"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" "8519","WSM","Samoa","","Samoa National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","2002","","2007","National Food and Nutrition Council of Samoa","","2002","Adopted","","2002","National Food and Nutrition Council","Nutrition council","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","Research/academia","the University of Otago, New Zealand (through WHO)","","","Other","the Secretariat of the Pacific Community (SPC)","
1.1 Objective: Raise awareness about food and nutrition in Samoa
1.2 Objective: Ensure the National Food and Nutrition Council (NFNC) is fully operational
1.3 Objective: Incorporate food and nutrition goals and components in all relevant national development policies and sectoral plans, programmes and projects
1.4 Objective: Increase the number of people with formal food and nutrition training working in Samoa
2.1 Objective: Raise awareness about food security
2.2 Objective: Increase local food production - fruit, vegetables and root crops
2.2 Objective: Increase local food production - meat, milk and eggs
2.2 Objective: Increase local food production - fish and seafoods
2. 3 Objective: Increase access to fresh foods
2.4 Objective: Improve the use of food in homes
2.5 Objective: Ensure sufficient food supplies in periods of disaster
3.1 Objective: Reduce the prevalence of iron deficiency anaemia
3.2 Objective: Determine the prevalence of iodine deficiency in Samoa and develop a programme to combat the problem if necessary
3.3 Objective: Determine the prevalence of vitamin A deficiency in Samoa and develop a programme to combat the problem if necessary
4.1 Objective: Increase awareness about food safety and food quality issues
4.2 Objective: Improve food quality and safety
4.3 Objective: Improve food labelling
5.1 Objective: Promote healthy diet
5.2 Objective: Promote physical activity
5.3 Objective: Stabilise obesity rates
5.4 Objective: Reduce the prevalence of dental disease
6.1 Objective: Achieve a Baby Friendly Hospital Award for the Tupua Tamasese Meaole Hospital
6.2 Objective: Increase breastfeeding and appropriate complementary feeding rates
7.1 Objective: Control infectious diseases
8.1 Objective: Reduce underweight and malnutrition
8.2 Objective: Identify and care for nutritionally at-risk groups
9.1 Objective: National food and nutrition data will be available for policy makers and programme planning
9.2 Objective: A simple functioning food and nutrition surveillance system will be developed
9.3 Objective: Develop a monitoring and evaluation system to assess the effectiveness of the NPAN and the National food and Nutrition Policy
The NPAN sets forth activities to help achieve improved nutrition in Samoa. Activities are grouped into nine themes agreed upon at the International Conference on Nutrition. These nine strategies are:
Incorporating nutritional objectives, considerations and components into development policies and programmes.
Improving household food security
Protecting consumers through improved food quality and safety.
Preventing and managing infectious diseases.
Promoting breastfeeding.
Caring for the socio-economically deprived and nutritionally vulnerable.
Preventing and controlling micronutrient deficiencies.
Promoting appropriate diets and healthy lifestyles.
Assessing, analysing and monitoring nutrition situations.
Samoa National Plan of Action for Nutrition 2002 - 2007
Page 5-52
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight and obesity in adults|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Growth monitoring and promotion|Complementary food provision|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Home grown school feeding|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/WSM%202002%20Samoa%20National%20Plan%20of%20Action%20for%20Nutrition_0.pdf" "17822","COD","Democratic Republic of the Congo","","Plan National d'Action pour la Nutrition (PNAN)","Comprehensive national nutrition policy, strategy or plan","","French","","1994","","","Republique du Zaïre, Gouvernement de transition","12","1994","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Trade","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","National NGOs","Conseil National des ONG de Dèveloppement","","","Private sector","Association Nationale des Entreprises du Zaïre, Fédereation Nationale des Petites et Moyennes Entreprises du Zaïre","","","","","","","","Breastfeeding|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Provision of school meals / School feeding programme|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%201994%20Plan%20National%20D%27Action%20pour%20la%20Nutrition%28Republique%20Du%20Zaire%20%29.pdf" "8715","SDN","Sudan","","National Plan of Action for Nutrition (NPOAN) -Sudan","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","","Government of Sudan","4","1995","Adopted","","1995","Council of Ministers","Education and research|Finance, budget and planning|Food and agriculture|Health|Information|Justice|Other|Social welfare|Sport|Trade|Labour","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN%201995%20National%20Plan%20of%20Action%20for%20Nutrition%28NPOAN%29Sudan.pdf" "8645","CMR","Cameroon","","Plan d'Action National pour la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","","Gouvernement","","1996","","","","","Development|Education and research|Environment|Food and agriculture|Health|Justice|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","Banque Internationale pour la Reconstruction et le Développement","Other","Fond National de Développement Rural, Sindicat des Boulangers","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Micronutrient supplementation|Food fortification|Food grade salt|Edible oils and margarine|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR%201996%20Plan%20D%27Action%20National%20Pour%20La%20Nutrition.pdf" "8639","COG","Congo","","Plan d'Action National pour la Nutrition du Congo","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","2001","Direction de la Santé Familiale","6","1996","Adopted","","1996","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Other","législationtravaux publics","Food and Agriculture Organisation (FAO)","","Other","Organismes multilatéraux","","","","","National NGOs","ONG Associations","","","Private sector","","Other","collectivités locales","III. Objectifs
IV. Stratégies et programmes
Surveillance nutritionnelle (detailed activities p.86)
- Stratégies
- Activités
Promotion de l’allaitement maternel et amélioration de l’alimentation de complément (detailed activities p. 96)
- Objectifs spécifiques
Amélioration du suivi et de la promotion de la croissance des enfants (detailed activities p.100)
- Objectifs spécifiques
Traitement des malnutritions protéino-énergétiques sévères
- Objectifs spécifiques
- Activités
Développement d’une stratégie alimentaire dans les zones à risque de malnutrition protéino-énergétique
- Activités
Lutte contre les anémies chez les femmes et les jeunes enfants
- Objectifs spécifiques
- Activités
Lutte contre les troubles dus à la carence en iode
- Objectif
- Activités
Lutte contre la carence en vitamine A
- Objectifs
- Activités
Objectif No.1: Assurer un environnement politique, social et économique favorable à l'instauration de conditions permettant de réduire la pauvreté et au maintien permanent de la paix en faisant participer équitablement toutes les couches de la population (les hommes, les femmes et les jeunes).
Objectif No2.: Améliorer de façon permanente l'accessibilité physique et économique de tous à une alimentation suffisante, nutritive et saine.
Objectif No3.: Mettre en place des mécanismes d'approvisionnement alimentaires aux ménages de façon durable en développant la production aliementaire et le secteur rural par des méthodes participatives et durables, en veillant à maintenir en état les ressources naturelles.
Objectif No.4: Instaurer des politiques concernant le commerce des denrées alimentaires et agricoles et les échanges en général de manière à renforcer la sécurité alimentaire pour tous grâce à un systéme commercial à la fois juste et axé sur le marché.
Objectif No.5: Mettre en place des mécanismes de réponses rapides aux catastrophes naturelles et aux crises provoquées par l'homme, notamment en s'y préparant et répondant aux besoins alimentaires provisoires d'urgence d'une façon qui renforce la capacité de satisfaire les besoins futurs.
Objectif No.6: Affecter et utiliser de façon optimale l'investissement public et privé pour faire progresser les ressources humaines, le système alimentaire et agricole durables et le développement rural dans youtes les régions du pays.
","Stratégie en Matière de Nutrition
Axe stratégique No.1: Renforcer le système de surveillance nutritionnelle
Axe stratégique No. 2: Renforcer le système d'intégration des activités de nutrition dans les services de santé.
Axe stratégique No.3: Optimiser la prévention de la malnutrition.
Axe stratégique No.4: Créer un cadre adéquat de coordination, suivi et exécution des activités.
Axe stratégique No.5: Faire un plaidoyer pour la mise en place des programmes de nutrition à assise communautaire.
Stratégie pour Améliorer la Sécurité Alimentaire des Ménages au Burundi
Axe stratégique No1.: Améliorer la disponibilité alimentaire par l'augmentation de la production agricole.
Axe stratégique No.2: Améliorer l'accesibilité physique et économique des produits alimentaires.
Axe stratégique No.3: Amélioer la stabilité des approvisionnemnts alimentaires.
Axe stratégique No.4: Assurer la sécurité sanitaire des aliments.
Axe stratégique No.5: Coordonner les actions des divers intervenants dans le domaine de ola sécurité alimentaire pour une m,ailleure synergie des actions.
Axe stratégique No.6: Intégrer la femme au processus de déveleoppement
Axe stratégique No.7: Intégrer les jeunes au processus de développement
Axe stratégique No.8: Renforcer la capacité nationale de gestion, de recherche et de planification des programmes de sécurité alimentaire.
Stratégie en Matiére d'Education Nutritionnelle
Axe stratégique No.1: Réalisation des enquêtes nationales régulières sur les problèmes alimentaires et nutritionnels.
Axe stratégique No.2: Choisir les méthodes et les techniques d'éducation nutritionnelle.
Axe stratégique No.3: Améliorer la communication multimédia en Nutrition
Axe stratégique No.4: Renfocer les capacités des animateurs et éducateurs nutritionnels.
Axe stratégique No.5: Former les élèves en Nutrition et introduire le cours de diététique dans les écoles paramédicales.
Axe stratégique No.6: Renforcer le contrôle de la qualité des produits alimentaires destinés à être vendus sur la voie publique.
","
A. Les indicateurs d'impacts (sécurité alimentaire, nutritionnelle)
Les principaux indicateurs d'impacts sont:
B. Les indicateurs de résulats
Ils correspondent aux indicateurs spécifiques de chaque programme et sont développés dans les fiches de projets.
C. Les indicateurs d'activités
Ils sont spécifiques à chaque programme et sont également contenus dans les fiches de projets.
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|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|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202003%20Plan%20National%20d%27Action%20pour%20l%27Alimentation%20et%20la%20Nutrition%20au%20Burundi.pdf" "8840","GEO","Georgia","","Food security, healthy eating & physical activity National policy","Comprehensive national nutrition policy, strategy or plan","","","","2006","","2010","Ministry of Labour, Health and Social affairs","","2010","Adopted","","2010","Ministry of Labour, Health and Social affairs","Cabinet/Presidency|Food and agriculture","Ministry of Labour, Health and Social affairs Cabinet/Presidency, Food and agriculture: Parliament, Ministry of Food and Agriculture","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","The World Bank","Bilateral and donor agencies and lenders: The World Bank","","","","","","","","","","","The goal is to protect and promote health and reduce burden of diseases related to food and nutrition while contributing to social and economic development and sustainable environment. More specifically, the main goal of health sector is promotion of health through well balanced diet, prevention of nutritional deficiencies and prevention and control of food borne diseases.
","
Elaborated in accordance with the first “food and nutrition” action plan for European region, by the supporting of WHO in the frame of biannual agreement, and consists of 12 main positions:
Prioridad u objetivo nacional:
Reducir la pobreza y mejorar la calidad de vida de la población de menores Ingresos con desarrollo del capital humano y mayor acceso a servicios básicos de calidad. Avances en los Objetivos de Desarrollo del Milenio (ODM) para reducir la pobreza a la mitad en 2015, y Pasando del 15,5% en 2001 a 14% en 2008.
","","2.1. Políticas y programas de reducción de la pobreza y del hambre institucionalizadas, difundidas e implementadas.
2.1.1. Planes y metas sectoriales, incluidas las macroeconómicas, de reducción de la pobreza y del hambre apoyadas.
2.1.2. Planes y metas tendientes a la seguridad alimentaria apoyadas, con especial atención a niños y niñas con desnutrición, y mujeres embarazadas con bajo peso.
2.1.3. Sistemas de monitoreo y evaluación de planes, programas, metas tendientes
a la reducción de la pobreza y del hambre apoyados.
2.1.4. Ampliación de programas de transferencias condicionada de recursos apoyada.
2.1.5. Programas para la erradicación progresiva del trabajo infantil fortalecidos e integrados al Sistema de Protección Social.
2.2. Cobertura en salud ampliada y servicios de saneamiento básico con focalización en las personas más pobres.
2.2.1. Descentralización del Sistema Nacional de Salud apoyada para que aplique nuevos modelos de atención, de gestión, de capacitación de recursos humanos y de financiamiento.
2.2.2. Programas y estrategias priorizados y red de servicios de salud mejorados en accesibilidad, capacidad resolutiva y eficiencia en la gestión.
2.2.3 Disponibilidad asegurada de biológicos, insumos de planificación familiar, insumos y medicamentos de maternidad segura, salud infantil, nutrición, ITS y VIH/SIDA.
2.2.4. Contenidos de promoción de la salud, sexualidad, género y derechos sexuales y reproductivos incorporados en el currículo de la Educación Escolar Básica y Media.
2.2.5. Derechos sexuales y reproductivos y de género incorporados en programas para jóvenes, mujeres y grupos de mayor vulnerabilidad aumentados.
2.2.6. Capacidad nacional aumentada en todos los niveles para la creación, diseminación y uso de la información demográfica y de salud para la programación, monitoreo y evaluación de planes y programas prioritarios de salud en el marco de la ICPD/ODM.
","Outcome indicators|Process indicators","","Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|HIV/AIDS and nutrition|Family planning (including birth spacing)|Water and sanitation","","http://www.unicef.org/about/execboard/files/UNDAF_Paraguay.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRY%202007%20-%20UNDAF.pdf" "8773","SEN","Senegal","","Plan National Stratégique pour La Survie De L’enfant","Health sector policy, strategy or plan with nutrition components","","French","","2007","","2015","Ministère de la santé et de la Prévention","","2007","Adopted","","2007","Ministère de la santé et de l'action sociale","Health","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Helen Keller International (HKI)|Other, please specify under further details","GAVI","Asian Development Bank (ADB)|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","","","","","","","","","","","","4.1.2 But
Contribuer à l’amélioration de l’état de santé des enfants de moins de cinq ans en vue d’accélérer l’atteinte des objectifs 4 et 5 du millénaire pour le développement (OMD)
4.1.3 Objectifs généraux
AXE 1 : DOMAINE 4 : Soins du NRS et de l’enfant
Trois axes stratégiques ont été déterminés :
1. Amélioration de la disponibilité et de l’accessibilité du paquet intégré d’interventions de qualité pour la santé de la mère, du nouveau-né et de l’enfant,
2. Augmentation de la demande et de l’utilisation des services par les populations notamment les groupes vulnérables ,
3. Création d’environnements institutionnel, réglementaire et économique favorables au passage à l’échelle du paquet d’interventions
","Indicators are listed in document, Tables p 63-89
","","","Underweight in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Vitamin A|Micronutrient supplementation|Nutrition education|Management of severe acute malnutrition|Vaccination","","www.who.int/pmnch/events/2008/plannationalstrategique.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202007%20Plan%20National%20Strat%C3%A9gique%20Survie%20Enfant.pdf" "40744","SEN","Senegal","","Politique Nationale de Développement Intégré de la Petite Enfance au Sénégal","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","French","","2007","","","Agence Nationale de la case des tous petits","","2007","Adopted","","2007","Agence Nationale de la case des tous petits","","Agence Nationale de la case des tous petits éducation, santé, famille, développement social, justice, collectivités locales, environnement, jeunesse","Food and Agriculture Organisation (FAO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNICEF, UNESCO","","","The World Bank","","","","National NGOs","","","","","","","Association pour le Développement de l’Education de l’Afrique","3.3.1 But
Le but de la politique nationale de développement de la petite enfance au Sénégal est, dans le cadre d’un changement intergénérationnel réussi, d’assurer une bonne base de départ au citoyen de type nouveau du troisième millénaire dont le Sénégal et, plus généralement, l’Afrique a besoin pour affronter avec le maximum de chances, les défis de la mondialisation et du sous-développement
3.3.2. Objectif global
Assurer à tous les enfants sénégalais, de la conception à 8 ans, issus en priorité de milieux défavorisés, l’accès à des services adéquats et intégrés au sein des familles et des structures, selon une approche participative la plus large, pour que chacun d’entre eux bénéficie d’un appui de nature à lui garantir la survie, le développement, la protection, l’insertion sociale harmonieuse et la réalisation personnelle.
Objectifs stratégiques :
3.4.2.1. Programme de Renforcement des Structures de Développement Intégré de la Petite Enfance (PNRS/DIPE)
2. Procéder à un appui systématique aux cases communautaires en particulier en matière d’infrastructures, de formation des personnels et de soins en santé, nutrition, protection, et assainissement.
3. Mettre en place un dispositif spécifique d’appui aux écoles maternelles, publiques et privées en particulier pour la formation continuée et l’intégration des volets santé, nutrition, protection et assainissement.
10. Renforcer l’accès aux soins de santé/nutrition dans les centres DIPE.
12. Procéder à la généralisation des cantines scolaires dans les structures DIPE des zones défavorisées.
3.4.2.2. Programme de Renforcement des Capacités des Parents et des Familles (PRCPF)
8. Renforcer les connaissances et aptitudes des familles en hygiène et en assainissement.
9. Renforcer les interventions en matière de santé et de nutrition des femmes enceintes et des mères allaitantes.
10. Renforcer la qualité des soins physiques et de la nutrition du nouveau-né.
14. Renforcer les capacités des grandes soeurs, et des travailleuses domestiques en matière de stimulation, éducation, santé/nutrition et hygiène du jeune enfant.
15. Assurer la supplémentation en micronutriments des jeunes enfants (vitamine A, fer, iode et autres)
","3.5.2. Objectifs, stratégies, pour la tranche d’âge 0-2 ans révolus
3.5.2.2. Stratégies
1. Renforcement de l’intégration efficace et efficiente des différentes interventions en matière de santé et nutrition pour les enfants de 0 à 3 ans (vaccination, prévention contre le paludisme et les autres maladies de l’enfance, supplémentation en micronutriments, promotion de l'allaitement maternel, etc.).
4. Généralisation des activités nutritionnelles, de la surveillance de la croissance dans les centres DPE.
6. Supplémentation / Fortification précoce en micro-nutriments (fer, iode et autres) des enfants 0-3 ans.
3.5.3. Objectif, stratégies, pour la tranche d'age 3 a 5 ans révolus
3.5.3.2. Stratégies
1. Renforcement de la couverture sanitaire des enfants fréquentant les structures DIPE
2. Amélioration de l’état nutritionnel des jeunes enfants fréquentant les structures DIPE
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Provision of school meals / School feeding programme|Vitamin A|Micronutrient supplementation|Vaccination","","http://case-toupetit.sn/documents/Document%20PNDIPE_version_integrale.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%20Politique%20Nationale%20de%20D%C3%A9veloppement%20Int%C3%A9gr%C3%A9%20de%20la%20Petite%20Enfance.pdf" "11560","ZMB","Zambia","","United Nations Development Assistance Framework for the Republic of Zambia","Non-national nutrition policy document","","English","","2007","","2010","United Nations","","2007","Adopted","","2007","WHO, ECA, IMF, FAO, UNHCR, ILO, IOM, UNFPA, WFP, UNICEF, UNAIDS, IFAD, UNDP, WORLD BANK","Cabinet/Presidency|Development|Education and research|Finance, budget and planning|Health|Other","Ministry of Gender and Development, Ministry of Education, Ministry of Finance and National Planning; Bank of Zambia, Ministry of Health, Human Rights Commission; National AIDS Council","Food and Agriculture Organisation (FAO)","","","","","","Other","International Fund for Agricultural Development, International Labour Organization, United Nations Economic Commission for Africa","","","","","","","","","UNDAF OUTCOME 1:
THE MULTI-SECTORAL RESPONSE TO HIV AND AIDS AT NATIONAL, PROVINCIAL AND DISTRICT LEVEL SCALED UP BY 2010.
UNDAF OUTCOME 2:
BY 2010, ACCESS OF VULNERABLE GROUPS TO QUALITY BASIC SOCIAL SERVICES INCREASED.
UNDAF OUTCOME 3:
BY 2010, INSTITUTIONS, SYSTEMS AND PROCESSES IN SUPPORT OF NATIONAL DEVELOPMENT PRIORITIES STRENGTHENED
UNDAF OUTCOME 4:
BY 2010, THE PROPORTION OF FOOD SECURE HOUSEHOLDS INCREASED FROM 35 TO 75 PER CENT
Programme outputs included in the table of the attached PDF
","M & E indicators included in the matrix of the attached PDF
","Outcome indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|School-based health and nutrition programmes|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202007_UNDAF.pdf" "11506","BGD","Bangladesh","","National Food Policy Plan of Action","Food security or agriculture sector national policy, strategy or plan with nutrition components","","","","2008","","2015","Food Planning and Monitoring Unit (FPMU) Ministry of Food and Disaster Management","","2008","Adopted","","2008","Food Planning and Monitoring Committee","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Social welfare|Sub-national|Women, children, families","Food Planning and Monitoring Unit (FPMU) Ministry of Food and Disaster Management Cabinet/Presidency, Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Social welfare","World Health Organization (WHO)|World Food Programme (WFP)|Food and Agriculture Organisation (FAO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) & National NGOs: Association of Development Agencies in Bangladesh","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","","","","Other","","Goal:
Ensure a dependable sustained food security for all people at all times
Core Objective 1: Adequate and stable supply of safe and nutritious food
Specific Objectives:
1. Sustained increase in food production
2. Efficient food markets
3. Non-distortionary food grain market intervention for price stabilization
Targets:
Core Objective 2: Increased purchasing power and access to food of the people
Specific objectives:
1. (Effective) Transitory shock management
2. Effective implementation of targeted programmes to improve food security
3. Employment generating income growth
Targets:
Core Objective 3: Adequate nutrition for all individuals, especially women and children
Specific Objectives:
1. Long-term national plan for ensuring balanced food in building a healthy nation
2. Supply of sufficient nutritious food for vulnerable groups
3. Balanced diet containing adequate micronutrients
4. Safe drinking water and improved sanitation
5. Safe quality and food supply
6. Adequate health status
Targets:
Key areas of intervention/Program areas:
1.1: Agricultural Research and Extension
1.2: Use and Management of Water Resources
1.3: Adequate Supply and Sustainable Use of Agricultural Inputs
1.4: Agricultural Diversification
1.5: Agricultural Credit and Insurance
1.6: Physical Market Infrastructure Development
1.7: Agricultural Marketing and Trade
1.8: Policy and Regulatory Environment
1.9: Early Warning System Development
1.10: Producer Price Support
1.11: Public Stock Management / Price Stabilization
2.1: Agricultural Disaster Management
2.2: Emergency Distribution from Public Stock
2.3: Enabling Environment for Private Food Trade and Stock
2.4: Effectiveness of Targeted Food Security Programs and Other Safety Nets
2.5: Income Generation for Women and the Disabled
2.6: Promotion of Agro-based/Agro-processing and Micro/Small Rural Enterprises
2.7: Market-driven Skill Development
3.1: Long-term Planning for Balanced Nutrition
3.2: Balanced and Nutritious Food at Minimal Costs for Vulnerable Groups
3.3: Nutrition Education for Dietary Diversification
3.4: Supplementation and Fortification for Balanced Nutrition
3.5: Safe Drinking Water and Improved Sanitation
3.6: Safe, Quality Food Supply
3.7: Women and Children’s Health
3.8: Promotion and Protection of Breastfeeding and Complementary Feeding
","Goal - Outcome-target indicators:
WFS (number of undernourished people) – Target: reduced from 39.3 million (1990-1992) to 19.65 by 2015
MDG (prevalence of undernourished) – Target: reduced from 35% (1990-2002) to 17.5 % by 2015
Objective 1 - Outcome/impact indicators:
Availability/Adequacy of supply: Agricultural GDP; food supply (domestic production, net imports, variation in stocks) compared to national requirements, food production and consumption requirements disaggregated by regions
Stability of supply: Variability of food production; food import dependency ratio, variability of food prices
Objective 2 - Outcome/Impact Indicators:
Proportion of people below the poverty line – MDG1 Target: Reduced proportion of people below US$1 per day (PPP) from 58.8% in 1991 to 29.4% by 2015
Proportion of people in extreme poverty – MDG1 Target: Proportion of people in extreme poverty reduced from 28% in 1991 to 14% by 2015
% increase in average HH cash income from on-farm and off-farm income generating activities
# HH with no food gap – have sufficient food to meet HH needs in all 12months of the year
# income sources per HH
% of HH income spent on food
Food price index; variability in food price
Objective 3 - Related Outcome/Impact indicators/Targets:
Low Birth Weight (Birth wt. <2.5 kg) – Target: reduced from 36% (2004) to 30% by 2010 and < 20% by 2015
Weight gain during pregnancy – Target: increased from 6.7 kg (2004) to 9-10 kg by 2010 and 11-12 kg by 2015
U-5 underweight (weight for age <-2SD) – Target: reduced from 51% (2000) to 38% by 2010 and 33% by 2015
U-5 stunting (height for age <-2SD) – Target: reduced from 49% (2000) to 37% by 2010 and 33% by 2015
U-5 wasting (Weight for height <-2SD) – Target: reduced from 12% (2000) to 10% by 2010and 7% by 2015
Rural-urban difference in U-5 (PEM) – Target: reduced from 10-12% point (2000) to 7-8% points by 2010 and 5-6% points by 2015
Chronic Energy Deficiency (CED) (Body Mass Index (BMI) <18.5 kg/m2) in women (including adolescent girls) – Target: reduced from 45% (2000) to 20% by 2010 and <20% by 2015
Vitamin A deficiency among children and women – Target: reduced from 30% (2000) to 15% by 2010 and to <10% by 2015
Iodine deficiency in children (6-12 years) and women (15-44 years) – Target: reduced from 34-38% (2005) to 25% by 2010 and to <10% by 2015
Iron deficiency anaemia (IDA) – Target: in infants (6-11 months), reduced from 77% (2003) to 60% by 2010 and to 40% by 2015; in adolescent girls (13-19 years) from 30% (2003) to 25% by 2010 and <20% by 2015; in pregnant women from 46% (2003) to 35% by 2010 and to 25% by 2015
Anthropometric indicators: height and weight of under-5 children – Target: increased to at least 80% of WHO standards by 2015
Others:
Per capita calorie intake – Target: Increased from 2238 (BBS, 2006) to 2400 (kcal/person/day)(provisional) by 2015
Dietary energy supply (DES) from cereals (%) – Target: decreased from the current 70% to 60% by 2015
Prevalence of food contamination and food adulteration (physical, chemical, microbiological) (%)
Incidence of food-borne illnesses (number of cases reported)
The SFFSN 2008-2012 consists of a Vision, a Goal and five Objectives.
The SFFSN long-term Vision is the achievement of food security and adequate nutrition for the people of Cambodia. This Vision is consistent with the globally agreed Millennium Development Goals (MDGs) and the Cambodia Millennium
Development Goals (CMDGs) and can be formulated as follows:
“All Cambodians have physical and economic access to sufficient, safe, and nutritious food, at all times, to meet their dietary needs and food preferences for an active and healthy life.”
The SFFSN Goal focuses on the achievement of substantial progress toward improved FSN in Cambodia. This FSN Goal is already incorporated into the National
Strategic Development Plan 2006-2010 (NSDP) and is consistent with progress toward meeting the CMDGs over the medium term. The SFFSN Goal is therefore:
“By 2012, poor and food-insecure Cambodians have substantially improved physical and economic access to sufficient, safe, and nutritious food to meet their dietary needs and food preferences for an active and healthy life.”
The SFFSN Objectives for 2008-2012
The SFFSN 2008-2012 has five Objectives. Each has defined areas for interventions and a range of Priority Actions to be implemented. Each will require investment in services and infrastructure and the development of capacities in various sectors by a number of government ministries and coordination bodies.
SFFSN Objective 1: Food-insecure households increase food availability from their own agriculture and livestock production and from common property forests and fisheries.
SFFSN Objective 2: Food-insecure households increase their food access by increasing household income.
SFFSN Objective 3: Food-insecure households improve the use and utilisation of their food resulting in reduced malnutrition, morbidity and mortality, particularlyamong women and children.
SFFSN Objective 4: Improved social safety nets and enhanced capacities of food-insecure households to cope with risks and shocks increase the stability of their food supply.
SFFSN Objective 5: The institutional and policy environment for achieving improved food security and nutrition in Cambodia is enhanced.
","
Strategies:
-Enhance productivity and diversification of agriculture
-Improve management of water resources and irrigation
-Accelerating Fisheries Reform
-Accelerating Forestry Reform
-Increase wage employment opportunities
-Increase micro-enterprise business opportunities
-Develop market infrastructure and services
-Develop transport infrastructure and services
-Reduce child and maternal malnutrition and mortality
-Improve domestic water supply, sanitation and hygiene practices
-Improve food safety and enhancing food fortification
-Improve disaster management safety nets
-Establish social safety nets for vulnerable groups
-Strengthen capacities and improve coordination for FSN
-Integrate FSN into the decentralized local planning process
-Improve FSN-related information management and targeting of FSN interventions
","
-Stunting under five
-Underweight under-five
-Proportion of population below the food poverty line
-Wasted under-five
-Households using iodised salt (%)
-Children 6-59 months receiving Vitamin A capsules in the last six months
-Infants exclusively breastfed up to 6 months of age (%)
-Women, 15-49 years, with BMI <18.5kg (metres squared) (%)
-Women, 15-49 years, with iron deficiency anemia (%)
-Iron deficiency anemia prevalence (% of children 6-59 months)
-Paddy yield per hectare (tonnes)
-Land titles to farmers - % of total agri. land
-Forest cover - % of total area
-Area affected cleared of mines and UXOs (%)
-% of rural households with no agricultural land
-Fishing lots released to local communities (%)
-Number of community-based fisheries
-Surface of fish sanctuaries – thousand hectares
-Poverty levels % of population – 2004 in 59% of country covered by 1993/1994 survey
-Poverty levels % of rural population – in 59% of country covered by 1993/1994 survey
-People below food poverty line % - 2004 in areas covered by 1993/1994 survey
-Share of poorest quintile in national consumption (%)
-Female share of wage employment – agriculture, industry, services (%)
-Rural roads rehabilitated – kms (out of total 28,000)
-Annual GDP growth at constant prices (%)
-Per capita GDP at constant prices (1,000 riels)
-Rate of inflation (%)
-Infant mortality rate per 1,000 live births
-< 5 Mortality rate per 1,000 live births
-Maternal Mortality ration per 100,000 live births
-Births attended by skilled health personnel (%)
-Net Enrollment: Lower secondary schools – girls (%)
-Pregnant women with 2 or more ANC consultations with skilled health personnel (%) (public sector only)
-Pregnant women with anaemia (%)
-Safe drinking water access (% rural population)
-Sanitation accesss (% rural population)
-Number of people affected by flood requiring food assistance
-Number of people affected by drought requiring food assistance
-Irrigated area – including supplemental irrigation (% of rice area)
-Task force on FSN information management is operational and various FSN information systems are more integrated and work efficiently by 2012
-Strategic Framework for Food Security and Nutrition is increasingly used as a reference framework for this cross-cutting issue by relevant sector ministries and technical working groups by 2012
-Increased coordination at provincial level and mainstream FSN in the decentralized planning process by 2012
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iodine|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Home, school or community gardens|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes","","http://www.foodsecurity.gov.kh","Relevant Policies: Cambodia Millennium Development Goals, Rectangular Strategy, National Strategic Development Plan, Strategy on Agriculture and Water 2006-2010, Sub-Decree on the Marketing of Products for Infant and Young Child Feeding, Sub-Decree on Management of Exploitation of Iodised Salt","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202008%20Strategic%20Framework%20for%20Food%20Security%20and%20Nutrition%202008-2012.pdf" "11503","KEN","Kenya","","Food Security and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2008","","","Republic of Kenya","","2008","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Sub-national|Other","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","Other|Oxfam|Population Services International","Help Age International","","","","","National NGOs","Action Aid Kenya, Sacred Africa","Research/academia","University of Nairobi, Friedman School of Nutrition of Tufts University (USA), Kenya Agricultural Research Institute, and Kenya Institute for Public Policy Research Analysis; Kenya Industrial Research and Development Institute; National Council for Science","Private sector","","Other","Media, Kenya Association of Manufacturers; Kenya Private Sector Alliance; Jua Kali Association","
Goals:
Programs:
FIN: Garantizado el derecho y el acceso equitativo y universal a un conjunto de servicios básicos de salud y nutrición para incrementar la esperanza y la calidad de vida de la población nicaragüense.
PROPÓSITO: Incrementada la capacidad de respuesta del sector salud y asegurada la sostenibilidad de las intervenciones en el campo de la salud, alimentación y nutrición con la participación activa y el fuerte compromiso de la actuación intersectorial y la sociedad civil.
OBJETIVO GENERAL DEL PLAN: Reducir de manera sostenida y permanente la desnutrición crónica en la niñez menor de 5 años en el país durante el período 2008 al 2015.
RESULTADO ESPERADO GENERAL: Disminuida al 12% la desnutrición crónica en la niñez menor de 5 años de edad hacia el 2015.
OBJETIVOS ESPECÍFICOS:
1. Brindar atención integral a la niñez menor de cinco años para garantizarles un adecuado estado de salud, alimentación y nutrición.
2. Disminuir la gravedad y letalidad de las EDA por rotavirus (aplicando la nueva generación de intervenciones pra el abordaje de la diarrea).
3. Brindar atención integral a la mujer con el propósito de garantizar un estado de salud óptimo durante su embarazo, parto y puerperio.
4. Contribuir a la seguridad alimentaria y nutricional de la mujer y la niñez.
5. Población recibe mensajes educativos para promoer estilos de vida saludables que mejoren la salud y la nutrición en la familia y en la comunidad.
6. Evaluar con indicadores de procesos y de resultados el Plan Nacional ""Hacia la Erradicación de la Desnutrición Crónica Infantil"" (HEDCI).
","
Obetivo Específico 1: Brindar atención integral a la niñez menor de cinco años para garantizarles un adecuado estado de salud, alimentación y nutrición.
Actividades:
1. Adaptación e implementación de las normas y protocolos con nuevos estándares de crecimiento, equipamiento y capacitación a nivel nacional y SILAIS.
2. Fortalecimiento del programa de micronutrientes.
3. Fortaleciiento de la coordinación entre las direcciones de regulación de alimentos, Nutrición, Atención Integral a la Niñez y Salud Reproductiva para la aplicación de las normas técnicas de fortificación.
4. Suplementación cocn micronutrientes encapsulados.
5. Adquisición y distribución de antiparasitarios.
6. Atención integrada a las enfermedades prevalentes de la infancia a nivel institucional y comunitario.
7. Fortalecimiento del Programa Comunitario de Salud y Nutrición (PROCOSAN).
Objetivo Específico 2: Disminuir la gravedad y letalidad de las EDA por rotavirus (aplicando la nueva generación de intervenciones para el abordaje de la diarrea).
8. Suplementación con zinc y uso de nuevas sales de rehidratación oral de baja osmolaridad en niños y niñas con diarrea.
9. Inmunizaciones
10. Vacuna Anti-rotavirus.
Objetivo Específico 3: Brindar atención integral a la mujer con el propósito de garantizar un estado de salud óptimo durante su embarazo, parto y puerperio.
11. Fortalecimiento del Programa Nacional de Lactancia Materna.
12. Detección, prevención y tratamiento de la anemia y deficiencia de ácido fólico.
Objetivo Específico 4: Contribuir a la seguridad alimentaria y nutricional de la mujer y la niñez.
13. Entrega de alimentos complementarios fortificados según criterios de selección en las zonas de alta y muy alta vulnerabilidad alimentaria y nutricional.
Objetivo Específico 5: Población recibe mensajes educativos para promover estilos de vida saludables que mejoran la salud y la nutrición en la familia y en la comunidad.
14. Implementación de Estrategia de Comunicación y Acción Comunitaria en Salud.
Objetivo Específico 6: Evaluar con indicadores de procesos y de resultados el Plan Nacional ""Hacia la Erradicación de la Desnutrición Crónica Infantil"" (HEDCI).
15. Diseño y ejecución de un sistema de Seguimiento y Evaluación del Plan Nacional HECDI.
","
Actividad 1: Adaptación e implementación de las normas y protocolos con nuevos estándares de crecimiento, equipamiento y capacitación a nivel nacional y SILAIS.
Indicadores:
1.1. El 100% de unidades de salud utilizan nuevos estándares de crecimiento OMS.
1.2. En implementación el sistema de información de SAN del menor de 5 años de edad con inclusión de la diversidad de la dieta y el patrón alimentario.
1.3. Incremento de la cobertura del VPCD (vigilancia y promoción del crecimiento y desarrollo) en el menor de una ñao al 90% de acuerdo a los nuevos estándares.
1.4. El 100% de madres qeu participan en las sesiones de evaluación del crecimiento infantil reciben consejería alimentaria basadas en el registro semanal del consumo de alimentos por el infante y de estimulación del desarrollo infantil.
Actividad 2: Fortalecimiento del programa de micronutrientes.
Indicador:
2.1. Incremento del 30% en la cobertura del segundo VPCD en el año en los niños y niñas de 1 a 4 años.
Actividad 3: Fortalecimiento de la coordinación entre las direcciones de regulación de alimentos, Nutrición, Atención Integral a la Niñez y Salud Reproductiva para la aplicación de las normas técnicas de fortificación.
Indicadores:
3.1. Al menos el 95% de los niños y niñas menores de 5 años reciben micronutrientes deficitarios en la dieta básica: vitamina A, sulfato ferroso, zinc, ácido fólico, yodo y flúor.
3.2. El 85% de expendios o procesadoras de alimentos cumplen con las normas de control y garantía de calidad.
Actividad 4: Suplementación con micronutrientes encapsulados.
Indicador:
4.1. El 100% de niños y niñas beneficiarios de PAININ reciben micronutrientes encapsulados.
Actividad 5: Adquisición y distribución de antiparasitarios.
Indicador:
5.1. El 100% de los niños y niñas de 2 a 5 años reciben tratamiento antiparasitario según normas del MINSA.
Actividad 6: Atención integrada a las enfermedades prevalentes de la infancia a nivel institucional y comunitario.
Indicador:
6.1. El 100% de unidades de salud ejecutan AIEPI a nivel institucional y comunitario.
Actividad 7: Fortalecimiento del Programa Comunitario de Salud y Nutrición (PROCOSAN).
Indicadores:
7.1 El 95% de los niños y niñas atendidos por PROCOSAN son referidos y evaluados en el VPCD.
7.2. El 100% de madres que participan en las sesiones de PROCOSAN reciben consejería en salud, alimentación y nutrición.
Actividad 8: Suplementación con zinc y uso de nuevas sales de rehidratación oral de baja osmolaridad en niños y niñas con diarrea.
Indicador:
8.1. El 80% de los niñas y niñas cocn diarrea reciben suplementos de zinc y sales de rehidratación oral de baja osmolaridad.
Actividad 9: Inmunizaciones
Indicador:
9.1 Al menos el 95% de los niños y niñas menores de 5 años cumpletan su esquema de vacunación.
Actividad 10: Vacuna Anti-rotavirus.
Indicador:
10.1. Al menos el 95% de los niños y niñas completan a los 6 meses su esquema de vacunación Anti Rotavirus.
Actividad 11: Fortalecimiento del Programa Nacional de Lactancia Materna
Indicadores:
11.1. Incremento al 53% de mujeres con niños y niñas menores de seis meses que dan lactancia materna exclusiva.
11.2. El 100% de unidades de salud certificadas que cumplen con los 11 pasos para la promoción de una lactancia materna exitosa.
11.3. Instalado y funcionando el primer banco de leche humana en el Hospital Berta Calderón.
Actividad 12: Detección, prevención y tratamiento de la anemia y deficiencia de ácido fólico.
Indicador:
12.1. El 95% de la MEF reciben suplementación con hierro y ácido fólico en los 66 municipios priorizados.
Actividad 13: Entrega de alimentos complementarios fortificados según criterios de selección en las zonas alta y muy alta vulnerabilidad alimentaria y nutricional.
Indicador:
13.1. El 100% de las familias con mujeres embarazadas, madres lactantes y niños menores de tres años en las zonas de intervención del MINSA, MAGFOR y PMA.
Actividad 14: Implementación de Estrategia de Comunicación y Acción Comunitaria en Salud.
Indicador:
14.1. Implementada la Estrategia de Comunicación y Acción Comunitaria dirigida a la familia.
Actividad 15: Diseño y ejecución de un sistema de Seguimiento y Evalución del Plan Nacional HECDI.
Indicador:
15.1. El 100% de las actividades de monitoreo y evaluación del plan nacional HEDCI cumplidas en las zonas de intervención.
","","","Growth monitoring and promotion|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition","","http://www.incap.int/index.php/es/publicaciones/doc_view/255-plan-nacional-hacia-la-erradicacion-de-la-desnutricion-cronica-infantil-en-nicaragua","En la carátula del documento aparece 2008 - 2012 pero en la introducción (página 4) se refieren al Plan Nacional "Hacia la Erradicación de la Desnutrición Crónica Infantil en Nicaragua 2008 - 2015".","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIC%20Plan%20Nac%20Hacia%20Erradicaci%C3%B3n%20DCI.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" "17851","AFG","Afghanistan","","National Public Nutrition Policy and Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2009","","2013","Ministry of Public Health","","2010","Adopted","","2009","MoPH","Development|Education and research|Food and agriculture|Health|Justice|Nutrition council|Other|Trade|Women, children, families","Ministry of Public Health Development, Education and research, Food and agriculture, Health, Justice, Nutrition council, Trade, Women, children, families: MoPH Public Nutrition Department, Provincial Nutrition Officers, other MoPH Departments, such as the","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","International Baby Food Action Network (IBFAN)|Nutrition International|Other|World Alliance for Breastfeeding Action (WABA)","International NGOs: International Baby Food Action Network (IBFAN), Micronutrient Initiative (MI), World Alliance for Breastfeeding Action (WABA), - Breastfeeding Promotion Network of India","The World Bank|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: The World Bank, US Agency for International Development (USAID),","","","National NGOs","National NGOs: Implementation of the Public Nutrition interventions is mainly done through partnerships with NGOs (in particular BPHS NGOs, but also NGOs working in agriculture, rural development and education)","","","Private sector","Private sector","","","
Specific objectives of the Public Nutrition Strategy 2009-2013
1. To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge, skills and support that is required to adopt healthy nutrition practices, using food-based approaches.
2. To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices.
3. To reduce the prevalence of major micronutrient deficiency disorders, in particular iron, folic acid, iodine, vitamin A, and zinc, throughout the country and prevent possible outbreaks of vitamin C.
4. To strengthen case management and increase access to quality therapeutic feeding and care at health facility and community levels.
5. To ensure that all commercial and home-produced foods are safe for consumption.
6. To monitor changes in the nutritional situation in Afghanistan and evaluate the impact of nutrition strategies and programs, in order to inform development planning and emergency responses.
7. To ensure that responses to treat or to prevent moderate acute and/or chronic malnutrition are timely and appropriate, and that increases in global acute malnutrition rates are effectively managed.
8. To strengthen in-country capacity to assess the nutrition situation, and design, implement, monitor and evaluate public nutrition interventions.
","
1. Strategies for Nutrition Promotion at National, Provincial and Community levels
Objective 1: To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge, skills and support that are required to adopt healthy nutrition practices, using food-based approaches
Strategy 1.1: Advocacy and sensitization on the importance of promoting healthy nutrition
Strategy 1.2: Harmonized Nutrition Promotion across sectors
Strategy 1.3: Strengthening of community-based nutrition promotion activities
Strategy 1.4: Nutrition promotion through schools and literacy courses
Strategy 1.5: Linkages to food security interventions
2. Strategies for Infant and Young Child Feeding
Objective2: To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices.
Strategy 2.1: Advocacy, regulations, guidelines.
Strategy 2.2: Behaviour change through awareness raising, counselling and community Support
Strategy 2.3: Infant and Young Child Feeding in health facilities.
3. Strategies to address Micronutrient Deficiency Disorders
Objective 3: To reduce the prevalence of major micronutrient deficiency disorders, in particular iron, folic acid, iodine, vitamin A, and zinc, throughout the country, and prevent possible outbreaks of vitamin C deficiency.
Strategy 3.1: Public education on micronutrients
Strategy 3.2: Universal Salt Iodization
Strategy 3.3: Flour Fortification
Strategy 3.4: Ghee and Cooking Oil Fortification
Strategy 3.5: Fortification of complementary foods
Strategy 3.6: Micronutrient Supplementation
4. Strategies for Adequate Management of Severe Acute Malnutrition
Objective 4: To reduce mortality from severe acute malnutrition through strengthened case management and increased access to quality therapeutic feeding and care at health facility and
community levels.
Strategy 4.1: Improved Community Mobilization and Screening of Acute Malnutrition at Health Facility and Community Levels.
Strategy 4.2: strengthen network of Therapeutic Feeding Units for complicated cases
Strategy 4.3: Out-patient treatment of SAM for non-complicated cases
5. Strategies for Food Safety and Quality Control
Objective 5: To ensure that all commercial and home-produced foods are safe for Consumption.
Strategy 5.1: Food safety education for consumers, food processors, retailers and traders
Strategy 5.2: Establishment and strengthening of a food quality control system
6. Strategies for Nutrition surveillance, Monitoring and Evaluation
Objective 6: To monitor changes in the nutritional situation in Afghanistan and evaluate theimpact of nutrition strategies and programs, in order to inform development planning and emergency responses.
Strategy 6.1: Strengthen nutrition surveillance
Strategy 6.2: Evidence-based action and Monitoring and Evaluation
7. Strategies for Adequate prevention and response to moderate acute malnutrition and/ or chronic malnutrition
Objective 7: To ensure that responses to treat or to prevent moderate acute and/or chronic malnutrition are timely and appropriate, and that increases in global acute malnutrition rates are effectively managed.
Strategy 7.1: Appropriate Assessments, Design and Implementation of Timely and Relevant Interventions
Strategy 7.2: Appropriate use of food assistance
Strategy 7.3: Management and prevention of Global Acute Malnutrition and Chronic Malnutrition.
8. Strategies for Human resource capacity development on Public Nutrition
Strategy 8.1: Integrate public nutrition in pre-service and in-service training
Strategy 8.2: Support to the Public Nutrition Department
","To protect and promote child and maternal nutrition, reduce chronic malnutrition and associated MDDs, and reduce mortality from SAM
- Prevalence of chronic malnutrition
- Prevalence of MDDs (see micronutrient targets, below)
- Prevalence death associated to SAM among children <5 yrs of age
- Coverage of treatment of SAM among children < 5yrs of age.
(Note: Proportion of SAM among children < 5 yrs of age cured and discharge. This indicator will be used as proxy indicator to measure the coverage of SAM among children <5yrs of age.)
Objective: To increase access to and utilization of quality nutrition services provided at community level and through health facilities.
- % of BPHS facilities provide nutrition services planned in the BPHS
- % of EPHS facilities provide nutrition services planned in the BPHS
- % of villages (defined by presence of a Community Development Council) where community nutrition promotion activities are delivered
Nutrition promotion:
To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge,skills and support required to adopt health nutrition practices
- % of Afghan adult and adolescent population is aware of key healthy nutrition message on IYCF. (e.g. 9 messages in MoPH nutrition booklet)
- % of Afghan adult and adolescent population is aware of key healthy nutrition message on SAM (e.g. 9 messages in MoPH nutrition booklet)
- % of community leaders and shura members (men & women) aware of key healthy nutrition messages.
- # of functional community support groups promoting breastfeeding practices.
Advocacy and sensitization
- % of the households applies improved family nutrition practices (including their dietary diversity).
- Number of senior government officials actively participating in nutrition advocacy and sensitization meetings.
- % of funding commitment to public nutrition interventions as compare to year 2008.
Harmonized Nutrition Promotion
- # of Radio & TV spots on nutrition disseminated through the local media and average airing time
- % of health facilities providing nutrition education messages
- # of schools where nutrition education is provided
- # of producer groups receiving nutrition education through agricultural extension projects
Community-based nutrition promotion
- Number of IYCF community support groups established and operational
Nutrition promotion through schools and literacy courses
- Number of schools with school gardens available.
- Number of children participating in school gardening recreational activities
- Number of literacy learners receiving nutrition education
Linkages to food security interventions
- # of communities where nutrition activities are effectively linked to food security interventions (diversification and increase of home based production), or where nutrition promotion activities are integrated in agricultural and rural development programmes
2. IYCF: To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices
- Increase in percentage of mothers who have initiated breast feeding within first hour after birth
- Increase in percentage of mothers that are exclusively breastfeeding until the child is 6 months.
- Increase in percentage of mothers who continue breastfeeding until the child is two years or older.
- Increase in percent of children that are receiving complementary foods at the age of 6 months
- Increase in percentage of children’s under 2 with adequate frequency of complementary feeding
Advocacy, regulations, guidelines
- Number of Relevant government officials, civil servants, NGO and health sector personnel, and private sector aware the IYCF Policy & Strategy
- Financial resources for IYCF mobilised and allocated
- National Committee for the Code of Marketing of BMS active
- Number of Violations of the Code and Maternity Protection Act denounced and condemned
Behaviour change
- Number of facilities certified as Baby-friendly facilities.
- 50% of the EPHS facilities and health centers (CHC&BHC) provide IYCF counselling as part of the MCH services. (=700)
- 50% of health care providers demonstrate correct counseling skills on IYCF
- Number of women receiving breastfeeding counseling per month per counselor in health services
- Number of health facilities conducting participatory cooking demonstrations sessions
IYCF integration in BPHS/EPHS
- Prevalence of iodine deficiency among school age children and women of reproductive age
3. Micronutrients: To reduce the prevalence of major micronutrient deficiency disorders, in particular
iron, folic acid, iodine, vitamin A,and zinc, throughout the country and prevent possible outbreaks of
vitamin C
- Prevalence of iron deficiency among under-five children and women of reproductive age.
- Prevalence of vitamin A deficiency among under-five children and women of reproductive age (night-blindness and vitamin A level in blood)
- Number of outbreaks of vitamin C deficiency
Universal Salt Iodisation
- % of households using Iodised salt
- Quantity of Iodized salt produced responding to MoPH quality standards
- % of households using Iodised salt
- Quantity of Iodized salt produced responding to MoPH quality standards
Flour fortification
- % of households using fortified flour
- Annual production of fortified flour compliant with MoPH standards
Ghee & oil fortification
- Standards developed for fortified ghee and oil
- Quality controls for imported ghee & oil in place at customs
Supplementation
- % of women pregnant and lactating women receiving iron/folic acid supplements.
- % women receiving post-partum vitamin A supplements
- Coverage of vitamin A supplementation through NIDs
- % of patients treated for diarrhoea receiving zinc
- Number of health facilities applying MoPH guidelines for supplementation
4. SAM treatment: To reduce mortality from severe acute malnutrition through strengthened case management and increased access to quality therapeutic feeding and care at health facility and community levels
- # of children under 5 years admitted for SAM treatment in inpatient and/or out-patient care
- % Admitted SAM children cured
- Percentage of defaulted SAM children <5yrs of age in TFUs and CMAM
Screening & community mobilization
- # of children screened and referred at community level
- # of children screened and referred in health facilities
- Number of CHWs applying MoPH screening guidelines
In-patient care
- # of SAM children admitted for in-patient care
- # of SAM patients referred for out-patient care after stabilization
- # of inpatient cases cured
- # of inpatient cases died
- # of inpatient cases defaulted
- Inpatient Average weight gain
- Inpatient Average length of stay
- Number of health facilities correctly applying MoPH guidelines for in-patient care
Out-patient care
- # of children admitted for out-patient care
- # of patients referred for in-patient care if complications
- # of outpatients cured
- #of out patients died
- # of out patient defaulted
- out patients average weight gain
- out patients average length of stay
- Number of health facilities correctly applying MoPH guidelines for out-patient care
5. Food safety
- Nationwide campaign on food safety and food hygiene targeted at the public and food retailers is implemented
Consumer and food retailer education
- Effective inter-ministerial coordination mechanism for food safety established
- Relevant standards defined and legislation passed
- Number of inspectors trained and carrying out regular inspections
- Number of foodstuffs which can be checked in laboratory facilities or number of analyses which can be made (N.B. Not
necessarily in MoPH labs)
6. Nutrition surveillance & M&E To monitor changes in the nutritional situation in Afghanistan and evaluate the impact of nutrition strategies and programs
- Information available to measure progress on the PNPS according to the indicators described in the present table.
- Number of Information sharing sessions on nutrition situation is regularly shared with key stakeholders (Government,
donors, technical assistance providers and implementing partners)
Surveillance
- Estimates of prevalence of acute malnutrition among children <5yrs of age.
- IYCF M&E indicators effectively collected and results regularly disseminated to main partners
- Inpatients care M&E indicators effectively collected and results regularly disseminated to main partners
- Outpatient care M&E indicators effectively collected and results regularly disseminated to main partners
- Micronutrient M&E indicators effectively collected and results regularly disseminated to main partners
7. Severe and Moderate acute malnutrition: To ensure that responses to nutritional emergencies are timely and appropriate, and that increases in global acute malnutrition prevalence are effectively managed
- Number of Effective & relevant responses to nutritional crises implemented in timely manner
Assessment and response capacity
- Number of quality nutrition emergency assessments carried out when a crisis justifies such assessment
Food assistance
- Number of food assistance rations that meet the MoPH requirements (nutritional adequacy, safety, cultural acceptability)
GAM cases management
- Number of children admitted for MAM in SFP
- Number of children admitted for SAM in-patient care
- Number of children admitted for or SAM out-patient care
- Number of patients referred for in-patient care if complications
- Number of MAM patients cured from SFP
- Number of MAM patient defaulted from SFP
- Average weight gain of MAM cases in SFP
- Average length of stayof MAM cases in SFP
- Number of partners applying correctly SFP guidelines
8. Public Nutrition Capacity development: To strengthen incountry capacity to assess the nutrition situation, and design,
Implement, monitor and evaluate
- Number of professional staff trained in nutrition topics related to their terms of reference
- Number of professionals trained in nutrition who apply in practice the skills they have acquired
In-service and pre-service training
- Number of academic institutions providing pre-service public nutrition training
- Nutrition of session training on IYCF conducted,
- Number of session training on Micronutrients conducted,
- Number of session training on SAM conducted
- Number of session training on CMAM conducted
Support to PND
- Number of PND staff received Diploma/master degree in Public Nutrition
- Number of PND staff received training on IYCF.
- Percentage in Staff turnover
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Total carbohydrate|Fibre|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Nutrition in schools|Nutrition in the school curriculum|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Menu labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Food vehicles (i.e. types of fortified foods)|Wheat flours|Staple foods|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","http://moph.gov.af/Content/Media/Documents/PublicNutritionPolicyStrategy2009-2013309201292640770553325325.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Public%20Nutrition%20Policy%20and%20Strategy.pdf" "23208","PRY","Paraguay","","Plan Nacional de Soberanía y Seguridad Alimentaria y Nutricional ","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2009","","","SECRETARÍA TÉCNICA DE PLANIFICACIÓN","6","2009","","","","","Finance, budget and planning","Secretaria Técnica de Planificación","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","","","","","
C. OBJETIVO GENERAL
A partir del reconocimiento de la compleja malla de problemas y factores asociados, el Plan se propone como objetivo principal erradicar la inseguridad alimentaria y pérdida de soberanía alimentaria, y sus consecuencias de hambre y desnutrición, en sectores vulnerables de la población y reducir la incidencia de la malnutrición y de las carencias y enfermedades de base alimentaria.
D. OBJETIVOS ESPECÍFICOS
a) Fortalecer la capacidad de autogestión de sectores vulnerables en la producción y aprovechamiento de alimentos sobre bases sostenibles
_ El rescate y preservación de los recursos genéticos tradicionales;
_ El rescate y difusión de prácticas tecnológicas tradicionales sostenibles de la Agricultura Familiar (AF) y de los pueblos originarios;
_ La adaptación y difusión de sistemas productivos y prácticas tecnológicas de innovación sostenibles y apropiadas para las diversas condiciones agroecológicas y sistemas socioeconómicos y culturales;
_ El mejor acceso al financiamiento;
_ El mejor acceso al mercado, tanto de productos como de factores de producción;
_ El mejor aprovechamiento de los alimentos a nivel de las fincas productoras y comunidades; y
_ Mejores condiciones de comunicaciones y de infraestructura vial y energética
b) Mejorar el acceso alimentario de sectores vulnerables, a través de:
_ La mejora sostenida y sostenible del nivel de productividad, competitividad e ingresos en la población rural vulnerable;
_ La capacitación para el desarrollo del capital y talento humanos, que eleva la calificación laboral, generando para la población mejores condiciones de inserción en el mercado de trabajo y mayores ingresos;
_ La mayor transparencia y eficiencia en el funcionamiento del mercado alimentario interno;
_ La revisión y adecuación del régimen impositivo que grava los productos alimenticios; y
_ El fortalecimiento y ampliación de la asistencia alimentaria y nutricional a poblaciones vulnerables y poblaciones afectadas por situaciones de emergencia.
c) Mejorar el uso y consumo de alimentos nutritivos, mediante:
_ La promoción de prácticas de vida saludable
_ La educación nutricional orientada al cambio de hábitos alimentarios
_ El fortalecimiento del sistema de vigilancia nutricional
_ El mantenimiento de información actualizada de las condiciones de salud y nutrición de la población diferenciada por grupos socioculturales, generacionales, y de género.
d) Generar cambios positivos en el sistema cultural vinculado con soberanía y seguridad alimentaria y nutricional,
_ Promoviendo valores, tales como solidaridad comunitaria y familiar, y organización comunitaria;
_ Erradicando los prejuicios culturales alimentarios de la población, así como la vulnerabilidad frente a culturas foráneas; y
_ Realizando acciones de promoción, rescate y difusión de otros valores culturales favorables a SSAN.
e) Adecuar y fortalecer el sistema educativo y de desarrollo del capital humano en el ámbito de la educación nutricional, mediante:
_ La capacitación de docentes en métodos de enseñanza participativa e intercultural;
_ El mejoramiento de las condiciones de trabajo y formación de maestros indígenas y rurales;
_ El mejoramiento de la infraestructura en escuelas como puntos focales de la educación integral para la promoción de la nutrición infantil y la seguridad alimentaria; y
_ La producción de materiales educativos de distribución masiva y gratuita; y
_ La implementación de proyectos alimentarios y nutricionales en escuelas y colegios.
f) Fortalecer la institucionalidad del Sector SSAN,
_ Estableciendo las instancias institucionales adecuadas para la implementación del PLANAL, y
_ Mejorando las capacidades institucionales para construir, ejecutar y evaluar políticas y programas integrales relacionados con la soberanía y seguridad alimentaria y nutricional de la población, basados en criterios tales como:
o Enfoque adecuado
o Gestión eficiente
o Visión institucional sistémica
o Transparencia
o Recursos económicos suficientes
o Sistema de planificación, monitoreo y evaluación continua
o Marco legal apropiado y de aplicación universal. Derecho a la alimentación vigente
o Cobertura de servicios ampliada
o Infraestructura vial y energética ampliada
o Control eficaz de calidad e inocuidad de alimentos
g) Mejorar la estabilidad del suministro y acceso de alimentos a nivel de poblaciones y regiones vulnerables, mediante:
_ La implementación del Sistema de información integrada y observatorio de SSAN, incluyendo sistemas de alerta temprana;
_ El mejoramiento del acceso a información de mercados y precios;
_ La implementación de planes de ordenamiento territorial para la producción de alimentos;
_ La planificación de la producción de alimentos para garantizar la regularidad del suministro;
_ La ampliación y adecuación de los sistemas de infraestructura vial, energética y de almacenamiento de alimentos; y
_ El acceso al agua y tecnología apropiada en regiones vulnerables
","7. ESTRATEGIA TÉCNICA
El Programa está basado en la acción combinada de los siguientes componentes:
- Tecnificación y diversificación de la producción orgánica/agro-ecológica;
- Acceso a recursos de financiamiento;
- Desarrollo de la capacidad de provisión permanente de productos orgánicos/agro-ecológicos;
- Acceso Familiar Permanente a Productos Orgánicos/Agro-ecológicos
- Fortalecimiento y alianzas inter-institucionales
- Seguimiento y Evaluación del Programa.
8. ESTRATEGIA OPERATIVA
La institucionalidad encargada de la implementación del Programa incluye tres instancias principales a saber: (i)
El MAG, como responsable del fomento de los sistemas productivos orgánicos y agro-ecológicos; (ii) El
SENAVE y el SENACSA, en calidad de responsables del control en el ámbito agrícola y pecuario, respectivamente; y (iii) La mesa multisectorial de participación de las principales instancias de involucrados en el Programa.
El Programa será gestionado por el MAG, que lo institucionalizará estableciendo, instrumento jurídico mediante, la respectiva unidad operativa en el nivel del Vice Ministerio de Agricultura, a la que asignará, en una primera etapa, las funciones de identificar a los actores del sector público, sector privado y grupos meta, a ser convocados a tomar parte del proceso de desarrollo de la producción orgánica y agro-ecológica.
La gestión institucional del MAG involucrará entre las principales funciones:
a) La responsabilidad institucional directa por el fomento de los sistemas productivos relevantes (competencia
a ser ejercida en forma integrada con otros organismos agrarios del sistema MAG, como el INDERT y el
CAH);
b) La coordinación, en el marco del SIGEST, de las tareas de control con los organismos competentes
(SENAVE y SENACSA); y
c) La instalación y conducción del proceso participativo en el marco de la Mesa Multisectorial de coordinación, seguimiento y evaluación del Programa.
En el nivel operativo local, el Programa serás gestionado desde una instancia de coordinación entre la Unidad
Territorial de Gestión del PRONAOR (UTG-PRONAOR) y la Unidad de Gestión Local (UG-Local) a ser instalada en el nivel de los gobiernos municipales en el marco del PLANAL, tal como ha quedado planteado en los casos del PRONSADAF y PRONSADAI.
El personal técnico, que en el marco del PLANAL se dispondrá al nivel de los municipios (UG-Local), en coordinación con los técnicos de campo asignados al PRONAOR, gestionará la participación de los estamentos operativos del MAG (como la investigación) y de otras entidades públicas involucradas, así como la formalización de acuerdos territoriales de desarrollo de la producción orgánica y agro-ecológica con ONGs, empresas privadas, asociaciones de productores y, en su caso, organizaciones de comunidades indígenas.
","","Process indicators","G. INDICADORES Y METAS
El Programa se constituye en un instrumento de gestión integrada que tiene como una de sus principales metas cuantitativas lograr que al cabo de unos cinco años de plena implementación unas 30.000 unidades familiares hayan sido certificadas como fincas orgánicas, comparadas con unas 12.000 fincas estimadas en la actualidad.
Aparte de esta meta global, algunos de los indicadores que deberán ser monitoreados a lo largo del periodo de implementación del Programa incluyen:
- Grado de penetración de los hábitos de consumo vinculados a producción orgánica;
- Perfil de diversidad productiva de las fincas certificadas orgánicas;
- Evolución del ingreso familiar de las unidades familiares orgánicas;
- Evolución de las exportaciones de productos orgánicos;
- Grado de adecuación de la oferta tecnológica proveniente de los organismos encargados hacia las unidades productoras;
- Grado de adopción de tecnologías orgánicas y agro-ecológicas al nivel de las unidades familiares; y
- Nivel de consolidación de la institucionalidad vinculada a producción orgánica y agro-ecológica.
","Breastfeeding|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Right to food|Growth monitoring and promotion|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food safety|Household food security|Food sovereignty|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRY%202009%20-%20Plan%20Nacional%20de%20Soberania%20y%20Segurdad%20Alimentaria.pdf" "17832","SDN","Sudan","","National Nutrition Policy and Key Strategies","Comprehensive national nutrition policy, strategy or plan","","","","2009","","","Federal Ministry of Health Republic of Sudan","","2009","Adopted","","2009","Federal Ministry of Health","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Justice|Other|Trade|Women, children, families","Federal Ministry of Health Republic of Sudan","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","","","","","","","National NGOs","National NGOs","","","Private sector","Iodized salt producers and traders, Millers, Schools, Universities","Other","Other: Religious leaders, Community leaders, Local administration","Objective 1: Ensure the prevention and treatment of nutrition related disorders in emergency and non-emergency situations.
Objective 2: Reduce nutritional risk for individuals throughout their life-cycle through implementation of integrated health, nutrition, and food security interventions.
Objective 3: Increased optimal use of available food and micro level resources to maximize nutritional benefit.
Objective 4: To reduce nutrition risk and improve malnutrition prevention and treatment programming.
Objective 5: Ensure that the nutritional needs of people living with HIV & AIDS and their families are adequately addressed
Objective 6: Ensure quality food production that meets food safety standards.
Objective 7: Increased knowledge & awareness & improved nutrition practice at community level
Objective 8: Increase skills and capacity of nutrition staff and non-nutrition staff working in areas related to the direct and underlying causes of malnutrition.
Objective 9: Multi-sectoral coordination and collaboration to address malnutrition comprehensively and effectively, to bring about sustained change in population nutrition status (linked to Objective 3).
Objective 10: Strengthen nutrition information, research, and nutrition advocacy systems, to feed into national and local planning, analysis, monitoring and evaluation.
","Strategy 1:
a. Prevent chronic malnutrition through improved dietary intake and reduced infant morbidity.
b. Prevent, detect and treat acute malnutrition (including response to emergencies) through provision of appropriate services through the public health system.
c. Prevent, detect, and treat Micronutrient Deficiency Disorders (MDDs) through a combination of supplementation, fortification, education, and food based approaches.
d. Prevent obesity and lifestyle diseases through the promotion of optimal eating and physical exercise habits.
Strategy 2:
a. Improve maternal nutrition status
b. Improve infant and young child nutrition status
c. Address the nutritional needs of school age children and adolescents
d. Address the nutritional needs of adults and older persons
Strategy 3:
Strategy 4:
a. Reduce nutrition risk caused by excess morbidity through increased coverage and accessibility of quality of basic child health care services (IMCI).
b. Improve nutrition related programming through coordinated engagement of a wide range of health providers in nutrition related activities and the establishment of strong linkages between facility and community based nutrition activities.
Strategy 5:
a. Develop systems and guidelines to support the nutritional needs of people living with HIV & AIDS and their families
Strategy 6:
b. Develop systems and guidelines to safeguard quality food production that meets food security standards.
Strategy 7:
a. Utilise social mobilization, nutrition education/behavior change communication and advocacy strategies to promote improved knowledge and nutritional practices through all health facilities, at community level and through the general media.
Strategy 8:
a. Support and develop technical and managerial/planning capacity in nutrition for nutritionists and dieticians
b. Support and develop appropriate nutrition capacity of wider public health staff
c. Support and develop appropriate nutrition knowledge/ capacity of technical staff in related sectors
Strategy 9:
a. To promote and facilitate multi sectoral coordination and collaboration to address malnutrition at Federal and State levels
b. Nutrition information, research and advocacy
Strategy 10:
a. Strengthen and further develop timely & accurate nutrition information systems for action.
b. Carry out research in areas that will improve the understanding of nutritional risk in Sudan.
c. Utilisation of nutrition information in advocacy efforts across a range of nutrition related issues.
","National Priorities: Improved access to basic social services throughout the country. These include health and nutrition, education, water and sanitation, social protection and social welfare.
","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" "39482","CIV","Côte d'Ivoire","","Politique nationale de nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","","Ministère de la santé et de l’hygiène publique","","2010","Adopted","","","Ministère de la santé et de l’hygiène publique","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Transport|Consumer affairs|Trade|Environment|Industry|Information|Other","Ministère des infrastructures économiques","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","associations de consommateurs","","","Private sector","","","","
VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
2. Au niveau communautaire
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
C. N°3 : Amélioration de la sécurité alimentaire des ménages
D. N°4 : Promotion de la sécurité sanitaire des aliments
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
G. N° 7 : Intégration de la nutrition en milieu carcéral
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
Sensibilisation
Mobilisation sociale
J. N°10 : Promotion de la recherche en matière de nutrition
K. N°11 : Développement des compétences en matière de nutrition
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
Mission: Establish effective overall mechanisms through which policies, strategies, programmes, and activities can be identified, prioritized, coordinated, implemented, monitored, and evaluated for the attainment of nutrition and food security in Lao PDR.
Overall Goal: Since there is no single measure of nutritional status and food security, the overall goal has been translated into a number discrete, empirically observable and measurable targets by the Year 2015 (attainment year of MDGs) and the Year 2020 (year for exiting Less Developed Country status and entering Medium Income Country status). See indicator tab for list of goal indicators.
","
Strategic Direction I: Address Immediate Causes
SO1: Improve Nutrient Intake
SO2: Prevent and Reduce Food-, Water-, Vector-borne, and Infectious Diseases
Strategic Direction II: Address Underlying Causes
SO3: Increase and Diversify Domestic Food Production
SO4: Improve Access to Nutritious Food
SO5: Improve Mother and Child Care Practices
SO6: Improve Environmental Health and Access to Nutrition and Health Services
Strategic Direction III: Address Basic Causes
SO7: Improve Institutions and Coordination
SO8: Improve Human Capacity
SO9: Increase Quantity and Quality of Information
SO10: Increase Investments in Nutrition and Food Security
Overall Goal Indicators
Indicator (2006 Baseline, 2015 Target, 2020 Target)
Malnutrition
Rate of stunting among CU5 (NCHS standard) (40, 34, 28)
Rate of wasting among under CU5 (NCHS standard) (6, 4, 2)
Rate of underweight among CU5 (NCHS standard)* (37, 22, 15)
Rate of thinness of women among reproductive aged (WRA) (BMI<18.5kgm-2) (14, 12, 10)
Rate of anemia among CU5 (Hemoglobin < 11g/dL) (41, 30, 20)
Rate of Anemia among women of reproductive age (WRA) (Hemoglobin < 12 g/dL) (36, 25, 15)
Iodine deficiency among school age children (urinary iodine excretion < 100µg/L) (27, 17, 10)
Iodine deficiency among women of reproductive age (WRA) (13, 9, 5)
Vitamin A deficiency among CU5 (serum retinol < 0.7) (45, 30, 20)
Percentage of households with low < 1800 KC energy intake* (TBD, 10, 5)
Health
Infant mortality rate (IMR) (70/1,000, 49/1,000, 30/1,000)
Under 5-years old child mortality rate (CU5 MR) (98/1,000, 80/1,000, 40/1,000)
Maternal mortality rate (MMR) (405/100,000, 260/100,000, 100/100,000)
Poverty
Poverty Head Count Ration (HCR) (TBD, 24%, 8%)
* MDG Goal indicators. MDG Goal Indicators will be used as key proxy indicators to measure progress towards MDG 1
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Counselling on infant feeding in the context HIV|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Other B-vitamins|Iodine|Iron|Zinc|Micronutrient powder for home fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","National Nutrition Policy (2008) https://extranet.who.int/nutrition/gina/en/node/8022","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202010%20National%20Nutrition%20Strategy%20and%20Plan%20of%20Action.pdf" "25850","BFA","Burkina Faso","","Plan Cadre des Nations Unies pour l'Aide au Developpement UNDAF 2011-2015","Non-national nutrition policy document","","French","","2011","","2015","Systeme de Nations Unies au Burkina Faso","3","2010","","","","","","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","UNDAF Outcome 2: The poorest and most vulnerable increasingly participate in and benefit more equitably from China’s social and economic development.
Outcome 2.4 The right of all poor and vulnerable groups to live a healthy and productive life is realized.
Output 2.4.1 Health services are delivered in a way that is sensitive to the needs of the poor and vulnerable groups.
Indicator 2.4.1a: Nutrition counselling cards are available in the language of the two largest minority groups in 2 provinces. Baseline: 0 Target: Cards fully available in 2 target provinces
Indicator 2.4.1b: Equal percent of <5s weighed and counselled about child feeding in the poorest and wealthiest socioeconomic groups Baseline: TBD Target: No inequalities between poor and wealthiest
Output 2.4.4. Improved government capacity to formulate and implement national child nutrition and food safety and security policies, guidelines, regulations, and standards with focus on the poor and vulnerable groups.
Indicator 2.4.4a: Local government is aware of national child nutrition and food safety and security policies and has developed local standards. Baseline: Not aware or available Target: Fully available in 2 target provinces
Indicator 2.4.4b: Percent of facilities in targeted counties that were trained in local child nutrition and food safety policy standards. Baseline: 0 Target: 10% increase
","","","Breastfeeding|Maternity protection|Right to health|Growth monitoring and promotion|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Household food security|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","http://undg.org/home/country-teams/asia-the-pacific/china/","","","" "22860","GMB","Gambia","","The Business Plan for Better Nutrition 2011-2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","National Nutrition Agency (NaNA), The Government of Republic of The Gambia","","2011","","","","","","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)|International Baby Food Action Network (IBFAN)|Other","Action Aid The Gambia","The World Bank","","Other","Permanent Interstate Committee for Drought Control in the Sahel (CILSS), West African Health Organisation (WAHO)","","","Research/academia","Medical Research Council","","","","","This Business Plan for Better Nutrition (2011-2015) is an accompaniment to the National Nutrition Policy (2010-2020) and the costed Strategic Plan (2011-2015).
1.7 Vision
A Gambia Free of Malnutrition
1.8 Goal
To attain optimal nutritional requirements of The Gambian population, and to assure a healthy and sustainable livelihood.
2.2 Objective of the Plan
The objective of this Business Plan is to raise funds for nutrition in the country so that its population can attain optimal nutritional requirements thereby leading healthy and productive lives to assure sustainable livelihoods.
","Priority Areas
GENERAL OBJECTIVE:
To accelerate the reduction of chronic undernutrition in children under 5 years of age from 44% in 2008 to 30% in 2015 and 20% in 2020, contributing to the reduction of infant morbidity-mortality and ensuring the development of a healthy and active society.
GOALS FOR EACH TARGET GROUP:
Adolescents
• Reduce anaemia rates in adolescents in and out of school from (estimated) 40% in 2010 to 20% in 2015 and 10% in 2020.
Pregnant and nursing women
• Reduce rates of anaemia during pregnancy from 53% in 2002 to 30% in 2015 and 15% in 2020.
• 30% increase in the number of women who gain 5kg during pregnancy in 2015 and 2020 (baseline to be assessed).
• Reduce iodine deficiency in pregnant women from 68% in 2004 to 35% in 2015 and 15% in 2020.
• Increase coverage rates of preventive postpartum administration of vitamin A from 60% in 2010 to 70% in 2015 and 90% in 2020.
Women of Reproductive Age
• Reduce rates of anaemia in women of reproductive age from 56% in 2010 to 30% in 2015 and 15% in 2020.
Children under 5 years of age, with emphasis on children under 2 years of age:
• Reduce Low Birth Weight from 15% in 2008 (MICS) to 10% in 2015 and 5% in 2020.
• Reduce the prevalence of chronic undernutrition in children under two years from 37.4% in 2008 (MICS) to 27% in 2015 and 17% in 2020.
• Increase the rates of exclusive breastfeeding in infants under six months from 37% in 2008 (MICS) to 60% in 2015 and 70% in 2020.
• Increase the rate of children aged 9-11 months who received at least three meals of complementary food during the day, from 37% in 2008 (MICS) to 52% in 2015 and 67% in 2010.
• Reduce the prevalence of anaemia in children from 74% in 2002 to 30% in 2015 and 15% in 2020.
Strategic Objectives:
1: To strengthen activities with impact on the nutritional status of adolescents.
2: To strengthen interventions with impact on the health and nutrition of women of reproductive age before and during pregnancy and lactation.
3: To strengthen nutrition activities for children in the first two years.
4: To strengthen household-oriented activities to improve access and utilization of foods with a high nutritional value.
5: To strengthen the Human Resources capacity in the area of nutrition.
6: To strengthen the national capacity for advocacy, coordination, management and progressive implementation of the Multisectoral Action Plan for the Reduction of Chronic Undernutrition.
7: To strengthen the food and nutrition surveillance system.
","Interventions/Activities included in the Activity Plan of the PDF
","
M & E Indicators included in the Activity Plan of the PDF (Section 5.2)
","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.who.int/nutrition/landscape_analysis/MozambiqueNationalstrategyreductionstunting.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf" "22852","MMR","Myanmar","","National Plan of Action for Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2015","National Nutrition Centre, Department of Health, Ministry of Health","","2013","","","","","Education and research|Environment|Food and agriculture|Health|Nutrition council|Other|Social welfare","National Nutrition Centre, Department of Health, Ministry of Health Education and research, Environment, Food and agriculture, Health, Nutrition council, Social welfare: Food and Nutrition Working Group","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), United Nations Industrial Development Organization (UNIDO), United Nations Population Fund (UNFPA), World Food Programme (WFP), World Health Organization (WHO),","","","Australian Agency for International Development (AUSAID)|Department of International Development (DFID)|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: Australian Agency for International Development (AUSAID), Department of International Development (DFID), Japan International Co-operation Agency (JICA), US Agency for International Development (USAID),","European Union","","","","","","","","","","Goal
The goal of the NPAFN is to ensure adequate access to, and utilization of food that is safe, adequate and well-balanced on a long term basis in order to enhance the physical and mental development of the people of Myanmar
Strategic Objectives (SOs)
Selected targets by 2016:
4.2 proportion of stunted of children < 5 (≤2 SD of WHO CGS median), Current: 35.1%, 2016: 30%
2.4 Proportion of Non-pregnant women with < Hb 12g/dL, Current: 45%, 2016: 30%
2.5 Prevalence of anemia for pregnant women, Current: 71%, 2016: 60%
4.1 incidence of LBW, Current: 8.6%, 2016: 8%
4.4 proportion of OW children below age five (<2 years and 2-5 years), Current: 2.6%, 2016: 2.2%
1.1 % of exclusively breastfed < 6 months olds, Current: 23.6%, 2016: 50%
4.3 proportion of wasted children <5 (wt-for ht ≤ 2SD of WHO CGS median), Current: 22.6%, 2016: 20%
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","Extract from the NPAFN log frames specifying the Action Areas linked to the ten strategic objectives (SOs). Each action area contains several interventions illustrated in the log frames.
SO1: Promote consumption of healthy foods and Improve Nutrient Intake
SO2: Prevent and reduce food, water, vector–borne and infectious diseases
SO3: Increase and diversify domestic food production
SO4: Improve access to food
SO5: Improve mother and child care practices
SO6: Improve environmental health and food safety
SO7: Improve institutional capacity and coordination
SO8: Improve Human capacity
SO9: Improve quality and quantity of information
SO10: Increase investments in nutrition and food security
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","The Plan of Action for Food and Nutrition compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Monitoring of the Code|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School milk scheme|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|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)|Rice|Staple foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy ReviewACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202011%20National%20Plan%20of%20Action%20for%20Nutrition.pdf" "11534","NAM","Namibia","","Strategic Plan for Nutrition 2011–2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","MOHSS","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Sport|Trade|Information|Sub-national|Other","Regional Development, Gender, Defense, Lands and resettlement, Youth Sport and Culture, Saftey and Security, Office of the Prime Minister (OPM) and Namibia Alliance for Improved Nutrition (NAFIN) Trust","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Other, please specify under further details|Voluntary Services Overseas (VSO)","Health Unlimited (Britain), Doctors of the World( Spain), CESTAS (Italy), People in Need (Czech Republic), Chinese Medical Programme, faith-based organisations","Other|Centers for Disease Control and Prevention (CDC USA)|Gesellschaft für Technische Zusammenarbeit (GTZ, Germany)|US Agency for International Development (USAID)","PEPFAR (USA), Global Fund","European Commission|European Union","","National NGOs","","Research/academia","","Private sector","food producers, distributors, outlets, gyms, fitness institutions, Namibian grain producers Bokomo, Namib Mills and Southern Choice Mill","","","GOAL:
To improve the nutritional status of the Namibian population, with special emphasis on children, women and people living with HIV and TB, resulting in the reduction of morbidity and mortality due to or associated with malnutrition.
STRATEGIC PRIORITIES;
1. Maternal and child nutrition
2. Micronutrient deficiencies
3. Diet-related diseases and lifestyles
4. Nutritional management of communicable diseases
Objectives:
4.1.2.1. Underweight in under-fives reduced from 17 percent to 10 percent and severely underweight from 4 percent to 1.5 percent
4.1.2.2. Chronic malnutrition in women of reproductive age reduced from 16 percent to 12 percent
4.2.2.1. Disorders associated with iodine, iron, zinc and vitamin A deficiencies eliminated
4.3.2.1. Prevalence of obesity reduced from 12 percent to 8 percent and overweight from 16 percent to10 percent in women of reproductive age and from 4.3 percent to 1.5 percent in under-5s.
4.4.2.1. Appropriate nutrition care provided for at least 80 percent of people living with HIV and TB
4.4.2.2. Nutrition care integrated into management of malaria and other communicable diseases
Priority 1 Strategies:
I. Growth Monitoring and Nutrition Promotion
II. Universal implementation of Baby and Mother Friendly Hospital Initiative
III. Infant and Young Child Feeding
IV. Integrated Management of Acute Malnutrition
V. Code of Marketing of Breast-milk Substitutes
VI. Maternal and Child Nutrition Promotion
VII. Nutrition Surveillance
Priority 2 Strategies:
I. National household food consumption and micronutrient deficiency survey
II. Micronutrient supplementation (iron, zinc, vitamin A)
III. Universal salt iodisation
IV. Food fortification
V. Promotion of dietary diversification
VI. Legislative framework
Priority 3 Strategies:
I. Assessment of prevalence and causes of obesity and associated NCCD in the general population
II. Monitoring and promotion of healthy diets and physical activity
III. Dietary management of diet-related non-communicable diseases
IV. Regulation of food safety, food standards and food labelling
Priority 4 strategies:
I. Integrated Management of Acute Malnutrition
II. Promotion of appropriate nutrition for PLHIV and TB
III. Raise awareness on water and food safety, hygiene and sanitation
IV. Nutrition surveillance
V. Nutrition assessment, counselling and support
OUTPUT INDICATORS:
OUTCOME INDICATORS:
IMPACT INDICATORS:
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202011%20Final_strategic_Plan_for_Nutrition_14_March_2011%20%282%29.pdf" "23544","SOM","Somalia","","Somali Nutrition Strategy 2011 – 2013","Non-national nutrition policy document","","English","","2011","","2013","World Health Organization/UNICEF/WFP/FAO/FSNAU 2010","","2011","Adopted","","2010","Health Authorities of Somalia","","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","
Overall of the strategy is: To contribute to improved survival and development of Somali people through enhanced nutritional status.
This will be accomplished through the achievement of the following outcomes:
Outcome 1: Improved access to and utilisation of quality services for the management of malnutrition in women and children
Outcome 2: Sustained availability of timely and quality nutrition information and operational research into effective responses to the causes of undernutrition
Outcome 3: Increased appropriate knowledge, attitudes and practices regarding infant, young child and maternal nutrition
Outcome 4: Improved availability and coverage of micronutrients and de-worming interventions to the population
Outcome 5: Improved mainstreaming of nutrition as a key component of health and other relevant sectors
Outcome 6: Improved capacity and means in country to deliver essential nutrition services
","Specific activities are included in pages 19-41 of the document.
","Specific indicators are included in pages 19-41 of the document.
","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Breastfeeding promotion/counselling|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SOM%202010%20Nutrition%20Strategy.pdf" "36037","TZA","United Republic of Tanzania","","Tanzania Agriculture and Food Security Investment Plan (TAFSIP) ","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2011","","2021","","10","2011","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Inter-Ministerial Coordinating Committee (ICC),","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","Private sector","","Other","communities, farmer organizations","Goal: contribute to the national economic growth, household income and food security in line with national and sectoral development
aspirations growth, household income and food security in line with national and sectoral development aspirations
Objective: rationalise allocation of resources to achieveannual 6 percent agricultural GDP growth, consistent with national objectives to reduce ruralpoverty and improve house hold food and nutrition security
Strategic objective: Enhanced household and national food and nutrition security
","4 THE INVESTMENT PLAN
4.3 Priority Investment Areas
4.3.5 Food and Nutrition Security
109. Food and nutrition security takes a number of forms, all of which affect the quality of life and productivity of rural people. Chronic, transitory and emergency food insecurity due to poor agricultural productivity, food inaccessibility and natural disasters all play a role. A 2005 survey found that 15 per cent of households in selected locations were food insecure and another 15 per cent were highly vulnerable. Northern and central regions were worst affected and the level of food insecurity in some areas was high as 45 percent. Food security is highly dependent on rain-fed agriculture which also is susceptible to the vagaries of weather. Therefore there is need to promote and embark on irrigated agriculture and diversification of crops (drought resistant crops) for greater reliability of food supplies.
110. Capacity of strategic food reserves; The issue of strategic food reserves needs to consider: (i) an appropriate level of stocks to hold; (ii) transparent protocols and rules for the acquisition and release of stocks, stock rotation, and the use of financial instruments to complement physical stock-holding; and (iii) policies and procedures for dealing with food price spikes of the type currently being experienced.
111. Malnutrition is one of the most serious constraints to labour productivity and economic growth. Chronic malnutrition is also high with 38 per cent of children less than five years of age being stunted, making it one of the ten worst affected countries in the world and third worst in Africa. Over the last five years (2005 to 2010) the levels of chronic malnutrition and calorie deficiency were only reduced slightly. Malnutrition reduces labour productivity and earning potential most within the agricultural sector where physical stature and body strength are critical. In children, malnutrition often contributes to increased child mortality, and for those who survive, it diminishes their ability to grow, learn and earn a decent income as adults.
112. There will continue to be a proportion of rural households needing special support to help them achieve food security and protect them against shocks, principally droughts. It is expected that advancements in other areas of the TAFSIP will progressively reduce the number of households requiring food aid and other forms of assistance to survive. The effectiveness of targeting social safety net programmes for vulnerable groups will be sharpened, and the prevalence of child and maternal malnutrition is expected to decline. As the size and cost of the safety net programme begins to decline, more resources will be available for disaster risk management including disaster preparedness and mitigation.
113. SO5 also aims at strengthening social protection systems, particularly for the most vulnerable households by improving their food and nutrition security and asset creation while promoting human capital development through education. The National Nutrition Strategy addresses the problem of chronic malnutrition by working with multiple sectors and across government agencies. This recognises that increasing food production alone does not necessarily translate into improved nutrition outcomes. Families must also be provided with information and education about good nutrition and sanitation practices. A national school feeding program will also be supported to improve food intake and increase school attendance.
114. Small, strategic and targeted support can meet the immediate nutritional needs of vulnerable households, buffering them from asset depletion and coping strategies that undermine their long-term resilience. However, emergency support will not shift households out of poverty. Therefore additional interventions such as productive safety net and household asset protection will also be implemented. These measures support productive investment through conditional transfers that provide pathways out of poverty via rural infrastructure development, market access, agricultural productivity improvement, education, healthcare and other services.
115. The Tanzania National Food Centre (TNFC) is currently finalising the National Food and Nutrition Policy. A key policy issue is the need to ensure that significant numbers beneficiaries graduate from chronic food insecurity to enable them to advance towards becoming small-scale semi-commercial farmers under SO5; and for households to improve their knowledge about how to use increasing food availability to improve the nutritional status of their children. Increasing the rate of graduation is contingent upon the rate of progress under the other three strategic objectives and should be responsive to the needs of vulnerable households affected by natural disasters. As such, it is not advisable to prescribe the rate at which social safety net programmes can be scaled down, and to retain the capacity to respond to weather-related and other crises should circumstances deteriorate, for example through a severe and widespread drought or epidemic.
116. There is a need for better integration of dietary diversification and nutrition behavior change into all agricultural sector programmes. This recognises that simply producing more and better food is not sufficient. Rural households, especially the more vulnerable and disadvantaged ones need to understand the importance of diet in overall wellbeing and have the knowledge to use the food that they have in the best possible way. In this context there are potential tensions between policies that encourage agricultural commercialisation (often involving increased specialisation) and the need to maintain diversification of farming systems and diets.
117. Other aspects of food and nutrition policy include food safety and food fortification. Current standards of food safety need to be greatly improved including microbiology, pesticide residues, labelling standards and safe storage and transport. The new food fortification standards for oil, wheat and maize flour need to be enforced. The development and enforcement of standards needs to be balanced with public education on safe food handling practices. This is also important in accessing export markets and will be increasingly important in maintaining a competitive position in the high end of the domestic market. In addition to the above, the following priority areas will be addressed: (i) finalization and implementation of nutrition strategy; (ii) establishment of high level nutrition steering committee in the Mainland ; (iii) effective 2012 designate budget line in the national budget for nutrition; (iv) stronger integration of nutrition into agricultural activities; (v) establishment of nutritional focal point at district level; and finalization and implementation of guidelines related to food fortification. The outcomes that SO4 is expected to influence, and the milestone indicators showing progress towards these outcomes are as well reflected in Annex 1.
","
The goal of the Palestinian National Nutrition Policy is to improve and maintain the nutritional status and well being of the Palestinian people, through:
1- Diet diversification, fortification and supplementation.
2- Meeting the special nutritional and care needs of vulnerable populations males and females: infants and children up to 5 years, pregnant women and lactating mothers, school-age children, the elderly, NCDs patients, nutrition related diseases, disabled people and groups who are socioeconomically or politically vulnerable.
3- Meeting the special nutritional and care needs of hospitalized patient.
4- Advocating accessibility, availability and consumption of healthy food that is adequate in quantity, quality and diversity.
5- Increase co-ordination among key stakeholders integration of nutritionrelated activities and nutrition across sectors.
6- Enhancing capacity building.
7- Sustaining the National Nutrition Surveillance System (NNSS).
8- Providing appropriate needed resources.
","Strategic Approaches for Implementation of the Operational Plan of Action for Nutrition:
1- Insure political commitment for nutrition.
2- Strengthen and sustain existing nutrition coordination mechanism.
3- Develop and improve nutrition services and capacities in Palestine including developing new structure as needed in Ministry of Health- Nutrition Department. Strengthen governmental and non-governmental capacity to implement the Operational Plan of Action for Nutrition.
4- Advocate for food and nutrition-related areas.
5- Develop, harmonise and implement nutrition-related protocols, guidelines, legislation and regulations.
6- Promote food with adequate micronutrient content.
7- Make nutrition information available to the public.
8- Develop, strengthen, institutionalize and sustain nutrition related systems and programs.
9- Identify and support relevant applied research in nutrition-related areas.
10- Address sustainability concerns at all levels of implementation.
","Process and outcome indicators are included in results matrix pages 7 through 26
","","","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|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Complementary feeding|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Household food security|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Palestinian%20National%20Nutrition%20Policy%2C%20Strategies%20%26%20Action%20Plan%20%28NNPSAP%29%202011%20-%202013.pdf" "11543","ATG","Antigua and Barbuda","","Antigua and Barbuda Food and Nutrition Security Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","","Government of Antigua and Barbuda","","2012","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Sub-national|Other","THE GOVERNMENT OF ANTIGUA AND BARBUDA","Food and Agriculture Organisation (FAO)|Other|World Health Organization (WHO)","THE CARIBBEAN FOOD AND NUTRITION INSTITUTE (CFNI/PAHO/WHO), PAHO, WHO, FAO","","","","","","","","","","","","","","","The long-term goal of the Policy is to achieve sustainable food and nutrition security and to eliminate all forms of malnutrition in order to have a well-nourished and healthy population that can fulfil its aspirations to good health and economic well-being and effectively contribute to national socio-economic development.
Specific Objectives:
2.2. Le Burundi dispose d’un secteur agro-sylvo-pastoral modernisé, adapté aux changements climatiques, sensible au genre et répondant aux besoins de sécurité alimentaire et nutritionnels et orienté vers le marché
3.1. En 2016, le système de santé du Burundi permet d’atteindre des couvertures élevées des interventions à haut impact à faible coût et de qualité (vaccination, contraception, pratiques d’hygiène, maternité à moindre risque, etc…) pour réduire la morbidité liée aux maladies transmissibles et non transmissibles ; les communautés (hommes et femmes) sont habilitées pour s’approprier la lutte contre la malnutrition et les autres stratégies sanitaires y compris l’accès équitable à l’eau potable et aux infrastructures d’assainissement de base
3.1.5. Une stratégie multisectorielle et à base communautaire de lutte contre la malnutrition chronique est adoptée par le Gouvernement et mise en oeuvre
","Cible : Amélioration de 5% de la malnutrition chronique
• Nombre de personnes sous ARV ayant bénéficie d’un appui nutritionnel
Données de base : 3365
Cible : 3000
• Pourcentage d’enfants allaites exclusive ment jusqu’à 6 mois
Données de base : 69% (2010)
Cible : 80% (2016)
• Proportion d’écoliers bénéficiant de filets de sécurité (alimentation scolaire)
Données de base : ND
Cible : 10% (2016)
• Taux d’insuffisance pondérale chez les enfants de 0 à 5 ans
Données de base : 29% (2010)
Cible : 21% (2016)
","","","Underweight in children 0-5 years|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|HIV/AIDS and nutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI-2012-2016-UNDAF.pdf" "39419","BDI","Burundi","","Plan National d'investissement agricole","Food security or agriculture sector national policy, strategy or plan with nutrition components","","French","","2012","","2017","Ministere de l'Agriculture et de l'Elevage","","2011","Adopted","","2011","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Transport|Trade|Environment","Ministères ( agriculture, environnement, santé, finances)","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","Objectifs
pages 61-64
","Outcome indicators|Process indicators","","Underweight in children 0-5 years|Nutrition counselling on healthy diets|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202012%20Plan%20National%20D%27Investissement%20Agricole.pdf" "39446","COM","Comoros","","Politique Nationale de Nutrition et Alimentation","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2016","Vice prédidence en charge de la santé","","2012","","","","","Nutrition council|Women, children, families|Finance, budget and planning","Vice prédidence en charge de la santé","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Les objectifs généraux de cette Politique Nationale de Nutrition et d’Alimentation consistent à contribuer à l’ (la):
5.2) Stratégies
La Politique Nationale de Nutrition et d’Alimentation s’articule autour de 5 axes stratégiques programmatiques d’intervention :
Dans le cadre de la mise en œuvre ces 5 axes seront appuyés par 5 axes transversaux :
M&E plan found below in PDF
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School gardens|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA.pdf" "17873","COG","Congo","","Décret nº 2012-674 du 24 mai 2012 portant création, attributions, organisation et fonctionnement de la commission nationale de fortification des aliments","Legislation relevant to nutrition","","French","","2012","","","Government","5","2012","","","","","Health|Finance, budget and planning|Trade|Industry","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","","","","","Il est créé, dans le cadre de la lutte contre les carences en vitamines et minéraux, une commission nationale de fortification des aliments, placée sous l’autorité conjointe des ministres chargésde l’industrie, du commerce et de la santé. Elle est présidée par le ministre chargé de l’industrie. La commission est chargé, notamment, de : définir les normes en matière de fortification des aliments; proposer au Gouvernement les mesures réglementaires devant régir la production, l’importation, la commercialisation et le transit des aliments fortifiés; élaborer et mettre en oeuvre un plan de communication et de marketing social pour la promotion de la consommation des aliments fortifiés; définir les mécanismes de contrôle de qualité et de la conformité à la norme des aliments fortifiés en vitamines et minéraux, commercialisés en République du Congo; susciter et entretenir l’engagement du Gouvernement, des industriels et des partenaires au développement, pour assurer le soutien institutionnel, matériel et financier nécessaire pour garantir la pérennité du processus national de fortification des aliments; proposer des plans d’action et des mécanismes de mobilisation des ressources requises pour leur exécution; développer et mettre en oeuvre un plan de recherche sur la fortification des aliments en vitamines et minéraux; suivre et évaluer la mise en oeuvre du processus national pour la fortification des aliments.
Il est créé, dans le cadre de la lutte contre les carences en vitamines et minéraux, une commission nationale de fortification des aliments, placée sous l’autorité conjointe des ministres chargésde l’industrie, du commerce et de la santé. Elle est présidée par le ministre chargé de l’industrie. La commission est chargé, notamment, de : définir les normes en matière de fortification des aliments; proposer au Gouvernement les mesures réglementaires devant régir la production, l’importation, la commercialisation et le transit des aliments fortifiés; élaborer et mettre en oeuvre un plan de communication et de marketing social pour la promotion de la consommation des aliments fortifiés; définir les mécanismes de contrôle de qualité et de la conformité à la norme des aliments fortifiés en vitamines et minéraux, commercialisés en République du Congo; susciter et entretenir l’engagement du Gouvernement, des industriels et des partenaires au développement, pour assurer le soutien institutionnel, matériel et financier nécessaire pour garantir la pérennité du processus national de fortification des aliments; proposer des plans d’action et des mécanismes de mobilisation des ressources requises pour leur exécution; développer et mettre en oeuvre un plan de recherche sur la fortification des aliments en vitamines et minéraux; suivre et évaluer la mise en oeuvre du processus national pour la fortification des aliments.
","Food fortification","","http://faolex.fao.org/cgi-bin/faolex.exe?database=faolex&search_type=query&table=result&query=ID:LEX-FAOC113981&format_name=ERALL&lang=eng","","Summary obtained from FAOLEX. FAOLEX No: LEX-FAOC113981","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202012%20D%C3%A9cret%20Cr%C3%A9ation%20commission%20nationale%20de%20fortification%20des%20aliments.pdf" "17771","MLI","Mali","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2021","Ministère de la Santé","","2013","Adopted","","2012","","Nutrition council|Health|Food and agriculture|Education and research|Development|Environment|Other","Ministère de l'éducation et de l'alphabétisation et des langues nationales","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","L’objectif général de la Politique Nationale de Nutrition (PNN) est de contribuer à assurer à chaque malien un statut nutritionnel satisfaisant pour son bien-être et pour le développement national.
Les objectifs spécifiques, ci-après listés, sont ciblés d’ici 2021:-
4.1. Stratégies
4.1.1. Surveillance de la croissance et du développement de l’enfant
4.1.2. Alimentation du nourrisson et du jeune Enfant
4.1.3. Lutte contre les carences en micronutriments
4.1.4. Prévention des maladies chroniques liées à l’alimentation
4.1.5. Nutrition scolaire
4.1.6. Production alimentaire familiale à petite échelle et transferts sociaux
4.1.7. Communication pour le Développement (CPD)
4.1.8. Renforcement de la participation communautaire en faveur de la nutrition
4.1.9. Systèmes d’Information en matière de nutrition (SIN)
4.1.10. Recherche Appliquée et formation en nutrition
4.1.11. Promotion de la sécurité sanitaire des aliments
4.1.12. Préparation et réponse aux situations d’urgence
4.1.13. Intégration Systématique des objectifs de Nutrition dans les politiques et programmes de développement et de protection sociale
4.1.14. Renforcement du cadre institutionnel
","
Indicateurs (Unités, Situation initiale 2010, Objectifs en 2015, Objectifs en 2017)
Autres indicateurs de suivi et d’évaluation de la politique nationale de nutrition
Impact
Indicateurs (Périodicité de collecte, Sources)
Pratiques alimentaires
Indicateurs (Périodicité de collecte, Sources)
Couvertures
Indicateurs (Périodicité de collecte, Sources)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Conditional cash transfer programmes","","","https://extranet.who.int/ncdccs/Data/MLI_B14_POLITIQUE%20NATIONALE%20DE%20NUTRITION_version%20finale%20du%2019%20FEV%202013%20%20avec%20Preface%2006%20SEPT%202013.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","" "11533","SLE","Sierra Leone","","Sierra Leone National Food and Nutrition Security Policy 2012 - 2016","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Ministry of Health and Sanitation","","2012","Adopted","","","SUN","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade","Ministry of Health and Sanitation, MAFFS, MEST, MOFED, MFMR and MOTI","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","SUN","Helen Keller International (HKI)","NGOs and Faith Based Organisations, NFFA","","","","","","","Research/academia","schools, research and training institutions, SLARI and Njala University","Private sector","food production parties","Other","Nutrition Technical Committee; Small scale farmers, relevant organizations that could provide storage, facilities, resources; banks, microfinance institutions, mass media","
Goal:
The overall goal of the National Food and Nutrition Policy is to contribute to the improved health, social and economic well-being of all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups.
General Objective:
To improve the current nutritional status of the population, especially infants and young children, pregnant and lactating women and other vulnerable groups in Sierra Leone
Specific Objectives (SO):
I. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels on nutrition and its relationship to development.
II. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy the daily dietary needs of the population.
III. To promote adoption of appropriate feeding practices by households.
IV. To strengthen preventive measures against nutrition related diseases
V. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
VI. To institute a nutritional surveillance system for monitoring the food and nutrition situation in the country.
VII. To promote operational research and periodic surveys into food and nutrition issues
VIII. To coordinate activities of relevant agencies involved in food and nutrition issues
SO 1 Strategies:
SO 2 Strategies:
SO 3 Strategies:
SO 4 Strategies:
SO 5 Strategies:
SO 6 strategies:
SO 7 strategies:
SO 8 Strategies:
The overall goal of the policy is to contribute to the improved health, social and economic well-being for all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups. The general objective is to improve the nutritional status of the population especially infants and young children, pregnant and lactating women in Sierra Leone.
The policy has eight specific objectives
Nutrition Indicator Targets of the implementation plan
Strategic interventions
2.1 Priority Food and Nutrition Interventions
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Indicators of each priority intervention
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
1.1 Increase employment opportunities for youth, members of vulnerable groups and people with disabilities
1.2 Establish social businesses to hire young people, members of vulnerable groups and individuals with disabilities
2.1 Construct and/or rehabilitate markets for agricultural, animal and fish products
2.2 Establish/rehabilitate infrastructures to store agricultural, animal and fish products
2.3 Establish/rehabilitate secondary roads, especially in areas used to transport goods to market
2.4 Establish social businesses to collect and distribute local food to the poor
3.1 Deploy improved technologies (agricultural inputs, livestock breeding and nutrition)
3.2 Improve management of irrigation systems
3.3 Help build capacity in the extension services and the private sector to use local resources and identify donors to provide financial support to these initiativesto strengthen agricultural innovation systems
3.4 Help build capacity in the advisory service
3.5 Increase financial supportfor national schemes in agriculture and secure support for development research projects funded by the European Union for rural development
3.6 Study the agricultural and environmental potential at national and local (rural) level
3.7 Build social businesses to provide advice and specialized technical support to farmers
4.1 Develop national guidelines for: nutritional status indicators based on the population according to demographic data and special physiological conditions;
• standardized methods of data collection; and
• frequency of data collection, information flow, methods of data analysis and reporting of each indicator.
4.2 Develop and distribute standardized forms and create a central database or registry on the nutritional status of the population
4.3 Develop training activities with primary health care personnel and public health specialists to assess, document, and report on the nutritional status of the population
4.4 Improve the forms used to report foodborne diseases and develop guidelines for the flow of information on foodborne diseases
4.5 Create databases to collect and process national data on foodborne diseases
4.6 Strengthen technical capacity and infrastructure of public health laboratories to identify more causes of foodborne diseases
4.7 Establish and strengthen the NCD surveillance system
4.8 Assess how balanced the diet of the Albanian population is through questionnaires that collect data on the frequency/type of food consumption using 24-hour recall or food and exercise diary
4.9 Include Albania in the WHO European Childhood Obesity Surveillance Initiative for children aged 6.0–9.9 years and monitor obesity among children every three years using WHO protocols
4.10 Participate in the Health Behaviour in School-aged Children (HBSC) study which uses standardized questionnaires and reporting mechanisms to evaluate the physical (including nutrition- related) and mental health among young people aged 11, 13 and 15 years
4.11 Create a surveillance system to monitor progress on eliminating iodine deficiency with particular focus on vulnerable groups and populations with high prevalence
4.12 Monitor progress towards universal salt iodization by periodic testing of salt to ensure proper iodization
4.13 Evaluate average salt content in the main staple foods
4.14 Assess national food security
4.15 Develop standardized methods for collecting, updating and disseminating information on the demand/ supply and use of most food products
4.16 Establish an information system for prompt/early warnings, monitoring and surveillance
4.17 Prepare periodic accounts on imports and exports of food staples
7.1 Review the cash payment system for families assisted by the economic aid scheme whose aim is to improve the nutritional status of children
7. 2 Pilot the improved economic assistance scheme and its nutrition-related components: counselling, education on nutrition and the provision of food packages or coupons for at-risk populations
8.1. Draft and approve legislation for traceability: update general labelling rules and develop specific rules for labelling and controlling food and health statements made on foods
12.1 Review and update the regulatory framework (regulations, guidelines, protocols, stand- ards) on maternal and child health to prevent malnutrition and track the status of maternal and child nutrition
12.2 Assess the nutrition and feeding practices of reproductive-aged women (15–49 years old)
12.3 Organize promotional activities for healthy nutrition in pre-school and compulsory education
12.4 Determine daily feeding rates for nurseries, kindergartens and schools that offer lunch
12.5 Organize communication campaigns promoting behavioural changes to improve the nutritional practices of reproductive-aged women
12.6 Organize training activities to increase knowledge and skills of staff providing health care for women and infants
13.1 Review and update national health statistical indicators on breastfeeding and infant and young child feeding to be consistent with globally standardized indicators
13.2 Train health personnel on feeding practices of infants and young children
13.3 Periodic assessment of “baby friendly” hospitals/maternities to implement this initiative
13.4 Periodic assessment of feeding practices of infants and young children
13.5 Train the personnel providing health care for children in their growth assessment according to the standardized growth curves for children aged 0–5 years
13.6 Prepare and distribute informational materials on family and community level on feeding practices of infants and young children
14.1 Conduct a national study on the prevalence of anaemia
14.2 Develop a regulatory framework for the fortification of flour with iron, folic acid and Vitamin B12
14.3 Provide FBO training and inspectors to monitor the fortification of flour
14.4 Develop protocols to prevent and treat iron deficiency anaemia among children
14.5 Organize promotional activities to use behaviour change to improve dietary diversity
14.6. Establish social businesses that produce and distribute fortified foods to improve child nutrition
15.1 Review the Recommendations on Healthy Nutrition in Albania
15.2. Communicate and distribute Recommendations on Healthy Nutrition in Albania to health professionals
15.3 Inform the public about the Recommendations on Healthy Nutrition in Albania
16.1 Develop and approve extracurricular modules on healthy nutrition for the 9-year primary education system
16.2 Train teachers on the use of extracurricular modules on healthy nutrition for the 9-year primary education system
16.3 Develop and approve extracurricular modules on healthy nutrition for the secondary education system
16.4 Improve the public health nutrition curriculum in the undergraduate and postgraduate programmes in the Faculty of Medicine and Nursing
16.5 Train school health personnel (doctors, nurses, dentists) on the new curricula approved by the MoH
16.6 Implement in phases the European Healthy Eating and Physical Activity in Schools project
16.7 Adopt and implement in stages the Action plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016
16.8 Pilot a public school programme that offers healthy food
16.9 Develop and distribute information, education and counselling about the need to limit the intake of dietary salt
16.10 Promote physical activity and an active lifestyle
16.11 Continuous training of staff and the promotion of sanitary inspectors of the Departments of Public Health on healthy nutrition and good food hygiene practices, at local and national level.
16.12 Strengthening the capacity of local staff (municipalities, Regional Agriculture and Food Directories, Directorates of Public Health, Directorates of Education) in the planning, implementation and monitoring of interventions related to nutrition.
16.13 Implement an advocacy strategy for nutrition issues
16.14 Develop a strategy for reducing salt consumption
16.15 Assess consumer knowledge, attitudes and practices related to food safety
16.16 Raise consumer awareness on food safety
16.17 Present, inform and organize distribution of the NAFPN to all relevant stakeholders including the public
17.1 Evaluate the implementation of the Plan-based on the monitoring and evaluation framework
17.2 Evaluate the implementation of food and nutrition action plans at regional and local government levels
17.3. Strengthen the institutional capacity to monitor and evaluate the implementation of food and nutrition programmes
(a) increasing by 20% (from 39% to 60%) the proportion of children aged 0–6 months who are exclusively breastfed;
(b) increasing by 20% (from 38% to 60%) the proportion of mothers who start breastfeeding within one hour of giving birth;
(c) implementing in 80% of public and private maternity hospitals the infant feeding practices of UNICEF’s Baby- friendly Hospital Initiative;
(d) improving by 10% (from 19% to 29%) the proportion of children aged 6–23 months who are fed according to recommended feeding practices;
(e) reducing by 6% (from 19% to 13%) the proportion of children under five who have growth retardation;
(a) maintaining the proportion of children who have normal body weight
(b) decreasing by 20% the proportion of physically inactive adults
(c) maintaining the proportion of adults over 60 years old who have normal body weight
(d) increasing by 20% the average fruit consumption of adults over 60 years old
(e) maintaining the proportion of adults aged 20–59 years who have normal body weight
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Sodium/salt intake|Fruits|Growth monitoring and promotion|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)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Salt reduction|Vitamin B12|Iodine|Iron and folic acid|Food fortification|Nutrition education|Wheat flours|Food grade salt|Food safety|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/ALB_B19_ligj nr. 74, dt. 25.10.2018 per pijet energjike dhe sheqer.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.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" "24457","CMR","Cameroon","","UNDAF 2013-2017 ","Non-national nutrition policy document","","French","","2013","","2017","UN country team in Cameroon","","2013","Adopted","","","","Finance, budget and planning","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Commission économique pour l’Afrique, UN Women, ITU","","","Other","IMF","","","","","","","","","","","Effet 3: D’ici 2017, les populations, homes et femmes, en particulier les plus vulnérables et les réfugiés ont un accès accru et equitable, et utilisent efficacement les services de soins, de prevention, de santé et d’éducation de qualité
","Produit 3.3 Les districts de santé et les communautés, y compris les OSC dans les zones d’intervention sont capables de gérer (planifierm coordonner, suivre et évaluer les interventions), mobiliser les ressources et offrir de facon equitable un paquet de services de santé de qualité incluant la SR Recentrée, la nutrition, le VIH/SIDA/PTME, l’eau et l’assainissement en faveur des femmes, des adolescents/jeunes, des enfants et des autres groups vulnérables (peronnes handicapés, populations autochtones, populations frontalières, etc.)
Produit 3.4: Les communautés dans les zones d’intervention, en particulier les femmes, les adolescents/jeunes, les autres groups vulnérables bénéficient des paquets de services de prevention et soins de santé de qualité incluant la SR Recentrée, la nutrition, le VIH/SIDA/PTME, l’eau et l’assainissement, ainsi que de prevention des pratiques néfastes et VBG dans les zones d’intervention.
","Proportion de DS disposant d’un plan de développement sanitaire annuel et opérationnel.
Proportion de FS offrant le paquet minimum de services de santé de qualité.
Proportion des formations sanitaires offrant le paquet élargi des activités.
Proportion de DS disposant de strategies menées au niveau communautaire avec l’implication effective de la communauté.
L’anémie chez l’enfant de moins de 5 ans.
L’anémie chez la femme en age de procréer.
Taux d’allaitement maternel exclusif à 6 mois.
Accès à l’eau
","Process indicators","","Breastfeeding - Exclusive 6 months|Anaemia|Anaemia in pregnant women|HIV/AIDS and nutrition|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR%202013%20UNDAF.pdf" "24464","COD","Democratic Republic of the Congo","","Plan-cadre des Nations Unies pour l’Assistance au Développement (UNDAF)","Non-national nutrition policy document","","French","","2013","","2017","Democratic Republic of Congo UN Country Team","","2013","Adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Urban planning|Industry|Other","Foreign affairs","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNMACC, IOM, UN Women, UNODC, UN Habitat, UNEP","","","Other","","","","","","","","","","","","Effet UNDAF 3. Les populations et en particulier les femmes et les autres groupes vulnérables bénéficient d’une offre accrue de services sociaux de base de qualité avec un intérêt particulier pour la résolution des conflits et la consolidation de la paix.
","L’amélioration de l’accès des populations aux interventions essentielles de santé avec un accent particulier sur la santé maternelle, infanto-juvénile et de nutrition.
L’augmentation du nombre de personnes ayant un accès aux services améliorés d’eau potable et d’assainissement en milieu rural et périurbain.
","% d’enfants de moins de 6 mois nourris exclusivement au sein. Pourcentage actuel 37 % Cible 60 %
Taux d’insuffisance pondérale chez les enfants de moins de 5 ans. Taux actuel : 24 %, cible : < 10 %
% des enfants de 6 à 23 mois qui ont reçu l’apport alimentaire minimum acceptable (en dehors de l’allaitement maternel). Taux actuel : 3,7 (EDS) Cible : 20 %
","","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Minimum acceptable diet|Management of moderate acute malnutrition|Management of severe acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","http://cd.one.un.org/content/dam/unct/rdcongo/docs/UNCT-CD-UNDAF.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%202013%20UNDAF.pdf" "23538","GRD","Grenada","","Food and Nutrition Security Policy and Plan of Action","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2018","Government of Grenada","","2013","","","","Ministry of Agriculture","Nutrition council|Health|Food and agriculture|Education and research|Sport","Government of Grenada, Education and research, Social Development, Health, Nutrition Council, Sports","Food and Agriculture Organisation (FAO)","","","","","","","","National NGOs","Grenada Community Development Agency (GRENCODA)","","","Private sector","National Lottery Authority, private businesses","","","Food Access
Policy Goal 1 : Ensure adequate access to safe, nutritious, culturally acceptable, and affordable food for all, with special emphasis on the most vulnerable groups.
Objective 1: Increase the access to food among food insecure and vulnerable groups as identified in the GFNS Policy in order to achieve the right to food.
Objective 2: Improve the capacity of the vulnerable groups at the community level to address their food and nutrition security needs by focusing on initiatives that promote participation and empowerment
Food Utilization and Nutritional Adequacy
Policy Goal 1: To improve the nutritional status of all, with emphasis on those suffering from malnutrition
Objective 1 : Achieve widespread adherence to World Health Organization (WHO/PAHO) guidelines for infant and young child feeding
Objective2: Achieve widespread adherence to WHO/PAHO guidelines on feeding for young children and teens (3-18 years)
Objective 3: Reduce the prevalence of obesity and the associated health consequences
Objective 4: Improve the efficiency and effectiveness of nutrition interventions through better targeting
Objective 5 : Policy makers act based on knowledge and understanding of the detrimental effects of nutritional related diseases and the benefits for society and population of appropriate interventions
Objective 6: Change food consumption patterns and align them with national population dietary goals
","
Specific strategies and activities are included in pages 41-54 of the document
","The Policy will seek to:
Ensure that a sufficient quantity of nutritious food of appropriate quality is available to all people in Jamaica, through increased domestic production and a sustainable level of imports (Food Availability).
Ensure that all individuals in Jamaica have access to adequate resources to acquire appropriate foods for a nutritious diet (Food Access).
Ensure that all individuals in Jamaica reach a state of nutritional well-being through food choices and consumption that reflect Recommended Dietary Allowances (RDAs) (Food Utilization).
Ensure that all people in Jamaica have access to adequate, safe and nutritious food at all times, are not at risk of losing access to it due to shocks, and consume/utilize foods that reflect physiological needs (Stability of Food Supply).
","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","
Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf" "24477","LBR","Liberia","","One Programme, United Nations Development Assistance Framework","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team to Liberia","","2013","","","","","Finance, budget and planning","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UN Women, UNOPS, UN Habitat, UNODC","","","Other|Department of International Development (DFID)|The World Bank|US Agency for International Development (USAID)","Irish Aid","European Union|Other","IMF","","","","","","","","","Outcome 2.1: Natural Resource and Food Security: Improved sustainable natural resource utilization and food security.
Outcome 3.1: Health and Nutrition: The population has increased access to and utilization of equitable, affordable, and quality health and nutrition services.
Increased access to and use of Essential Package of Health and Social (EPHS) Welfare Services, especially in rural areas and by vulnerable populations.
Reduced mortality and stunting by 25% and increased immunization coverage from 74% to 80% for children under-five.
Output 3.1.2: Women and adolescents have increased awareness and knowledge related to maternal and newborn health care information and services
Output 3.1.4: Enhanced technical capacity of health workers and community volunteers for increased coverage of case management of common child- hood illness at community level
Output 3.1.6: Enhanced capacity of health workers and community volunteers to deliver essential nutrition interventions with decentralized service delivery at community level
Output 3.1.7: Caregivers knowledge and skills enhanced to carry out optimal feed- ing and care practices in children below two years with focus in south eastern counties and urban poor
Outcome 3.5: Water, Sanitation & Hygiene: Population has increased utilization of safe water and practice safe sanitation and hygiene in underserved areas. (see table Program Pillar 3: Human Development for further information)
","Building capacity to provide quality maternal and newborn health services and ensuring compliance with national policies.
Increasing awareness and knowledge of maternal and newborn health care services.
Building capacity within the Ministry to implement and monitor the essential package of health services (EPHS) within a human rights framework.
Enhancing the ability of health workers to manage cases of common childhood illnesses.
Assisting the Ministry in ensuring that a 90% immunization rate is maintained.
Building the capacity of health workers and volunteers to deliver essential nutrition interventions.
Spreading knowledge of optimal feeding and care practices for children below two years in targeted regions.
Providing improved water and sanitation services to 400,000 additional people in underserved areas.
Providing and assisting with implementation of WASH packages in 500 schools and 50 health facilities in underserved areas.
Assisting with the establishment of the NWRSB and other governing bodies.
","Proportion of infants (0-6 months) exclusively breastfed
Proportion of newborns breastfed within one hour of birth
Existence of Multi-sectoral plan on Non- Communicable Diseases (NCD).
Proportion of diarrhea cases among children under five effectively treated with ORT
Coverage of bi-annual Vitamin a supplementation of children aged 6-59 months
Proportion of pregnant women receiving iron supplements
Proportion of children under 5 years treated for moderate and severe acute malnutrition
Timely introduction of complementary feeding (6-9 months)
Proportion of infants bottle-fed or fed with breast milk substitutes
Proportion of children 6-23 months receiving minimum adequate diet as per WHO–UNICEF IYCF standard
% of population utilizing sustainable improved water facilities
% of population utilizing sustainable improved sanitation facilities
% of population washing hands with soap at 3 critical moments
Approved WASH advocacy plan exists (see table Program Pillar 3: Human Development for further information)
Existence of comprehensive HIV and Nutrition Guidelines
","Outcome indicators|Process indicators","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Vitamin A|Iron|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-liberia-2013-2017 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202013%20UNDAF.pdf" "23165","RWA","Rwanda","","National Food and Nutrition Policy 2013-2018","Comprehensive national nutrition policy, strategy or plan","","English","10","2013","","2018","Government of Rwanda","10","2013","Adopted","","","Cabinet of Ministers","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Trade|Sub-national|Other","Ministry of Agriculture and Livestock Resources, Ministry of Defence, Ministry of Disaster Management and Refugees, Ministry of local government, Ministry of Gender and Family Promotion","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Other","","","","","","National NGOs","","","","","","","","Strategic Direction 1: Food and nutrition advocacy to sustain commitment and mobilise resources for policy implementation
Strategic Direction 2: Prevent stunting in children under two years of age at national scale
- National level 1st 1000 Days Campaign
- Refocused and strengthened District Plans to Eliminate Malnutrition (DPEM) and District Food and Nutrition Steering Committee (DF&NSC)
- Village level: “1st 1000 Days Community-Based Food and Nutrition Programs”
Strategic Direction 3: Promote services and practices that result in improved household food security
Strategic Direction 4: Prevention and management of all forms of malnutrition
Strategic Direction 5: Improving food and nutrition in schools
Strategic Direction 6: Assuring food and nutrition in emergencies
Strategic Direction 7: Supporting programmes and services
","Community based monitoring of food and nutrition needs to be strengthened. This includes development of key indicators by and for the 1st 1000 Days groups and community leaders. Frontline personnel need to monitor household participation in 1st 1000 Days CBNP.
Further improvements to multisector monitoring and evaluation systems to support nutrition and household food security programmes and strategies.
Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "24489","ZAF","South Africa","","The Government of South Africa United Nations Strategic Cooperation Framework, 2013-2017","Non-national nutrition policy document","","English","","2013","","2017","UN country team in South Africa","","2013","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Justice|Labour|Other","International relations, art and culture, cooperative governance, home affairs, human settlements, transport, public enterprises, public service, science and technology","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IOM, OHCHR, UN Women, UNIC, UNODC, UNEP, UN Habitat","","","","","","","","","","","","","","","Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf" "24446","BEN","Benin","","Plan cadre des Nation Unies pour l'Assistance au Développement UNDAF ","Non-national nutrition policy document","","French","","2014","","2018","United Nations System in Benin","3","2014","","","","","Nutrition council|Health|Food and agriculture|Women, children, families|Environment|Justice|Sub-national","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Fonds d’Equipement des Nations Unies (UNCDF), Agence internationale de l'énergie atomique(AIEA)","","","The World Bank","","","","","","","","","","","","UNDAF effet 1:D’ici à fin 2018, les populations rurales et périurbaines, notamment les jeunes et les femmes dans les communes d’intervention accroissent leur revenu et améliorent leur sécurité alimentaire
1.4 Les populations pauvres et les groupes vulnérables disposent de capacités accrues (filets de protection sociale ; transfert des revenus, techniques et technologiques appropriés) pour assurer leur sécurité alimentaire et nutritionnelle ainsi que l’accès aux marchés.
Effet 2: D’ici à fin 2018, les enfants de moins de 5 ans, les adolescents (es), les femmes en âge de procréer et les ménages bénéficient de façon équitable d’interventions à haut impact de qualité en santé y compris le VIH/SIDA, les MNT, la nutrition, la planification familiale, l’assainissement de base et les communautés adoptent des practiques favorable à la sante.
2.1 Les institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes)ont des capacités accrues pour laplanification, la coordination et le suivide la mise en oeuvre des paquets d’intervention àhautLes institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes) ont des capacités accrues pour la planification, la coordination et le suivi de la mise en oeuvre des paquets d’intervention à haut impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.
2.2 Les Zones Sanitaires et les communes retenues ont des capacités accrues pour offrir des paquets d’intervention à haut impact de qualité en nutrition, planification familiale, VIH/ Sida, MNT et sasainiessement de base.
","UNDAF effet 1
1.4 activités
Implications de tous les acteurs ; Bon ciblage des populations et zones vulnérables.
UNDAF effet 2
Engagement et appropriation des partenaires
2.2
Accessibilité aux services de santé en terme de coût des prestations et de la disponibilité des infrastructures améliorées
","UNDAF effet 1
1.4
• Nombre de ménages pauvres et vulnérables ayant bénéficié d’un appui pour la mise en place d’une AGR
• Existence d’un socle de protection sociale
UNDAF effet 2
• Taux d’accouchements assistés par du personnel qualifié (médecins, infirmiers, sage femmes) (R : 84% ; C : 90%)
• Proportion des femmes enceintes séropositives mises sous -prophylaxie ARV
• Proportion d’enfants de 6 à 59 mois présentant la malnutrition aigue
• Proportion de populations utilisant les latrines améliorées
2.1
• Existence d’un document politique/stratégie pour le financement du secteur de la santé
• Existence d’un document de coordination et de suivi de la mise en oeuvre des PIHI (paquet d'interventions à haut impact)
• Nombre de documents de politique et stratégie en santé de la mère et de l’enfant intégrant les PIHI
• Proportion d’acteurs clés formés pour faire une planification basée sur les résultats
2.2
• % de formations sanitaires des zones sanitaires retenues disposant du plateau technique adéquat (ressources humaines,matérielles, infrastructures) pour offrir: des services de prise en charge de qualité des enfants malnutris
","","","Wasting in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Vaccination","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/documents/publication/wcms_461896.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202014%20UNDAF.pdf" "39416","BOL","Bolivia (Plurinational State of)","","Ley 622 De Alimentación Escolar en el marco de la Soberanía Alimentaria y la Economía Plural","Legislation relevant to nutrition","","Spanish","","2014","","","Education ministry","","2014","Adopted","","2014","Education ministry","Cabinet/Presidency","Education ministry","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","","","","","
ARTÍCULO 3. (FINES). La presente Ley tiene los siguientes fines:
● Garantizar progresivamente la Alimentación Complementaria Escolar en las unidades educativas del Sistema Educativo Plurinacional, con alimentos provenientes de la producción local en el marco del desarrollo integral para el Vivir Bien.
● Contribuir al rendimiento escolar y promover la permanencia de las y los estudiantes de las unidades educativas del Sistema Educativo Plurinacional, a través de la alimentación sana, oportuna y culturalmente apropiada.
● Fomentar la compra de productos destinados a la Alimentación Complementaria Escolar, incentivando y priorizando el consumo y la producción local de alimentos.
...
ARTÍCULO 5. (DEFINICIONES). A efectos de la presente Ley, se entiende por:
● Alimentación Complementaria Escolar. Es la alimentación sana, nutritiva y culturalmente apropiada, provista regular y permanentemente a las y los estudiantes dentro de las unidades educativas del Sistema Educativo Plurinacional durante la gestión educativa, que complementa la alimentación del hogar contribuyendo a la mejora de la nutrición y el rendimiento escolar.
● Alimentación Sana, Nutritiva y Culturalmente Apropiada. Es comer y beber alimentos de calidad, en cantidad y diversidad adecuada, respetando los hábitos alimenticios saludables y la diversidad cultural.
ARTÍCULO 9. (RESPONSABILIDADES DEL NIVEL CENTRAL DEL ESTADO). El nivel central del Estado tiene las siguientes responsabilidades:● Formular, implementar y evaluar políticas, planes y programas nacionales sobre Alimentación Complementaria Escolar, de forma coordinada y concurrente con las entidades territoriales autónomas, priorizando a municipios vulnerables.
● Formular normas técnicas que establezcan lineamientos y parámetros nutricionales de la ración alimentaria para la Alimentación Complementaria Escolar de las y los estudiantes de las unidades educativas del Sistema Educativo Plurinacional, en coordinación con las entidades territoriales autónomas.
● Supervisar y evaluar el cumplimiento de las políticas y normas técnicas nacionales de salud y Alimentación Complementaria Escolar.
● Controlar la inocuidad y la calidad nutricional de los alimentos destinados a la Alimentación Complementaria Escolar.
● Insertar en la currícula del Sistema Educativo Plurinacional, contenidos sobre educación alimentaria nutricional, e implementarla progresivamente.
● Sistematizar información actualizada y realizar el seguimiento, monitoreo y evaluación de la Alimentación Complementaria Escolar.
● Brindar apoyo técnico a las entidades territoriales autónomas para la provisión adecuada de la Alimentación Complementaria Escolar.
","Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Food safety|Food security and agriculture|School food provided free of charge|Schools (standards)","","http://www.fao.org/fileadmin/templates/righttofood/documents/project_b/bolivia/LEY_ACE_n622.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202014%20Ley%20622%20De%20Alimentaci%C3%B3n%20Escolar%20en%20el%20marco%20de%20la%20Soberan%C3%ADa%20Alimentaria%20y%20la%20Econom%C3%ADa%20Plural.pdf" "24462","COG","Congo","","Plan Cadre des Nations Unies pour l’Aide au Developpement 2014-2018","Non-national nutrition policy document","","French","","2014","","2018","Republique du Congo, Coordination Resident du Systeme des Nations Unies","","2014","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Environment|Other","Energie, développement durable","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Women","Other","WWF","Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","Effet UNDAF 3: D’ici 2018, les populations les plus vulnérables utilisent les services sociaux de base de qualité (éducation, santé, sécurité alimentaire, eau et assainissement) ainsi que des services financiers adaptés.
Produit 3.1 : Les populations les plus vulnérables ont accès à un paquet de services essentiels de santé de qualité définis selon les normes nationales.
Produit 3.3 : Les ménages atteignent un niveau de sécurité alimentaire acceptable
Produit 3.4 : Les populations vulnérables ont accès à l’eau potable
","3. Les ménages atteignent un niveau de sécurité alimentaire acceptable : depuis plusieurs années, la couverture des besoins alimentaires nationaux est en partie assurée par un important volume d’importations, essentiellement constituées de produits carnés, traduisant la forte dépendance à l’extérieur ; d’où la nécessité de la relance de la production nationale. Les capacités des femmes seront renforcées étant donné leur important rôle dans le secteur agricole en général et en particulier dans la culture de production subsistance et dans l’alimentation. Le SNU accompagnera le renforcement des capacités techniques, logistiques et humaines du secteur agricole et halieutique, par l’encadrement des producteurs au niveau départemental et par l’appui à la diversification de leurs activités.
4. Les populations vulnérables ont accès à l’eau potable : L’accès à l’eau de boisson est un défi majeur au Congo. Malgré quelques progrès réalisés ces dernières années, des disparités existent toujours selon le milieu de résidence et les départements, et les risques d’exposition aux maladies d’origine hydrique (diarrhées, choléra) demeurent importants, au regard du faible accès à l’eau potable et des faiblesses des services d'assainissement, notamment dans les zones rurales et périurbaines. La fréquence des épidémies (choléra, poliomyélite…) enregistrées au cours de ces trois dernières années en est une excellente illustration. De ce fait, le SNU accompagnera techniquement le gouvernement dans l’amélioration de la fourniture et de la surveillance de la qualité de l’eau potable fournie aux populations.
","Taux de mortalité maternelle. Baseline : 426/100 000 Cible : 390/100 000
Taux de mortalité infantile. Baseline : 81décès pour 1000 naissances vivantes Cible : 56décès pour 1000 naissances vivantes
Taux de malnutrition chronique. Baseline : 24,4% ; Cible : 20,0%
Taux d’accès à l’eau potable. Baseline : 32% dans les zones rurales et 65%en milieu urbain ; Cible : 95%
Proportion des formations sanitaires offrant un paquet de services essentiels de santé complet. Baseline : 30% ; Cible : 90%
Pourcentage de la population qui utilise le paquet de services essentiels. Baseline : 20% ; Cible : 60%
Pourcentage des ménages ayant bénéficié d’un appui pour compléter leur ration alimentaire (jardins potagers, petit élevage, etc.).
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202014%20UNDAF.pdf" "23505","GNB","Guinea-Bissau","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2014","","2025","MINISTERE DE LA SANTE PUBLIQUE","","2013","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Environment|Industry|Labour","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","communautés de base, chefs traditionnels et religieux","4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
Outcome 2.2–WASH Environmental preservation / food availability – nutrition / health: By 2018 morbidity and mortality in Kenya are sustainablyreduced, with improved maternal, neonatal and childsurvival, reduced malnutrition & incidence of major endemicdiseases (malaria, tuberculosis) and stabilized populationgrowth underpinned by a universally accessible, quality and responsive health system
Output 2.2.2 – WASH-Env preservation/food availability/nutrition: MoH, MEW&NR,MOE, pilot counties and partners haveadequate technical and financial capacity todesign, implement, monitor and evaluatemodels of (i) community-based safe WASH& Environmental preservation systems;(ii) hygiene sanitation behavior changeat household, health facility and schoolsettings; and (iii) county Government-ownedand community driven food availability &nutrition interventions; all of the abovedesigned to inform policies, strategies,standard setting and guide county leveldevelopment planning
Output 2.2.3 – RMNCAH: By 2018 MoH & selected county Governments & partners have adequate institutional & technical capacities, including through south-south cooperation & use of emerging technologies & tools to design, implement & evaluate county-based models of innovative, quality, equitable & integrated maternal, new-born, child & adolescent health services (including sexual & reproductive health)
Output 2.2.4 – Communicable and noncommunicable conditions: By 2018,MoH, selected county health managementteams & their partners have improvedleadership and technical capacity to develop& implement strategies to prevent, control,eliminate or eradicate communicable & NCD’sfocusing on malaria TB, selected neglectedtropical diseases, vaccine-preventablediseases, injuries & mental health
","For Health, WASH and Environmental Preservation, Food Availability and Nutrition, the UN will support innovative programming, influence national policies and strategies and leverage donor resources to ensure that by 2018, morbidity and mortality in Kenya are substantially reduced, with improved maternal, neonatal and child survival, reduced malnutrition and incidence of communicable and noncommunicable diseases and stabilized population growth, underpinned by a universally accessible, quality and responsive health system. Emphasis will be placed on supporting the country to address its rising burden of Noncommunicable Diseases (NCD) and conditions in line with the Political Declaration of high level meeting of UN General Assembly 2011 and Kenya’s own priority. The UN focus will primarily be on mitigating the NCD’s key risk factors.
In the area of WASH and Environmental Preservation the UN will foster strategic and multi-sectoral partnerships to support the design of countybased intervention models that ensure community ownership of strategies and promote the use of appropriate technologies for improved access to and utilization of sustainable water and sanitation services, safe hygiene practices and solid and liquid waste management. All interventions will be underpinned by effective and integrated management of water resources (surface and ground) and the introduction of green technologies, such as ECOSAN, to provide affordable sustainable energy and bio-fertilizers at the community level. For Food Availability and Nutrition, the focus will be on promoting strategic and cross cutting partnerships to support county-based interventions that ensure improved nutrition practices and the production and availability of quality food at the household level.
","Under five mortality rate.
Proportion of the central Government and (b) county health sector budget allocated to Nutrition and WASH.
№ of select counties that have sustainablecommunity based water supply and sanitation system.
% of populationconsuming an adequate diet.
% of households with improved (not shared) toilet/latrine facilities.
% of new outpatient patients with high blood pressure.
% of under 5’s treated for diarrhoea.
% Of ART clients reached with nutrition supplements.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Raised blood pressure|HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.ke.undp.org/content/kenya/en/home/library/government-reports/united-nations-development-assistance-framework-2014-2018.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202014%20UNDAF.pdf" "24481","NAM","Namibia","","United Nations Partnership Framework (UNPAF)","Non-national nutrition policy document","","English","","2014","","2018","UN Country Team of Namibia","","2013","","","","","Health|Food and agriculture|Finance, budget and planning|Environment","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNODC, OHCHR, IOM, IAEA","","","","","","","","","","","Private sector","","","","Outcome 6: Namibia has accountable and well coordinated multi-sectoral mechanisms to reduce the burden of priority diseases and conditions, address social, economic and environmental determinants of health, and improve health outcomes.
Outcome 11: Namibia has reviewed, and is implementing, policies and strategies which ensure that severely poor and vulnerable households have access to and are utilizing productive resources and services for food and nutrition security and sustainable income generation.
","","Indicator 6.3
Proportion of population practicing open defecation
Indicator 11.1
Number of food and nutrition policies and strategies which incorporate the ‘twin track’ approach
","Outcome indicators","","Water and sanitation","","http://www.unfpa.org/undaf-namibia-2014-2018","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202014%20UNPAF.pdf" "24482","NER","Niger","","Plan cadre des Nations Unies Pour l’assistance au développement (UNDAF)","Non-national nutrition policy document","","French","","2014","","2018","UN Country Team of Niger","","2014","","","","","Health|Education and research|Women, children, families|Development|Justice|Other","Intérieur","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, CEA, IOM, UN Women, UNCDF, PNUD, UNEP, UNOPS, UN Habitat, ONUD","Other","","Other|Japan International Co-operation Agency (JICA)","USA, Belgique, France","European Union","","National NGOs","","","","Private sector","","","","Effet 1. D’ici à 2018, les ménages vulnérables et les communautés ciblés augmentent leur résilience en matière de sécurité alimentaire et nutritionnelle, d’environnement, de catastrophes et d’inclusion socio-économique
Produit 1-2 : Les ménages vulnérables ciblés utilisent les services de prévention et de soins et les bonnes pratiques en vue d’améliorer leur nutrition
Produit 1-3 : Les ménages vulnérables dans les zones d’intervention ont accès à des filets sociaux et des programmes de relèvement adaptés
Effet 2. D'ici à 2018, les institutions nationales, régionales et locales appuyées utilisent des systèmes et mécanismes adaptés pour la prévention/gestion des risques/ catastrophes, la gestion durable de l’environnement et de la sécurité alimentaire
Produit 2-3 : Les institutions de vulgarisation nationales, régionales et locales soutenues disposent de capacités renforcées de transfert de compétences pour améliorer la production agro-pastorale et l’état nutritionnel des populations
","24. La stratégie du SNU consistera à apporter un appui-conseil au Gouvernement, à renforcer les capacités des acteurs, à développer un plaidoyer en faveur de la mobilisation des ressources et à inciter les pouvoirs publics à formuler et à mettre en oeuvre des politiques et programmes appropriés dans ses secteurs d'intervention.
25. Dans cette perspective, le SNU contribuera à l’amélioration de la sécurité alimentaire et nutritionnelle, de l'accès aux moyens de subsistance et de la gestion des ressources naturelles. Le SNU propose de faciliter aux ménages vulnérables un meilleur accès aux intrants (services financiers, eau, engrais, semences améliorées, équipements, appui-conseil/vulgarisation/encadrement, intrants zootechniques, etc.), aux marchés et aux infrastructures de stockage et transformation ainsi qu'à l'énergie, dans une approche de sauvegarde d'un environnement sain et d’atténuation des impacts du changement climatique. Le SNU veillera également à renforcer l’implication des acteurs des chaînes alimentaires et des institutions pour permettre l’adoption des bonnes pratiques limitant les pertes post-récoltes (infrastructures qualité).
26. L’amélioration de l’état nutritionnel des enfants et des femmes implique nécessairement : i) le renforcement et l’extension de couverture des services de prévention, de soins et de prise en charge de la malnutrition aiguë et chronique ; ii) la diversification de leur alimentation et la correction des carences nutritionnelles spécifiques (micronutriments) ; iii) l'application des pratiques familiales essentielles pour la survie et le développement de l’enfant (lavage des mains, allaitement maternel, espacement des naissances, utilisation des moustiquaires imprégnées, etc.) ; iv) l’amélioration de l’accès à l’eau potable et l’assainissement.
27. Le SNU facilitera également l'accès des ménages vulnérables, y compris les ménages non agricoles, à des filets sociaux de sécurité adaptés (transferts conditionnels et inconditionnels d’espèces, etc.), à des programmes de relèvement et de restauration des moyens d’existence diversifiés (AGR, etc.), à des opportunités économiques, à des emplois décents et à des connaissances utiles et pratiques pour promouvoir le changement social et de comportement et rehausser le niveau de leur résilience. Le SNU renforcera aussi les capacités du Dispositif National de Prévention et de Gestion des Catastrophes et des Crises Alimentaires (DNPGCCA) et des institutions nationales compétentes pour assurer une meilleure efficacité dans le domaine de la prévention et de la gestion des crises alimentaires et des catastrophes.
","1.1 Taux de prévalence de l’insécurité alimentaire sévère et modérée pour les ménages (désagrégé par sexe)
1.2 Taux de prévalence de la malnutrition aiguë et chronique
1.5 Pourcentage des ménages des zones vulnérables à l’insécurité alimentaire bénéficiaires de filets sociaux
1.1.1 Pourcentage de ménages vulnérables à l’insécurité alimentaire utilisant les intrants agricoles (désagrégé par sexe)
1.2.1 Taux de guérison des enfants malnutris par sexe pris en charge dans les centres de récupération nutritionnelle
1.2.2 Taux de couverture des enfants en vitamine A
1.2.3 Pourcentage de ménages assurant la diversification de l’alimentation des enfants (désagrégé par milieu de vie)
1.2.4 Pourcentage de mères pratiquant l’allaitement maternel exclusif pendant les 6 premiers mois dans les localités ciblées
1.3.2 Pourcentage des ménages vulnérables bénéficiant de programmes de restauration et de développement de moyens d'existence
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Vitamin A deficiency|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Conditional cash transfer programmes","","http://www.uncclearn.org/sites/default/files/niger_undaf.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202014%20UNDAF.pdf" "24486","NGA","Nigeria","","United Nations Development Assistance Framework ","Non-national nutrition policy document","","English","","2014","","2017","UN country team in Nigeria","7","2013","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Environment|Information|Justice|Labour|Sub-national|Other","Tourism and culture, Youth development","Food and Agriculture Organisation (FAO)|International Food Policy Research Institute (IFPRI)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UN Women, UNODC, UNOPS, UN Habitat, UNITAR, WMO OIC, UNOCHA, ITC, UNEP, IAEA","Other","","Other|Department of International Development (DFID)|The World Bank","GIZ, IMF, KOICA","European Union","","National NGOs","","","","","","","","Outcome 2.2 Health/WASH/Nutrition. By 2017, health related MDGs achieved and sustained through strong and well-coordinated health systems implementing innovative, high impact and cost effective, equitable, gender responsive interventions inclusive of foundational determinants of health at community, LGA states and Federal levels with active engagement of right holders, informed by South-South cooperation and evidence-based learning.
Output 2.2.1 Public agencies and civil society organizations at federal, state, and LGA levels are able to implement updated, harmonized, evidence based, gender responsive policies and plans to facilitate equitable access to quality water supply and sanitation services and the practice of good hygiene by vulnerable populations and institutions based on innovative communication for development and coordination systems
Output 2.2.2 Capacities of government and partners at all levels including intersectoral linkage and coordination are strengthened to implement high impact, equitable, gender responsive and innovative nutrition and food security interventions, enhance nutrition friendly agricultural productivity especially at household level and promote crop and livestock diversification to improve nutrition outcomes (reduce stunting, acute malnutrition, and micronutrient deficiencies rates) amongst most vulnerable groups especially children and women.
","","Under-five mortality rate
% of people with access to (a) improved sanitation and (b) improved water supply
% of infants under 6 months breastfed exclusively
Prevalence of children under 5 years of age that are underweight
Number of states with (a) WASH policies (b) investment plans and (c) M&E frameworks
Number of states with decentralized WASH services and functional LGA WASH departments
Number of additional children provided with access to WASH in schools
Hunger Index
Number of health facilities providing treatment to severely malnourished children under 5 years
% of children aged 6-59 months who received at least one dose of Vit A in last 6 months
# of community structures supported to assist mothers to appropriately feed children under 2 years
Number of community structures/sites supported to alleviate food insecurity
Proportion of States supported to develop a strategic plan for NCDs
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","https://www.unops.org/SiteCollectionDocuments/Information-disclosure/UNDAFs/Nigeria-UNDAF-2014-2017.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202014%20UNDAF.pdf" "24484","TGO","Togo","","Plan cadre des Nations Unies pour l’aide au développement (UNDAF) 2014-2018","Non-national nutrition policy document","","French","","2014","","2018","UN country team of Togo","11","2013","","","","","Health|Education and research|Women, children, families|Social welfare|Environment","","Food and Agriculture Organisation (FAO)|International Food Policy Research Institute (IFPRI)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","OHCHR","Other","PLAN et PSI, HI, Aide et Action, EAA","Other|The World Bank","AFD, GIZ, GFTAM, Coopération Française, Allemande, US, BAD","European Union","","National NGOs","","","","","","","GAVI","Effet UNDAF 1 : La sécurité alimentaire, la résilience des communautés aux changements climatiques et l’accès des jeunes et des femmes à l’emploi sont améliorés
Effet UNDAF 2 : Les populations notamment les plus vulnérables ont un accès équitable aux services sociaux de base de qualité
Produit 2.2 : L’offre des services de prévention, de traitement, de soins et d’appui en matière de maladies transmissibles et non transmissibles est améliorée
Produit 2.3 : La nourriture, l’eau, l’hygiène et l’assainissement sont rendus disponibles dans les écoles, les formations sanitaires et dans les communautés.
","La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
Pour en savoir plus, consulter VII. Résultats indicatifs.
","Taux de couverture des besoins alimentaires.
Pourcentage d’enfant de moins de 5 ans souffrant de malnutrition chronique.
Pourcentage d’enfants bénéficiant d’un allaitement maternel exclusif.
Nombre de personnes vivant dans des communautés ayant atteint le statut FIDAL (fin de la défécation à l’air libre).
Nombre d’école primaire publique et de structures sanitaires bénéficiant d’un point d’eau potable, et de latrines améliorées.
Nombre d’écoles publiques bénéficiant de repas scolaires pendant les jours ouvrables.
Nombre d’enfants scolarisés des écoles publiques des zones défavorisées recevant au moins un repas équilibré par jour.
Nombre de cadre de concertation, pour une alimentation saine et suffisante et une nutrition équilibrée, fonctionnels.
Nombre d’établissements scolaires disposant de jardins et des cantines scolaires fonctionnels
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TGO%202014%20UNDAF.pdf" "39372","AFG","Afghanistan","","National Public Nutrition Policy and Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2015","","2020","Minister of Public Health","3","2015","","","","","Health","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Global Alliance for Improved Nutrition (GAIN)|Save the Children","","The World Bank|US Agency for International Development (USAID)","","European Union","","","","","","","","","The Public Nutrition policy and Strategy is revised by the Public Nutrition Department of the Ministry of Public Health (MoPH) with technical and financial assistance from Micronutrient Initiative (MI) and in close collaboration with the nutrition partners, comprising of representatives from UNICEF, WFP, FAO, WHO, European Union delegation in Afghanistan, USAID, the World Bank, Canadian Embassy in Kabul (DFATD), Nutrition technical NGOs: Save the Children, GAIN, ACF and BPHS implementing NGOs.","Goal
To reduce nutrition related mortality and morbidity and contribute to economic development of the nation through reduction in all forms of malnutrition particularly stunting, micronutrients deficiency and acute malnutrition, with focus on the first 1000 days of life.
Mission
To sustainably improve the nutritional status of the people of Afghanistan, especially women and children, by advocating for and supporting strategies and actions to enable the population to adopt healthy dietary practices, access nutritious foods and benefit from quality preventive and therapeutic nutrition services.
STRATEGIC COMPONENTS
Component 1: Implement evidence-based nutrition-specific interventions of high quality and coverage with more emphasis on preventive nutrition programs and services that target females of childbearing age and young children, especially those <24 months old.
1.1 Improve Infant and young child feeding and caring practices
1.2 Improve maternal nutrition
1.3 Micronutrient deficiency prevention and treatment
1.4 Prevention and treatment of acute malnutrition
1.5 Nutrition interventions during emergencies
1.6 Strengthening implementation of public nutrition component in the BPHS and EPHS
Component 2: Inform the public about the role of nutrition in physical health and cognitive development, and promote dietary practices to prevent malnutrition and its related health consequences, especially among children<24 months old.
2.1 Ongoing and strategic promotion of appropriate food and nutrition practices, with a special focus on improving the nutritional status of adolescent girls, mothers and infants and toddlers.
Component 3:Advocate for public nutrition policies and adequate resources to support quality and high coverage interventions as essential components of the national development agenda.
3.1 Advocacy and awareness building among high level government and private sector leaders
3.2 Mobilization of national resources for public nutrition
3.3 Seek international support for preventive and curative nutrition interventions
Component 4: Improve multi-sectoral coordination to help increase coverage of quality nutrition-specific and nutrition-sensitive interventions.
4.1 Operationalize the Nutrition Action Framework (NAF)
4.2 Design, implement, monitor and evaluate Nutrition-sensitive interventions in coordination and collaboration with other sectors
Component 5: Develop human resource capacities in planning, implementation and evaluation of nutrition interventions and strengthening the role and capacity of the PND.
5.1 All allied health personnel responsible for delivery of nutrition services through health system provision must successfully complete a competency-based training program.
5.2 Strengthen the capacity and role of PND within MoPH
5.3 Improve the nutrition component of the pre-service curriculum for medical, nursing and other relevant
5.4 Develop and advocate for academically trained nutrition professionals
Component 6: Strengthen the national capacity to track the quality, coverage and impact of public nutrition interventions and services to guide future policies and strategies.
6.1 Establish a national Nutrition Monitoring and Surveillance System (NMSS)
6.2 Improve administrative monitoring of nutrition service delivery through BPHS and EPHS
6.3 Establish a National Institute of Nutrition to serve as a “center of excellence” in public nutrition science, research and evidence-based policy development
The following indicators would be used to assess the progress toward improved nutrition status of the population, especially among women and children and targets for the next five years are summarized in table 6, below.
Table 6. Key Nutrition Indicators and targets for year 2020 (page 31)
Indicator Baseline NNS 2013 (%) Target 2020
Chronic malnutrition (HAZ <-2 ) in children 6-59 months 40.9 35%
Underweight (WAZ <-2) in children 0-59 months 24.6 15%
Global acute malnutrition (WHZ <-2 in children 6-59 months 9.5 4%
Severe acute malnutrition (WHZ <-3) in children 6-59 months 4 2.5%
Initiation of breastfeeding within one hour after birth 69.4 80%
Exclusive breastfeeding, in children 0-6 months 58.4 70%
Minimum acceptable diet in children 6-23 months 16.3 40%
Iron deficiency (low ferritin <12ng/ml) in children 6-59 months 26.1 15%
Iron deficiency (low ferritin <12ng/ml) in women 15-49 years 24 15%
Iodine deficiency (UIE <100 μg/L) in children 7-12 years 29.5 20%
Iodine deficiency (UIE <100 μg/L) in women 15-49 years 40.7 30%
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Complementary food provision|Regulation on marketing of complementary foods|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron and folic acid|Vitamin D|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food grade salt|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes","","https://extranet.who.int/ncdccs/Data/AFG_B14_Public_Nutrition_Policy_Strategy_2015.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG_2015_Public_Nutrition_Policy_Strategy.pdf" "24494","AFG","Afghanistan","","United Nations Development Assistance Framework for Afghanistan 2015-2019","Non-national nutrition policy document","","English","","2015","","2019","UN country team of Afghanistan","","2015","","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Transport|Urban planning|Information|Justice|Labour|Other","Economy, foreign affairs, interior, public works, refugees, rural development","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNEP, UN Habitat, UNMAS, UNODC, UN Women","","","","","","","","","","","Private sector","","","","
Output 2: Strengthened mechanisms to increase equitable access to agricultural production and productivity, licit economic opportunities, productive assets and lands for food and livelihood security for vulnerable and marginalized population.
Output 1. Improved capacity of government and nongovernment organizations to increase accessibility to and demand for delivery of quality and cost effective health care, including maternal reproductive health, ASRH, family planning, nutrition and WASH services for the most marginalized and vulnerable populations.
","In the areas of health care, nutrition, WASH, education and prevention and protection services, UN agencies will support a range of interlinked and mutually supportive interventions at three levels: policy reform and implementation; data and knowledge management and community action.
At the policy and institutional level the UNCT will assist the development and implementation of health, nutrition, education drugs, child protection and WASH policies, strategies, and sectoral plans. It will support the strengthening of health systems, including Human Resources for Health (HRH), hospital management and reforms, improving access to essential medicines and health technology, and support establishing quality assurance and improvement mechanisms including drug & food regulation. At the implementation level, it will help expand health facilities to the areas not currently covered by BPHS and or cut off due to climatic or geographical barriers. It will assist the Government and CSOs (includes NGOs, CBOs and other civil society actors), and the private sector, under public-private partnership arrangements, in the implementation of the BPHS & EPHS, with a focus on strengthened capacity to deliver quality health and nutrition services, especially to women and children, psychosocial services to victims of Gender Based Violence, and services for persons with disabilities, including at the community level. The prevention and control of diseases, access to quality drugs, including contraceptives and HIV/AIDS prevention, treatment, care and rehabilitation services, will be other areas of support. It will support the Government in completing the Polio Eradication Initiative agenda and strengthening emergency preparedness and response. It will also provide support to increased coverage of quality safe and drinking water and sanitation and increased access to and utilization of quality preventive and curative nutrition services, provided at community level and through health facilities.
","Output Indicator 2.2: % of targeted populations, farming families and households which have access to agricultural production and productivity, economic opportunities and productive assets for food and agri-based livelihood security
Outcome Indicator 2.4: Prevalence of global acute malnutrition of children 6-59 months by sex
Outcome Indicator 2.5: Proportion of population using an improved drinking water source
Outcome Indicator 2.6: Proportion of population using an improved sanitation facility
Output Indicator 2.1.3: % of communities which have access to health facilities within one hour walking distance by residence
Output Indicator 2.1.6: # of pregnant and lactating women received infant and young child feeding counselling
","Outcome indicators|Process indicators","","Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf" "24452","AGO","Angola","","Partnership framework between the government of Angola and the UN system (UNPAF)","Non-national nutrition policy document","","English","","2015","","2019","Ministry of Planning and Regional Development","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Environment|Industry|Labour|Sub-national|Other","Ministry of Energy and Water","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNCHR, UNEP, UN Habitat, IOM, IAEA, UNISDR, UNCTAD","","","Other|Bill and Melinda Gates Foundation|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","Global Fund, Rotary","European Union|Other","Portuguese bilateral cooperation, cooperation with the German Embassy","National NGOs","ADPP, PIN, AAEA","","","Private sector","","","","Result 1.1: Health. By 2019 Angola reduced maternal and child morbidity and mortality, the mortality rate of its population, the risk factors for the health of adolescents and non- communicable diseases
Result 3.1 Inclusive growth, economic diversification, production and job creation. By 2019, Angola possesses and is implementing policies and strategies for the promotion of inclusive and sustainable growth to enable Angola to leave the group of Less Advanced countries
","Result 1.1. Adequate support from the central level of the Ministry of Health for capacity building of provincial and municipal staff to better implement actions in the field of health.
Recruitment of additional health personnel for the different levels of the health pyramid.
Coordination of the activities of all the actors in the health sector.
Information system on water and sanitation (SISAS) & Model for community management of water (MOGECA) launched and implemented as planned
Surveys and evaluations
Baseline Survey on Mothers and care givers awareness of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Qualitative study on Mothers and care givers awareness and behaviors of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Study on the Impact of the school feeding programme(UNICEF) (2016)
Rapid Assessment study on Mothers and care givers awareness and behavior regarding essential practices in health, nutrition and WASH (UNICEF) (2017)
Final evaluation on parents and caregivers’ awareness of essential practices in health, nutrition and WASH (UNICEF). (2019
","Result 1.1.
Indicator 1: Development and implementation of policies: Number of policies/national plans updated/produced and budgeted with the support of the UN to promote and strengthen health in line with the 9 priority programmes of the PNDS 2012 -2025.
Baseline: 4 plans produced.
Goal: 9 plans produced (1. National Strategic Plan for the Aged; 2 .National Strategic Plan for Maternal, Neonatal and Infant Health (including vaccinations); 3. Strategic Plan for Infant Nutrition; 4. National strategic Plan for the control and prevention of malaria; 5. National Plan for Water and Sanitation; 6 .National Policy for Community Interventions; 7. Multiannual Integrated Plan for Vaccination; 8. National Plan for the Elimination of Mother to child HIV; 9. Plan for Management, Procurement and Logistics )
Indicator 2: Capacity building and training. Number of teams of the government and civil society trained in health matters (sexual and reproductive health, including maternal and newborn health, family planning, HIV/AIDS, DNT, etc.).
Baseline: Not available
Goal: 1000 individuals trained in sexual reproductive health and HIV/AIDS by 2019.
Indicator 3: Supply of services. Number of provinces to implement the policy of re- vitalisation of the municipal health services, including integrated services for health, nutrition, water and sanitation and HIV/AIDS.
Baseline: 5 provinces Goal: 10 provinces by 2019.
Result 3.1
Indicator 5: Increase in the number and improvement in the quality of research on hunger, poverty and national inequalities carried out by Angolan universities.
Baseline: At the moment, few national institutions produce research in a systematic way.
Goal: At least four national institutions produce periodic studies which help in decision making.
","Process indicators","","HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.undp.org/content/dam/angola/docs/legalframework/UNDP_AO_UNPAF2015-2019_EN.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202015%20UNPAF.pdf" "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" "24460","COM","Comoros","","Plan Cadre des Nations Unies pour l’Aide de Developpement (PNUAD/UNDAF)","Non-national nutrition policy document","","French","","2015","","2019","Comoros UN country team","12","2014","Adopted","","","","Other","Foreign affairs","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat","","","","","","","","","","","","","","","Effet 2 : d’ici à 2019, la population, en particulier les groupes vulnérables, bénéficie et utilise des services sociaux de base et de protection de qualité, équitables et durables.
","
36. Santé et nutrition: en matière de santé et de nutrition, le SNU soutiendra le développement et la mise à jour des politiques, stratégies et des normes standards nationales en matière de santé et de nutrition. Le SNU poursuivra son appui pour le renforcement des systèmes de santé et la promotion de la santé à travers le développement des capacités nationales au niveau central, insulaire et communautaire.
En vue de renforcer la planification et la budgétisation des interventions sanitaires et de nutrition, l’accent sera mis sur la formation en gestion et en planification des équipes-cadres de district.
La redevabilité des systèmes de santé sera renforcée grâce à la mise en place progressive de la performance axée sur les résultats. Le soutien financier, technique et logistique aux programmes prioritaires,notamment la santé maternelle et néonatale, la santé de la reproduction, le programme élargi de vaccination, l’élimination rapide du paludisme, la nutrition et les maladies non transmissibles, sera maintenu et renforcé. Sous le leadership du Gouvernement, le SNU travaillera en étroite collaboration avec les autres partenaires pour réduire la prévalence du VIH/sida, ou la maintenir à son niveau actuel (0,025 %).
Le SNU supportera la politique du gouvernement pour que les femmes enceintes allaitantes et les enfants de moins de 5 ans aient accès à des structures publiques et communautaires pour la prévention et le traitement de la malnutrition, y compris dans les cas de situations humanitaires.
38. Eau et d’assainissement : le SNU poursuivra ses efforts notamment pour appuyer la mobilization des ressources et la mise en oeuvre de la Stratégie nationale de l’eau et de l’assainissement àtravers l’amélioration de l’accès des populations à l’eau potable et à l’assainissement, particulièrement auniveau des écoles et soutiendra le renforcement des capacités des communautés à la gestion et à la maintenancedes installations d’eau et d’assainissement.
","","","","Breastfeeding|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Management of moderate acute malnutrition|Management of severe acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202015%20UNDAF.pdf" "39746","GRD","Grenada","","Grenade Zero Hunger Challenge Initiative (GZHCI) Framework Document for Plan of Action 2015 – 2019 ","Comprehensive national nutrition policy, strategy or plan","","English","","2015","","2019","National Authority for the Zero Hunger Challenge Initiative [Malachy P. Dottin Ph.D.]","2","2015","","","","","Other","NAZHCI expresses its sincere gratitude to the many colleagues in various Ministries and other experts and colleagues, Dr Ballayram, Dr. Dessima Williams, Dr. Nigel Gravesande, Mrs. Claudette O’Neale Mr. Daniel Lewis and Mr. Michael Church, whose contributions have been a valuable source of ideas and information.","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","","","","","Purpose
The purpose of this framework document is to outline a roadmap for the elimination of hunger, food insecurity and malnutrition in Grenada within five (5) years.
The impact of the initiative should result in the following:
The definition and im plementation of strategies that lead, in the long run, to 100 per cent access by all Grenadians to adequate food year-round;
The Plan of Action is comprised of five (5) broad elements:
• Economic expansion and diversification of the agricultural sector, particularly given the large import bill and scope to increase domestic agricultural production.
• Improved nutrition and health status of the population.
• Improved management operations of the social protection systems.
• Expansion of pro-poor employment and income generating opportunities.
• Good governance and management of hunger and poverty programmes– by institutionalizing the rules of good governance evident in greater transparency and accountability in the delivery of public services.
","","","","Stunting in children 0-5 yrs|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Provision of school meals / School feeding programme|School gardens|Nutrition education|HIV/AIDS and nutrition|Food security and agriculture|Home, school or community gardens","","","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GRD_2015_Grenada%20%20Zero%20Hunger%20Challenge%20initiative%20%28GZHCI%29.pdf" "24478","MDG","Madagascar","","Plan-cadre des Nations Unies pour l’aide au développement","Non-national nutrition policy document","","French","","2015","","2019","UN Country Team of Madagascar","","2015","","","","","Cabinet/Presidency","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","CNUCED, UNCDF, UN Habitat, IAEA","","","","","","","","","","","","","","","Effet 1 : Les populations vulnérables, dans les zones d’intervention, accèdent aux opportunités de revenus et d’emplois, améliorent leurs capacités de résilience, et contribuent à une croissance inclusive et équitable pour un développement durable.
Effet 3 : Les populations des zones d’intervention, particulièrement les groupes vulnérables, accèdent et utilisent des services sociaux de base pérennes et de qualité
","Le SNU apportera un appui aux producteurs en vue d’améliorer les productions, la sécurité alimentaire, la transformation des produits agricoles et leur commercialisation. Le développement des capacités organisationnelles et techniques des producteurs et du secteur privé en milieux rural et urbain, ainsi que le développement de l’éducation nutritionnelle gureront également parmi les actions prioritaires.
Au niveau de la nutrition, les femmes et les enfants de moins de 5 ans bénéficieront d’appuis afin que leur statut nutritionnel soit durablement amélioré. En effet, compte tenu du niveau élevé et stagnant de la malnutrition chronique, le SNU contribuera à améliorer l’accès des populations vulnérables à une alimentation de qualité nutritionnelle suffisante et au développement de pratiques alimentaires favorables à la prévention et au traitement de la malnutrition. Cette action sera engagée de façon concomitante avec les initiatives qui seront prises pour améliorer la sécurité alimentaire (voir Effet 1 de l’UNDAF).
Le SNU appuiera le gouvernement à tenir ses engagements et son plan quinquennal visant à augmenter la proportion de la population ayant accès et utilisant l’eau potable et l’assainissement améliorés. Il soutiendra des interventions multiformes visant un meilleur accès et un changement de comportements et de pratiques en matière d’hygiène et de propreté, qui ont un impact direct sur la santé des populations.
","% de la population vivant dans l’insecurité alimentaire
Quotient de mortalité des enfants de moins de 5 ans (pour 1000 naissances vivantes)
Taux de prévalence de la malnutrition chronique parmi les enfants de moins de 5 ans
Proportion de la population utilisant des infrastructures d’assainissement de base améliorées.
Proportion de la population utilisant des infrastructures d’eau améliorées.
","Outcome indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://mg.one.un.org/content/unct/madagascar/fr/home/publications/undaf-2015-2019.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202015%20UNDAF.pdf" "24479","MLI","Mali","","Plan cadre intégré des Nations Unies pour l’aide au développement au Mali","Non-national nutrition policy document","","French","","2015","","2019","UN Country Team of Mali","","2015","","","","","Other","foreign affairs","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNCDF, UN Environment, UNCTAD, UN Women, OHCHR, IOM, UN Habitat, UNMAS, ONUDC, UNOPS","","","","","","","National NGOs","","","","Private sector","","","","Produit 4.1.
Les femmes, enfants et jeunes en particulier les plus vulnérablesutilisent un paquet intégré de services de santé de qualité
Produit 4.3.
Les mères et les enfants, particulièrement les plus vulnérables ou affectées par les crises alimentaire et nutritionnelle, bénéficient d’un paquet complet d’interventions nutritionnelles au niveau des communautés et des services
Produit 4.6.
Les groupes vulnérables bénéficient de services de protection sociale adéquat
Effet 5:
Les populations défavorisées particulièrement les femmes et les jeunes, bénéficient de capacités et d’opportunités productives accrues, dans un environnement sain et durable, favorable à la réduction de la pauvreté
Produit 5.1.
Les populations défavorisées et les exploitations familiales bénéficient de compétences techniques, de moyens et d’activités génératrices de revenus pour améliorer la sécurité alimentaire et nutritionnelle
Produit 5.4.
Les populations vulnérables bénéficient d’un meilleur cadre de vie à travers un accès durable à l’eau et un assainissement adéquat
","Les initiatives que les Nations Unies vont soutenir à travers cet effet permettront : (i) d’accroître l’accès à un paquet intégré de soins de qualité, y compris les informations et services de santé reproductive et de planincation familiale (ii) d’accroître l’accès aux services de prévention du VIH/SIDA et de prise en charge des PVVIH; (iii) d’accroître l’accès et la qualité de l’éducation; (iv) de prévenir et traiter la malnutrition des enfants et des femmes ; (v) de consolider le cadre de protection et de prise en charge adéquate des groups vulnérables contre les violences, abus et exploitation ; (vi) de réformer le cadre politique et juridique de protection sociale ainsi que les groupes vulnérables bénénificient de services de protection sociale adéquats.
En matière de nutrition, le renforcement de la prise en charge de la malnutrition aiguë modérée et sévère restera une priorité ainsi que la prévention de la malnutrition chronique y compris les carences en micronutriments. Au niveau communautaire, la contribution des Nations Unies visera l’augmentation de la couvervure de la PCIMA à travers le renforcement du dépistage de la malnutrition aiguë. S’agissant de la prévention de la malnutrition chronique, les efforts porteront sur la sensibilisation et la promotion de meilleures pratiques d’alimentation du jeune enfant et de la femme.
Les initiatives que les Nations Unies vont soutenir à travers cet effetet permettront : (i) de mettre à disposition des populations défavorisées des moyens et activités génératrices de revenus pour améliorer la sécurité alimentaire et nutritionnelle ; (ii) d’améliorer les capacités productives et commerciales de l’Etat et du secteur privé pour impulser une croissance verte et inclusive; (iii) d’accroître la création d’emplois et d’entreprenariat féminin pour une meilleure insertion socio-économique des jeunes et des femmes ; (iv) de permettre aux populations de bénéNcier d’un meilleur accès durable à l’eau et un assainissement adéquat ; (v) de renforcer la résilience des populations face aux changements climatiques grâce à des mesures d’adaptation aux changements climatiques et de réduction des risques de catastrophes ; (vi) d’appuyer les populations et les autres acteurs affectés par la désertification et la deforestation ainsi de bénénificier de capacités accrues pour gérer de manière durable les ressources naturelles et protéger la biodiversité et les écosystèmes.
","Prévalence de la malnutrition chronique
Pourcentage de structures de santé mettant en oeuvre le paquet minimum WASH
Pourcentage d’enfants souffrant de la malnutrition pris en charge dans les centres nutritionnels
Prévalence de l’insuffisance pondérale
Prévalence de la malnutrition aiguë globale chez les enfants de 6-59 mois
Proportion de femme ayant un IMC <18,5
Nombre de ménages vulnérables bénéficiant d’un transfert monétaire
Taux d’insécurité alimentaire
Nombre de femmes et d’enfants ayant bénéficié d’assistance alimentaire par rapport à la population totale affectée par l’insécurité alimentaire
Pourcentage de la population ayant accès à une source d’eau améliorée
Pourcentage de la population ayant accès à des infrastructures sanitaires améliorées
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes","","http://www.maliapd.org/Fatou/UNDAF+%202015-2019%20Version_12_2015%202.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLI%202015%20UNDAF.pdf" "40742","NIU","Niue","","Niue Food and Nutrition Security Policy 2015-2019","Comprehensive national nutrition policy, strategy or plan","","English","","2015","","2019","FAO","","2015","","","","","Food and agriculture|Social welfare|Other","Department of Agriculture, Forestry and Fisheries, Ministry of Natural Resources, Ministry of Social Services, Ministry of Infrastructure","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","
Goal: To ensure sufficient, safe and nutritious food is available, accessible, affordable and acceptable to all the people of Niue at all times.
","
The key priority areas for action are:
1. Sustainable production, processing, marketing and consumption of local foods
2. Health and wellbeing of all the people of Niue
3. Management and use of natural resources
4. Food security information system for learning, research and development
5. Taoga Niue – preservation of traditional food production practices and biodiversity
6. Leadership, governance and coordination
","","","","Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Nutrition in the school curriculum|Dietary guidelines|Food-based dietary guidelines (FBDG)|Taxation on unhealthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIU%202015%20Food%20and%20Nutrition%20Security%20Policy.pdf" "24488","SLE","Sierra Leone","","The United Nations Development Assistance Framework (UNDAF)","Non-national nutrition policy document","","English","","2015","","2018","UN country team in Sierra Leone","","2015","","","","","Health|Food and agriculture|Social welfare|Finance, budget and planning|Justice|Labour|Sub-national|Other","Internal affairs, foreign affairs","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNOPS, IOM, UNCDF, UN Women, UNODC, IAEA, OHCHR","Other","","The World Bank","","","","National NGOs","","","","","","","","Pillar 3: Accelerating human development
D. By 2018, children under five, adolescent girls, women of reproductive age, vulnerable groups and households are better protected from hunger and show improved nutritional status as a result of stronger UN support to the government.
E. By 2018, communities have improved and equitable use of safe drinking water, sanitation and hygiene practices.
Pillar 6: Strengthen social protection systems
A. By 2018, vulnerable populations including adolescent girls have increased access to livelihoods, education and improved nutritional status
B. By 2018, 20% of extremely poor households have access to social safety nets
","","
Proportion of women 15-49 years with anaemia.
Proportion of children under 2 years. that are stunted
Proportion of children under 5years that are Underweight
Proportion of infants 0-5 months that are exclusively breastfed
Proportion of population using an improved water source
Proportion of population using basic sanitation
Proportion of population that is practicing open defecation
Percentage of food secure house hold
Supplementary feeding performance rates among targeted children under 5
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Food distribution/supplementation for prevention of acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202015%20UNDAF.pdf" "24456","DZA","Algeria","","Cadre de Coopération Stratégique (CdCS)","Non-national nutrition policy document","","French","","2016","","2020","","","2016","","","","","Health|Sub-national|Other","Foreign affairs, Interior","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UN Women, UNICRI, CLCPRO","","","The World Bank","","","","","","","","","","","","Effet 2: D'ici 2020, un accès accru, incllusif et équitable à des services sociaux de qualité est offert à la population.
Effet 5: D'ici 2020, les citoyens bénéficient d'un service public de qualité répondant à leurs attentes, soutenu par l'amélioration de la mise en oeuvre des poliques publiques et une gestion moderne et participative.
","","
i.2.4 Un système de surveillance des décès maternels mis en place.
i.2.6 Prévalence des maladies nontransmissibles dont (les maladies cardiovasculaires, Diabète et Cancer).
i.5.1 Niveau d’appréciation de la qualité des services publics (au niveau national et dans les wilayets ciblées). Alimentation en eau potable.
","Outcome indicators","","Raised blood glucose/diabetes|Water and sanitation","","http://www.un-algeria.org/images/CdCS_Algerie_2016-2020.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA%202016%20CDCS.pdf" "26081","KHM","Cambodia","","United Nations Development Assistance Framework (UNDAF) 2016-2018","Non-national nutrition policy document","","English","","2016","","2018","UN system in Cambodia","4","2015","","","","","","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","","","Indicator: 2.4.1 Percentage of children aged 0-59 months stunted (height-forage more than 2 standard deviations below normal), disaggregated by sex, wealth and location
Phnom Penh Baseline (2010): 25.1%
Phnom Penh Target (2018): 20%
Indicator: 2.4.2 Percentage of children age 6-23 months living with their mother who are fed according to three IYCF feeding practices based on 4+ food groups
Phnom Penh Baseline (2010): 23.1%
Phnom Penh Target (2018): 35%
","","","Stunting in children 0-5 yrs|Minimum acceptable diet","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM-2016-2018-UNDAF_0.pdf" "39356","COL","Colombia","","Estrategia de Información, Educación y Comunicación en Seguridad Alimentaria y Nutricional para Colombia","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2016","","","Ministerio de Salud y Protección Social","","2016","","","","","Health|Food and agriculture|Social welfare","","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","Alimentación saludable
Calidad de la alimentación
Apoyo institucional para la SAN
El primer núcleo temático para la implementación de la Estrategia IEC en SAN para Colombia se enfocará en cuatro ítems para lograr la promoción de alimentación saludable:
1. Disminuir el consumo de grasas trans.
2. Disminuir el consumo de azúcares añadidos.
3. Reducir el consumo de sal/sodio.
4. Aumentar el consumo de alimentos naturales y frescos.
","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" "24483","SWZ","Eswatini","","Swaziland United Nations development assistance framework (UNDAF)","Non-national nutrition policy document","","English","","2016","","2020","UN country team of Swaziland","","2016","","","","","Health|Finance, budget and planning|Development|Urban planning|Justice","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNODC","Other","","Other|The World Bank","PEPFAR","European Union","","","","Research/academia","","Private sector","","","","Outcome 2.2
Families and communities’ access to and uptake of integrated, quality health and nutrition services increased by 2020
Output 2.2.2:
Ministry of Health enabling environment for planning and coordination strengthened
Output 2.2.4:
Children under five, pregnant and lactating women have improved access to nutrition interventions
Output 2.3.2:
Health sector capacity to deliver quality HIV treatment care and support services strengthened
","Building on the support provided under the previous UNDAF, the UN system will assist the Ministry of Health (MOH) to strengthen its capacities and those of its partners to deliver essential health and nutrition packages on maternal, child and adolescent health services and continue to support integration of HIV into health programmes. The UN will also focus on strengthening the regulatory environment for nutrition, including strengthening capacities of multi-stakeholder forums using lessons and best practice available via South-South learning.
The capacity of the MOH and its partners to implement the National Health Sector Strategic Plan II and contribute to the attainment of Universal Health Coverage (UHC) will be enhanced. The UN will also work with key Government institutions and partners to develop and deliver a comprehensive package of nutrition interventions, including positive WASH practices and Community-led Total Sanitation, contributing towards Open- Defecation Free (ODF) communities. Particular attention will be paid to vulnerable populations, children under-five years, pregnant and lactating women, with combined efforts to prevent stunting.
","Indicator: Percentage of children 0-6 months old exclusively breastfed
Indicator: % of children aged 6-23 months receiving a minimum meal frequency of complementary foods
Indicator: % of population practicing open defecation (ODF)
Indicator: Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases
Indicator: Key health and nutrition policies and strategies49 developed, approved and operationalized
Indicator: Key health and nutrition acts amended and enacted50
Indicator: Proportion of pregnant and lactating women receiving iron supplementation
Indicator: Proportion of children aged 6 -59 months receiving Vitamin A supplementation
Indicator: # of households oriented in community led total sanitation (CLTS) approach in targeted regions
Indicator: Number of eligible HIV and TB clients accessing nutrition services at health facilities.
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A deficiency|Complementary feeding|Minimum acceptable diet|Vitamin A|Iron|HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://sz.one.un.org/content/dam/unct/swaziland/docs/Final%20Swaziland%20UNDAF%202016%20-%202020_11_March_2016%20(Electronic%20copy).pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SWZ%202016%20UNDAF.pdf" "36195","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2020","Government of the Federal Democratic Republic of Ethiopia","","2016","Adopted","","2017","National Nutrition Coordination Body (State Ministers of Health, of Education, of Industry, of Water and Energy, of Trade, of Agriculture, of Labour and Social Affairs, of Finance and Economic Development, and of Women, Children and Youth Affairs)","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Labour|Other","Government of the Federal Democratic Republic of Ethiopia Ministry of Health, Agriculture and Natural resource, livestock and fishery, ministry of water, irrigation and electricity, ministry of education, Labor and social affairs, women and children affairs","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Concern Worldwide|Global Alliance for Improved Nutrition (GAIN)|Nutrition International|Other, please specify under further details","Alive and Thrive, CIFF, BIG win, SCI(GTN, INSPIRE), SUN-Coalition, etc.","Bill and Melinda Gates Foundation","","","","","","Research/academia","","Private sector","chamber of commerce","","Professional associations","
STRATEGIC OBJECTIVE 1: Improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years)
STRATEGIC OBJECTIVE 2: Improve the nutritional status of children from birth up to 10 years
STRATEGIC OBJECTIVE 3: Improve the delivery of nutrition services for communicable and non-communicable/lifestyle related diseases
STRATEGIC OBJECTIVE 4: Strengthen the implementation of nutrition-sensitive interventions across sectors
STRATEGIC OBJECTIVE 5: Improve multisectoral coordination and capacity to implement the national nutrition program
","","
2020 TARGETS
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20National%20Nutrition%20Programme%20II.pdf" "24468","ETH","Ethiopia","","United Nations Development Assistance Framework for Ethiopia ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team in Ethiopia","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNCTAD, UNEP, UNCDF,UNODC , UNOPS, UN Women","Other","","","","","","","","Research/academia","","Private sector","","","","
Outcome 1: By 2020 Ethiopia will achieve increasingly robust and inclusive growth in agricultural production and productivity and increased commercialisation of the agricultural sector.
Outcome 7: Enhanced appropriate feeding and care practices for improved nutrition status of children under five years,adolescents, pregnant and lactating women.
Output 7.1: National,subnational and partner capacity (multisectoral nutrition technical committees and nutrition coordination bodies at all levels) strengthened for National Nutrition Programme (NNP) implementation, coordination, monitoring and reporting.
Output 7.2: Improved nutrition care practices for infants, young children, adolescents, and pregnant and lactating women (PLW).
Output 7.3: Enhanced capacity of the health system to provide quality preventive and curative nutrition services for infants, young children, adolescents, and pregnant and lactating women.
Outcome 9: By 2020 the Ethiopian population, in particular women, children and vulnerable groups, have increased access to and use affordable, safe and adequate water, sanitation and hygiene (WASH) services.
Output 9.1: Strengthened capacity of WASH sector Ministry (water, health & education) in conducting strategic planning, coordination, leveraging, advocacy and implementation of development and emergency WASH interventions.
Output 9.2: Strengthened sector WASH capacity in knowledge management that informs improvements in service delivery, policies, procedures, monitoring and evaluation at the federal and regional levels.
Output 9.3: Enhanced support for children and families leading to resilient and equitable, access to and use of safe and adequate water and sanitation services and adoption of appropriate hygiene practices in households and institutions in urban and rural areas.
Output 9.4:Populations affected by WASH Emergencies receive WASH services in line with minimum standards.
","Outcome 1. Under this outcome the UN will work with the relevant Government and other partners to strengthen the capacities of farmers and agro-pastoralists to adopt innovative farming techniques and inputs for increased production and productivity. Specific technologies that will be promoted through advocacy and practical training sessions include agricultural technologies and practices that: help increase production and productivity; ensure the reduction of pre and post-harvest losses; improve livestock production; encourage sustainable land management; promote integrated watershed management; and stimulate climate-smart agricultural practices and nutrition-sensitive agriculture. Furthermore emphasis will be placed on crop diversification as well as value added processing and commercialization of
selected commodities through inclusive value chain approaches. On the supply side, the capacity of service providers and local level institutions will be strengthened to deliver quality agricultural extension services, including financial services, further improving the capabilities of farmers, (especially women and youth) to access and control productive resources and have access to markets and agricultural related financial products.
Outcome 7. In the area of nutrition the UN will support the Government to implement and monitor the National Nutrition Programme, including the strengthening of coordination of partners working in the sub-sector at national, regional and zonal levels. At the service delivery level, the capacity of the health, agriculture and education system to provide quality preventative and curative nutrition services for infants, young children, adolescents, pregnant and lactating women, and people living with HIV will be strengthened. At the community level the UN will engage with households to improve nutrition care practices for infants, young children, adolescents and pregnant and lactating women, and provide treatment of moderate and severe acute malnutrition. In addition to this, UN agencies will use their collective capacity and work with other partners to strengthen the capacity of Government to monitor and use nutrition information, and prepare and respond to nutrition needs during emergencies.
Outcome 9. In this area the UN will work with the Government to build the capacity of technical staff in the Ministry of Water, Irrigation and Energy and at subnational level to plan, coordinate and implement both development and emergency related WASH interventions; increasing their capacity of relevant institutions to collect and analyse data to inform evidence-based service delivery. At the community level emphasis will be placed on increasing communitylevel knowledge and awareness to improve hygiene and sanitation practices within the household.
","3.3: Global acute malnutrition rate (GAM)
7.1: Proportion of children 6 to 23 months with minimum acceptable diet
7.2 Proportion of children under 6 months exclusively breastfed (disaggregated by national & refugee population)
7.1.1: Federal and regional coordination bodies and technical committees (NNCB, NNTC, RNCBs, RNTCs) meet as per schedule
7.1.2: NNP monitoring mechanism (scorecard) established at federal and regional level and updated on a regular basis
7.1.3 Number of ministries that have aligned their respective sector plan with NNP
7.1.4 Integrated NNP monitoring tool established at different levels (national and woreda)
7.2.1: Percent of GMP participation for girls and boys under 2 year of age
7.2.2: Number of woredas in developing regions with active Women-to-Women support groups.
7.3.1: Percent of children under 5 receiving vitamin A supplementation
7.3.2:. Percent of health facilities providing SAM treatment
7.3.3: Number of health posts or mobile health and nutrition teams (MHNT) providing MAM treatment
7.3.4: Number of woredas with schools providing nutrition programmes including adolescents
7.3.5: Number of SAM cases treated among refugee populations
9.1: % of populations using safe and adequate WASH services disaggregated by rural and urban areas
9.3.1: % of Ethiopian population and refugee users of safe, adequate and resilient water supply services disaggregated by urban and rural areas
9.3.2: % of Ethiopian population and refugee using safe, adequate and resilient sanitation services disaggregated by urban and rural areas
9.3.4: # of people adopting appropriate hand washing practices
9.4.1: # of people affected by WASH emergencies provided with safe and adequate water supply as per minimum emergency standards
9.4.2: # of people affected by WASH emergencies provided with appropriately designed emergency latrines
9.4.3: # of people affected by WASH emergencies participating in hygiene promotion activities
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Minimum acceptable diet|School-based health and nutrition programmes|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://et.one.un.org/content/unct/ethiopia/en/home/assistance-framework/undaf.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20UNDAF.pdf" "39357","ETH","Ethiopia","","Nutrition Sensitive Agriculture Strategic Plan","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Agriculture and Natural Resource, Ministry of Livestock and Fishery","","2016","Adopted","","2016","MOANR, MOLF","Food and agriculture|Sub-national","Ministry of Agriculture and Natural resource, Ministry of livestock and fisheries, (sub-) regional administrations","Food and Agriculture Organisation (FAO)","","","","US Agency for International Development (USAID)","","","","National NGOs","","","","","","","","
Strategic objective 1. Leverage nutrition in to agriculture policy, strategy, and program documents at all level
Strategic objective 2: Establish and strengthened structure responsible for nutrition mainstreaming and build capacity of agricultural sector at all
Strategic objective 3. Enhance resilience of vulnerable community and households prone to climate change and moisture stress.
Strategic objective 4. Increase year-round availability, access, and consumption of diverse, safe, and nutritious foods
Strategic Objective 5. Gender
Strategic objective 6. Develop strong multi-sectorial coordination
","","
Table of indicators p. 22-31
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|School fruit and vegetable scheme|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Nutrition education|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Nutrition%20Sensitive%20Agriculture%20Strategic%20Plan_0.pdf" "39745","GHA","Ghana","","National Nutrition Policy ","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","","Government of Ghana","7","2016","","","","","Health","The Ministry of health and the Ghana Health Service the Nutrition and reproductive and child health department","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Global Affairs Canada|The World Bank|US Agency for International Development (USAID)","","","","","","Research/academia","Department of Nutrition and Food Science of the University of Ghana","","","","","The goal of the NNP is to ensure optimal nutrition for all the people living in Ghana, to promote child survival, and to enhance capacity for economic growth and development.To achieve this goal, the following policy objectives will be pursued:
1- To increase coverage of high impact nutrition specific interventions that ensure optimal nutrition of Ghanians throughout their lifecyle, with special reference to maternal health and child survival
2- To ensure high coverage of nutrition sensitive interventions to address the underlying causes of malnutrition
3- To reposition nutrition as a priority multi-sectoral development issue in Ghana
","policy measures for objective one:
1. Nutrition of Women in Child-Bearing Age and the New-Born
2. Optimal Nutrition during Infancy and Childhood
3. Nutrition of School-age Children and Adolescents
4. Nutrition in the general population
5. Prevent and Manage Obesity and Diet-Related Non Communicable Diseases
6. Prevent and Manage Acute Malnutrition
7. Nutrition in Emergency Situations
Policy measures for Objective 2
1. Health, Water, Hygiene, and Sanitation Services
2. Agricultiure and Food Security
3. Social Protection and Safety Nets
4. Eduction
Policy measures for objective 3
1. Advocacy and communication
2.Nutrition as a priority
3. Integartion and coordination
4.Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/GHA_B14_National_Nutrition_Policy_JULY2016.pdfWHO NCD Country Capacity Survey 2019","","WHO NCD Country Capacity Survey 2019","" "24473","GNB","Guinea-Bissau","","Partnership framework between Guinea-Bissau and the United Nations ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team of Guinea-Bissau","4","2016","Adopted","10","2016","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Justice|Other","Foreign Affairs, Defense, Security","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC, UNOPS, UN Women","","","The World Bank","","European Union|Other","African Union, IMF","National NGOs","","Research/academia","","Private sector","","","","
Outcome 3:All citizens, particularly the most marginalized and vulnerable, have equitable, sustainable access to and will use the services in health, nutrition, HIV/AIDS, water, sanitation and hygiene, education, and protection services.
","The promotion of the right to food and the improvement of governance of food and nutritional security as well as land governance;
The improvement in infant and newborn health through the implementation of the vaccination strategy, the promotion at the community level of knowledge, behaviors, and practices affecting the health of the newborn, infant, and mother, and the reduction in acute and moderate malnutrition in children 6 to 59 months of age, pregnant women, and nursing mothers;
The improvement of the nutritional status of TB and HIV patients under treatment;
In the area of water, sanitation and hygiene, the interventions of the United Nations team will make a contribution to the promotion of the use of improved sanitation facilities, the transition to scale of the washing of hands using soap, the promotion of sustainable, equitable access to potable water in the communities, schools, and health centers, and the development of the capacities of resource managers in potable water.
","Indicator 3.7: Proportion of children under 5 years old suffering from chronic malnutrition
Indicator 3.8: Proportion of children at least 5 years old suffering from acute malnutrition
Indicator 3.12: Rate of defecation in open air
Indicator 3.13: Proportion of people with access to potable water
Indicator 3.16: Nutritional recovery rate
","Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202016%20UNPAF.pdf" "40052","LAO","Lao People's Democratic Republic","","National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2025","Ministry of Health","","2015","","","","","Health","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","WHO, FAO, UNICEF, UN Network","","","","","European Union","","National NGOs","","","","","","Other","MQSUN","Overall goal: To reduce malnutrition rates among women and children and improve the nutritional status of the multiethnic people so that they may be healthy and have a high quality of living and thus contribute to the preservation and development of the nation so that it is elevated from its status as a least developed country (LDC) in 2020 and attains its strategic targets in 2025
","Strategic Objectives:
SO1: Improve nutrient intake.
SO2: Prevent water-, food-, and vector-borne diseases.
SO3: Produce food so that it is available for consumption.
SO4: Improve access to nutritious food.
SO5: Improve mother and child care practices.
SO6: Improve clean water [systems and practices], sanitation, and environments.
SO7: Improve access to health services.
SO8: Improve institutions and coordination.
SO9: Improve human capacities
SO10: Increase the quantity and quality of information
SO11: Increase investments in nutrition
","Indicators for the overall goal (Table 1, p.8):
CU5 chronic malnutrition rate (above or below World Health Organization (WHO) standards)
CU5 sudden malnutrition rate (wasting) (WHO standards)
CU5 underweight rate (WHO standards)
CU5 anemia rate (hemoglobin<11g/dL)
WRA anemia rate (hemoglobin<12g/dL)
CU5 overweight rate
Breastfeeding rate
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School gardens|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202015%20National%20nutrition%20strategy.pdf" "24485","UGA","Uganda","","United Nations Development Assistance Framework for Uganda","Non-national nutrition policy document","","English","","2016","","2020","","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Environment|Industry|Justice|Other","Foreign affairs","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNCDF, UN Habitat, UNEP, UN Women, OHCHR","Other","","","","","","National NGOs","","","","Private sector","","","","Outcome 2.2. Health By end 2020, Ugandan population enjoys healthier and productive lives with substantial reductions in mortality and morbidity, especially among children, adolescents, pregnant women and other vulnerable groups; and sustained improvements in population dynamics.
Output 2.2.2. Water, Sanitation and Hygiene (WASH) By end 2020, targeted institutions with adequate technical and operational capacity to deliver cost-effective and sustainable models of community-based safe WASH & environmental preservation systems; and hygiene, sanitation behavior change at household, health facility and school settings.
Output 2.2.3 Nutrition and Household Food Security By end 2020, coordination capacity of OPM and technical and operational capacity of targeted stakeholders strengthened to ensure operationalization and scale-up of proven high-impact, cost-effective, multi-sectoral, integrated and community-based nutrition & Household Food Security interventions that effectively contribute to reducing stunting and other forms of malnutrition and enhanced food security.
Output 2.2.5. Dual burden of communicable and non-communicable diseases (NCD) By end 2020, equitable and increased coverage of effective preventive and care services, particularly for major communicable diseases (malaria, HIV/AIDS, TB) targeting most-at-risk populations; and comprehensive NCD control and management of major risk factors (tobacco, alcohol and substance abuse, physical inactivity and diet) and mental health.
","2.2.2.1. Provide Technical and financial support to MWE for strengthened coordination of the WASH partnerships and improved resource allocation
2.2.2.2. Strengthen national and district functional and financial capacity to increase coverage of water and sanitation services in rural growth centers, health facilities and schools, including in humanitarian situations
2.2.2.3. Support MoH and MoLG Scale-up community-led total sanitation (Hygiene promotion)
2.2.2.5. Support MoLG and private sectors for a sustained, community ownership and maintenance of water and sanitation, infrastructures
2.2.2.6. Support OPM, MoH, MWE, and LGs, MoES, to operationalize an integrated ( communities, schools and Health centers) WASH resilience programme
2.2.3.2 Support advocacy efforts with parliament and relevant ministries for leveraging domestic resources for nutrition
2.2.3.3 Provide technical support to MWE, MoES, MoLG and MoH to scale-up and sustain high-impact child and maternal nutrition interventions with a particular focus on the first 1000 days of life, including in humanitarian situations
2.2.3.4 Support OPM, MoH and other UNAP stakeholders in evidence generation on the burden of all forms of malnutrition; nutrition-sensitive budgeting and equity-focused planning
2.2.3.5 Provide technical and financial support to the OPM and relevant sectors to implement the National Nutrition and Food Security Monitoring and Evaluation Framework
2.2.5.1 Strengthen evidence generation and use for, policy formulation, programming, advocacy for multisectoral collaboration, enhanced partnerships, increased financing for accelerated scale up of service coverage for communicable and non-communicable diseases
2.2.5.2 Provide technical and financial support to MoH to develop/review policies, strategies, guidelines and plans for communicable and non- communicable diseases
2.2.5.3 Support capacity building at all levels for sustainable prevention and control of communicable and non-communicable diseases
","Percentage of rural and urban people with access to improved sanitation, by rural/urban
Percentage of people with access to (and using) hand washing facilities (households and schools)
Existence of national Integrated Food and Nutrition M&E System
Number of districts with a functional comprehensive community- based nutrition model
National Food consumption score
Prevalence of major NCD risk factors
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202016%20UNDAF.pdf" "24491","ZMB","Zambia","","Zambia- United Nations Sustainable Development Partnership Framework (2016-2021)","Non-national nutrition policy document","","English","","2016","","2021","UN country team in Zambia","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Justice|Sub-national|Other","Community, Mines, Disaster management, Tourism","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UNECA","Other","","Other|Department of International Development (DFID)|The World Bank|US Agency for International Development (USAID)","African Development Bank, Government of Sweden, Embassy of Finland","European Union","","National NGOs","","","","Private sector","","","","Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","
Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf" "24493","ZWE","Zimbabwe","","ZUNDAF 2016-2020 Zimbabwe United Nations Development Assistance Framework","Non-national nutrition policy document","","English","","2016","","2020","","","2016","","","","","Nutrition council|Health|Women, children, families|Finance, budget and planning","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, ITC, UNCTAD, UNIC, UNOPS, ITU, OHCHR, UNEP, UNODC, UN Women, UPU","Other","","Other|The World Bank","OECD, SUN","","","National NGOs","","","","Private sector","","","","
OUTCOME 1: Targeted households in rural and urban areas have improved food and nutrition security
OUTCOME 2. Communities are equipped to cope with climate change and build resilience for household food and nutrition security
OUTCOME 1: Vulnerable populations have increased access to and utilisation of quality basic social services
","
To address nutrition issues, a multisectoral and targeted approach to combat stun ng will be applied. Key strategies to reduce stunting will include: coordination and collaboration across sectors to enhance convergence of interventions for greater impact; community engagement; behaviour change communication for the uptake of nutrition services; and sustained adoption of practices that promote good nutrition.
Partnerships with the private sector and academia to support the implementation of the food fortification strategy will be developed through the Scaling Up Nutri on (SUN) Business Networks. Efforts will also focus on the continued establishment of Government led food and nutrition security committees at all administrative levels in order to facilitate cross-sector linkages and collaboration for scaling up nutrition at sub-national levels. Through these efforts, the UN will support increased access to resources for women and youth in order to increase their food and nutrition security.
In line with Zim Asset, the Food and Nutri on Policy, and the National Nutri on and Food Fortification strategies, the UN will prioritize delivery of high-impact nutrition interventions based on global guidance and evidence. Using a lifecycle approach, the UN will incorporate strategies and actions that will support Zimbabwe in its attainment of the World Health Assembly targets for increasing the rates of exclusive breastfeeding, reducing stunting, reducing anaemia and controlling obesity by 2025.
Agricultural production and productivity depends on energy and environmental resources such as land and water. The UN will promote resource-efficient technologies, sustainable land and water resources management and renewable and sustainable energy solutions crucial for sustained food and nutrition security that spans generations. Education, training and capacity development in all these areas will be essential.
","1.2 proportion of households consuming an acceptable diet
1.3 proportion of children under 5 years of age, both male and female who are stunted
1.4 proportion of children 0.5 months, both male and female exclusively breastfed
1.5 proportion of children 6-23 months, both male and female receiving minimum acceptable diet
1.6 proportion of women 15-49 years with any anemia
2.2 prevalence of households with moderate or severe hunger (HHS- Household Hunger Scale)
1.11.% of population with access to improved sanitation and hygiene
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Anaemia in women 15-49 yrs|Minimum acceptable diet|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.zw.one.un.org/2016-2020-zimbabwe-united-nations-development-assistance-framework ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202016%20UNDAF.pdf" "39434","BHS","Bahamas","","The National Food and Nutrition Security Policy and Agenda for Action for the Commonwealth of the Bahamas","Comprehensive national nutrition policy, strategy or plan","","English","","2017","","2021","Ministry of Health and Ministry of Agriculture and Marine Resources","","2017","","","","","Health|Other","Ministry of Health and Ministry of Agriculture and Marine Resources","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","","","","","
The goal of the Food and Nutrition Security Policy and Action Plan is to improve the food, nutrition and health status of the population with minimum disruption to the ecosystem. The policy will seek to ensure that people have sufficient knowledge about the relationship between dietary practices and physical fitness to protect their health, well-being and the environment.
This document presents a national Food and Nutrition Security Policy (FNSP) and Action Plan for The Bahamas, for the five year period, 2017 – 2021 and is designed to improve the food and nutrition status of every segment of the population and to serve as a roadmap for attaining the highest level of food and nutrition security within The Commonwealth of The Bahamas. The FNSP Policy and Action Plan are built upon the four pillars of food and nutrition security: Availability, Accessibility/Affordability, Consumption/Utilization, and Stability.
The National Food and Nutrition Security Policy is based on sixteen Policy Objectives:
1. Creating an enabling environment for agricultural production.
2. Fostering an effective innovation system for agricultural production.
3. Providing targeted value chain development support for agricultural production.
4. Promoting a transparent multilateral and regional trading system for nutritious and high
quality food.
5. Enhancing income to facilitate reduction in poverty and unemployment.
6. Addressing price barriers to reduce food and nutrition security.
7. Strengthening social protection for the poor and vulnerable.
8. Encouraging and empowering people to make healthy lifestyle choices.
9. Strengthening food safety and quality systems.
10. Mainstreaming food and nutrition security in social protection and health care programmes. 11. Mainstreaming food and nutrition security learning in education programmes.
12. Strengthening the national capacity for Food and Nutrition Surveillance.
13. Strengthening resilience and disaster management for food and agriculture systems.
14. Institutionalizing a National Food and Nutrition Coordinating Commission.
15. Strengthening human and financial resources in all areas of food and nutrition.
16. Monitoring the progress of food and nutrition impacts, outcomes and activities.
Objective 4: The Government of The Bahamas will promote a strong, transparent, robust, reliable multilateral and regional trading system for nutritious and high-quality food and agriculture
The Bahamas will actively participate in the deliberations of relevant international bodies to ensure that the national interests of the country are well represented and that the international system remains robust, for example, through the following actions:
a. Improve food labelling regulations to clarify nutritional content and to restrict unverified health claims.
b. Review taxes on foods including fresh fruit and vegetables and processed food and beverages containing added salts and sugars.
c. Encourage international and regional organizations to identify opportunities to achieved food and nutrition targets through trade and investment policies.
Objective 7: The Government of The Bahamas will strengthen social protection for the poor and vulnerable
Building on existing mechanisms, the following actions will be taken:
a. Strengthen monitoring of food and nutrition status and poverty indicators for vulnerable groups.
b. Enhance school feeding and other supplemental feeding programmes to reduce stigma and promote consumption of nutritionally balanced diets.
c. Increase food transfer programmes for vulnerable populations to improve diets through better access to food.
Objective 8: The Government of The Bahamas will encourage and empower people to make healthy lifestyle choices
The need to adopt healthy eating practices and engage in regular physical activity must be inculcated by every individual. Sustained actions that promote the adoption of these types of activities are needed in order to achieve a more tangible measure of success. Actions to improve consumer awareness and choices will include:
a. Promote good nutrition through the universal application of The National Food- Based Dietary Guidelines.
b. Develop community awareness programmes on healthy nutrition and lifestyle practices.
c. Develop and promote programs to increase physical activity. Strengthen school nutrition and education programmes.
d. Increase connections between farm/fishers and food service providers to ensure greater availability of local fruit and vegetables.
c. Raise awareness on iron-deficiency in pregnant woman and school -aged children.
d. Improve public education on food choices of foods containing sodium, sugar, saturated and trans fats.
Objective 9: The Government of The Bahamas will ensure that food safety and quality systems are strengthened
Consistent with international standards and obligations, the following actions will contribute to the achievement of this objective:
a. Revise and amend existing legislation and guidelines related to food safety and food quality from farm to fork.
b. Strengthen and expand the food production and food control infrastructure system.
c. Develop food labelling standards including Nutrition Facts for The Bahamas.
d. Promote nutritional education to consumer body to serve as a watch dog.
Objective 10: The Government of The Bahamas will ensure that food and nutrition security are mainstreamed and coordinated in social protection and health care programmes
Under this objective, actions will address the need to improve the nutritional status of infants, pregnant and lactating women, children, adolescents, the elderly, persons with HIV/AIDS, the poor and others at risk groups. At the same time, complementary actions will also be undertaken to mainstream nutrition throughout the healthcare system. These actions include:
a. Promote and support breastfeeding.
b. Enhance nutritional information and care for antenatal and post-natal women.
c. Enhance programmes for children and adolescents at nutritional risk of stunting and wasting.
d. Improve accessibility, availability, and stability of healthy foods to senior citizens. Promote healthy lifestyles and nutrition practices among vulnerable groups.
e. Enhance the capacity of healthcare professionals to care for persons with HIV/AIDS.
f. Strengthen the nutrition component of HIV/AIDS programmes.
g. Increase technical cooperation and assistance to NGOs, community agencies, religious, and civic organizations involved in feeding programmes to enhance the quality of nutrition services provided to the poor.
h. Improve management of nutrition-related chronic non-communicable diseases.
i. Enhance health care services by including nutrition services as part of everyday community-based and hospital health services.
Objective 11: The Government of The Bahamas will ensure that food and nutrition security learning are mainstreamed and coordinated in education programmes
Recognizing the critical role that the education system, and in particular, the school feeding programme, play in changing harmful consumption patterns in children, and in promoting lifelong healthy eating habits, the following actions will be taken to mainstream nutrition education in schools:
a. Implement the Healthy Schools Initiative in all school districts.
b. Integrate Health and Family Life Education (HFLE) components into other subject areas in all schools; Integrate nutrition into all subject areas in all schools.
c. Strengthen the National School Feeding Programme.
d. Increase availability of more healthy food choices at school cafeterias, tuck shops, and school lunch vendors.
e. Integrate all components of Agriculture in the 4-H Programmes. Strengthen the Physical Education Curriculum/Programme.
f. Increase partnerships among government agencies, private sector, and NGOs to avoid duplication of programmes.
Page 50-63
Output 1.2: Enhanced national capacities to develop integrated policies, strategies and programmes to strengthen human and social development outcomes
The UN will provide support to the development of policies, strategies and programmes to enhance human and social development outcomes paying particular attention to challenges in the supply of quality services, the demand for services, the enabling environment for quality services and strengthening accountability systems. Specific areas that will be addressed include support in the development of a comprehensive Poverty Eradication Policy and Strategy, Comprehensive Social Protection Policy and support to address challenges such as HIV&AIDS, education, health including Sexual and Reproductive Health, Gender inequality including Gender Based Violence, malnutrition, human trafficking, migration, climate change and disaster resilience.
Output 2.2: Improved capacities to plan for delivery, identify and resolve implementation challenges and account for the delivery of quality interventions to strengthen human and social development outcomes
In developing capacities to plan for delivery and resolve implementation challenges to strengthen human and social development outcomes focus will be on strengthening capacities for multi-sector, multi-level multi- stakeholder and inclusive gender mainstreamed intervention design and implementation to achieve improvements in the quality of services, services demand and utilization and strengthening the enabling environment. Emphasis will be placed on complementarities and synergies between sector-based interventions in addressing issues such as prevention of HIV among adolescents and young people, reduction of stunting, healthy lifestyles, prevention ofgender based violence, women’s economic empowerment and other objectives requiring multi-sector action. Support to district government will be key to this output.
Output 3.2: Increased institutional capacities to collect, manage, analyses, package and utilize data to improve planning, monitoring, evaluation and decision-making to strengthen human and social development outcomes.
Capacity development for the gathering, analysis and use of disaggregated data for intervention design, targeting, monitoring and evaluation will aim to strengthen access to data that facilitates vertical and horizontal coordination and accountability. Investments will be made to increase the frequency and timeliness of data collection and programme adaptation to evidence. Capacities to use administrative data complemented by data from citizens for the management of services will be strengthened. In critical services such as health care, real time monitoring systems will be promoted as possible interventions to improve the timeliness and completion of routine interventions such as nutrition.
","","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|HIV/AIDS and nutrition","","https://www.unicef.org/about/execboard/files/Botswana-UNSDF-2017-2021.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202017%20UNSDF.pdf" "24458","TCD","Chad","","Plan Cadre des Nations Unies d’Assistance au Developpement (UNDAF)- TCHAD ","Non-national nutrition policy document","","French","","2017","","2021","Chad UN Country Team","","2017","Adopted","","","","Cabinet/Presidency","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNEP","","","","","","","","","","","","","","","Effet 2. Les populations les plus vulnérables dont les femmes, adolescent(e)s et enfants de moins de cinq ans, incluant les refugiés dans les zones ciblées, utilisent davantage les services intégrés de qualité de santé, nutrition et de bonnes pratiques d’alimentation, de prévention et traitement des maladies prioritaires notamment le VIH et le paludisme ;
Effet 3. Les populations vulnérables incluant les refugiés, dans les zones ciblées , utilisent de manière accrue et durable les services d’approvisionnement en eau potable, assurent un meilleur assainissement et adoptent des bonnes pratiques d’hygiène
Effet 5. D’ici à fin 2021, les agriculteurs, les éleveurs, les pêcheurs et les petits producteurs, notamment les jeunes et les femmes, des régions ciblées emploient des systèmes de production durable leur permettant de répondre à leurs besoins de base, d’alimenter le marché et adoptent un cadre de vie plus résilient au Changement Climatique et aux autres défis environnementaux.
","","Taux d’accouchement assisté par du personnel qualifié
Taux de consultations prénatales
Taux de consultation postnatale
Taux d’allaitement exclusif(enfants 0-5 mois)
Pourcentage de la population utilisant l’eau potable en eau de boisson
Pourcentage des personnes affectées par des urgences qui ont accès en permanence à l’eau potable et à l’assainissement de base selon les standards SPHERE
Pourcentage de producteurs ayant accès aux informations générées par le système d’alerte précoce et les systèmes d’information sur la sécurité alimentaire
","Process indicators","","Counselling on infant feeding in the context HIV|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Infant feeding in emergencies|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TCD%202017%20UNDAF.pdf" "24467","ERI","Eritrea","","The strategic partnership cooperation framework (SPCF) between the government of the state of Eritrea and the United Nations","Non-national nutrition policy document","","English","","2017","","2021","Eritrea UN country team","1","2017","","","","","Health|Food and agriculture|Education and research|Development|Environment|Labour|Other","National Union of Eritrean Women (NUEW)","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IAEA, UNEP, UNODC","","","","","","","","","","","","","","","Outcome 1. Health and Nutrition. By 2021, children under five, youth, women and other vulnerable groups including refugees, have improved access to and utilization of quality, integrated health and nutrition services for the achievement of universal health coverage (UHC) to safeguard healthy lives and promote well-being for all.
Outcome 2. Water, Sanitation and Hygiene (WASH). By 2021, all people, including refugees, benefit from available and sustainable water, sanitation and hygiene services.
Outcome 6. Food Security and Livelihoods. By 2021, smallholder households have improved access to, and utilisation of quality food and enhanced livelihood opportunities.
","Outcome 1. (iii) Strengthen the capacity of community health workers to implement integrated community case management, promote appropriate childcare and care seeking practices at household and community levels, and to make timely referrals to the next level of care. There will be a strong focus on integrated nutrition security, infant and young child feeding practices.
Outcome 2. (i) Involving communities in strengthening their capacity to operate and maintain rural water supplies and to develop and implement sanitation action plans.
(ii) Capacity building support to develop implementation protocols and guidelines on WASH in Institutions, rural water supply and sanitation and hygiene through the Community-Led Total Sanitation (CLTS) approach.
(iii) Evidence generation through support to the GoSE to conduct necessary assessments, surveys, and formative research such as the Eritrea Population and Health Survey (EPHS) and Knowledge, Attitude and Practice (KAP) surveys, as well as formative studies on community based approaches.
(iv) Policy dialogue and advocacy to promote balance between upstream policy and institutional development and the downstream work of capacity building, monitoring, and service delivery in the critical areas of child survival and development through equity-focused programming.
(v) Provision of service delivery assistance in the form of supplies, cash and services to facilitate the government, as implementing partners, to continue to provide WASH services. Service delivery assistance will also assist the GoSE sustain the service delivery gains as well as provide models of best practice to scale-up critical child survival and developmental WASH interventions.
Outcome 6. (i) Continue to support the GoSE expand, diversify and make more sustainable the productive base and engage the international community.
(ii) Continue to provide upstream support by engaging partners in a dialogue to identify capacity and policy gaps and to unlock potential development resources in the agriculture sector.
(iii) Identify diversified productive sectors that could provide sustainable livelihood opportunities for the population. The experience with the mining sector could be replicated in other sectors with higher job intensity, such as manufacturing, food processing and tourism.
(iv) Continue to work with communities to increase food and nutrition capacity, productivity and livelihoods with a special focus on youth and women.
(v) Provide technical assistance to the GoSE in the areas of institutional and human capacity development, quality seed production; improvement of crop and animal production; improved water management through the introduction and installation of new irrigation systems; provision of agricultural inputs; food processing for export and value addition of agricultural products to further increase employment and incomes in the agricultural sector
","1.8: Proportion of infants under 6 months exclusively breastfed
1.9: Proportion of children 6-59 months receiving two doses of vitamin A supplementation per year
1.11: Proportion of children 6-59 months with SAM enrolled in therapeutic feeding programme
2.1: Proportion of the population using an improved source of drinking water
2.3: Percentage of people who wash their hands with soap after defecation.
6.1: % of smallholder households using nutritious foods
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of severe acute malnutrition|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation","","http://reporting.unhcr.org/sites/default/files/UNDP%20ERITREA_SPCF%202016%20Low%20res%20fa.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ERI%202017%20SPCF.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
Outcome 2.2: Health
Increased equitable access to quality health for all including the most vulnerable.
Outcome 2.3: Nutrition
Increased equitable and quality access to nutrition specific and sensitive services including the most vulnerable.
Outcome 3.1: Agriculture and Food Security
Sustainable agricultural production and productivity increased for enhanced food security, nutrition and income generation for all in rural and urban areas.
","","
3. Under (-5) mortality rate
6. Proportion of population using improved water sources for drinking
7. Proportion of population using improved sanitation facilities
1. % of children under five years stunted
2. % of children under five years wasted
3. Household Dietary diversity score (DDS)
4. Proportion of children (0-6 months) exclusively breastfed
1. Food consumption Score
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Minimum dietary diversity of women|Provision of school meals / School feeding programme|Food security and agriculture|Water and sanitation","","https://www.humanitarianresponse.info/system/files/documents/files/undaf_gmb_2016_final_0.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GMB%202016%20UNDAF.pdf" "24480","MOZ","Mozambique","","United Nations Development Assistance Framework","Non-national nutrition policy document","","English","","2017","","2020","","","2017","","","","","Other","Foreign affairs","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Women, UNV, UNCDF, UNCTAD, UNEP, ITC, UN Habitat, IOM, OHCHR, UNODC","Other","","Other","","","","National NGOs","","","","Private sector","","","","OUTCOME 1: Vulnerable populations are more food secure and better nourished
OUTPUT 1.1: Government and stakeholders' ownership and capacity strengthened to design and implement evidence-based food and nutrition security policies
OUTPUT 1.2: Producers in the agriculture and fisheries sectors with enhanced capacity to adopt sustainable production techniques for own consumption and markets
OUTPUT 1.3: Public and private sectors invest in resilient, efficient and nutrition sensitive food systems
OUTPUT 1.4: Communities (and women in particular) acquire the knowledge to adopt appropriate practices and behaviors to reduce chronic undernutrition
OUTCOME 6: People equitably access and use quality health, water and sanitation services
OUTPUT 6.1: People in targeted rural and peri-urban areas have sustainable and safe water supply and sanitation services
OUTPUT 6.3: Demand for and access to of quality integrated child health and nutrition services are increased
OUTPUT 6.5: Policy framework for inter-sectoral prevention and control of NCDs is adopted
","36. A sound legislative framework to guide and regulate the work of government and partners in food security and nutrition is crucial. The UN will provide targeted capacity development to strengthen national systems for data collection and analysis to enable evidence-based and gender sensitive policy formulation. To increase the availability, diversity and quality of food, the UN will support small-scale production and link producers to markets, enabling them to sell to buyers at a fair price and increase household income. The unacceptably high levels of chronic malnutrition and stunting require a joint effort across sectors and a focus on promotion of appropriate behavior to improve family diet.
","
1.1: % of households with chronic food insecurity
1.2: % of households with adequate food consumption
1.3: Prevalence of chronic malnutrition amongst children under five years
1.1.1: No. of provinces where food fortification initiatives are implemented
1.1.2: Agriculture Law
1.1.3: No. of district economic and social plans (PESOD) in selected provinces that incorporate a gender sensitive FNS approach and specific FSN interventions
1.1.4: No. of FSN assessments using gender lens supported at national level
1.2.1 No of farmers that benefit from FFS extension methodology
1.3.2: % of foods fortified and for sale in the market :
- Oil - Wheat flour - Maize flour - Sugar - Salt
1.4.1: % of children 0 to 6 months exclusively breastfed
1.4.2: % of children 6-23 months receiving the minimum acceptable diet in selected provinces
1.4.3: % of community with hand-washing facilities
1.4.4: No of districts benefitting from nutrition behaviour change interventions in selected provinces.
6.1: % of people using safe and sustainable water supply facilities in rural and urban areas
6.2: % of people using safe and sustainable sanitation facilities in rural and urban areas
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Minimum acceptable diet|Wheat flours|Maize flours|Refined sugar|Food security and agriculture","","https://www.unicef.org/about/execboard/files/Mozambique-UNDAF_2017-2020_Eng.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MOZ%202017%20UNDAF.pdf" "24469","STP","Sao Tome and Principe","","Plan cadre des nations unies pour l’aide au développement dans une optique d’un développement equitable, inclusive et durable à Sao Tomé e Principe- UNDAF 2017-2021","Non-national nutrition policy document","","French","","2017","","2021","UN Country team of Sao Tomé e Principe","","2017","","","","","Health|Education and research|Finance, budget and planning|Trade|Other","Foreign affairs, Employment","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Other|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC","","","Other|The World Bank","Banque Africaine de Développement, Fond Monétaire International, Portugal, Brésil, et autres","","","","","","","Private sector","","","","Effet 1 : Les disparités et les inégalités sont réduites à tous les niveaux à travers la participation effective des groupes vulnérables et clés, et le développement et l'utilisation par ces groupes des services de protection et des services sociaux de base.
","53. Le SNU combinera les mesures d’accompagnement pour renforcer les capacités des partenaires nationaux et les investissements visant la mise à niveau des infrastructures de santé, de protection, de nutrition et d’éducation, ainsi que des infrastructures d’assainissement et d’eau améliorées. Ces actions vont cibler tous les niveaux à savoir central, local et la RAP.
56. Santé et Nutrition. Le SNU centralisera ses contributions au renforcement du système de santé en vue de l’utilisation des services intégrés de santé de qualité basée sur la personne et la couverture universelle, particulièrement en ce qui concerne la formulation des principaux cadres programmatiques de développement à moyen et long terme du secteur, surtout pour les plus démunis, les femmes et les enfants, et en particulier dans les communautés et districts identifiés comme les plus vulnérables en tenant compte de l’équité sociale et économique.
57. Des accents seront mis sur des interventions du SNU ayant des impacts élevés notamment: (i) l’accélération de la réduction de la mortalité maternelle, néo-natale et infanto-juvénile à tous les niveaux, (ii) l’amélioration de l’accès universel aux interventions essentielles (prévention, diagnostic, traitement et suivi) du VIH/SIDA et contre la tuberculose, tout en soutenant le gouvernement à inverser les tendances (réduction significative de la morbidité et mortalité), (iii) le continuum vers l’élimination du paludisme, (iv) l’amélioration de la situation nutritionnelle, surtout la réduction de la malnutrition chronique parmi les enfants de moins de cinq ans, (v) l’amélioration des soins essentiels du nouveau-né et le renforcement de la vaccination de routine visant l’élimination de la rougeole, (vi) le renforcement de la lutte contre les maladies tropicales négligées, (vii) le renforcement de la lutte contre les maladies non transmissibles (MNT) surtout le diabète et les maladies cardiovasculaires, en supportant le gouvernement dans la mise en oeuvre du plan stratégique de lutte contre les MNT, qui est aligné au plan d’action mondial 2013-2020, (viii) l’augmentation de l’offre et l’amélioration de la qualité des services intégrés de santé de reproduction des adolescents et des jeunes et en repositionnant la planification familiale en rehaussant la prévalence d’utilisation des contraceptives modernes à 50% (37,4% en 2014).
59. Les interventions viseront également la poursuite de l’amélioration du taux de couverture vaccinale chez les enfants (prévoyant l’élimination de la rougeole et l’introduction de nouveaux vaccins le VPI, le Rota virus, l’HPV) et les femmes, en adoptant des stratégies de proximité pour rattraper les non-vaccinés, à combattre la malnutrition chronique des enfants de moins de cinq ans, et à renforcer la nutrition des femmes enceintes et allaitantes.
64. Eau et assainissement. Les Nations Unies vont contribuer à l’élaboration et au suivi de la mise en oeuvre d’une politique nationale de l’eau et de l’assainissement à l’aide d’une participation multisectorielle, y compris de la société civile, pour s’assurer que les ressources et les services d’eau et assainissement sont gérés d’une façon équitable et durable
67. Apportera un appui renforcé aux producteurs en vue d’améliorer les productions, la sécurité alimentaire et la commercialisation des produits agricoles. Le développement des capacités organisationnelles et techniques des producteurs et du secteur privé dans les districts, ainsi que le développement de l’éducation nutritionnelle qui y sont considérées en conséquence comme des actions prioritaires.
","","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Raised blood glucose/diabetes|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Food security and agriculture|Water and sanitation","","http://www.st.undp.org/content/dam/sao_tome_and_principe/docs/Publication/undp_st_UNDAF_S%C3%A3o%20Tom%C3%A9%20e%20Pr%C3%ADncipe_2017-2021_fr.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/STP%202017%20UNDAF.pdf" "25901","TTO","Trinidad and Tobago","","National Strategic Plan for the Prevention and Control of Non Communicable Diseases: Trinidad and Tobago 2017 - 2021","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","The Ministry of Health, Trinidad and Tobago","","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Transport|Urban planning|Trade|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","By 2025, reduce the burden of preventable mortality (before the age of 70) due to heart diseases, diabetes, cancer, and stroke by 25%
AND In five years, reduce the prevalence of:
i. High blood pressure by 20%;
ii. High cholesterol by 20%;
iii. High blood sugar by 20%;
iv. Adult overweight/obesity by 10%;
v. Adolescent overweight/obesity (ages 13 – 15 years) by 12%;
vi. Child overweight/obesity by 15%;
• Increase by 50% the proportion of persons who are aware of their disease status with regards to hypertension, diabetes dyslipidaemia and cervical cancer; and
1.3 Increase availability, accessibility, and consumption of healthy foods and promote physical activity
1.3.1 Development of policies on marketing of high fat, high sugar, high salt foods, and sugar sweetened non-alcoholic beverages in keeping with WHO guidelines, and policies on access to health nutrition for children along the life course.
1.3.2 Establish baseline for population sodium and Trans fat intake.
1.3.3 Implement Workplace Health Promotion policy promoting physical activity and access to healthy foods in public sector Ministries
1.3.4 Develop health education and social marketing campaigns promoting healthy eating and active living in collaboration with public, private, and civil society stakeholders.
","","","","Breastfeeding|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Sugar intake|Growth monitoring and promotion|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/TTO_B3_TTO%20National-Strategic-Plan-%20for%20Prevention%20and%20Control%20of%20NCDs-2017-2021.pdf","WHO NCD Document Repository ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TTO-2017-2021-NCD.pdf" "26063","BOL","Bolivia (Plurinational State of)","","Marco de Complementariedad de Naciones Unidas para el Vivir Bien en Bolivia 2018-2022","Non-national nutrition policy document","","Spanish","","2018","","2022","Sistema de Naciones Unidas en Bolivia","10","2017","","","","","Development","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Área 2
Desarrollo Integral y Economía Plural
Fortalecidos los sistemas productivos sostenibles, resilientes, inclusivos e igualitarios, que garantizan la seguridad y soberanía alimentaria y nutricional, basados en trabajo decente, desarrollo tecnológico y fortalecimiento de la economía plural, conservando y mejorando las funciones de la Madre Tierra: agua, suelos, bosques y biodiversidad, en el marco de los sistemas de vida.
Meta 1: Eliminar el hambre y la desnutrición y reducir la malnutrición.
Meta 2: Acceso universal a la alimentación escolar complementaria.
Meta 3: Soberanía a través de la producción local de alimentos
Meta 5: Programas intersectoriales en el marco de la política de alimentación y nutrición.
","Efecto 2
Fortalecidos los sistemas productivos sostenibles, resilientes, inclusivos e igualitarios, que garantizan la seguridad y soberanía alimentaria y nutricional, basados en trabajo decente, desarrollo tecnológico y fortalecimiento de la economía plural, conservando y mejorando las funciones de la Madre Tierra: agua, suelos, bosques y biodiversidad, en el marco de los sistemas de vida.
","Indicador 2.7. Prevalencia de desnutrición crónica en menores de 5 años
LB Desnutrición crónica en menores de 5 años:
LB Índice nacional: 18,1% (2012)
Meta: 9%
","","","Stunting in children 0-5 yrs|Food sovereignty","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL-2018-2022-UNDAF.pdf" "25873","CMR","Cameroon","","Plan Cadre des Nations Unies Pour l'Aide au Developpement PNUAD 2018-2020","Non-national nutrition policy document","","French","","2018","","2020","Systemes des Nations Unies au Cameroun","","2018","","","","","","Ministre de l'Economie, de la planification et de l'aménagement de Territoire.","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","A ce titre, les stratégies viseront à accroître les apports nutritionnels en quantité et en qualité chez la mère et l’enfant pour mieux couvrir leurs besoins nutritionnels.
Elles se déclineront en :
(i) la promotion d’une une alimentation maternelle plus adéquate et d’une alimentation du nourrisson et du jeune enfant de qualité optimale pour prévenir les différentes formes de malnutrition (malnutrition aiguë, malnutrition chronique, carence en fer, carence en vitamine A, carence en iode, etc.) ;
(ii) la facilitation de l’accès aux services de prévention, de soins et de prise en charge de la malnutrition et ;
(iii) la promotion de l’alimentation du nourrisson et du jeune enfant (initiation de l’allaitement au cours de l’heure suivant la naissance, allaitement maternel exclusif au cours des six premiers mois, alimentation de complément de qualité optimale entre 6 et 23 mois).
Le SNU accompagnera en outre le renforcement de l’offre de services de manière à améliorer significativement la proportion des enfants de 6-23 mois qui reçoivent un régime alimentaire minimum acceptable. D’autres pratiques de soins seront également promues en vue de prévenir la malnutrition (lavage des mains à l’eau et au savon à des moments critiques, l’utilisation de moustiquaires imprégnées pour prévenir le paludisme, l’utilisation de SRO/Zinc pour le traitement de la diarrhée, l’espacement des naissances, etc.). Ces efforts s’étendront aux services de prévention et de prise en charge des maladies liées à la malnutrition de sorte à améliorer la disponibilité du paquet intégré de prévention et de prise en charge des maladies infectieuses (diarrhée, IRA, paludisme, VIH, Rougeole, Tuberculose, …).
","7. Objectifs
Contribuer à la réduction de toutes les formes de la malnutrition chez les couches le plus vulnérables et assurer particulièrement aux enfants de Djibouti d’atteindre leur potentiel de croissance et de développement harmonieux.
De manière spécifique, il vise à :
11. Paquets d’interventions
11.2. Intervention pour les adolescentes
Elles doivent à cet effet être sensibilisées à une meilleure utilisation des aliments disponibles localement. Des aliments diversifiés avec les différents groupes d’aliments : constructeurs, énergétiques et protecteurs. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés et dans les écoles (collège et lycée).
Les micronutriments, notamment le Fer et l’Acide Folique sont très importants pour les adolescentes à cause des menstruations. A ce titre, elles doivent avoir accès aux aliments enrichis incluant l’iodation du sel. La supplémentation en micronutriments et le déparasitage sont fortement recommandés.
Le programme scolaire doit être renforcé en module de nutrition
Les cantines scolaires en zone rurale et périurbaine qui intègrent la supplémentation en poudre de micronutriment sont également importantes
11.3. Intervention pour les femmes enceintes
Il est impératif pour les femmes enceintes, d’assurer le suivi de la grossesse lors des consultations prénatales et prendre (…) le Fer et l’Acide Folique. La supplémentation en micronutriments, le déparasitage et les aliments enrichis incluant l’iodation du sel sont fortement recommandés. Elles doivent aussi être sensibilisées particulièrement sur l’utilisation des aliments disponibles
Localement. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés avec les différents aliments disponibles sur le marché.
11.4. Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE)
11.5. Le suivi de la croissance
11.6. Réduction des carences en micronutriment
11.9. Promotion de pratiques familiales essentielles/actions essentielles de Nutrition
11.10. Prévention contre le surpoids et les maladies métaboliques
","
Objetivo general
Alcanzar una adecuada nutrición y desarrollo de la población ecuatoriana durante todo el curso de vida, brindando atención integral y, generando mecanismos de corresponsabilidad entre todos los niveles de gobierno, ciudadanía y sector privado; en el marco de intervenciones intersectoriales que incidan sobre los determinantes sociales de la salud.
Objetivos específicos
1. Fortalecer el rol del Estado, la coordinación intersectorial y la participación ciudadana en la aplicación de este plan.
2. Brindar atención integral de salud durante todo el ciclo de vida, con énfasis en los 1000 primeros días, la etapa escolar, así como, el fomento y protección de la lactancia materna.
3. Fortalecer y generar intervenciones que incidan sobre los determinantes de la salud, enfocados en la promoción de la salud, la protección social, la seguridad y soberanía alimentaria y agua-saneamiento.
","Lineamiento estratégico 1. Dinamizar la coordinación intersectorial entre todos los actores públicos y privados con el fin de generar mecanismos de corresponsabilidad.
Lineamiento estratégico 2. Asegurar el monitoreo continuo y evaluación periódica de las políticas de alimentación y nutrición.
Lineamiento estratégico 3. Asegurar la atención integral en salud y nutrición de los grupos prioritarios en todo el curso de vida en todos los niveles de atención.
Lineamiento estratégico 4. Fomentar y proteger la práctica de la lactancia materna y la alimentación complementaria adecuada.
Lineamiento estratégico 5. Fomentar espacios y prácticas saludables durante todo el ciclo de vida.
Lineamiento estratégico 6. Incrementar el acceso a agua segura y servicios de saneamiento adecuados.
Lineamiento estratégico 7. Contribuir a la autosuficiencia y diversidad de alimentos sanos, nutritivos y culturalmente apropiados de forma permanente.
Lineamiento estratégico 8. Fortalecer la protección e inclusión social a través de estrategias de fomento del ejercicio de derechos de los ciudadanos en todo su ciclo de vida
","En el marco de la implementación del Plan Intersectorial de Alimentación y Nutrición es evidente la necesidad de fortalecer el monitoreo de las acciones propuestas, así como la evaluación del Plan en sí mismo. Para esto, el mejoramiento continuo de los sistemas de información, así como los registros administrativos, y la implementación periódica de encuestas, es indispensable para la generación de insumos a nivel intersectorial, para la toma de decisiones. Líneas de acción 2.1 Articulación y mejoramiento continuo de los sistemas de información. 2.2 Levantamiento y generación de información periódica de alimentación y nutrición. 2.3 Monitoreo y evaluación permanente de los planes, programas, proyectos, iniciativas e intervenciones de nutrición y alimentación saludable.
Indicadores
2.3.2: Food insecurity prevalence rate (percentage of population aged 15+ years who are food insecure)
Target: 5% cumulative reduction by 2022
Reduction in prevalence of stunting in children under five years
Baseline: 49.5% (Global Hunger Index 2011-2015)
Target: 5% cumulative reduction by 2022
","","","Stunting in children 0-5 yrs|Food security and agriculture","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG-2018-2022-UNDAF.pdf" "40700","DOM","Dominican Republic","","Plan Nacional para la Soberanía y Seguridad Alimentaria y Nutricional 2019-2022","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2019","","2022","Ministerio de la presidencia","","2019","Not adopted","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Environment","","Food and Agriculture Organisation (FAO)|World Food Programme (WFP)","","","","","","","","","","","","","","","","Objetivo general
Lograr el efectivo análisis, diseño, ejecución y evaluación de la política de soberanía y seguridad alimentaria y nutricional en las acciones de políticas públicas del país, tendentes a la erradicación del hambre y de las condiciones de malnutrición de la población dominicana, especialmente aquella que vive en condiciones de vulnerabilidad.
Objetivos específicos
Conformar las instancias y el esquema de gobernanza para garantizar una eficaz implementación del Plan a nivel nacional y en los territorios locales. Establecer estrategias coordinadas, integrales y coherentes de seguridad alimentaria y nutricional a través de la formulación y dirección de políticas públicas nacionales y regionales, para afrontar estos desafíos con enfoque transformador, incorporando las perspectivas de género, de ciclos de vida y de derechos humanos, en particular los derechos a la alimentación y a la salud. Establecer los mecanismos de articulación / coordinación entre todas las instancias y los actores vinculados a la SSAN, así como entre los diferentes niveles de planificación, ejecución, seguimiento y evaluación, garantizando una efectiva integración de las dimensiones para la ejecución del Plan. Promover el fortalecimiento de capacidades y garantizar la dotación de recursos para la implementación de políticas públicas de SSAN en los niveles locales. Fomentar la generación de evidencia periódica y actualizada, desagregada a nivel territorial, por género y ciclos de vida, con el fin de orientar el diseño de políticas públicas focalizadas y la toma de decisiones bien fundamentada.
","Intervenciones estratégicas de la Gobernanza Área de intervención estratégica
Plan nacional para la soberanía y seguridad alimentaria y nutricional 2019-2022
Promover el intercambio técnico y las iniciativas de cooperación entre los socios estratégicos a nivel nacional e internacional, para impulsar el desarrollo de buenas prácticas y de proyectos autosostenibles de la soberanía y seguridad alimentaria y nutricional en los territorios, y apoyar aquellos programas exitosos con miras a replicarse y/o ampliar su cobertura.
Definir y priorizar los territorios que serán focos de las intervenciones y planes consensuados en torno a la soberanía y seguridad alimentaria y nutricional en el país, en cada periodo del Plan. Área de intervención estratégica
Articulación y coordinación intra e interinstitucional
Promover espacios de coordinación en el ámbito local organizados en Mesas Técnicas que permitan el diálogo, consenso, intercambio de conocimientos, inversiones y toma de decisiones en torno a la problemática de SSAN en cada territorio, fortaleciendo los roles de los gobiernos municipales, representados en la autoridad de la Alcaldía Municipal, y la fortaleza de los Consejos de Desarrollo. Desarrollar acciones coordinadas, articuladas y contextualizadas entre instituciones del Estado, la sociedad civil, la academia, y el sector privado, las tareas de diagnóstico, planificación, monitoreo y evaluación de acciones SSAN en el país, con un enfoque integral, para potencializar el impacto de las intervenciones en el fomento de la soberanía y la seguridad alimentaria nutricional. Fortalecimiento de los Gobiernos locales, alcaldías y Consejos de Desarrollo en torno al monitoreo y evaluación efectiva y articulada de los objetivos del Plan Nacional SSAN. Articular los objetivos del Plan Nacional SSAN con las estrategias y acciones a nivel territorial (regional, provincial, municipal y comunitario), facilitando una mejora en la gobernanza inclusiva y la transparencia de todos los esfuerzos comunes para la erradicación del hambre y la pobreza, con énfasis en zonas y estratos vulnerables definidos en el Plan.
","Área de intervención estratégica
Monitoreo y evaluación
Implementación del sistema de información y de alerta oportuna sobre seguridad alimentaria y nutricional, a través del diseño y puesta en marcha de los instrumentos metodológicos de programación, coordinación, seguimiento, evaluación y de toma de decisión en torno a las acciones relacionadas a la soberanía y seguridad alimentaria y nutricional; la coordinación y articulación de políticas públicas, de la participación social, así como de las inversiones requeridas y la cooperación recibida. Incorporación al Sistema Nacional de Información de Seguridad Alimentaria y Nutricional de los resultados, indicadores y metas, que permitan el análisis cualitativo y cuantitativo del impacto de las acciones SSAN a nivel nacional y local, incorporando el enfoque de género y el ciclo de vida. Fortalecimiento de las capacidades de la Secretaria Técnica del CONASSAN para el desarrollo de los procesos de seguimiento, monitoreo y evaluación de las acciones SSAN a nivel territorial. Generación de informes de rendición de cuentas y transparencia a nivel nacional y local que enfoquen el análisis del avance, problemática, contexto, recursos, entorno social, político y cultural, para la toma de decisiones oportunas en materia de SSAN en el país. Socialización de los resultados y las experiencias exitosas, buenas prácticas en materia de SSAN, tanto a nivel nacional como a nivel de cada territorio.
Resultados estratégicos y líneas de acción
Indicadores
Reducida prevalencia en malnutrición en niños y niñas menores de 5 años, Porcentaje de apego precoz para niños y niñas 53.0%, Porcentaje de niños y niñas menores de 6 meses alimentados con lactancia materna exclusiva 12.6%, Porcentaje de niños y niñas de 6 a 24 meses alimentados con lactancia materna y alimentación complementaria adecuada a su edad 64.0%, Tasa de desnutrición global en menores de 5 años (peso/edad) (I.END 2.28) 3.7, Tasa de desnutrición aguda en menores de 5 años (peso/talla) (I. END 2.29) 2.0 Tasa de desnutrición crónica en menores de 5 años (talla/edad) (I. END 2.30) 6.7 Tasa de sobrepeso y obesidad en menores de 5 años (peso/edad) 7.3, Prevalencia de anemia en menores de 5 años 27.0%, Prevalencia de deficiencia de Vitamina A en menores de 5 años 12.0%.
","Process indicators","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Vitamin A deficiency|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Physical activity and healthy lifestyle|Vitamin A|Iodine|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Food safety|Food security and agriculture|Household food security|Food sovereignty|Water and sanitation|Vulnerable groups","","https://minpre.gob.do/wp-content/uploads/2018/10/Plan-SSAN-2019-2022-VF-WEB-1.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DOM%202019%20Plan-SSAN-2019-2022-VF-WEB-1.pdf" "40698","DOM","Dominican Republic","","Plan intersectorial para la prevención y control del sobrepeso y la obesidad en la niñez y adolescencia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2017","","2021","","","2017","Not adopted","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Sport|Environment","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","OBJETIVO GENERAL
Detener el aumento de la epidemia de la obesidad en la niñez y la adolescencia, en el país, a través de un enfoque multisectorial que abarque la totalidad del ciclo de vida, y con ello reducir sustancialmente la morbilidad y mortalidad atribuible a las enfermedades crónicas.
OBJETIVOS ESPECIFICOS
1. Promover las guias alimentarias nacionales basadas en los alimentos, asi como otras actividades relacionadas con la prevención del sobrepeso y la obesidad. 2. Fortalecer los esfuerzos para aplicar la Estrategia mundial de la alimentación del lactante y del niño pequeño. 3. Promover y fortalecer las políticas y los programas escolares y de educación temprana que aumenten la actividad física y promuevan el consumo de alimentos saludables y de agua, y restrinjan la disponibilidad de bebidas azucaradas y productos de alto contenido calórico y bajo valor nutricional. 4. Elaborar y establecer normas para el etiquetado frontal del envase que promuevan las elecciones saludables al permitir identificar los alimentos de alto contenido calórico y bajo valor nutricional de manera rápida y sencilla. 5. Mejorar el acceso a los espacios recreativos urbanos como los programas de ciclovías recreativas. 6. Sensibilizar a los profesionales del Sistema Nacional de Salud para impulsar la detección sistemática de la obesidad y el sobrepeso en la población. 7. Fortalecer el sistema de información del país para que los datos sobre las tendencias y los determinantes de la obesidad, estén disponibles para la adopción de decisiones de políticas.
","LÍNEAS DE ACCIÓN
1: Atención primaria de salud y promoción de lactancia materna y la alimentación saludable.
2: Mejoramiento del entorno escolar con respecto a la nutrición y la actividad física.
3: Políticas fiscales y reglamentación de la publicidad y etiquetado de alimentos.
4: Disponibilidad, acceso y consumo de alimentos frescos, nutritivos e inocuos.
5: Promoción de la actividad física.
6: Vigilancia epidemiológica, monitoreo y evaluación de programas.
","Monitoreo y evaluación
El Plan de prevención de obesidad 2017-2021, establece como soporte en la toma de decisiones un sistema de indicadores que permitirá conocer la repercusión que su implementación tendría sobre la población, así como en los resultados en coberturas de servicios, aplicación de medidas de protección y promoción de la salud, de los resultados en términos de salud y en las aportaciones que los órganos de decisión y participación intersectorial puedan realizar. Dichos indicadores han de facilitar una evaluación periódica de la efectividad del plan por provincias y en los centros de salud en particular que implementen acciones. Cada línea de acción dentro de cada área de impacto cuenta con actividades a desarrollar se detallan las características de los indicadores y las metas específicas a cada unidad o donde la segregación de la información lo permita, han de ser analizados al menos por cada línea de acción, para identificar condiciones de salud o de riesgo para la salud específicas que puedan apoyar la toma de decisiones diferenciada
Indicadores
Vision, Mission and Objective
The MoPHP in Yemen vision is to ensure good nutrition status for all Yemenis in 2030 through its mission of strengthening nutrition actions to assure accessibility to good nutrition and enhance nutrition care to improve community's health by 2023.To reach its vision and mission,the MoPHP define strategic priority areas in the National Strategy Framework of Nutrition Intervention. The goal of the strategy is to enhance universal access to nutrition services and ensure the sustainability of interventions to reduce morbidity and mortality among community members.
Targeted achievements
The country aims at achieving the global targets for exclusive breastfeeding and overweight, reduce stunting by 10 %, wasting below 10 %, and low birth weight below 16 %. 100 % of less than five years will be supplemented with vitamin A and all households will consume iodized salt.
To achieve the nutrition targets the following specific objectives aim at inducing of the strategic framework to accelerate efforts and improve nutrition through:
Maintaining the political commitment and assuring good nutrition practice throughout the life course, for the most vulnerable population;
Sustaining good feeding practice among care givers to control undernutrition in children less than 5 Years in addition to pregnant and lactating women
Integrating nutrition-related activities in all relevant government policies strategic documents; and plans;
Building the capacity of health care providers at all level of the national health system on nutrition specific interventions;
Enhancing the inter-sectoral coordination mechanisms through a common accountability framework for nutrition sensitive activities; Engaging communities in nutrition interventions through enhanced health education programs to reduce all forms of malnutrition
Strengthening nutrition interventions in emergency situations and applying the risk communication approach; and Enhancing nutrition knowledge and data management to inform the decision-making process and encourage the investment in health and nutrition interventions.
Expected targets
To assure progress toward achieving national, regional, and global nutrition targets, the Yemen strategy works towards achieving the following:
- reducing the number of children under 5 who are stunted by 10%;1 Maintain a conducive environment through assuring the sustainability of the political commitment
2 Ensure community engagement for increased awareness of nutrition and improved uptake of appropriate nutrition practices and behaviors
3 Improve the multi-sectoral coordination and engagement involving all sectors and levels of government, as well as other stakeholders in prevention and management of malnutrition (specific and sensitive nutrition interventions),
4. Strengthen the access and provision of nutrition services to address all forms of malnutrition and scale up preventive services in the context of universal health coverage.
5. Support nutrition in emergencies, preparedness and response.
6. Support capacity building of institutions and health workers to improve the quality of nutrition services.
7 Enhance nutrition information systems, monitoring, and evaluation.
","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Vitamin A deficiency|Breastfeeding|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Overweight in adolescents|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|Nutrition in the school curriculum|Creation of healthy food environment|Vitamin A|Folic acid|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Food grade salt|Food safety|Food security and agriculture|Vulnerable groups","","https://faolex.fao.org/docs/pdf/yem221840E.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%202022%20National%20Strategy%20Framework%20of%20Nutrition%20Interventions%20in%20Yemen%202022%202030%20.pdf" "129103","BGD","Bangladesh","","National Food and Nutrition Security Policy Plan of Action (2021-2030)","Comprehensive national nutrition policy, strategy or plan","","English","","2021","","2030","Food Planning and Monitoring Unit (FPMU) Ministry of Food Government of the People’s Republic of Bangladesh","9","2021","Not adopted","","","","Food and agriculture","","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","","","","","
NFNSP Goal: Improve the food and nutrition security status to the level needed to achieve the Food and Nutrition Security (FNS) relevant SDG targets and fulfill related nutrional iand international commitments by 2030
The five objectives of the NFNSP are:
To ensure availability of safe and nutritious food for healthy diets
To improve access to safe and nutritious food at an affordable price
To enhance the consumption and utilisation of healthy and diversified diets for achieving nutrition improvements
To increase access to nutrition-sensitive social protection and safety nets across lifecycle with a focus on vulnerable groups and regions
To strengthen cross-sectoral FNS governance, coordination, capacity building and partnership for effective policy implementation
","Strategy 1.1 Increase productivity while ensuring sustainable production of cereals and nutritious food including horticulture, fisheries and livestock.
Strategy 1.2 Scale up nutrition-sensitive diversification of food production
Strategy 2.1 Improve market access and stabilize food markets.
Strategy 2.2 Improve value chain and marketing systems.
Strategy 2.3 Preserve and enhance nutrient content along the value chain
Strategy 2.4 Raise income of poor and food insecure
Strategy 3.1 Develop a long-term national plan for ensuring safe, nutritious and sustainable diets in alignment with recommended nutrients intakes at every stage of the life cycle
Strategy 3.2 Enhance nutrition knowledge, promote good dietary practices and encourage consumption of safe and nutritious diets.
Strategy 3.3 Optimise food utilization through provision of safe water, healthy diets and improved food hygiene and sanitation.
Strategy 4.1. Improve management of the public food stock and distribution system
Strategy 4.2 Improve disaster preparedness, responses, rehabilitation and mitigation.
Strategy 4.3 Strengthen social protection for poor and vulnerable groups, including disabled and displaced.
Strategy 5.1 Improve food safety, quality control and awareness of food safety and hygiene
Strategy 5.2 Reduce food losses and waste.
Strategy 5.3 Improve data, information and analysis for evidence-base planning, monitoring, evaluation, and update of politics and programs through wider partnerships.
Strategy 5.4 Strength regulatory management, climate resilience and gender roles.
Strategy 5.5 Strengthen FND governance, policy coherence, capacity
","Prevalence of Undernourishment (PoU) (SDG indicator 2.1.1.)
Prevalence of moderate and severe food insecurity in the population, based on the Food | Insecurity Experience Scale -FIES (SDG indicator 2.1.2)
Prevalence of stunting (height for age <-2 SD from the median of the World Health Organization Child Growth Standards) among children under 5 years of age (SDG indicator 2.2.1)
Prevalence of wasting among children under 5 years of age (<-2 SD of weight for height) (SDG indicator 2.2.2)
Proportion of households consuming adequately iodised salt (i.e.,containing at least 15 ppm)
E3. Goal
To ensure that the population has access to adequate, affordable, safe, quality food and water throughout their life cycle that always meets their nutrient requirements for optimal healthy and productive lives.
E4. Policy Objectives
Objective 1 By 2030, reduce the prevalence of undernourishment from 30.9% to 15% and maintain overweight and obesity among children under five years of age below 5%, by facilitating the provision of adequate food and nutrition for mothers and children and ensuring optimal health and productivity of the people of Namibia throughout their lifecycle.
Objective 2 By 2030, increase domestic food production of local consumption from 30% to 60% and enhance processing, marketing, and food consumption to improve access to nutritious and safe food for the populace of Namibia at all times.
Objective 3 By 2030, reduce prevalence of stunting from 24% to 12% through nutrition-sensitive interventions and by ensuring access to health care services, sanitation, hygiene, education, and social protection programmes for all people in Namibia.
Objective 4 By 2025, increase investment in food and nutrition security by at least 10% of national budget annually and ensure an enabling environment of effective.
","Strategy 1.1 Increase coverage of evidence-based high impact nutrition-specific interventions aimed at preventing all forms of malnutrition.
Strategy 1.2 Increase coverage of interventions for the management and treatment of acute malnutrition by documenting and sharing best practices at national, regional and global levels.
Strategy 1.3 Implement Growth Monitoring and Promotion programmes.
Strategy 1.4 Prevention and control of micronutrient disorders.
Strategy 1.5 Promotion of optimal maternal nutrition.
Strategy 1.6 Prevention and management of over-nutrition and related non-communicable diseases.
Strategy 1.7 Promotion of optimal nutritional care for people living with HIV, TB, and other infectious diseases.
Strategy 1.8 Promotion of universal access and utilisation of quality primary health care services to all people.
Strategy 1.9 Develop nutrition preparedness and response plans for emergency situations Interventions.
Strategy 2.1 Strengthening local production of safe and nutritious foods especially by smallholders’ framers
Strategy 2.2 Improve both physical and economic access to safe and nutritious foods at household levels.
Strategy 2.3 Improve processing, storage and preservation of nutritious foods and reduce food waste and loss
Strategy 2.4 Strengthening capacity for implementation of nutrition-sensitiveintervention within the agriculture sector.
Strategy 2.5 Strengthening the resilience capacity of households to various shocks.
Strategy 2.6 Promotion of agricultural approaches that mitigate the negative impact on nutrition.
Strategy 2.7 Create a conducive, healthy, and safe food industry.
Strategy 2.8 Promote irrigation development and integrated water resources
Strategy 2.9 Promote environmental systems and land management for sustainable agriculture development.
Strategy 3.1 Enhance and sustain equitable access to safe water, hygiene, and sanitation interventions.
Strategy 3.2 Improve school nutrition and nutrition awareness.
Strategy 3.3 Promote social protection interventions for improved nutrition.
Strategy 3.4 Enhance women empowerment for improved nutrition status of household members and communities.
Strategy 4.1 Enhanced capacity for food and nutrition security policy implementation.
Strategy 4.2 Strengthening Integrated Food and Nutrition Information management for improved decision-making and programming at all levels.
Strategy 4.3 Enhance a national interest in and commitment to improving nutrition programmes through functional communication plan.
Strategy 4.4 Enhance sustained commitment, governance, and resources.
Strategy 4.5 Mainstream food and nutrition security into national, sectoral, regional, and local plans and promote common result-based frameworks.
Strategy 4.6 Develop appropriate food and nutrition security legislations, regulatory instruments, and guidelines.
Strategy 4.7 Strengthen policy and legal framework for coordination, planning, contributions monitoring and evaluation for food and nutrition security activities.
","","","","Stunting in children 0-5 yrs|Breastfeeding|Complementary feeding|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Infant feeding in emergencies|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|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)|Regulating marketing of unhealthy foods and beverages to children|Physical activity and healthy lifestyle|Sugar reduction|Salt reduction|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Biofortifcation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://faolex.fao.org/docs/pdf/nam212041.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202021%20Revised%20National%20Food%20%26%20Nutrition%20Security%20Policy_0.pdf" "130072","YEM","Yemen","","Yemen Multisectoral Nutrition Action Plan 2020- 2023","Comprehensive national nutrition policy, strategy or plan","","English","","2020","","2023","The Government ","3","2020","Not adopted","","","","","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","The World Bank","","","","","","","","","","","","
Overall objective
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"