում սննդային անառողջ սովորությունների տարածվածության կրճատում 5 տոկոսով և ֆիզիկական ակտիվության ավելացում նվազագույնը 10 տոկոսով:
գ. Երեխաներին ծառայություններ մատուցող մասնագետների սնուցման ճիշտ կազմակերպման և առողջ սննդակարգի վերաբերյալ գիտելիքների բարելավում, այդ թվում բուժաշխատողների 20-%-ը և ուսուցիչների 10-%-ը կունենան համապատասխան գիտելիքներ և հմտություններ:
","","","Low birth weight|Stunting in children 0-5 yrs|Anaemia|Breastfeeding|Breastfeeding - Exclusive 6 months|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|School meal standard|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Iodine|Food grade salt|Household food security","","https://www.e-gov.am/protocols/item/398/","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf" "39463","GRD","Grenada","","National School Nutrition Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","","Food and Nutrition council","12","2015","Adopted","","","","Nutrition council|Health|Food and agriculture|Education and research","Food and Nutrition council","World Health Organization (WHO)","The Pan American Health Organization (PAHO/WHO);","","","","","","","","","","","Private sector","Vendors","","","Policy Area 1: Food Preparation and Services Environment
...
Policy Statement: An environment will be created that will encourage healthy eating by students through: the implementation of standards and regulations applicable to all food service and; through developing capacity of providers.
Strategies
1.1. Regulate foods offered to students by parents, school canteen, tuck shops and vendors.
1.2. Ensure that all foods offered in schools, including sponsorships, adhere to the Grenada FBDGs and the nutrition standards.
1.3. Encourage the utilization of locally produced foods including fruits, vegetables and animal products.
1.4. Enhance the knowledge and skills of parents and cooks through practical and theoretical training.
1.5 Ensure foods are stored, prepared and served in a clean and safe environment.
1.6 Ensure that the children have a safe, adequate, clean eating environment.
Activities
1.1.1 Develop nutrition standards for foods offered in schools.
1.1.2 Conduct sensitization sessions with students, parents, school canteens, tuck shop operators, and vendors.
1.1.3 Enforce food badge regulation.
1.1.4 Train vendors in healthy options and food preparation techniques.
1.1.5 Establish linkages to increase healthier food options eg. MNIB, 4-H etc.
1.2.1 Educate teachers and students on the Grenada FBDGs by including it in the teachers training collage and school curricula.
1.2.2 Sensitize the general public through mass media on the National School Nutrition Policy and the Grenada FBDGs.
1.2.3 Develop and implement guidelines for sponsorships.
1.3.1 Prepare easy to read materials, in the form of pamphlets and brochures with recipes
1.3.2 Hold discussions with MNIB, Farmers and 4-H Clubs to supply the school feeding programme, tuckshops and vendors with local products.
1.4.1 Conduct training and food demonstration sessions with cooks, tuck shop operators, parents and teachers.
1.5.1 Prepare guidelines for:
1.5.2 Establish a monitoring team to ensure that food safety and hygiene guidelines are implemented and maintained.
1.5.3 Provide standardized
1.6.1 Provide a clean physical space for children to have their meals
1.6.2 Have safe drinking water in all schools
1.6.3 Make available hand-washing sinks and liquid soaps at schools.
...
Policy Area 3: School Curriculum
...
Policy Statement: Support will be given to schools to empower students with knowledge and skills to make healthy lifestyle choices.
Strategies:
3.1. Influence positive behavioural lifestyle changes within children of all ages by exposing them to age appropriate nutrition education in the curriculum.
3.2 Build capacity in schools for the delivery of the behavioral curriculum on healthy eating and physical activity.
Activities
3.1.1 Infuse nutrition and physical education concepts into other subject areas
3.1.2 Enforce the delivery of the all aspects of the HLFE
3.1.3 Review the curriculum for appropriate opportunities to include mass movement activities.
3.1.4 Create a linkage between school gardening and nutrition education and increased physical activity
3.1.5 Collect baseline data on health and nutrition status
3.1.6 Reassess annually
3.1.7 Develop a meal consumption log to measure food consumption patterns among preschool to grade 6
3.1.8 Conduct dietary assessment for students in grades 7 to 10 to measure food consumption patterns
3.1.9 Train the trainers for nutrition education implementation in the school
3.2.1 Train teachers to enhance the delivery of nutrition and physical education (e.g. UWI HFLE diploma)
3. 2.2 Include HFLE in the teachers college curriculum
3.2.3 Conduct periodic in-service training for principals
3.2.4 Employ qualified Physical Education teachers
3.2.5 Implement more Physical Education competitions among schools
...
Policy Area 5: School Health Services
...
Policy Statement: Primary Health Care services will be extended to all schools.
Strategies
5.1 Foster collaboration among Ministries of Health, Education and Agriculture (GFNC) to incorporate nutrition assessment in the regular school health services and to improve monitoring of students’ nutrition growth and development.
5.2 Strengthen the nutrition and health data management system to analyze the nutrition component for further development.
5.3 Ensure that food and nutrition education is included in the Ministry of Health, school health manual and policy
Activities
5.1.1 Implement the conditions outlined in the MOU (Health, Agriculture and Education).
5.1.2 Conduct assessments of children
5.1.3 Collect baseline and annual data on physical health indicators for all students in which schools?
5.2.1 Revise and implement data management system.
5.2.2 Collect weight, height and blood pressure of children at least upon entry to primary and secondary school.
5.2.3 Organize the collation, analysis, monitoring and reporting of school health data
5.2.4 Utilize school health information in developing evidence- based nutrition intervention
5.2.5 Develop an index for school nutrition
5.2.6 Collaborate with the Statistical Division of the Epidemiology/ Statistics division of the Ministry of Finance for data collection and analysis
5.3.1 Develop/Revise the Ministry of Health School Health policy
5.3.2 Conduct health education sessions with students
5.3.3 Conduct periodic nutrition training with health care professionals
Policy Area 6: School Recognition
...
Policy Statement: A system will be established to recognize schools’ progress and achievement in the implementation of the nutrition and physical activity policy.
Strategies
6.1. Establish an award programme to recognise schools that participate and do well.
Activities
6.1.1 Set up a team of persons to develop the award programme
6.1.2 Determine what resources will be needed and offer adequate training and ongoing technical assistance
6.1.3 Identify a team of persons who will visit schools with an aim of recognising and commending schools that have succeeded in creating healthier school environments
6.1.4 Develop a set of criteria to award schools.
61.5 Seek sponsorship for recognition awards
...
","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Total carbohydrate|Fibre|Sugar intake|Added 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|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School fruit and vegetable scheme|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GRD%202015%20National%20School%20Nutrition%20Policy.pdf" "23757","JAM","Jamaica","","National Infant and Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","","Government of Jamaica","","2014","Adopted","","2013","Cabinet Office","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Labour|Other","Government of Jamaica Ministries of Health; Education; Commerce; Agriculture; Foreign Affairs; Labour and Social Security; Finance; Planning Institute of Jamaica; Early Childhood Commission","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO; UNICEF; FAO","","","","","","","","","","","","","","","1. To increase access to breastfeeding support in communities and the workplace.
2. To achieve BFHI status in all institutions providing maternity and child health services.
3. To establish a sustainable mechanism for accurate, timely and comprehensive collection and dissemination of data on infant and young child feeding and related indicators to influence policy and programme development.
4. To build capacity within all relevant agencies and at different levels of the health system and community, for the promotion, protection and support of infant and young child feeding.
5. To develop and implement sustainable public education initiatives for the promotion and support of optimal infant and young child feeding practices.
","To ensure that all Jamaican children benefit, a multi-foci strategy will be employed to strengthen the infant and young child feeding programme in Jamaica. The areas of emphasis will be in five priority areas :
3.4.1 Advocacy/Legislation
3.4.2 Training
3.4.3 Health Care Delivery
3.4.4 Public Information, Education and Communication
3.4.5 Monitoring, Evaluation and Research
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Micronutrient supplementation","","http://jis.gov.jm/media/NIYCF-Policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202014%20NIYCF%20Policy.pdf" "25823","NOR","Norway","","Nasjonal handlingsplan for bedre kosthold (2017-2021). Sunt kosthold, måltidsglede og god helse for alle! [Norwegian National Action Plan for a Healthier Diet]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Norwegian","","2017","","2023","Departementene","3","2017","Adopted","3","2017","Regjeringen","Health|Food and agriculture|Education and research|Women, children, families|Environment|Justice","HOD – Helse- og omsorgsdepartementet, KD – Kunnskapsdepartementet, NFD – Nærings- og fiskeridepartementet, LMD – Landbruks- og matdepartementet, BLD – Barne- og likestillingsdepartementet, KLD – Klima- og miljødepartementet, JD – Justis- og beredskapsdepartementet.","","","","","","","","","","","","","","","","","Overordnet mål
Et sunt og variert kosthold i hele befolkningen uavhengig av kjønn, alder, geografi, sosioøkonomisk status, kulturell bakgrunn, funksjonsevne, religion og livssyn.
Delmål
1. Legge til rette for å endre kostholdet i tråd med helsemyndighetenes råd
2. Redusere sosiale forskjeller i kosthold
3. Styrke kunnskap om og synliggjøre sammenhenger mellom kosthold og fysisk og psykisk helse
4. Fremme utvikling av sunne og trygge matvarer og tilstrebe en helse- og miljøvennlig praksis i produksjon og forbruk av mat 5. Styrke og kvalitetssikre mat-, måltids- og ernæringsarbeid i helse-, omsorgs- og sosialtjenesten.
","1 Måltidsglede og sunt kosthold
1.1 Fremme gode mat- og måltidsvaner i barnehagen
1.2 Fremme gode måltider og matordninger i skole og skolefritidsordning
1.3 Bidra til at helsemyndighetenes anbefaling om 20 minutters spisetid følges opp i skolen
1.4 Mobilisere barn for matglede og et sunt og bærekraftig kosthold
1.5 Tiltak for å styrke praktiske ferdigheter
1.6 Motivere til matglede og bedre matomsorg for eldre
1.7 Inkludere mat og måltider i tiltak for å fremme sosialt fellesskap og forebygge ensomhet
1.8 Sunne tilbud på arbeidsplassen og andre serveringssteder
2 Gode og enkle valg
2.1 En helhetlig og langsiktig intensjonsavtale med matvarebransjen
2.2 Videreføre og videreutvikle saltpartnerskapet
2.3 Redusere inntaket av mettet fett og sukker
2.4 Videreføre og videreutvikle Nøkkelhullet som merkeordning
2.5 Følge opp arbeidet relatert til markedsføring av mat og drikke til barn
2.6 Fremme forbruk av grønnsaker og andre plantebaserte matvarer
2.7 Fremme forbruk av fisk og sjømat i kostholdet
2.8 Sikre at befolkningen har et tilfredsstillende inntak av jod og vitamin D
2.9 Ernæringshensyn i anbud i helseforetakene og andre offentlige instanser
2.10 Matproduksjon, produktutvikling og innovasjon
2.11 Bærekraftig og miljøvennlig praksis
3 Kommunikasjon og kunnskap
3.1 Utvikle verktøy og ressurser til faget mat og helse i grunnskolen og bidra til bedre kompetanse hos dem som underviser i faget
3.2 Videreføre og videreutvikle Små grep, stor forskjell
3.3 Kommunikasjon som understøtter arbeid med å gjøre sunne valg enkle
3.4 Opplæringsprogram for ansatte i barneverninstitusjoner, omsorgssentre og eventuelt fosterforeldre
3.5 Innføre selvforpleining og utarbeide kokebok som støtte til sunnere mat i fengsler
3.6 Informasjonsmateriell som asylmottak og kommuner kan bruke i sitt arbeid med flyktninger og innvandrere
4 Mat, måltider og ernæring i helse- omsorgstjenesten
4.1 Kompetanse om mat, måltider og ernæring i helse- og omsorgstjenesten
4.2 Følge opp arbeidet med gode verktøy, faglige retningslinjer og kvalitets-indikatorer
4.3 Implementere Nasjonal faglig retningslinje for spedbarnsernæring
4.4 Fremme, støtte og beskytte amming
4.5 Helhetlig ernæringsstrategi i helseforetakene
4.6 Fremme godt arbeid med kosthold og ernæring i den kommunale helse-og omsorgstjenesten
4.7 Følge opp ernæringsarbeidet i tjenesten rettet mot mennesker med utviklingshemming
4.8 Ivareta ernæringshensyn i helse- og omsorgstjenester innen rus og psykisk helse
4.9 Tannhelsetjenestens bidrag i kostholds- og ernæringsarbeidet
5 Forskning, utvikling og innovasjon
5.1 Følge og beskrive utviklingen i norsk kosthold
5.2 Utvikle og følge opp kostholds-, måltids- og helseindikatorer
5.3 Fremme forskning om mat, ernæring og helse
5.4 Følge opp mat- og helseområdet i regjeringens handlingsplan for oppfølging av HelseOmsorg21 (HO21)
5.5 Skaffe økt kunnskap og synliggjøre sammenheng mellom psykisk helse og kosthold
5.6 Bygge opp kompetanse om effekter av tiltak og atferdsøkonomi
5.7 Videreutvikle matvaretabellen og tilpasse til nøkkelgruppers behov
5.8 System for å følge endringer i næringsinnhold, volum og omsetning over tid
","