"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" "40781","ZMB","Zambia","","Zambia National Health Strategic Plan 2017 – 2021 ","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2021","Ministry of Health","","2017","","","","","Health","Special thanks also go to other Cooperating Partners, international non-governmental organizations Churches Health Association of Zambia","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Other, please specify under further details","Clinton Health Access Initiative","Other|European Commission (EC)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","the Government of Sweden for supporting us with the consultative process.","European Commission","","","","Research/academia","the University of Zambia, Department of Economics","","","","","
Overall goal
Goal: To have empowered communities taking responsibility for improving their own health status through community health interventions in line with the principles of PHC by 2021
objectives
Goal:To have empowered communities taking responsibility for improving their own health status through community health interventions in line with the principles of PHC by 2021
Goal: To reduce MMR from 398/100,000 live births in 2014 to 162/100,000 live births by 2021
Goal: To reduce the under-five mortality rate from 75 (ZDHS, 2013-14) to 56 deaths per 1,000 live births by 2021
Goal: To reduce under and over nutrition and improve clinical nutrition by 2021
Objectives
Goal: To reduce the morbidity and mortality due to non-communicable diseases by 2021
Objectives
7. Key Performance Indicators
7.1 Reproductive, Maternal, Neo-natal, Child Health, Nutrition, and Adolescent Health
Objective 1: To create demand for sexual and reproductive health services (adolescents and youths, women of reproductive age, men, elderly people and the marginalized populations).
Objective 2: To scale up high-impact child survival interventions
Objective 3: To increase access to and utilization of high impact nutrition-specific interventions.
Indicator Baseline Target 2016 2017 2018 2019 2020 2021 Data Source Outcome
Exclusive breastfeeding rates up to six months of age 73% 76% 80% ZDHS
% of children aged under five years with stunting 40% 20% 14% ZDHS
% of women of reproductive age with anaemia 47% 35% 22% 20% 18% 16% MIS/ ZDHS
% of newborns with weight below 2.5kg (low birth weight) 9% 9% 8% 7% 6% 5% ZDHS
% of children aged under five years who are underweight 15% 10% 2% ZDHS
% of children aged under five years who are overweight 9% 7% 4% ZDHS
% of children aged under five years with wasting 6% 5% 4% 3% 2% 1% HMIS/ ZDHS
PROGRAM GOAL AND OBJECTIVES
The Infant and Young Child Nutrition Policy has been developed as an integral part of EHP, safety nets and nutrition sub-components of the PRSP. This Policy guides program coordinators/managers, policy makers, health workers and other stakeholders dealing with infants, young children and mothers on how to implement nutrition program activities.
Program Goal
To contribute to improved infant and young child nutrition for survival, growth and development.
Program Objectives
1. To increase the rate of exclusive breastfeeding among infants for the first 6 months of life.
2. To reduce mother to child transmission of HIV caused by breastfeeding
3. To provide caregivers with knowledge and enhance skills on timely, appropriate and adequate complementary feeding.
4. To ensure that nutritional needs of infants and young children and their mothers in emergency affected populations are addressed.
5. To strengthen nutrition surveillance at all levels.
6. To enhance good nutritional status for all women of the reproductive age.
7. To improve management of moderately and severely malnourished infants, young children and mothers.
8. To increase access to micronutrients by infants, young children and mothers(p. 5/6)
INFANT AND YOUNG CHILD FEEDING
A. Infant and young child feeding in the first 2 years of life
B. Infant and young child feeding and HIV/AIDS
C. Infant and young child feeding in emergency situations
D. Replacement feeding in emergency situations
E. Prevention and control of micronutrient deficiencies
i. Supplementation
ii. Fortification
iii. Dietary Diversification
iv. Public Health
F. Growth monitoring and promotion
G. Management of moderately & severely malnourished children and mothers
i. Management of moderate acute malnutrition (supplementary feeding)
ii. Management of severe acute malnutrition (therapeutic feeding)(p. 7-15)
2. OBJECTIF GLOBAL DU PROGRAMME
L’objectif global du programme est de contribuer à améliorer la santé des populations pour la survie et le développement humain durable
3. BUT DU PROGRAMME
Le but du programme est de réduire les prévalences des carences en micronutriments (fer, vitamine A, iode), chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
4. OBJECTIFS SPECIFIQUES
En termes d’objectifs spécifiques, le programme se propose de :
5. 1. Enrichissement en fer et vitamine A des aliments dont la technologie est bien maitrisée
5. 2 Accélération de l’iodation du sel et utilisation des acquis comme référence pour les autres micronutriments
5.3 – Partenariat
","See document table ANNEX1, pages 33-43
","","Outcome indicators|Process indicators","Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Wheat flours","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202006%20Plan%20Strat%C3%A9gique%20pour%20la%20Fortification.pdf" "8083","KHM","Cambodia","","National Vitamin A Policy Guidelines","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","","Ministry of Health","","2007","Adopted","","2007","Ministry of Health","Health","National Nutrition Programme, MoH, Other relevant MoH programmes: National Immunization Programme & National Reproductive Health Programme","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)|World Vision International","","US Agency for International Development (USAID)","A2Z","","","National NGOs","RACHA, RHAC, IRD, and Medicam","","","","","","","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Nutrition counselling on healthy diets|Vitamin A|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Household food security|Home, school or community gardens","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202007%20National%20Vitamin%20A%20Policy%20Guidelines.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" "7992","BRA","Brazil","","Estratégia Nacional para a Alimentação Complementar Saudável","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2008","","","Coordenação-General da Política de Alimentao e Nutrição - Ministério da Saúde","","2008","","","2008","Health ministry","Nutrition council|Health","","World Health Organization (WHO)","","International Baby Food Action Network (IBFAN)","","","","","","","","","","","","","","A Estratégia Nacional para Alimentação Complementar Saudável (ENPACS) visa fortalecer as ações de apoio e promoção à alimentação complementar no Sistema Único de Saúde – SUS. Ela propõe o incentivo a orientação alimentar para crianças menores de dois anos como atividade de rotina nos serviços de saúde, contribuindo assim para a formação de hábitos alimentares saudáveis desde a infância.
","A ENPACS é uma estratégia que visa à qualificação do profissional da Atenção Básica com o fortalecimento das ações de apoio e promoção da alimentação saudável no âmbito do SUS. A replicação e continuidade da ENPACS é garantida através do trabalho local dos tutores, que são profissionais selecionados pelos estados e/ou municípios e que participam de uma Oficina de formação de tutores. A oficina tem duração de três dias (24h – 3 turnos de 8 horas). Assim, ao retornar para seu âmbito de atuação, o tutor tem a missão de replicar o conteúdo da ENPACS, que pode ser feito de duas formas: com a realização de novas oficinas de formação de tutores (formando multiplicadores da estratégia) ou com a realização de oficinas de sensibilização sobre o tema nas Unidades Básicas de Saúde (UBS), chamadas “Rodas de Conversa”, conforme figura abaixo.
","O monitoramento da ENPACS está dividido em duas fases: Monitoramento da implementação da estratégia e monitoramento dos resultados alcançados nos indicadores de alimentação e nutrição em crianças menores de dois anos. Todos os atores envolvidos na implantação e implementação da ENPACS são responsáveis pelo seu monitoramento e avaliação. O objetivo desse material é subsidiar os tutores na utilização do monitoramento do processo de implementação da ENPACS.
","","","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|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets","","http://189.28.128.100/nutricao/docs/Enpacs/outros/passo_a_passo_enpacs.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202008%20Estrat%C3%A9gia%20Nacional%20para%20a%20Alimenta%C3%A7%C3%A3o%20Complementar%20Saud%C3%A1vel.pdf" "8082","KHM","Cambodia","","National Policy on Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","","Ministry of Health","6","2009","Adopted","","2008","Ministry of Health","Health","National Nutrition Programme, Ministry of Health, Other relevant MoH programmes: National Reproductive Health Programme","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)|World Vision International","","US Agency for International Development (USAID)","A2Z","","","National NGOs","RACHA, RHAC, IRD, and Medicam","","","","","","","The overall goal is to improve the survival and well being of infants and young children by improving their nutritional status, growth, and development through optimal feeding.
Specific objectives:
1. All newborns are initiated to breastfeeding within one hour of birth
2. All infants are exclusively breastfed for 6 months
3. All infants are given timely, appropriate, and safe complementary foods
4. Breastfeeding is continued up to two years and beyond
5. Appropriate care, counseling, and other services for IYCF are provided to all infants and young children and their families, including children in special circumstances (such as times of emergency), and for HIV-positive mothers and their infants, and for children during times of illness
6. Linkages to related programs and appropriate support systems enhance caretaker’s ability to provide appropriate and optimal infant and young child feeding
Target Beneficiaries are pregnant women, children 0-5 years of age and women of reproductive age. Focus will be on:
-Maternal Nutrition
-Breastfeeding Practices
-Complementary Feeding Practices
-Growth promotion, growth assessment, and growth monitoring
-Food fortification (including Universal Salt Iodization)
-Exercising other feeding options
-Infant and Young Child Feeding in emergencies
-Feeding during and after illness
-Feeding options for infant and young children of HIV positive mothers
-Treatment and rehabilitation of malnourished children
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|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|Complementary food provision|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient powder for home fortification|Food fortification|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition & infectious disease|Household food security|Diarrhoea or ORS","","","Relevant Policies:Cambodia Millennium Development Goals, National Strategic Development Plan 2006-10, Health Strategic Plan II 2008-15, National Nutrition Strategy 2009-15, Sub-Decree on Marketing of Products for Infant and Young Child Feeding, Joint Prakas on the Implementation of the Sub-Decree on Marketing of Products for Infant and Young Child Feeding, Sub-Decree on the Management of Iodized Salt Exploitation","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202008%20National%20Policy%20on%20Infant%20and%20Young%20Child%20Feeding.pdf" "17770","AFG","Afghanistan","","National Infant and Young Child Feeding Policy and Strategy 2009-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2009","","2013","Ministry of Public Health","9","2009","Adopted","","2009","Executive Board","Other|Education and research|Food and agriculture|Health|Trade|Women, children, families","Breastfeeding Promotion Network of India (BPNI), Interior (MoI) to promote IYCF and the application of the Code of Marketing of BMS, Religious Affairs, Rehabilitation and Rural Development (MRRD), Justice, Labor and Social Affairs","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Basics Support for Institutionalizing Child Survival (BASICS)|International Baby Food Action Network (IBFAN)|Nutrition International|World Alliance for Breastfeeding Action (WABA)","","US Agency for International Development (USAID)","","","","","","","","","","","","
2.3. Goal and objective of the National IYCF Policy and Strategy
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghanistan National Health and Nutrition Sector Strategy 2008-2013 of reducing child and maternal mortality and malnutrition.
Its overall goal is the same as the overall goal of the Public Nutrition Policy and Strategy, namely: To reduce all forms of undernutrition, thereby improving the growth, development and health of Afghan infants and young children, through improved infant and young child feeding practices.
The objective of the Infant and Young Child Feeding Policy, and its associated Strategy is:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20%, by 2013).
Strategic components and approaches to achieve this objective are described in section 3 of the present document.
2.4. Purpose of the Infant and Young Child Feeding Policy and Strategy
The purpose of the present Policy and Strategy is to describe the Government of Afghanistan’s position on IYCF, in accordance with the Global Strategy on IYCF. All key stakeholders directly or indirectly involved in IYCF, notably health sector professionals, NGOs, UN agencies, military, and private sector, are responsible, and will be held accountable, for respecting the present Policy.
This document also clarifies the strategies that need to be adopted and interventions to be implemented to achieve the policy objectives. It will serve to support advocacy and resource mobilization, as well as coordination between the main implementing partners (MoPH Departments, BPHS partners, NGOs, UN, private sector, communities). Finally, it provides guidance on how to monitor the protection and promotion of optimal IYCF in Afghanistan.
","Strategy for Promoting Optimal Infant and Young Child Feeding
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghan National Health and Nutrition Sector Strategy and the overall goal of the Public Nutrition Policy and Strategy by focusing on the following objective:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20% by 2013).
This objective will be achieved through the following three strategy components:
1. Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
National IYCF Policy and Strategy
1. Disseminate the National IYCF Policy and Strategy amongst all key stakeholders (MoPH, MAIL, MoJ, MoMI, MoEd, MoRA, MoWA, NGO’s, private sector).
2. Regular updating of IYCF action plan and preparation of a resource mobilization plan to support the implementation of the IYCF Policy & Strategy
3. Review MoPH related sub-policies, strategies and guidelines and make sure IYCF has been reflected in these documents
The Code of Marketing of Breast-milk Substitutes
4. Establish a National Committee for the Enforcement of the Code
5. Establish enforcement mechanisms for the Code of Marketing of BMS
6. Disseminate information on the Code (including translations) and related legislation to all key stakeholders (Provincial Departments of Health, PRTs, private sector, all health facilities, MOWA, NGOs, etc.) through posters, leaflets, and workshops
7. Training of Code monitors (IBFAN)
Maternity protection
8. Establish enforcement mechanisms and develop guidelines for the implementation of the Maternity Protection Act
9. Inform working women of their rights under the Maternity Protection Act (e.g. through leaflets and radio; can be part of IYCF Public Awareness Campaign)
IYCF Guidelines
10. Review existing international guidelines and national training packages and develop a comprehensive and coherent set of harmonized guidelines covering IYCF policy and priorities and strategic interventions, namely: IYCF promotion in different health facilities (including BFHI guidelines); IYCF promotion at community level; Infant and Young Child Feeding in Emergencies; Implementation of the Code, etc.
11. Disseminate guidelines to the relevant stakeholders, and conduct trainings on their implementation (c.f. also training activities under outputs 2 and 3)
Infant and Young Child Feeding in Emergencies
12. As part of the Afghan IYCF guidelines, develop a section on IYCF in Emergencies based on the internationally endorsed Operational Guidance for IFE
13. Disseminate the IFE Guidelines to all relevant stakeholders (including the Disaster Management Committee, the PRT, NGOs and Provincial Development Councils) and ensure they are implemented in emergency situations.
2. Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required for IYCF, through IEC/BCC and community support interventions.
Public awareness Raising
Establishment of community support groups and interventions
Integration of IYCF in non-health community-level interventions
3. IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities.
Capacity-building of various categories of personnel involved in implementation will be an integrated component of each strategic priority/output. Advocacy and resource mobilization will be essential to enable the implementation of the activities required to achieve these outputs. An advocacy and resource mobilization plan will therefore be developed. The activities to be implemented to achieve these outputs/strategic priorities are described below.
Expansion of Baby-Friendly Hospital Initiative to more hospitals and selected health facilities providing MCH services
1. Review lesson learned from the current BFHI
2. Train pool of BF assessors/advocates at the central and regional level.
3. Develop tools, conduct assessment/re-assessment to certifying health facilities as Baby-friendly
4. Train health facility staff on measures required to comply with BFHI criteria and implement these measures
5. Supervise and monitor facilities and provide certificates for facilities complying with BFHI criteria
Integrationif IYCF counselling in all health gacilities
6. Develop guidelines and establish IYCF corners in health facilities, including breastfeeding counselling and participatory cooking sessions (N.B. can be part of child health corner)
7. Ensure IYCF counselling is part of health education activities, including breastfeeding demonstration and participatory cooking sessions
8. Ensure breastfeeding counselling and re-lactation assistance are part of the management of acute malnutrition (in TFU and CMAM)
9. Identify at least one referral centre in each province for referral of complicated and difficult lactation and IYCF cases.
Training of health staff on IYCF
10. Integrate IYCF into the curricula of all medical and paramedic education institutions including community midwifery school and postgraduate programs (esp. residency training programs in paediatrics, obstetrics and gynaecology).
11. Develop training packages and job aids on IYCF for different health staff categories, including: doctors, nurses, midwives, community midwives, and CHWs
12. Integrate IYCF training modules as part of in-service trainings, in particular for MCH staff, CHWs & midwives (e.g. as part of C-IMCI training)
13. Distribute printed material and job aids to all facilities, including for CHWs and community midwives as part of C-IMCI
15. Train and establish pool of trainers at the national level and in “each region” on MBFI and IYCF, in particular by training Provincial Nutrition Officers on IYCF
16. Train at least 2 MCH staff of each health facility.
17. Train out-reach staff to enable them to integrate IYCF in out-reach services.
","Indicator (Baseline, Target)
Overall Goal: The prevalence of chronic and global acute undernutrition among children 0-59 months and the prevalence of MDDs are reduced by 10% of current levels
Objective: To increase the percentage of child caregivers that have adopted appropriate infant and young child feeding and caring practices.
(see new WHO indicators for IYCF in annex 5)
Component 1: Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
Component 2: Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required to apply adequate IYCF through IEC/BCC and community support interventions
Component 3: IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities
","Outcome indicators|Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Management of severe acute malnutrition|Home, school or community gardens|Improved hygiene / handwashing","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Infant%20and%20Young%20Child%20Feeding%20Policy%20and%20Strategy.pdf" "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" "23729","NAM","Namibia","","Health Sector Strategic Plan 2009-2013","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2013","Ministry of Health and Social Services","","2009","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Sport|Transport|Other","Ministry of Health and Social Services, OPS, Home Affairs, Works and Transport, Gender, Youth Sport and Culture","","","Other, please specify under further details","Red Cross; NAPPA; TCE; NANASO; NFPDN; Health Unlimited; NASOMA; Catholic AIDS Action; ELCIN AIDS Action; ELCAPLife Line/ Child Line, FBOs","","","","","","","","","","","","Director PHC, SWS, trade unions (all)","
Objectives
Initiatives
Accelerate public education and awareness on prevention, early detection and treatment of communicable and non-communicable diseases
Reduce malnutrition
Decrease morbidity rate
Incidence of non-communicable diseases
Goal
The overall goal of the Strategic Plan is to provide a framework for technically sound, integrated and coordinated food and nutrition interventions in the context of HIV and TB programs.
","Objective 1. To strengthen advocacy and mobilise resources for nutrition in HIV and TB interventions at all levels
Strategic interventions:
1.1 Convene annual donor conferences for resource mobilisation
1.2 Convene bi-annual advocacy meetings for the nutrition, HIV and TB stakeholders
1.3 Develop, produce, launch and disseminate a communication strategy on nutrition in HIV and TB
1.4 Identify and support activists on nutrition in HIV and TB
Objective 2.To increase coverage of food supplementation for persons infected with HIV and TB
Strategic interventions:
2.1 Support production and appropriate use of RUTF based on the locally available foods for TB and HIV infected persons
2.2 Promote appropriate use of the locally available foods at the household level
2.3 Integrate food supplementation and nutrition education into home based care, TB-DOTS and ART programmes
Objective 3. To establish and/or strengthen the institutional capacity to support quality nutrition in HIV and TB interventions
Strategic interventions:
3.1 Review, update and/or develop guidelines on the essential components of nutrition in HIV and TB
3.2 Produce and disseminate the guidelines through a comprehensive plan
3.3 Recruit additional human resource at national level; fill the existing gaps at national, regional and district levels
3.4 Source for appropriate technical assistance on nutrition in HIV and TB
3.5 Procure equipment and supplies for nutrition interventions and programmes
3.6 Develop standards and the regulatory framework for food products at the Ministry of Health
3.7 Finalise the development, production and integration of nutrition in HIV and TB into pre- and in-service training curricula
3.8 Support in-service training and other capacity building activities for formal and traditional service providers
3.9 Facilitate participation of nutritionists at regional training workshops and conferences
Objective 4. To promote coordination and strengthen linkages among partners involved in food and nutrition interventions in context of HIV and TB
Strategic interventions:
4.1 Integrate nutrition, HIV and TB into the existing coordination structures at national, regional and district levels
4.2 Develop, produce and disseminate policy and implementation guidelines on nutrition in HIV and TB
Objective 5. To strengthen the nutrition management information system and use of strategic information for decision making and planning for nutrition in HIV and TB
Strategic interventions:
5.1 Establish a data base and monitoring/ surveillance system that include nutrition in HIV and TB indicators
5.2 Train service providers at all levels on the nutrition information management system
5.3 Document best practices and periodically share experiences and technical updates on nutrition in HIV and TB e.g. Annual & Quarterly Bulletins
5.4 Develop a research agenda for nutrition in HIV and TB
Objective 6. To promote and support meaningful community involvement in nutrition within the context of HIV and TB
Strategic interventions:
6.1 Develop and produce a community information package on nutrition in HIV and TB
6.2 Train the VHT and other existing networks on nutrition in HIV and TB
6.3 Train PLHIV and caretakers on nutrition in HIV and TB
6.4 Support community-based nutrition education including the use of demonstration gardens and agricultural plots
Objective 7. To promote regular monitoring and evaluation of nutrition in HIV and TB Activities
Strategic interventions:
7.1 Monitor for the appropriate use of guidelines and standards
7.2 Conduct technical support supervision/ mentoring visits and regional meetings
7.3 Conduct mid-term review and evaluation of programme interventions
","The main input indicators identified for monitoring the nutrition programme in context of HIV and TB infections have been spelt in relation to the strategic interventions in the report’s Gantt chart.
2.2.1 Goal:
To operationalize the nutrition component of the Child Survival Strategy (CSS) in order to accelerate the reduction of under-five mortality, and thus contribute to the National Development Plan (NDP), the Health Sector Strategic Plan (HSSP) III, and the MDGs.
2.2.2 Overall Objective
To strengthen the implementation of a defined package of proven nutritional interventions that are cost effective and to achieve and sustain high coverage.
2.2.3 Specific Objectives
1. To implement cost effective nutrition interventions through community, population/scheduled, and clinical services.
2. To scale up proven nutrition interventions through community, population /scheduled and clinical services.
3. To sustain high coverage of proven interventions through community, population/scheduled and clinical services.
","Thematic Objective 1: Mainstreaming maternal nutrition interventions designed to ensure
adequate pregnancy outcomes and healthy infancy
Interventions
1. Providing iron and folic acid tablets to adolescents in and out of school, and to pregnant and
lactating mothers
2. Encouragement and support of antenatal care services through health education
3. Promotion of adequate intake of nutrient dense foods by the mother during pregnancy and
lactation, and of more daytime rest during pregnancy
4. Post-partum supplementation with vitamin A, iron and folate
5. Consideration of maize meal fortification with folic acid to help assure maintenance of
adequate serum folate prior to conception
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 2: Mainstreaming infant and young child nutrition interventions to ensure
growth and development
Interventions
1. Counselling during ante-natal and post-natal care to promote and support exclusive
breastfeeding.
2. Continued and intensified growth monitoring and promotion with intensive counselling to
address needed behavioural change, and referral as necessary for facility-based attention.
3. Promotion and support for exclusive breastfeeding for six months, timely introduction of
adequate complementary feeding, and continued breastfeeding to at least 24 months
4. Semi-annual Vitamin A supplementation to infants and children 6 to 59 months
5. Semi-annual deworming of children aged 1 to 14 years
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 3: Mainstreaming nutrition to ensure control and prevention of micronutrient
deficiencies
Interventions
1. Establishment of a comprehensive policy framework for micronutrient deficiency control
2. Support for implementation of a consolidated policy on micronutrient deficiency control
3. Advocacy for the control and prevention of micronutrient deficiencies
4. Control of iodine deficiency disorders
5. Vitamin A supplementation for children and post partum women
6. Iron supplementation for anaemic children and non pregnant women
7. Iron and folic acid supplementation for adolescent girls and for pregnant and lactating
women
8. Deworming of young children, school children and pregnant women
9. Food fortification, particularly of complementary foods with vitamin A, iron and other
micronutrients
10. Control of zinc deficiency through food fortification and supplementation as part of diarrhea
management
11. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 4: Mainstreaming the treatment of acute malnutrition into the health delivery
system with nutrition interventions to control for co- morbidities
Interventions
1. Identification, referral and management of cases of acute malnutrition
2. Nutrition management and support of sick children following IMCI protocols.
Thematic Objective 5: Mainstreaming nutrition into the treatment and management of HIV/AIDS
Interventions:
1. Providing nutritional services and supplements in the context of HIV/AIDS
2. Support for Infant and Young Child Feeding (IYCF) in the context of HIV
3. Prevention of mother to child transmission of HIV.
Thematic Objective 6: Mainstreaming nutrition interventions into emergency planning,
preparedness and response
Interventions
1. Providing nutrition services in emergencies
2. Support for Infant and Young Child Feeding in emergencies.
Thematic Objective 7: Cross cutting issues
Interventions
1. Operational research
2. Human capacity strengthening
3. Linking services across ministries
4. Family Care Practices.
Thematic Objective 8: Development of a comprehensive communication strategy to support all
nutrition interventions
Interventions
1. Development of an effective and comprehensive communication strategy designed to
encourage optimal IYCN for use at all levels
2. Production of appropriate information, education and communication materials at all levels
3. Development of advocacy packages for policy makers, program managers and communities.
","M&E indicators are available.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Capacity building for the Code|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","http://www.health.go.ug/nutrition/docs/infant/Operational_Framework.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202009%20The%20Operational%20Framework%20for%20Nutrition%20in%20the%20National%20Child%20Survival%20Strategy.pdf" "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
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" "8457","MDG","Madagascar","","Plan National D'Action Pour La Nutrition II","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2015","Office National de Nutrition","","2012","Adopted","","2012","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Other","L’Office National de Nutrition (ONN), la Primature, le Ministère de la Santé Publique, le Ministère de l’Agriculture, le Ministère de l’Élevage et de la Pêche, le Ministère de l’Eau et de l’Assainissement, le Ministère de l’Economie et des Finances et du Budget, le Ministère de l’Education Nationale, le Ministère de la Population, et le Ministère de la Décentralisation et de l’Aménagement du Territoire","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|CARE|Catholic Relief Services|Médecins Sans Frontières (MSF)|Other, please specify under further details","ADRA, AIM, ASOS, ASERN, Médecins du Monde, SIF","US Agency for International Development (USAID)","","","","","","","","","","","","
2. Objectifs globaux Les objectifs globaux visent, d’ici 2012 à 2015, à :
(i) réduire la prévalence de la malnutrition chronique (taille/âge<-2ET) chez les enfants de moins de 5 ans, soit de 50,1% à 42,8%,
(ii) contribuer à la réduction de la mortalité des enfants de moins de 5 ans, de 72 pour 1000 naissances vivantes en 2008 à 56 en 2015.
3. Objectifs spécifiques De 2012 à 2015, les objectifs visent plus spécifiquement à :
i- Réduire la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 5 ans, à moins de 28%;
ii- Réduire la prévalence de la malnutrition aiguë (poids/taille<-2ET) à moins de 5%, chez les enfants de moins de 5 ans;
iii-Réduire la malnutrition aiguë sévère (poids/taille<-3ET) à moins de 1%, chez les enfants de moins de 5 ans ;
iv- Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
v- Augmenter le taux d’allaitement maternel exclusif jusqu’à 6 mois de 51% à 65% et maintenir le taux d’allaitement maternel jusqu’à 2 ans et au-delà, à plus de 98% ;
vi- Réduire la proportion des victimes de l’insécurité alimentaire, de 65% à 43%. Il s’agit des personnes n’atteignant pas le niveau minimum d’apport calorique de 2 300 kilocalories par jour.
Axe stratégique1 : La prévention de la malnutrition
1-2- Les objectifs spécifiques
Les objectifs spécifiques relatifs à cette stratégie sont les suivants: De 2012 à 2015 :
Réduire le taux d’insuffisance pondérale à moins de 28% chez les enfants de moins de 5 ans
Réduire de 50% à 30 % la proportion des enfants de moins de 5 ans présentant de l’anémie ferriprive, de 66% à 40 % chez les enfants d’âge scolaire et de 35% à 15% chez les femmes enceintes ;
Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
Augmenter de 51% à 65% le taux d’allaitement maternel exclusif.
Axe stratégique 2 : La sécurité alimentaire et nutritionnelle
1-2- Objectifs spécifiques
En vue de l’atteinte des objectifs du millénaire pour le développement, le pays s’est fixé de réduire la proportion de la population victime de l’insécurité alimentaire de 65% à 43% d’ici 2015. Cependant, les enquêtes CFSVA auprès des ménages ruraux, ont démontré une détérioration de la situation de sécurité alimentaire des ménages entre 2005 et 2010, avec un taux d’insécurité alimentaire passant de 25% à 35%. Ainsi, l’objectif spécifique auquel contribuera cette stratégie consiste à fixer à 30% le taux d’insécurité alimentaire des ménages ruraux en 2015.
Axe stratégique 3 : La prise en charge de la malnutrition
1-2- Objectifs spécifiques :
Réduire le taux de malnutrition aiguë/globale à moins de 5% chez les enfants de moins de 5 ans, jusqu’en 2015 ;
Contribuer à la réduction de la mortalité des enfants de moins de 5 ans de 72‰ naissances vivantes en 2009 (EDS) à 65‰.
Axe stratégique 4 : Urgences, réhabilitation et développement pour la réduction de risque de la malnutrition
1-2- Les objectifs spécifiques :
Les objectifs spécifiques auxquels contribuera cette stratégie visent à:
Diminuer le taux de la malnutrition aiguë sévère (poids/taille<-3ET) chez les enfants de moins de 5 ans à moins de 1%;
Maintenir le taux brut de mortalité à moins de 1 décès par 10 000 habitants par jour et le taux de mortalité des enfants de moins de 5 ans à moins de 2 décès par jour.
Atténuer les effets des aléas de catastrophes sur la nutrition par des interventions post catastrophes de relance agricole.
Axe stratégique 5 : Coordination et amélioration de l’environnement favorable au développement du secteur nutrition
1-2- Les objectifs spécifiques :
Ce système de coordination et de suivi assurera plusieurs fonctions essentielles pour favoriser la mise en oeuvre du PNAN II dans les meilleures conditions afin d’atteindre les objectifs fixés. Ces objectifs spécifiques visent ainsi à :
Renforcer la coordination du secteur nutrition ;
Renforcer le plaidoyer relatif à la communication institutionnelle, la communication éducationnelle au niveau de la communauté et aux partenaires techniques et financiers ;
Développer la mobilisation et la gestion optimale des ressources financières internes et externes ;
Appuyer la planification et la programmation du secteur nutrition
","Axe stratégique1 : La prévention de la malnutrition
Intervention 1 : Mise à l’échelle des sites PNNC
Intervention 2 : Surveillance, promotion de la croissance et du développement
Intervention 3 : Promotion de l’ANJE et nutrition des femmes (NDF) à travers l’approche cycle de vie
Intervention 4 : Promotion de la nutrition des adolescentes (13-20 ans)
Intervention 5 : Renforcement des activités d’éducation nutritionnelle au sein des écoles
Intervention 6 : Amélioration de l’accès à l’eau potable, l’assainissement et l’hygiène (WASH)
Intervention 7 : Supplémentation en micronutriments (Fer Acide folique, multimicronutriments (MMN), Vit A, Zinc…) des femmes enceintes et allaitantes, des adolescentes de 15 à 24 ans, des enfants de moins de 5 ans et d’âge scolaire de 6 à 14 ans.
Intervention 8 : Fortification alimentaire
Intervention 9 : Déparasitage des enfants de moins de 5 ans, des femmes enceintes, des enfants en âge Scolaire
Axe stratégique 2 : La sécurité alimentaire et nutritionnelle
Intervention 1 : Promotion des cultures maraîchères et des produits riches en micronutriments
Intervention 2 : Promotion de pratiques de petits élevages (à cycle court)
Intervention 3 : Amélioration de l’accessibilité des ménages à l’alimentation pendant toute l’année
Intervention 4 : Mise en place des cantines scolaires dans les zones d’insécurité alimentaire
Axe stratégique 3 : La prise en charge de la malnutrition
Axe stratégique 4 : Urgences, réhabilitation et développement pour la réduction de risque de la malnutrition
Intervention 1 : Préparation et réponses aux urgencies
Intervention 2 : Appui et suivi de la mise en oeuvre de la stratégie pour la réduction du risque de la malnutrition post catastrophe.
Axe stratégique 5 : Coordination et amélioration de l’environnement favorable au développement du secteur nutrition
Intervention 1 : Amélioration et renforcement du cadrage institutionnel dans le secteur nutrition
Intervention 2 : Planification stratégique et programmation du secteur nutrition
Intervention 3 : Développement de la communication institutionnelle pour le plaidoyer
Intervention 4 : Développement de la communication pour le changement de comportement
Intervention 5 : Renforcement de la coordination de l’ONN et renforcement de capacité des intervenants du secteur nutrition
Intervention 6 : Développement de la capacité nationale
Intervention 7 : Recherche et développement
Intervention 8 : Contribution du secteur nutrition à l’application des normes en alimentation et en nutrition
Intervention 9: Renforcement du système de suivi évaluation et d’information du secteur nutrition
Intervention 10 : Mise en place d’un système de veille nutritionnelle et de surveillance alimentaire
","2. Objectifs globaux Les objectifs globaux visent, d’ici 2012 à 2015, à :
(i) réduire la prévalence de la malnutrition chronique (taille/âge<-2ET) chez les enfants de moins de 5 ans, soit de 50,1% à 42,8%,
(ii) contribuer à la réduction de la mortalité des enfants de moins de 5 ans, de 72 pour 1000 naissances vivantes en 2008 à 56 en 2015.
3. Objectifs spécifiques De 2012 à 2015, les objectifs visent plus spécifiquement à :
i- Réduire la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 5 ans, à moins de 28%;
ii- Réduire la prévalence de la malnutrition aiguë (poids/taille<-2ET) à moins de 5%, chez les enfants de moins de 5 ans;
iii-Réduire la malnutrition aiguë sévère (poids/taille<-3ET) à moins de 1%, chez les enfants de moins de 5 ans ;
iv- Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
v- Augmenter le taux d’allaitement maternel exclusif jusqu’à 6 mois de 51% à 65% et maintenir le taux d’allaitement maternel jusqu’à 2 ans et au-delà, à plus de 98% ;
vi- Réduire la proportion des victimes de l’insécurité alimentaire, de 65% à 43%. Il s’agit des personnes n’atteignant pas le niveau minimum d’apport calorique de 2 300 kilocalories par jour.
Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
CHAPTER (4)
POLICY CONCEPTS, GOALS, OBJECTIVES AND STRATEGIES
...
4.3. Objectives of the ECCD Policy
164. To achieve the Main Goals of the ECCD Policy, the following Objectives will be attained progressively, using a phased approach. The first Five-Year ECCD Strategic Plan, 2014-2018 will constitute Phase I for achieving the following ECCD Objectives:
Policy Objectives
1. Improve birth outcomes and ensure mothers have skilled birth attendants, safe deliveries, and newborns who are well nurtured, promptly registered, healthy, immunised, breastfed, and well nourished and developed.
2. Improve and maintain essential parenting skills and ensure children develop well, receive preventive and basic health and nutrition care, are upto- date in their immunisations, breastfeed exclusively for 6 months, receive nutritious and balanced complementary feeding, are safe and protected, and have hygienic homes and child care centres.
3. Improve the development and status of children 0 to 5 years with developmental delays, malnutrition, chronic illnesses, disabilities and atypical behaviours, with a special focus on achieving the full acceptance and inclusion of children with special needs.
...
4.4. Policy strategies
165. To achieve these ECCD goals and objectives, the following 10 Policy Strategies will be pursued.
Policy strategies
...
Chapter (5)
Services and Activities for Each Strategy
...
5.1.4 Antenatal care including nutrition
174. Antenatal education complements but does not replace the antenatal care that is provided at Health Centres. A minimum of 4 health and nutrition antenatal checkups will be provided, and they should begin during the first trimester. For high-risk pregnant mothers or for those who develop conditions of concern (such as preeclampsia, bleeding, etc.), additional checkups will be provided. Essential micronutrients, and especially iron folate and vitamins, will be given to all mothers and adolescent girls with anaemia or other nutritional deficiencies. Village Food Banks will be promoted, with a focus on pregnant and lactating mothers and their children. In-service training will be provided for health personnel, including auxiliary midwives and traditional birth attendants. Immunisations will also be administered, as per needs.
...
5.2.9 Comprehensive and continuous maternal, newborn and child health and nutrition services
199. Rather than relying mainly on promotion programmes for immunisations and micronutrients, renewed emphasis will be placed providing comprehensive, regular and continuous health, nutrition and environmental sanitation services through expanding and improving the national health system of community services, with a special emphasis on Rural Health Centres
...
5.2.11 Maternal nutrition and support for breastfeeding and complementary feeding
203. Postnatal home visits will include special attention to reinforcing the importance of breastfeeding and appropriate complementary feeding, helping with complications that may develop, and encouraging mothers to continue exclusive breastfeeding until their infant reaches 6 months of age.
204. For mothers working outside of the home, it will be important to ensure they receive enabling and accessible services for breastfeeding, health and nutrition, including afterwork opportunities for health care. Work-site facilities for breastfeeding mothers will be provided. Balanced and appropriate maternal nutrition will be emphasised, along with the provision of micronutrients as needed. Education will be provided regarding the avoidance of contraindicated substances while breastfeeding, such as alcohol, smoking, damaging chemicals used in cleaning products, etc.
5.2.12 Child health and nutrition services, 0 to 3
...
207. These scheduled visits of parents and children to the Health Centre will include:
- Infant and child basic check ups;
- Child height and weight measurements, followed by immediate plotting on a growth chart by age and gender in order to assess the nutritional status of the child;
- Physical and developmental screenings and referrals to additional services such as early childhood intervention (ECI) services, if needed;
- Regular immunisations, as per evolving MoH plans, guidelines and protocols (MoH, 2012c);
- Provision of essential micronutrients, as needed, such as A, D, E, K, C, B-1, B-6, B-12, riboflavin, niacin, biotin, folic acid, pantothenic acid, iron, zinc, iodine, copper, manganese, and selenium; and
- Comprehensive guidance for parents regarding complementary feeding.
...
5.4.9 Preschool health care and feeding systems
...
252. Preschool feeding will be given a special priority in geographic areas of poverty and scarce food resources. Preschools must work with the local Health Centre to ensure that no child becomes or remains malnourished. Malnourished preschool age children will be identified and speedily enrolled in preschools to ensure they receive the stimulation, health care, food and micronutrients they require for healthy development.
...
5.5.8 Kindergarten and primary school health and feeding services
...
275.
...
Basic health staff will also provide occasional learning sessions for children, parents and teachers on essential topics regarding child health, nutrition and hygiene. In addition, children will receive micronutrients and deworming tablets, according to schedule and types of needs.
276. Good child nutrition will be ensured through the provision of nutritious school breakfasts and lunches, especially in communities with families living in poverty. For children from well-to-do homes, a fee will be charged for this service. For other children, parents will not pay a fee but they will be asked to help on a rotating basis with school feeding services, once they have received training on how to prepare nutritious food in a sanitary manner. All schools will use the guidelines of a school nutrition package.
","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Maternity protection|Low birth weight|Anaemia|Anaemia in adolescent girls|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Iron and folic acid|Micronutrient supplementation|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://www.dsw.gov.mm/mm/ebook/mnmaaeruiiarykelsuungypcupiethaangerng-phnphierchiungraa-muuwd","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202014%20Early%20Child%20Care%20and%20Development.pdf" "36189","BRB","Barbados","","Barbados Strategic Plan for the Prevention and Control of Non-communicable Diseases 2015-2019","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","National NCD Commission - Barbados Ministry of Health","","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Urban planning|Trade|Other","Ministries of Health, Agriculture, Finance, Trade, Tourism, Transport, Culture and Youth, Education, Urban Development, Attorney-General, Legal Affairs","World Health Organization (WHO)","WHO","Other, please specify under further details","National and international NGOs, Civil Society Organizations, Faith based organizations","","","","","National NGOs","","","","Private sector","food importers, manufacturers and retailers","","media, academia, training institutons, national NCD comission, CARPHA, CARICOM, UWI, medical officers, Heart and Stroke Foundation (HSFB), Diabetes Foundation","
To reduce the preventable and avoidable burden of morbidity, mortality and disability due to non-communicable diseases through inter-sectoral collaboration and cooperation
To promote supportive environments to encourage healthy lifestyles and reduce risk factorsfor NCDs
To establish, implement, monitor and evaluate standards for NCD treatment and care so that patients living with NCDs have their risk factors controlled to target and receive evidenced based
","
The four strategies are:
Strategy 1: Strengthening Strategic Management
Strategy 2: Surveillance and Research
Strategy 3: Risk Factor Reduction
Strategy 4: Integrated Disease Management and Patient Education
","
Policies to reduce the impact on children of marketing of foods and nonalcoholic, beverages high in saturated fats, trans-fatty acids, free sugars, or salt.
Promote exclusive breast-feeding for first 6 months and continuing along with complementary feeding
Healthy products provided and promoted by food manufacturers, retailers and providers
Support for population based salt reduction increased
Trans-fat in the food supply eliminated High fat content foods reduced
Daily consumption of fruits and vegetables increased
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.iccp-portal.org/sites/default/files/plans/BRB_B3_Barbados%20NCD%20Strategic%20Plan_2015-2019_final.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB_2015_SPNCDs_0.pdf" "24693","BEN","Benin","","Plan de Renforcement de L'Allaitement Maternel au Benin 2016-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2020","Direction de la Sante de la Mere et de L’Enfant","8","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Trade|Information","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Catholic Relief Services|International Baby Food Action Network (IBFAN)|Other|Plan International|Terre des Hommes","URC, MCDI, PSI, , BORNEFONden, AFRICARE, COREGROUP","Other, please specify under further details|Swedish International Development Cooperation Agency (SIDA)|The World Bank|US Agency for International Development (USAID)","Coopération Technique Belge, Coopération Française, Coopération des pays Bas","","","","","","","","","","","
2.1. But
Contribuer à la réduction de la mortalité infantile à travers l’allaitement maternel.
2.2. Objectif général
Améliorer l’état nutritionnel des enfants de 0 à 24 mois, à travers la pratique adéquate de l’allaitement maternel d’ici fin 2020
2.3. Objectifs spécifiques
D’ici 2020 :
•Porter de 46,6 à 80% le taux de mise au sein dès la première heure de vie ;
•Porter de 41,4 à 60%, le taux d’allaitement maternel exclusif jusqu’à six mois ;
•Accroître de 45,5 à 70%, le taux d’allaitement maternel continu jusqu’à 24 mois en plus de la diversification alimentaire.
2.4. Objectifs intermédiaires
2.4.1. Chez les mères
D’ici 2020 :
1. Amener 90% des mères à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
2. Augmenter à 75% la proportion des mères qui adoptent un bon positionnement du nouveau-né au sein et une bonne prise de sein,
3. Porter à 75%, la proportion des mères qui pratiquent adéquatement la technique d’expression du lait maternel,
4. Augmenter à 60%, la proportion des mères qui jouissent de leurs droits relatifs à l’allaitement maternel au Bénin.
5. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
6. Amener 80% des mères à appliquer la Méthode Kangourou chez les enfants de faible poids de naissance (hypotrophe et prématuré) ;
7. Rendre disponible dans toutes les formations socio-sanitaires, les fiches techniques et les affiches sur l’allaitement maternel ;
2.4.2. Chez les membres de la communauté
8. Augmenter à 80%, la proportion des mères qui continuent l’allaitement maternel jusqu’à 24 mois en plus de la diversification alimentaire adéquate,
9. Amener 50% des membres de la communauté à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
10. Mettre en place au moins un groupe de soutien à l’allaitement dans chaque village ou quartier de ville.
2.4.3. Chez le personnel socio-sanitaire
11. Amener75% du personnel socio-sanitaire à avoir une bonne connaissance sur les avantages, les méthodes d’expression et de conservation du lait maternel ainsi que la durée de conservation,
12. Augmenter à 75%, la proportion du personnel socio-sanitaire qui donne des conseils adéquats sur l’AM lors des séances d’éducation individuelle et collective
13. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
2.4.4. Au plan administratif, politique et législatif
14. Renforcer les connaissances des différents acteurs (employeurs, agents socio-sanitaires, mères) sur les textes et les lois en faveur de l’AM.
15. Inciter à la révision et l’application des textes et lois en faveur de l’AM
","
I- STRATEGIES
Pour atteindre ces objectifs, les orientations stratégiques suivantes sont proposées :
process indicators: see pages 19-27
outcome indicators: see pages 30-34
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Regulation on marketing of complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20de%20Renforcement%20Alllaitement%20maternel.pdf" "24692","BEN","Benin","","Plan d’actions de la Politique du Secteur Santé pour la Nutrition 2016 -2020","Comprehensive national nutrition policy, strategy or plan","","French","","2016","","2020","Direction de la Santé de la Mère et de l’Enfant","3","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Women, children, families","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Catholic Relief Services|International Baby Food Action Network (IBFAN)|Other|Other, please specify under further details|Terre des Hommes","URCMCDIPSIBORNE FONdenAFRICARECOREGROUP","Swedish International Development Cooperation Agency (SIDA)|The World Bank|US Agency for International Development (USAID)","Coopération Technique Belge, Coopération Française, Coopération des pays Bas","","","","","","","","","","","Objectif Général
Assurer la contribution de la Nutrition à la réalisation des ODD au Bénin
","Réduction de l’insuffisance pondérale à la naissance
Lutte contre l’anémie chez la femme en âge de procréer
Lutte contre les carences en micronutriments
Réduction de la prévalence des maladies chroniques non transmissibles liées à la nutrition
Promotion de la recherche en matière de nutrition
Promotion de l’allaitement maternel exclusif au cours des six premiers mois
Promotion de l’allaitement maternel dans les FS et au niveau communautaire
Renforcement de la sécurité sanitaire et de la qualité nutritionnelle des aliments
Réduction de la malnutrition chez les enfants de moins de 5 ans
Supplémentation et Fortification alimentaires
PCIME clinique et communautaire et de la PFE
Renforcement de la multisectorialité et du partenariat avec les autres secteurs
Plaidoyer et mobilisation des ressources dans le domaine de la nutrition
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in adolescents|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Home, school or community gardens|Vaccination","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20d%E2%80%99actions%20de%20la%20Politique%20du%20Secteur%20Sant%C3%A9_0.pdf" "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" "25875","MWI","Malawi","","National Community-Based Management of Acute Malnutrition (CMAM) Operational Plan 2017-2021","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2017","","2021","Ministry of Health (MOH)","12","2016","","","","","Cabinet/Presidency","The Malawi Ministry of Health","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Save the Children|Valid International|World Vision International","","Global Affairs Canada|Food and Nutrition Technical Assistance Project (FANTA-2)|The World Bank|US Agency for International Development (USAID)","Food and Nutrition Technical Assistance III Project; Irish Aid; Clinton Health Access Initiative (CHAI);","","","","","","","","","","","
Goal
To contribute to a reduction in morbidity and mortality associated with acute malnutrition in children 0–15 years of age.
Objectives
The following five objectives will help maintain the rates of acute malnutrition in children at less than 5 percent throughout the 5-year period. Each of the objectives has a corresponding strategy and actions outlined in Section 3, and a monitoring and evaluation plan detailed in Section 4.1.
1. Improve availability and access to CMAM supplies and equipment.
2. Increase the competence of human resources involved in CMAM service delivery.
3. Increase effectiveness of CMAM coverage by improving access, acceptability, and utilization of services.
4. Strengthen the enabling environment for CMAM service delivery.
5. Improve monitoring and evaluation and promote the use of data and information to inform CMAM programming and planning.
","Prioritised Actions to Improve Availability and Access to CMAM Supplies and Equipment
1. Integrate CMAM supplies and equipment into the national health commodity logistics system
2. Advocate to Central Medical Stores (CMS) for increased allocation and long-term funding for RUTF as an essential drug and/or supply
3. Ensure manufacturers and suppliers register therapeutic and supplementary food supplies with the Pharmacy Medicines and Poisons Board (PMPB)
4. Adopt international technical specifications or reference ranges for quality control checks for locally produced therapeutic and supplementary food supplies
5. Perform quality control certification of therapeutic and supplementary food supplies at Malawi Bureau of Standards (MBS)
6. Conduct annual national quantification of CMAM supplies with all stakeholders
7. Procure essential CMAM supplies and equipment based on annual needs
8. Implement a national CMAM supplies real-time monitoring and reporting system at all levels
9. Train service providers and managers on CMAM supplies and logistics management
10. Establish sufficient warehouses and safe storage facilities at central, district, and facility levels
11. Improve efficiency of transport of SAM and MAM supplies to the health facility and beneficiary
Prioritised Actions to Increase the Competence of Human Resources Involved in CMAM Service Delivery
1. Establish a practitioners’ committee to ensure nutrition content in health professional pre-service training curricula remains current
2. Review the current pre-service training curricula for health professionals to understand gaps and recommend areas to be updated
3. Provide technical update to the pre-service training curricula for nurses, clinicians and HSAs to include CMAM theory and practice
4. Include management of acute malnutrition as part of the nurse and clinician internship program
5. Conduct CMAM training for pre-service tutors and lecturers teaching in the medical and nursing training institutions
6. Conduct CMAM in-service training for all providers in the NRU, OTP, and SFP sites
7. Conduct CMAM training for all district health management teams (DHMT)
8. Develop a computerized training tracking system for personnel trained in CMAM
9. Develop mentorship and supportive supervision guidelines and tools for facility-based CMAM service providers
10. Conduct mentorship and supportive supervision visits for facility-based CMAM service providers in NRU, OTP, and SFP sites
Prioritised Actions to Increase Coverage of CMAM Services
1. Conduct coverage surveys to determine coverage of CMAM services and barriers to access
2. Re-establish community outreach activities countrywide
3. Conduct training of community-based CMAM service providers, including volunteers
4. Harmonise community mobilization efforts across community groups
5. Institutionalise a harmonised system for incentivizing community volunteers
6. Conduct community sensitization and awareness campaigns on acute malnutrition causes, consequences, prevention, and treatment
7. Develop mentorship and supportive supervision guidelines and tools for community-based CMAM service providers and volunteers
8. Conduct integrated mentorship and supportive supervision visits for community-based CMAM service providers and volunteers
Prioritised Actions to Improve the Enabling Environment for CMAM
1. Update the national CMAM guidelines, ensuring integration with other health and nutrition interventions
2. Integrate implementation of CMAM with other health services, such as IMCI, HIV, WASH, and Scaling Up Nutrition (SUN) initiatives
3. Operationalise the Targeted Nutrition Programs (TNP) technical working group for improved coordination and monitoring of implementation of the operational plan
4. Integrate CMAM advocacy activities into the national nutrition advocacy plan
5. Develop quarterly CMAM policy and technical briefs to share data, best practices, and lessons learnt
6. Conduct advocacy campaigns for increased awareness of CMAM among national level policymakers
7. Advocate prioritisation and funding of CMAM by the government
8. Advocate increased CMAM funding from development partners
9. Increase financial and logistical support for the CMAM focal persons at national, regional, and district levels
10. Establish performance based incentives (PBI) with the CMAM focal persons with clear articulation of targets
Prioritised Actions to Improve CMAM Monitoring, Evaluation, and Information Management
1. Identify country-level CMAM operational research questions that address knowledge and implementation gaps
2. Hold annual CMAM dissemination conferences
3. Conduct annual national review of operational plan implementation
4. Conduct midterm and endline evaluations of operational plan implementation
5. Conduct quarterly DHMT review workshops of CMAM data and programme outcomes
6. Establish real-time data management system for CMAM alerts on preparedness and response
7. Conduct CMAM data management trainings, and use of District Health Information Software – Version 2 (DHIS-2) for all district HMIS officers
8. Provide logistical and technical support to districts and facilities in the use of DHIS-2
Prioritised Actions to Intensify CMAM Services to Respond to Emergency and Humanitarian Situations
1. Intensify case finding through community outreach and mobilization
2. Procure additional supplies and equipment to meet the increased SAM caseload
3. Procure additional supplies and equipment to meet the need for increased MAM caseload
4. Conduct refresher training of CMAM service providers on inpatient care, outpatient care, and SFP
5. Intensify the frequency of government and CMAM partner coordination meetings
6. Intensify real-time monitoring and reporting of CMAM service delivery
7. Conduct Standardised Monitoring and Assessment of Relief and Transitions (SMART) nutrition surveys during the emergency and post-emergency period
8. Conduct coverage survey during an identified emergency period
","see Table 4.1: National CMAM Monitoring and Evaluation Plan, pages 19-28
","","","Wasting in children 0-5 years|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","https://www.fantaproject.org/node/1483","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202016%20National%20CMAM%20Operational%20Plan%202017-2021.pdf" "40057","PNG","Papua New Guinea","","Papua New Guinea National Nutrition Policy 2016-2026","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2026","The Government of Papua New Guinea","","2016","","","","","Health|Food and agriculture|Education and research|Other","Community Development, and Planning and Monitoring,the input from the Policy Planning Division of the National Department of Health (NDOH) for the guidance throughout the development process.","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","World Vision International","","","","","","","","Research/academia","University of PNG , School of Medicine and Health Sciences (UPNG - SMHS)","","","","","2.1 Goal
To improve nutrition for all Papua New Guineans through evidence-based, coordinated nutrition approaches that optimises resources and aligns actions.
Objective 1: (Governance,Coordination,Communication, Partnerships, M&E, Research)
Objective 2: (Nutrition Capacity)
Objective3:Prevent and Treat under Nutrition)
Objective 4: (Micronutrient Deficiencies)
Objective 5: Overweight and Obesity
Objective 6: (Nutrition among Vulnerable Groups: Malaria, Mental Illness and Disabilities)
Objective 7: Nutrition in Emergencies
","Objective Two
Strategies:
Objective three
Strategies:
Objective Four
Strategies:
Objective 5
Strategies:
Objective Six
Strategies:
Objective Seven
Strategies:
Specific Objectives of the M&E plan for the NNP are to: