"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" "66548","TGO","Togo","","Loi n° 2020-007 relative à l’alimentation scolaire","Legislation relevant to nutrition","","French","6","2020","","","Journal Officiel de la République Togolaise 65e Année N° 21 Numéro Spécial du 26 juin 2020","6","2020","Adopted","6","2020","L’Assemblée nationale","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sub-national|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","Les mamans/papas cantines","","","","","
Article premier : La présente loi a pour objet de garantir à terme, à chaque élève de l’enseignement de base, particulièrement aux élèves situés dans les zones les plus vulnérables, l’accès à une alimentation scolaire suffi sante et équilibrée et à promouvoir le développement de la production locale.
…
Section 2 : Principes directeurs et champ d’application
Art. 3 : Les principes qui soutiennent les interventions en matière d’alimentation scolaire sont décrits ci-après :
- le droit à l’alimentation est fondamental et l’alimentation des enfants est saine, équilibrée et diversifiée pour leur épanouissement ;
- l’alimentation scolaire assure l’équité entre les sexes et contribue à la réduction des disparités entre les filles et les garçons en milieu scolaire ;
- l’alimentation scolaire est multisectorielle ;
- l’alimentation scolaire assure durablement la promotion des produits locaux ;
- l’alimentation scolaire implique et responsabilise les collectivités territoriales et les communautés à la base ;
- l’alimentation scolaire intègre l’éducation alimentaire et nutritionnelle dans les programmes d’enseignement.
La couverture nationale se fait de manière progressive à travers l’utilisation des ressources techniques et fi nancières disponibles ou mobilisables aux niveaux central, régional et local.
Art. 4 : La présente loi s’applique à tous les acteurs et bénéficiaires de toute initiative en matière d’alimentation scolaire au Togo, qu’elle soit publique ou privée.
…
Art. 11 : Les menus des cantines scolaires sont élaborés en tenant compte des denrées alimentaires de base, des besoins nutritionnels et des habitudes alimentaires locales. Ils respectent un équilibre et une diversité nutritionnelle. La taille des portions alimentaires est adaptée au type de plat et à la tranche d’âge.
","Right to food|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Deworming|Mandatory standards|School lunches|Schools (standards)|Procure from local sources|Sanctions exist","","https://jo.gouv.tg/sites/default/files/JO/JOS_26_06_2020%20-%2065%20E%20ANNEE%20N%C2%B021.pdf","","","" "8639","COG","Congo","","Plan d'Action National pour la Nutrition du Congo","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","2001","Direction de la Santé Familiale","6","1996","Adopted","","1996","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Other","législationtravaux publics","Food and Agriculture Organisation (FAO)","","Other","Organismes multilatéraux","","","","","National NGOs","ONG Associations","","","Private sector","","Other","collectivités locales","III. Objectifs
IV. Stratégies et programmes
Surveillance nutritionnelle (detailed activities p.86)
- Stratégies
- Activités
Promotion de l’allaitement maternel et amélioration de l’alimentation de complément (detailed activities p. 96)
- Objectifs spécifiques
Amélioration du suivi et de la promotion de la croissance des enfants (detailed activities p.100)
- Objectifs spécifiques
Traitement des malnutritions protéino-énergétiques sévères
- Objectifs spécifiques
- Activités
Développement d’une stratégie alimentaire dans les zones à risque de malnutrition protéino-énergétique
- Activités
Lutte contre les anémies chez les femmes et les jeunes enfants
- Objectifs spécifiques
- Activités
Lutte contre les troubles dus à la carence en iode
- Objectif
- Activités
Lutte contre la carence en vitamine A
- Objectifs
- Activités
2.0 POLICY GOALS AND OBJECTIVES
2.1 Overall Goal of Food and Nutrition Security Policy
The long-term goal of this policy is to significantly improve the food and nutrition security of the population. The goal implies a rapid and substantial reduction in the degree and severity of malnutrition, in all its forms, i.e., chronic and acute malnutrition and micronutrient deficiencies among the men, and women, boys and girls, especially under-fives, expectant and lactating mothers of the population.
2.1.1 The concept of food security implies that:
(a) All Malawians at all times have both physical and economic access to enough nutritious food for an active, healthy life;
(b) The ways in which food is produced and distributed should be environmentally friendly and sustainable;
(c) Both the production and consumption of food are governed by social values that are just and equitable as well as moral and ethical;
(d) The ability to acquire food is ensured;
(e) The food is nutritionally adequate and personally and culturally acceptable;
(f) The food is obtained in a manner that upholds human dignity.
2.1.2 Primary Objective of Food Security
The primary objective of Food Security, is to guarantee that all men, women, boys and girls, especially under-fives in Malawi have, at all times, physical and economic access to sufficient nutritious food required to lead a healthy and active life.
2.1.3 The concept of nutrition security implies that:
a) Healthy food choices and lifestyles, are easy choices for all Malawians;
b) There is absence of all forms of malnutrition that is, protein-energy, micronutrient and over-nutrition;
c) All Malawians should have access to services for the prevention, timely treatment and proper management of malnutrition and infectious diseases;
d) Good nutrition and its role in the context of a healthy lifestyle is a fundamental part of achieving social justice and poverty reduction.
2.1.4 Primary Objective of Nutrition Security
The primary objective of Nutrition Security is to significantly improve health and nutritional status to lead an active healthy life and reduce the burden of diet-related, illness, deaths and disability among men, women, boys and girls living in Malawi.
4.0 SUSTAINABLE ACCESS TO FOOD
4.1 Food Access
Access by individuals to adequate resources (entitlements) to acquire appropriate food for a nutritious diet. Entitlements are defined as the set of all those commodity bundles over which a person can establish a command given the legal, political, economic and social arrangements of the community in which he/she lives including traditional rights, for example, access to common resources.
4.2 To guarantee physical, social and economic access to adequate food at all times
4.2.1 Promote sustainable access to adequate nutritious food and other resources at household and national level
Strategies
4.2.1.1 Formalize trade in foods and other economic products in line with bilateral, regional and international trade agreements without compromising sanitary and phytosanitary issues
4.2.1.2 Promote traditional and cultural practices that improve food and nutrition security for women and men, girls and boys and food technology
5.2.3 Promote the control, prevention and treatment of micronutrient deficiency disorders particularly those caused by Vitamin A, iodine and iron deficiencies.
Strategies
5.2.3.1 Encourage production and consumption of micronutrient rich foods.
5.2.3.2 Develop and enforce mandatory guidelines on food fortification
5.2.3.3 Strengthen supplementation of micronutrients in under-five children, school-aged children, and pregnant and postpartum mothers
5.2.3.4 Promote community based technologies for fortification
5.2.4 Promote control, prevention and treatment of diseases that have direct impact on nutrition and health status
Strategies
5.2.4.1 Facilitate the implementation of the Essential Health Package
5.2.4.2 Strengthen counselling services for management of nutrition related diseases especially for symptoms of common HIV and AIDS related illnesses
5.2.4.3 Provide counselling services on infant and young child feeding especially in the context of HIV and AIDS
5.2.4.4 Encourage early health care seeking behaviours among all people who are sick, especially those living with HIV and AIDS
5.2.4.5 Facilitate dissemination of information and support to clients on medical treatment (including ARV) to ensure adherence
5.2.4.6 Facilitate implementation of water supply and sanitation programmes
5.2.4.7 Promote and support palliative care and community coping mechanisms for HIV-positive and affected households
5.2.4.8 Promote implementation of national guidelines for management of moderate and severe malnutrition
5.2.5 Increase access and availability of services and information to prevent consumers from health hazards
Strategies
5.2.5.1 Review and enforce national legislation and regulations according to the international Sanitary and Phytosanitary (SPS) agreements
5.2.5.2 Establish comprehensive food-control systems at all levels that include risk analysis to ensure safety in the entire food chain
5.2.5.3 Regulate development and use of modern biotechnology including Genetically Modified Organisms (GMOs) and Genetically Engineered Seeds and Substances (GESS) in order to enhance bio safety
5.2.6 Promote the consumption of adequate food in both quality and quantity to meet nutritional needs for rural and urban households with special emphasis on vulnerable groups
Strategies
5.2.6.1 Facilitate the implementation of the national nutrition strategy.
5.2.6.2 Strengthen the implementation of the School Health and Nutrition< programme
5.2.6.3 Build capacity for communities to adequately care for the socioeconomically deprived and the nutritionally vulnerable groups
CHAPTER 6
6.0 STABILITY IN FOOD AND NUTRITION
6.1 Food stability
To be food secure, a population, household, or individual must have access to adequate food at all times. They should not be at risk of losing access to food as a consequence of an economic or climatic crisis or seasonal food variations. The concept of stability can therefore refer to both availability and access to food.
6.2 To guarantee that every individual has adequate and nutritious food that is accessible at the required time and in useable form.
6.2.1 Improve the management of disasters
Strategy
6.2.1.1 Promote a coordinated approach to disaster preparedness and management
6.2.1.2 Ensure allocation of adequate resources to disaster management
6.2.1.3 Improve system of assessing possibilities of a shock
7.0 FOOD AND NUTRITION INFORMATION SYSTEMS, MONITORING ANDEVALUATION
7.2 To harmonise and improve Food and Nutrition Security Information Systems(FNSIS) for evidence based interventions
7.2.1 Enhance monitoring and evaluation through proper management of information systems at all levels
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" "8431","TZA","United Republic of Tanzania","","National Population policy","Multisectoral development plan with nutrition components","","English","","2006","","","Ministry of Planning Economy and Empowerment (Ministry of Finance and Economic Affairs)","","2006","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Social welfare|Sport|Sub-national","Ministry of Finance and Economic Affairs, Ministry of Planning, Economy and Empowerment, National Population Technical Committee, Tanzania Council on Population and Development, Ministry of Community Development, Gender and Children","","","","","","","","","","","","","","","","","4.9 Agriculture, Food and Nutrition:
Policy Objectives:
a) Promote and improve nutrition status of learners in order to enhance and sustain their physical, social and mental well-being.
b) Promote and maintain the health status of learners through the initiation of effective health promoting activities.
c) Improve collaboration among line ministries in planning and implementation of SHN interventions.
d) Strengthening school and community based health and nutrition activities.
e) Provide health and nutrition education and promotion of activities at all levels of the education system.
f) Promote and sustain a safe and healthy learning environment.
g) Ensure capacity building among stakeholders.
POLICY STATEMENTS:
Health:
a) a regular physical examination, treatment and referral systems in all learning institution are re-established and sustained;
b) all eligible learners are immunized;
c) guidance and Counselling services are strengthened;
d) appropriate protective clothing is provided to learners;
e) appropriate facilities for learners with Special Education Needs (SEN) are provided;
f) physical Education in all learning institutions is strengthened;
g) adequate clean and safe water is available;
h) regular personal hygiene inspections on learners are carried out;
i) appropriate and adequate sanitary facilities are available;
j) the school environment and structures are safe, clean and maintained;
k) family Life and Sexuality Education is promoted in all schools;
l) initiatives aimed at controlling, preventing and mitigating the spread and impact of STIs/HIV AND AIDS on the school community are established and strengthened;
m) preventive and control measures against communicable and non-communicable diseases are instituted;
n) school based anti-substance abuse programmes in all schools are intensified; and
o) collaboration and partnership with relevant stakeholders are promoted and strengthened;
Nutrition:
a) health and nutrition education is institutionalised at all levels of the school system;
b) eligible learners receive micronutrient supplements;
c) a school de-worming programme is established;
d) food production units are revitalised in all learning institutions;
e) the school feeding services are initiated and communities are involved; and
f) growth monitoring and promotion is institutionalised and implemented;
Institutional Framework:
a) SHN focal persons at all levels in the MoE, MoH, MACO and MCDSS are appointed;
b) SHN monitoring and evaluating systems are established; and utilized;
c) partnerships with all stakeholders in SHN activities are strengthened;
d) SHN is institutionalised at all levels of the Education system;
e) a procurement and distribution system for drugs, micronutrients supplements and supplies is established; and sustained and;
f) networking and sharing information between learning institutions, districts and provinces is initiated and strengthened at all levels;
Legal Framework:
(a) SHN activities are implemented as provided for within the existing pieces of legislation.
(b) United Nations and the African Union Children’s Charters and any other relevant Charters are incorporated into SHN activities.
PRSP II pillars
4.1 Agriculture
4.1.2 Priorities and Strategies for the Agricultural Sector
6. Improve soil fertility maintenance and soil conservation.
11. Increase government support to post-harvest and storage facilities with a focus on value added on local products.
5.1 Health
5.1.4 Strategies and Priorities for the Health Sector
7.1 Gender
7.1.4 Planned Interventions
2. Improving women and girls entrepreneurial skills and opportunities in all productive sectors by
e. Providing women with labour saving devices, support to land development and rehabilitation of community vegetable gardens.
3. Providing laws that will effectively protect women’s rights through:
b. Promoting women health and access to health services and control over their reproductive rights.
c. Advocating and sensitizing all stakeholders to effective of high maternal and child mortality as well as the effects of malnutrition and HIV/AIDS amongst women, girls and children.
d. Ensuring that polices on gender and HIV/AIDS are adequate for the protection of women. Ensuring adequate budgets for prevention, care and treatment of HIV/AIDS
7.4 Nutrition
7.4.2 Priorities for Nutrition
Under five mortality
Infant mortality
Maternal mortality
Proportion of population with sustainable access to an improved water source, urban and rural
","","","Food security and agriculture|Vulnerable groups","","https://www.imf.org/external/pubs/ft/scr/2007/cr07308.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GMB%202006%20Poverty%20Reduction%20Strategy%202007-2011.pdf" "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
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" "39482","CIV","Côte d'Ivoire","","Politique nationale de nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","","Ministère de la santé et de l’hygiène publique","","2010","Adopted","","","Ministère de la santé et de l’hygiène publique","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Transport|Consumer affairs|Trade|Environment|Industry|Information|Other","Ministère des infrastructures économiques","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","associations de consommateurs","","","Private sector","","","","VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
2. Au niveau communautaire
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
C. N°3 : Amélioration de la sécurité alimentaire des ménages
D. N°4 : Promotion de la sécurité sanitaire des aliments
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
G. N° 7 : Intégration de la nutrition en milieu carcéral
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
Sensibilisation
Mobilisation sociale
J. N°10 : Promotion de la recherche en matière de nutrition
K. N°11 : Développement des compétences en matière de nutrition
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
5.2.1.2 Contribute to the attainment of a significant reduction of morbidity and mortality due to environmental health and unhygienic practices and other environmental health related conditions.
o Disseminate the food hygiene and safety, safe water chain and hand washing guidelines.
o Support local governments to enforce food hygiene and safety, safe water chain and hand washing standards.
o Establish early warning systems on environmental health related risk factors e.g water quality, food safety and sanitation and hygiene related disease out breaks.
5.2.1.4 Improve the health status of the school children, their families and teachers and to inculcate appropriate health seeking behaviour among this population.
• Expand the coverage of the school health and nutrition programme to include more schools
• Strengthen the policy and legal environment for provision of school health services.
o Develop the missing health standards (e.g. nutrition and screening) and operationalise all standards
• Expand the provision of clean water and improved sanitation to schools, with special emphasis on primary schools
5.2.1.7 Scale up delivery of nutrition services:
Strategy 1: To reduce the incidence and prevalence macro- and micro-nutrient deficiencies and associated mortality among vulnerable groups.
• Strengthen maternal nutrition interventions to ensure optimal pregnancy outcomes and healthy infancy:
o Provide micronutrient supplements (iron, folic acid, vitamin A and other relevant) to target groups.
o Encourage and support antenatal care services through health and nutrition education.
o Promote the consumption of high nutrient density local foods
• Integrate infant and young child nutrition interventions into maternal, infant and young child services to ensure growth and development:
o Provide infant and young child feeding counselling services during ante-natal and post-natal care.
o Strengthen growth monitoring and promotion services at facility and community levels.
o Support infant and young child feeding in the context of HIV.
o Provide bi-annual Vitamin A supplementation and deworming to targeted groups.
• Scale up micronutrient initiatives:
o Develop a comprehensive policy framework for micronutrient deficiency control.
o Provide support for implementation of a consolidated policy on micronutrient deficiency control.
o Promote food fortification by working with relevant public and private stakeholders.
o Promote food supplementation
• Promote good quality diets through diet diversification:
o Conduct nutrition education and counselling at facility, family and community levels.
o Promote consumption of locally produced fortified foods.
o Encourage the production and preparation of a variety of locally available nutritious foods.
• Integrate the management of malnutrition into the health delivery system:
o Integrate identification, screening, referral and management of acute malnurished children into routine service delivery at facility level and community levels using national IMAM protocols.
o Support and promote national procurement of therapeutic feeds and supplies.
o Promote local production of therapeutic feeds.
• Integrate nutrition into the treatment and management of HIV/AIDS, TB and malaria:
o Incorporate nutrition support into the management and treatment of HIV/AIDS, TB and malaria interventions.
o Establish coordination mechanisms among partners involved in food and nutrition and HIV, TB and malaria interventions.
o Support community involvement in provision of nutrition support to HIV/AIDS and TB patients.
Strategy 2: To improve access and quality of nutrition services at facility and community levels.
• Support institutional feeding:
o Procure equipment for nutrition management like weighing scales, MUAC tapes, height meters, demonstration meters and food preparation equipment.
o Conduct pre- and in-service training for service providers to promote nutrition interventions.
o Develop curricula and training manuals for nutrition training.
o Determine the human resource needs for nutrition services.
o Train trainers and equip the VHTs, community resource persons and other community based organizations with nutrition knowledge and skills.
o Provide technical support supervision and mentoring of health workers.
o Support nutrition response in emergency
Strategy 3: To review, formulate, enforce and coordinate nutrition related policies, regulations, standards and programmes in consultation with other relevant sector stakeholders.
• Develop and disseminate nutrition policy and implementation guidelines:
o Initiate the review and up-date of the 2002 Uganda National Food and Nutrition Policy.
o Develop implementation guidelines for the reviewed Uganda National Food and Nutrition Policy and other related nutrition policies.
o Orient stakeholders on the revised Uganda National Food and Nutrition Policy.
• Strengthen nutrition related standards and regulations:
o Review the regulations on salt iodization.
o Review regulations on maternity protection.
o Support the development of the Codex on complementary foods and food supplements.
o Develop a regulatory framework for food fortification.
• Strengthening inter-sectoral collaboration and public-private partnership in the designing and implementation of nutrition programs:
o Operationalise the National Food and Nutrition Council and its secretariat.
o Conduct national, regional and district coordination and planning meetings.
Strategy 4: To strengthen advocacy and social mobilization for behavioural change.
• Strengthen advocacy, social mobilization and communication at all levels:
o Develop a comprehensive nutrition communication strategy.
o Develop and disseminate nutrition IEC materials using mass media including audio, visual and print media.
o Promote nutrition campaign initiatives.
Strategy 5: Strengthen nutrition information management systems for monitoring and evaluating nutrition interventions programs.
• Strengthen the regular collection of nutrition indicators in HMIS and other systems:
o Operationalise the Uganda Nutrition Information System.
o Establish nutrition sentinel sites to assess nutrition trends.
o Conduct basic and operational nutrition research.
o Collaborating with UBOS in collection of nutrition indicators during annual food consumption surveys.
o Conduct periodic nutrition surveys.
","5.2.1.2:
Percentage of households with access to safe water.
5.2.1.4:
The % of schools in Uganda that provide basic health and nutrition services increased to 25 % by 2015.
The % of primary and secondary schools with safe water source within 0.5 km radius of the school increased from 61% and 75% resp. to 80% by 2015.
5.2.1.7:
The proportion of underweight in under five year children reduced from 16% to 10%.
Vitamin A deficiency among children 6-59 months reduced from 20% to 10% and women of reproductive age from 19% to 9%.
The proportion of stunted children below 5 years reduced from 38% to 32%.
Vitamin A supplementation coverage increased for children aged 6-59 months from 60% to 80%.
Deworming coverage for children 1-14 years increased from 60% to 80%.
Iodine deficiency eliminated.
The proportion of the households consuming iodised salt increased from 95% to 100%.
The prevalence of anaemia among children decreased from 73% to 60%, women from 49% to 30% and men from 28% to 15%.
The proportion of underweight women of reproductive age decreased from 12% to 6%
Exclusive breastfeeding at 6 months increased from 60% to 80%.
Timely complementary feeding increased from 73% to 80%
Accessibility to appropriate and gender sensitive nutrition information and knowledge increased to 100%
Nutrition services to health units and the community scaled up to 100%.
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/HSSIP_Final.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202010%20Health%20Sector%20Strategic%20%26%20Investment%20Plan.pdf" "23177","KEN","Kenya","","National School Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Public Health and Sanitation/Ministry of Education","","2011","","","","","Health|Education and research|Women, children, families|Social welfare","Ministry of Public Health and Sanitation, Ministry of Gender, Children and Social Development","","","","","","","","","","","","","","","","","","Nutrition in schools:
1. To sensitize the stakeholders at all levels on the importance of school nutrition services.
2.To ensure all schools have instituted sustainable home-grown meals programmes by 2014. Instituting sustainable home-grown meals programmes.Provide mid morning snacks to pre-primary and primary school children in ASALs and targeted slum schools. Sensitizes the stakeholders on the scaling up of the mid-morning snacks.
3. Enhance nutrition: Review and update the curricula to enhance nutrition information. Develop/harmonize/print training manuals on nutrition, education and counseling. Train TTC lecturers and in-service teachers on nutrition education & assessment. Sensitize school community, and parents on nutrition education. Initiate and strengthen health clubs (4K clubs) in schools. Intiate school gardens including container gardens in urban schools for demonstration.
4. Micronutrient supplementation. 1. To address micronutrient deficiencies. Conduct bi-annual micronutrient supplementation (Vitamin A).
5. Enhance sustainability of school nutrition services. To strengthen mechanisms for sustainability of school nutrition services. Initiate/strengthen school gardens/tree nurseries and income generating activities. Supporting community based growing of food, diversification, milling, fortifying and preservation initiatives. Involve communities in planning, mobilization of resources and management of home-grown meals programmes. Encourage schools to use locally available foods
Food safety: Provision of safe food in schools.
To ensure all food for use should be transported, stored, prepared and served in a hygienic manner. To sensitize school management committee on the importance of medical examination, hygienic food handling and use of protective gear in schools.
","
75 % of pre-primary schools providing mid morning snack by 2014
60 % schools have school gardens by 2014
70 % of children vitamin A supplemented by 2014
50 % of schools with functional kitchen gardens/trees nurseries and income generating activities by 2014
","","","Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20School%20Health%20Strategy%20Implementation%20Plan%202011-2015.pdf" "40055","LBR","Liberia","","National Health and Social Welfare Policy and Plan","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2021","Ministry of Health and Social Welfare","","2011","","","","","Health|Education and research|Social welfare","Ministry of Health and Social Welfare","","","","","","","","","National NGOs","","","","","","","","","
A. Maternal and newborn health services
6. Maternal and Newborn Nutrition will focus on supplementation with iron and vitamin A and on promoting breastfeeding.
B. Child health services
3. Child Nutrition. The Essential Nutrition Actions approach, an integrated package of preventive nutrition actions encompassing infant and young child feeding, micronutrient supplementation and women’s nutrition, will be utilized. Rapid nutrition assessments will be carried out quarterly in selected communities by community volunteers using a MUAC tape. Growth monitoring will be re-introduced as part of the routine services at all levels.
4. Infant and Young Child Feeding. Early initiation of breastfeeding, and its continuation, first exclusively and later with complementary food will be promoted.
5. Management of Acute Malnutrition (MAM). Therapeutic and supplementary feeding programs will be integrated in existing health facilities with a phased approach.
6. Micronutrient Supplementation. The MOHSW will advocate for food fortification. General CHVs will be trained to provide information on proper nutrition and to distribute vitamin A supplements and deworming medications every six months.
","","","","Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Monitoring of children’s growth in school|Vitamin A|Micronutrient supplementation|Management of moderate acute malnutrition","","moh.gov.lr","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202011%20National%20Health%20and%20Social%20Welfare%20Policy.pdf" "23733","MDG","Madagascar","","Politique nationale de prévention et lutte intégrées contre les maladies chroniques non transmissibles","NCD policy, strategy or plan with healthy diet components","","French","","2011","","","Ministère de la Santé, du planning familial et de la protection sociale","","2011","","","","Ministère de la Santé Publique","Health|Education and research|Social welfare","Ministère de la Santé, du planning familial et de la protection sociale MNP","World Health Organization (WHO)","","","","","","","","","","","","","","","","
Promouvoir un environnement propice à la réduction des facteurs de risque et de la létalité des Maladies Chroniques Non Transmissibles. Réduire le fardeau humain et socioéconomique dû aux maladies chroniques non transmissibles
- Réduire d'au moins 10% la proportion de la population adulte à risque pour les MCNT
- Réduire de 20% la morbidité due aux MCNT
- Réduire d'au moins 10% la mortalité due aux MCNT
","","- Prévalence de la sédentarité inférieure à 2%
- Prévalence de l'HTA (de 17 à 12%)
...
- Prévalence de consommation quotidienne de fruits (de 30 à 40%)
- Prévalence de consommation quotidienne d'au moins 5 portions de fuits et légumes (de 75 à 90%)
- Prévalence de l'excès pondéral (de 9 à 8%)
","","","Overweight and obesity in adults|Raised blood pressure|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)","","http://www.iccp-portal.org/sites/default/files/plans/Madagascar%20-%20Politique%20nationale%20contre%20les%20maladies%20non%20transmissibles.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202011%20Politique%20nationale%20contre%20NCDs.pdf" "11534","NAM","Namibia","","Strategic Plan for Nutrition 2011–2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","MOHSS","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Sport|Trade|Information|Sub-national|Other","Regional Development, Gender, Defense, Lands and resettlement, Youth Sport and Culture, Saftey and Security, Office of the Prime Minister (OPM) and Namibia Alliance for Improved Nutrition (NAFIN) Trust","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Other, please specify under further details|Voluntary Services Overseas (VSO)","Health Unlimited (Britain), Doctors of the World( Spain), CESTAS (Italy), People in Need (Czech Republic), Chinese Medical Programme, faith-based organisations","Other|Centers for Disease Control and Prevention (CDC USA)|Gesellschaft für Technische Zusammenarbeit (GTZ, Germany)|US Agency for International Development (USAID)","PEPFAR (USA), Global Fund","European Commission|European Union","","National NGOs","","Research/academia","","Private sector","food producers, distributors, outlets, gyms, fitness institutions, Namibian grain producers Bokomo, Namib Mills and Southern Choice Mill","","","GOAL:
To improve the nutritional status of the Namibian population, with special emphasis on children, women and people living with HIV and TB, resulting in the reduction of morbidity and mortality due to or associated with malnutrition.
STRATEGIC PRIORITIES;
1. Maternal and child nutrition
2. Micronutrient deficiencies
3. Diet-related diseases and lifestyles
4. Nutritional management of communicable diseases
Objectives:
4.1.2.1. Underweight in under-fives reduced from 17 percent to 10 percent and severely underweight from 4 percent to 1.5 percent
4.1.2.2. Chronic malnutrition in women of reproductive age reduced from 16 percent to 12 percent
4.2.2.1. Disorders associated with iodine, iron, zinc and vitamin A deficiencies eliminated
4.3.2.1. Prevalence of obesity reduced from 12 percent to 8 percent and overweight from 16 percent to10 percent in women of reproductive age and from 4.3 percent to 1.5 percent in under-5s.
4.4.2.1. Appropriate nutrition care provided for at least 80 percent of people living with HIV and TB
4.4.2.2. Nutrition care integrated into management of malaria and other communicable diseases
Priority 1 Strategies:
I. Growth Monitoring and Nutrition Promotion
II. Universal implementation of Baby and Mother Friendly Hospital Initiative
III. Infant and Young Child Feeding
IV. Integrated Management of Acute Malnutrition
V. Code of Marketing of Breast-milk Substitutes
VI. Maternal and Child Nutrition Promotion
VII. Nutrition Surveillance
Priority 2 Strategies:
I. National household food consumption and micronutrient deficiency survey
II. Micronutrient supplementation (iron, zinc, vitamin A)
III. Universal salt iodisation
IV. Food fortification
V. Promotion of dietary diversification
VI. Legislative framework
Priority 3 Strategies:
I. Assessment of prevalence and causes of obesity and associated NCCD in the general population
II. Monitoring and promotion of healthy diets and physical activity
III. Dietary management of diet-related non-communicable diseases
IV. Regulation of food safety, food standards and food labelling
Priority 4 strategies:
I. Integrated Management of Acute Malnutrition
II. Promotion of appropriate nutrition for PLHIV and TB
III. Raise awareness on water and food safety, hygiene and sanitation
IV. Nutrition surveillance
V. Nutrition assessment, counselling and support
OUTPUT INDICATORS:
OUTCOME INDICATORS:
IMPACT INDICATORS:
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202011%20Final_strategic_Plan_for_Nutrition_14_March_2011%20%282%29.pdf" "14807","UGA","Uganda","","The Social Development Sector Strategic Investment Plan (SDIP-2)","Social protection plan with nutrition components","Social Protection","English","","2011","","2016","Ministry of Gender, Labor and Social Development","","2011","","","","","Social welfare","Ministry of Gender, Labor and Social Development","","","","","","","","","","","","","","","","","","
7.0 THEMATIC AREA INTERVENTIONS
7.3 Social Protection for Vulnerable Groups
7.3.1 Provision of social assistance for the chronically vulnerable
150. The sector shall provide social assistance in form of cash transfers to those deemed eligible on the basis of their vulnerability(….) In addition, the sector shall advocate for preventive measures to avert poverty and reduce vulnerability and risks. Such measures include food for-work schemes in food insecure regions AND school feeding programmes for orphans.
","- Food and Nutrition Security: 70% of households are food secure and have proper nutrition
- Health, Water, Sanitation and Shelter: Increased access to and utilization of safe water and sanitation facilities for OVC at household, community and institutional levels especially in schools, children’s and remand homes.
Objective 2: Expand access to essential services for orphans and other vulnerable children, their caregivers and families/households.
Interventions:
2.1 Provide social assistance to OVC households to address hunger and malnutrition
a) Implement a national cash transfer programme to increase access to and utilization of food
b) Provide food aid to critically vulnerable OVC and their households
1.2 Promote increased agricultural production and livelihood diversification for OVC households to strengthen their food security
d) Promote commercial agriculture for OVC households to enable them generate income and meet their diversified dietary needs
2.3 Promote proper nutrition for OVC in homes, schools, and other institutions
a) Promote diet diversification, supplementation and fortification for children in households and institutions (children’s homes, schools)
b) Support Community education and sensitization programs on proper nutrition for children including training in food handling, preparation and storage
c) Train communities, VHT and other duty bearers in nutrition monitoring and basic health care practices
d) Promote breast feeding among lactating mothers except where it is not medically recommended
Indicator: Number of OVC/ OVC households who receive food support. Target: 95% of all OVC fully nourished
Indicator: Number of OVC caregivers trained in food security and nutrition. Target: 400 000 (baseline not available)
Increase number of OVC households receiving emergency food aid from 34,334 OVC households with emergy food aid (baseline) to 211, 718 (target)
NSPPIS-2 does not speciy when targets are to be met (or when baseline values were predicted)
","Outcome indicators","","Breastfeeding|Underweight in children 0-5 years|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/Final_Printed_OVC_Strategic_Plan_Uganda_-NSPPI_2.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20National%20Strategic%20Programme%20Plan%20of%20Interventions%20for%20Orphans%20and%20Other%20Vulnerable%20Children.pdf" "8475","TZA","United Republic of Tanzania","","National Nutrition Strategy 2011/12-2015/16","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","The United Republic of Tanzania, Ministry of Health and Social Welfare","","2011","","","","","Health|Social welfare","The United Republic of Tanzania, Ministry of Health and Social Welfare","","WHO, UNICEF, WFP, FAO","","International NGOs & National NGOs: NGOs, CBOs, FBOs","","Bilateral and donor agencies and lenders","","","National NGOs","","Research/academia","Research/academia: Higher learning and training institutions","Private sector","Privet sector unspecified","Other","Community, Media, Professional bodies","Goal
The goal of the Strategy is that all Tanzanians attain adequate nutritional status, which is an essential requirement for a healthy and productive nation. This will be achieved through policies, strategies, programs and partnerships that deliver evidence-based and cost-effective interventions to improve nutrition
Targets
The targets to be achieved by 2015, are as follows:
Behavior change and service provision objectives
* Prevalence rate according to New WHO Child Growth Standards
[1] The 5% target is less that the 2% target set in the NSGRP, as it is felt that the latter target is too ambitious.
","
Strategies
Eight strategies have been identified to achieve the goal and objectives of the Strategy:
i. Accessing quality nutrition services: Nutrition interventions must be delivered at scale and with high coverage if they are to have impact on prevalence of malnutrition at the population level. The focus will be on delivering a package of high-impact nutrition services. District nutrition services will be well managed, of high quality and accessible to all, particularly women and children and other vulnerable groups.
ii. Advocacy and behaviour change communication: Advocacy will to be intensified to raise the visibility and profile of malnutrition at all levels, and increase the commitment and resources for its alleviation. At the household and community level, improved knowledge on caring practices for infants, young children and women of child-bearing age is a necessary component of sustainable efforts to reduce malnutrition.
iii. Legislation for a supportive environment: Legislation, policies and standards are needed to create a supportive environment conducive to good nutrition. They include measures to prevent unethical marketing of breast-milk substitutes, to protect the breastfeeding rights of employed women, to ensure adequate labelling and quality of products intended for consumption by infants and young children, and for the fortification of food.
iv. Mainstreaming nutrition into national and sectoral policies, plans and programs: The multi-sectoral nature of nutrition requires advocacy for its inclusion in national and sector policies and plans. Nutritional indicators have been included in the MKUKUTA but further efforts are needed so that nutrition is firmly part of policies and strategies in the health, agriculture, education, community development and industry sectors.
v. Institutional and technical capacity for nutrition: Nutrition needs to attain the required institutional and technical capacity that is necessary in the decentralization framework. As LGAs are now responsible for implementation of nutrition services, it is essential that there be district level nutrition focal points who are accountable for the delivery of quality nutrition services, and supportive structures at the regional and national level to provide technical backstopping, guidance and supportive supervision. Increasing the numbers and quality of human resources for nutrition at all levels and in all relevant sectors is critical for improving the quality of nutrition services. For health service providers, pre-service and in-service training courses need to keep pace with latest policies, strategies, guidelines and scientific thinking.
vi. Resource mobilization: The budget gap in nutrition needs to be reduced by mobilizing adequate and sustainable financial resources and improving the efficiency in the use of financial resources for nutrition. Despite hard budget constraints, additional budget for nutrition exists, including larger aid from development partners, increased budget allocation from MOHSW, increased efficiency in delivering nutrition interventions and collaboration with other sectors and programs.
vii. Research, monitoring and evaluation: Research, monitoring and evaluation are essential for evidence-based decision making and enhancing public accountability. Monitoring is continuous and aims to provide the management and other stakeholders with early indications of progress in the achievement of goals, objectives and results. Evaluation is a periodic exercise that attempts to systematically and objectively assess progress towards and the achievement of a program’s objectives or goals. Research tests specific interventions and approaches for the betterment of nutritional status, and provides further evidence for policy and programming.
viii. Coordination and partnerships: Because there are multiple causes of malnutrition, action is needed across a range of sectors including health, food and agriculture, water supply and sanitation, education and others. A coordinated response maximizes the use of available technical and financial resources and can create greater synergy of efforts. Public-private partnerships and collaboration with NGOs can increase the opportunities for delivering and scaling up nutrition services.
","Pages 27-36
Strategy 1: Accessing quality nutrition services
SO 1.1: Increase access to nutrition services at the community and facility level.
- Health facilities provide the minimum package of high-impact nutrition services
- Integration of nutrition interventions into the delivery of health services is increased
- Linkage with other sectors is improved to address immediate and underlying causes of malnutrition in a comprehensive manner
- Community-based programs and networks to promote and support appropriate nutrition behaviours are developed
- Two-way referral mechanisms between the community and higher levels of care are strengthened Nutrition interventions are effective in reducing undernutrition in vulnerable groups
SO 1.2: Strengthen the quality of nutrition services.
- Guidelines, standards, protocols, job aids and other technical tools for nutrition are updated and disseminated to districts
- Adherence to policies, guidelines, standards, protocols, job aids and other technical tools for nutrition is improved
- Availability of essential equipment and supplies for nutrition is guaranteed at all health facilities
SO 1.3: Improve the district- and regional-level management of nutrition services
- Minimum package of high-impact nutrition services is included in Comprehensive Council Health Plans (CCHPs)
- Supportive supervision of health facilities by CHMT, RHMT and other sectors staff includes nutrition
- Supportive supervision of extension workers in the agriculture and community development includes nutrition
Strategy 2: Behaviour change communication
SO 2.1: Enhance the nutrition behaviours of women, caregivers, family and community members, and those who influence them
Men, women, caregivers, family and community members practice behaviours, customs and traditions that support improved nutrition
Strategy 3: Legislation for a supportive environment for optimal nutrition.
SO 3.1:
- Strengthen the implementation, monitoring and enforcement of legislation.
- Legislation to create a supportive environment for optimal nutrition is enacted and periodically revised, including legislation for the protection of breastfeeding legislation to regulate - - marketing of breastmilk substitutes, maternity rights, food safety and food fortification
- Regulations, standards and guidelines to support the implementation of legislation are developed, and periodically revised when necessary
- Monitoring and enforcement procedures are strengthened to more effectively detect violations
Strategy 4: Mainstreaming nutrition interventions in national and sectoral policies and plans
SO 4.1: All government development policies adequately incorporate nutrition as a priority area of achieving economic growth, stability and prosperity.
Strategy 5: Technical capacity for nutrition
SO 5.1: Build strategic and operational capacity for nutrition
- National level structures provide strategic leadership and technical backstopping
- Regional departments provide supportive supervision and guidance to LGAs
- Local government authorities have the capacity to plan and implement nutrition services
SO 5.2: Improve the knowledge and skills of professional and community-based workers at all levels to give adequate support in nutrition.
- Pre-service curricula and training materials for service providers includes appropriate content on nutrition
- In-service training materials, guidelines, protocols and job aids are available
- Pool of trainers in nutrition for training of service providers is developed
- Follow-up and supportive supervision of service providers and community-based workers is improved to sustain their knowledge and skills
Strategy 6: Advocacy and resource mobilization
SO 6.1: Establish and maintain nutrition high on the development agenda at all levels and mobilize adequate and sustainable financial resources to support implementation of the NNS
-Nutrition is established and maintained high on the development agenda
-Increased resources are mobilized for nutrition at the central, regional and district levels
Strategy 7: Research, monitoring and evaluation
SO 7.1: Develop framework/plans for monitoring, evaluation and research for nutrition
- Monitoring and evaluation framework and research plan developed
-Nutrition included in sectoral M&E strategies and plans
SO 7.2: Obtain timely data on the nutritional status of the population through nutritional surveillance, HMIS, periodic surveys, and other routine and non-routine data systems.
- Nutrition indicators are included in HMIS, periodic surveys, surveillance systems and other routine and non-routine data systems
- Nutritional surveillance is strengthened
- Special surveys conducted to obtain specialised data on nutritional status
SO 7.3: Strengthen the evidence-base for nutrition policy and programming
- Research implemented to provide necessary additional information for nutrition planning, and research findings disseminated
Strategy 8: Coordination and partnerships
SO 8.1: Enhance coherence and synergy in the delivery of nutrition interventions through coordination at all levels
Coordination structures for nutrition are functional
SO 8.2: Strengthen partnerships for nutrition
Strategic partnerships for nutrition are established
","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|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 in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Fat intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Nutrition education|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|Water and sanitation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202011%20National%20Nutrition%20Strategy.pdf" "36037","TZA","United Republic of Tanzania","","Tanzania Agriculture and Food Security Investment Plan (TAFSIP) ","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2011","","2021","","10","2011","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Inter-Ministerial Coordinating Committee (ICC),","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","Private sector","","Other","communities, farmer organizations","Goal: contribute to the national economic growth, household income and food security in line with national and sectoral development
aspirations growth, household income and food security in line with national and sectoral development aspirations
Objective: rationalise allocation of resources to achieveannual 6 percent agricultural GDP growth, consistent with national objectives to reduce ruralpoverty and improve house hold food and nutrition security
Strategic objective: Enhanced household and national food and nutrition security
","4 THE INVESTMENT PLAN
4.3 Priority Investment Areas
4.3.5 Food and Nutrition Security
109. Food and nutrition security takes a number of forms, all of which affect the quality of life and productivity of rural people. Chronic, transitory and emergency food insecurity due to poor agricultural productivity, food inaccessibility and natural disasters all play a role. A 2005 survey found that 15 per cent of households in selected locations were food insecure and another 15 per cent were highly vulnerable. Northern and central regions were worst affected and the level of food insecurity in some areas was high as 45 percent. Food security is highly dependent on rain-fed agriculture which also is susceptible to the vagaries of weather. Therefore there is need to promote and embark on irrigated agriculture and diversification of crops (drought resistant crops) for greater reliability of food supplies.
110. Capacity of strategic food reserves; The issue of strategic food reserves needs to consider: (i) an appropriate level of stocks to hold; (ii) transparent protocols and rules for the acquisition and release of stocks, stock rotation, and the use of financial instruments to complement physical stock-holding; and (iii) policies and procedures for dealing with food price spikes of the type currently being experienced.
111. Malnutrition is one of the most serious constraints to labour productivity and economic growth. Chronic malnutrition is also high with 38 per cent of children less than five years of age being stunted, making it one of the ten worst affected countries in the world and third worst in Africa. Over the last five years (2005 to 2010) the levels of chronic malnutrition and calorie deficiency were only reduced slightly. Malnutrition reduces labour productivity and earning potential most within the agricultural sector where physical stature and body strength are critical. In children, malnutrition often contributes to increased child mortality, and for those who survive, it diminishes their ability to grow, learn and earn a decent income as adults.
112. There will continue to be a proportion of rural households needing special support to help them achieve food security and protect them against shocks, principally droughts. It is expected that advancements in other areas of the TAFSIP will progressively reduce the number of households requiring food aid and other forms of assistance to survive. The effectiveness of targeting social safety net programmes for vulnerable groups will be sharpened, and the prevalence of child and maternal malnutrition is expected to decline. As the size and cost of the safety net programme begins to decline, more resources will be available for disaster risk management including disaster preparedness and mitigation.
113. SO5 also aims at strengthening social protection systems, particularly for the most vulnerable households by improving their food and nutrition security and asset creation while promoting human capital development through education. The National Nutrition Strategy addresses the problem of chronic malnutrition by working with multiple sectors and across government agencies. This recognises that increasing food production alone does not necessarily translate into improved nutrition outcomes. Families must also be provided with information and education about good nutrition and sanitation practices. A national school feeding program will also be supported to improve food intake and increase school attendance.
114. Small, strategic and targeted support can meet the immediate nutritional needs of vulnerable households, buffering them from asset depletion and coping strategies that undermine their long-term resilience. However, emergency support will not shift households out of poverty. Therefore additional interventions such as productive safety net and household asset protection will also be implemented. These measures support productive investment through conditional transfers that provide pathways out of poverty via rural infrastructure development, market access, agricultural productivity improvement, education, healthcare and other services.
115. The Tanzania National Food Centre (TNFC) is currently finalising the National Food and Nutrition Policy. A key policy issue is the need to ensure that significant numbers beneficiaries graduate from chronic food insecurity to enable them to advance towards becoming small-scale semi-commercial farmers under SO5; and for households to improve their knowledge about how to use increasing food availability to improve the nutritional status of their children. Increasing the rate of graduation is contingent upon the rate of progress under the other three strategic objectives and should be responsive to the needs of vulnerable households affected by natural disasters. As such, it is not advisable to prescribe the rate at which social safety net programmes can be scaled down, and to retain the capacity to respond to weather-related and other crises should circumstances deteriorate, for example through a severe and widespread drought or epidemic.
116. There is a need for better integration of dietary diversification and nutrition behavior change into all agricultural sector programmes. This recognises that simply producing more and better food is not sufficient. Rural households, especially the more vulnerable and disadvantaged ones need to understand the importance of diet in overall wellbeing and have the knowledge to use the food that they have in the best possible way. In this context there are potential tensions between policies that encourage agricultural commercialisation (often involving increased specialisation) and the need to maintain diversification of farming systems and diets.
117. Other aspects of food and nutrition policy include food safety and food fortification. Current standards of food safety need to be greatly improved including microbiology, pesticide residues, labelling standards and safe storage and transport. The new food fortification standards for oil, wheat and maize flour need to be enforced. The development and enforcement of standards needs to be balanced with public education on safe food handling practices. This is also important in accessing export markets and will be increasingly important in maintaining a competitive position in the high end of the domestic market. In addition to the above, the following priority areas will be addressed: (i) finalization and implementation of nutrition strategy; (ii) establishment of high level nutrition steering committee in the Mainland ; (iii) effective 2012 designate budget line in the national budget for nutrition; (iv) stronger integration of nutrition into agricultural activities; (v) establishment of nutritional focal point at district level; and finalization and implementation of guidelines related to food fortification. The outcomes that SO4 is expected to influence, and the milestone indicators showing progress towards these outcomes are as well reflected in Annex 1.
","
Purpose:
This Plan has been developed to operationalize the strategies outlined in the Food Security and Nutrition policy 2012. It serves as a road map for coordinated implementation of nutrition interventions by the government and nutrition stakeholders across development sectors for maximum impact.
Objectives:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Activity:
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Activity:
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Activity:
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Activity:
Strategic objective 5: To improve access to quality curative nutrition services
Activity:
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Activity:
Strategic objective 7: To improve nutrition in schools, public and private institutions
Activity:
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Activity:
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Activity:
Strategic objective 10: To enhance evidence-based decision-making through research
Activity:
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Activity:
","
Output Indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases.
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Outcome indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Kenya_KNN_Action-Plan_2012_2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202012%20National%20Nutrition%20Action%20Plan%202012%20-%202017.pdf" "7937","MRT","Mauritania","","Plan d’Action Intersectoriel de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2015","Inter-agency","","2012","","","","","Health|Food and agriculture|Social welfare|Finance, budget and planning","","","","","","","","","","","","","","","","","","
3.1 Améliorer les pratiques alimentaires du nourrisson et du jeune enfant
Allaitement maternel exclusif (AME) et continu
Alimentation Complémentaire (AC)
3.2 Augmenter l´apport en micronutriments
Supplémentation en Vitamine A (SVA)
Traitement de l’anémie et supplémentation en fer
Traitement de la diarrhée avec Supplément de SRO avec zinc
Fortification de la farine de blé en fer/folates et zinc et des huiles en vitamine A
Iodation universelle du sel
Alimentation de complémente prêts à l´emploi
3.3 Améliorer l´hygiène et le contrôle des parasites
Traitement de l´eau dans le ménage (TEM)
Lavage de mains
Utilisation de Moustiquaire Imprégnée avec Insecticide (MII)
Traitement préventif du paludisme (TPI)
Déparasitage
3.4 Traiter la malnutrition aigue sévère et modérée
Prise en charge de la malnutrition aiguë sévère
Prise en charge de la malnutrition aiguë modérée
3.5 Augmenter la disponibilité et l´accessibilité aux aliments
Transfert conditionnel d´argent
Production agricole et animale familiale (PAAF)
3.1 Améliorer les pratiques alimentaires du nourrisson et du jeune enfant
Allaitement maternel exclusif (AME) et continu
Alimentation Complémentaire (AC)
3.2 Augmenter l´apport en micronutriments
Supplémentation en Vitamine A (SVA)
Traitement de l’anémie et supplémentation en fer
Traitement de la diarrhée avec Supplément de SRO avec zinc
Fortification de la farine de blé en fer/folates et zinc et des huiles en vitamine A
Iodation universelle du sel
Alimentation de complémente prêts à l´emploi
3.3 Améliorer l´hygiène et le contrôle des parasites
Traitement de l´eau dans le ménage (TEM)
Lavage de mains
Utilisation de Moustiquaire Imprégnée avec Insecticide (MII)
Traitement préventif du paludisme (TPI)
Déparasitage
3.4 Traiter la malnutrition aigue sévère et modérée
Prise en charge de la malnutrition aiguë sévère
Prise en charge de la malnutrition aiguë modérée
3.5 Augmenter la disponibilité et l´accessibilité aux aliments
Transfert conditionnel d´argent
Production agricole et animale familiale (PAAF)
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Vitamin A|Vitamin B12|Micronutrient supplementation|Wheat flours|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Intersectoral-Action-Plan-for-Nutrition-PAIN.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MRT%202010%20PAIN.pdf" "40384","NAM","Namibia","","National Policy on Sexual, Reproductive and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2022","Directorate of Primary Health Care","","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Information|Justice|Labour|Other","Directorate of Primary Health Care, Ministry of Safety and Security, Ministry of Defense, Ministry of Home Affairs and Immigration, Ministry of Agriculture, Water and Forestry, Gender, ICT, Regional Reproductive and Child Health Committee, National Statistics Agency, Ministry of Regional and Local Government, Housing, and Rural Development","","","","","","Unspecified","","","National NGOs","Namibia Alliance for Improved Nutrition (NAFIN), Churches and faith-based organizations","Research/academia","","Private sector","Private health and social services providers","Other","Food Fortification Technical Working Group, Health Professions Councils of Namibia (HPCNA), National Youth Council, civil society organizations","
3.1 Goal
The overall goal of this policy is to enhance the attainment of the highest possible standard of Sexual, Reproductive Health, Child Health and Nutrition for the Namibian population through provision of equitable, accessible and affordable health and nutrition information and services.
3.3 Objectives (nutrition-related only)
","
Nutrition Policy Statements
Stunting rate among under 5 children
Prevalence of Malnutrition (wasting, stunting and underweight) disaggregated by age.
Prevalence of NCDs
Early initiation of breastfeeding: Proportion of children born in the last 24 months who were put to the breast within one hour of birth
Exclusive breastfeeding"": Proportion of infants aged 0-6 months who are fed exclusively with breast milk.
The new ""minimum acceptable diet"": Proportion of children 6-23 months of age who had both minimum meal frequency and dietary diversity (in both BF and non-BF children).
","","Outcome indicators|Process indicators","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Sexual%2C%20Reproductive%2C%20and%20Child%20Health%20Policy.pdf" "11575","NAM","Namibia","","National Agenda for Children 2012-2016","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2012","","2016","Ministry of Gender Equality and Child Welfare","","2012","","","","","Social welfare","Ministry of Gender Equality and Child Welfare","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Commitment 1
All Children are healthy and well nourished
Result
1.1 All children under 5 years of age have access to adequate nutrition, growth monitoring and health services.
1.2 Neonatal mortality is decreased and child survival is improved.
1.3 All children in schools and childcare facilities have access to clean water and adequate sanitation.
","Priority Strategies
1.1.1 Improve infant and child health including ARV prophylaxis for infants of HIV- positive mothers, immunisation and micronutrient supplementation.
1.1.2 Promote optimal infant and young child feeding practices: early initiation of breastfeeding, exclusive breastfeeding for the first 6 months of life, and timely introduction of complementary feeding.
1.1.3 Promote caring practices especially in health and nutrition, through effective communication for behaviour change using ANC and immunisation as opportunities.
1.1.4 Establish and improve community-based nutrition surveillance and growth monitoring.
1.1.5 Roll out community-based integrated management of acute malnutrition.
1.1.6 Facilitate universal salt iodisation.
1.1.7 Provide food supplements at ECD centres, e.g. a glass of milk each day, fortified with iron, zinc and vitamin A.
1.3 All children in schools and childcare facilities have access to clean drinking water and adequate sanitation.
1.3.1 Develop and implement standards for sanitation at all childcare facilities and schools
1.3.2 Increase national planning for and investment in Water and Sanitation and Hygiene (WASH) in schools through advocacy, partnerships and regular monitoring.
2.2.7 Expand and improve the quality of school feeding programmes.
","Indicators
Number of children diagnosed with moderate or severe malnutrition
% of children under 5 with stunting reduced
% of children under 5 underweight reduced
% of children who are exclusively breastfed for up to 6 months
% of health facilities with trained staff, tools/equipment (MUAC* tapes, weighing scales, height board and food scales) and supplies (vitamin A, zinc, iron, RUTF*, CMV* and fortified blended food)
* MUAC – mid-upper arm circumference; RUTF – ready-to-use therapeutic food; CMV – Cytomegalovirus
% of schools and childcare facilities with adequate toilets
% of schools and childcare facilities with clean drinking water on site
","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Complementary feeding|Growth monitoring and promotion|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Vitamin A|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Food grade salt|Milk|Management of moderate acute malnutrition|Management of severe acute malnutrition|Vaccination|Water and sanitation|Vulnerable groups","","","","http://scalingupnutrition.org/sun-countries/namibia","" "11533","SLE","Sierra Leone","","Sierra Leone National Food and Nutrition Security Policy 2012 - 2016","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Ministry of Health and Sanitation","","2012","Adopted","","","SUN","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade","Ministry of Health and Sanitation, MAFFS, MEST, MOFED, MFMR and MOTI","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","SUN","Helen Keller International (HKI)","NGOs and Faith Based Organisations, NFFA","","","","","","","Research/academia","schools, research and training institutions, SLARI and Njala University","Private sector","food production parties","Other","Nutrition Technical Committee; Small scale farmers, relevant organizations that could provide storage, facilities, resources; banks, microfinance institutions, mass media","Goal:
The overall goal of the National Food and Nutrition Policy is to contribute to the improved health, social and economic well-being of all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups.
General Objective:
To improve the current nutritional status of the population, especially infants and young children, pregnant and lactating women and other vulnerable groups in Sierra Leone
Specific Objectives (SO):
I. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels on nutrition and its relationship to development.
II. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy the daily dietary needs of the population.
III. To promote adoption of appropriate feeding practices by households.
IV. To strengthen preventive measures against nutrition related diseases
V. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
VI. To institute a nutritional surveillance system for monitoring the food and nutrition situation in the country.
VII. To promote operational research and periodic surveys into food and nutrition issues
VIII. To coordinate activities of relevant agencies involved in food and nutrition issues
SO 1 Strategies:
SO 2 Strategies:
SO 3 Strategies:
SO 4 Strategies:
SO 5 Strategies:
SO 6 strategies:
SO 7 strategies:
SO 8 Strategies:
The overall goal of the policy is to contribute to the improved health, social and economic well-being for all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups. The general objective is to improve the nutritional status of the population especially infants and young children, pregnant and lactating women in Sierra Leone.
The policy has eight specific objectives
Nutrition Indicator Targets of the implementation plan
Strategic interventions
2.1 Priority Food and Nutrition Interventions
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Indicators of each priority intervention
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Overall Goal:
· To reduce the maternal mortality ratio and neonatal, infant and child mortality rates by at least 10% by 2016
· To empower women, and to ensure universal access to reproductive health services
· To improve the nutritional status of all mothers and children.
Strategy 1: Address inequity and social determinants of health
Strategy 2: Develop a comprehensive and coordinated framework for MNCWH & Nutrition service delivery
Strategy 3: Strengthen community-based MNCWH & Nutrition interventions
Strategy 4: Strengthen provision of MNCWH & Nutrition services at PHC and district levels
Strategy 5: Strengthen delivery of MNCWH & Nutrition services at district hospital level
Strategy 6: Strengthen the capacity of the health system to support the provision of MNCWH & Nutrition services
Strategy 7: Strengthen human resource capacity for delivery of MNCWH & Nutrition services
Strategy 8: Strengthen systems for monitoring and evaluation of MNCWH & Nutrition interventions and outcomes
","M & E indicators included on page 44 of the Strategic Plan.
","","","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|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Maize flours|Staple foods|Management of severe acute malnutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202012%20MNCWHstratplan.pdf" "83697","TZA","United Republic of Tanzania",""," Infant and Young Child Feeding National Guidelines ","Government guidance","","English","","2013","","","Ministry of Health and Social Welfare","7","2013","","","","","Health|Social welfare","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","Tanzania Food and Nutrition Centre","","","","","","","1.4 Development of National Guidelines on IYCF
The National Guidelines on IYCF are based on the international instruments, national policies, strategies and related guidelines on IYCF. The guideline summarizes the recommendations for the feeding of infants and young children at different ages.
1.5 The Guidelines apply to:
Health care providers including supervisors, managers and other service providers engaged directly or indirectly in maternal and child health in health facilities and communities. Institutions such as health facilities, professionals associations, governmental and non- governmental organizations, and private sectors engaged directly or indirectly in care of infants and young children.
Overall goal of the National IYCF guidelines
The goal of the Guidelines is to improve the nutritional status, growth and development, health and survival of infants and young children through optimal infant and young child feeding practices.
1.6 Specific objectives of the National IYCF guidelines
To provide guidance on the promotion, protection and support of exclusive breastfeeding for the first six months followed by timely, nutritionally adequate and safe complementary feeding and continued breastfeeding for two years or more.
To promote and support delivery of quality IYCF and maternal nutrition services at all levels.
To provide guidance on infant and young child nutrition in exceptionally difficult situations such as emergencies or disasters which are prone to high incidence of malnutrition, low birth weight or HIV and on the related support required by mothers, families and other caregivers.
To provide appropriate, accurate and consistent information on IYCF to health care providers.
To harmonize delivery of IYCF and maternal nutrition services among different stake holders.
To provide guidance on monitoring and evaluation of IYCF services.
Trois objectifs généraux sont retenus en vue d’une résilience optimum :
OG1- Assurer aux Tchadiens l’accès aux denrées alimentaires en quantité et en qualité suffisantes et de façon pérenne, en particulier les plus pauvres,
OG2- Réduire de façon significative et durable la mortalité et la morbidité liées aux problèmes de nutrition et d’alimentation, en particulier par la prévention et la prise en charge correcte de la malnutrition et à l’échelle,
OG3- Promouvoir des comportements alimentaires et nutritionnels adéquats à mieux de garantir un développement du capital humain
","La Politique Nationale de Nutrition et d’Alimentation (PNNA) s’articule autour de 5 axes stratégiques programmatiques d’intervention :
Dans le cadre de la mise en oeuvre, ces 5 axes stratégiques seront appuyés par 6 axes transversaux :
Effet UNDAF 3. Les populations et en particulier les femmes et les autres groupes vulnérables bénéficient d’une offre accrue de services sociaux de base de qualité avec un intérêt particulier pour la résolution des conflits et la consolidation de la paix.
","L’amélioration de l’accès des populations aux interventions essentielles de santé avec un accent particulier sur la santé maternelle, infanto-juvénile et de nutrition.
L’augmentation du nombre de personnes ayant un accès aux services améliorés d’eau potable et d’assainissement en milieu rural et périurbain.
","% d’enfants de moins de 6 mois nourris exclusivement au sein. Pourcentage actuel 37 % Cible 60 %
Taux d’insuffisance pondérale chez les enfants de moins de 5 ans. Taux actuel : 24 %, cible : < 10 %
% des enfants de 6 à 23 mois qui ont reçu l’apport alimentaire minimum acceptable (en dehors de l’allaitement maternel). Taux actuel : 3,7 (EDS) Cible : 20 %
","","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Minimum acceptable diet|Management of moderate acute malnutrition|Management of severe acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","http://cd.one.un.org/content/dam/unct/rdcongo/docs/UNCT-CD-UNDAF.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%202013%20UNDAF.pdf" "17834","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2015","Government of the Federal Democratic Republic of Ethiopia","","2013","Adopted","","","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|Finance, budget and planning|Trade|Environment|Industry","","","","","","","","","","","","","","","","","","Strategic Objective 1: Improve the nutritional status of women (15-49 years) and adolescents (10-19 years)
Strategic Objective 2: Improve the nutritional status of infants (0-6 months), young children (6-24 months) and children under 5 years
Strategic objective 3: Improve the nutrition service delivery for communicable and non-communicable/lifestyle related diseases (all age groups)
Strategic objective 4: Strengthen implementation of nutrition sensitive across sectors
Strategic objective 5: Improve multisectoral coordination and capacity to ensure implementation of the NNP
Impact Objectives: Improve Nutritional status of women and children
(Additional outcome, output, process and input indicators from Accountability and results matrix in relation to the strategic objectives, results and initiatives.)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.moh.gov.et/English/Resources/Documents/NNP.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202013%20National%20Nutrition%20Programme.pdf" "24476","LSO","Lesotho","","Lesotho United Nations Development Assistant Plan (LUNDAP)","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team of Lesotho","12","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Environment|Industry|Justice|Labour|Sub-national","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","
Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf" "24487","RWA","Rwanda","","Rwanda United Nations Development Assistance Plan 2013-2018","Non-national nutrition policy document","","English","","2013","","2018","UN country team in Rwanda","","2013","Adopted","7","2013","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Disaster management and refugee affairs, defense, foreign affairs, infrastructure, internal security, east African community","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNECA, IOM, UN Women, UNEP, UN Habitat, UNV, UNCTAD, ITC, UNCDF, OHCHR","Other","","","","","","National NGOs","","","","","","","","Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "38227","SYC","Seychelles","","National Food and Nutrition Security Policy (NFNSP)","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","","Government of Republic of Seychelles","","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Industry","Agriculture, Fisheries, Livestock, Food, Food Safety, Food importation, Food Processing, Health, Land and Water Supply, Planning, Finance and Trade, Industry, Education, Information and Social Welfare","","","","","","","","","National NGOs","","","","Private sector","","","","1.6 Overall Goal and Objectives of the NFNSP
37. Recognizing present and future opportunities and challenges, the goal of the Food Security and Nutrition Policy is to guarantee the right to safe, healthy and adequate food at all times and to satisfy the nutritional needs for optimal health for all persons living in Seychelles.
38.Specifically, the policy aims to:
i. To ensure food security for all Seychellois through efficient and effective agricultural production, sustainable fisheries and balanced by importation of healthy and nutritious food
ii. To improve and optimize the nutritional status, health and wellbeing of all Seychellois
iii. Strengthen and align institutional resilience and capacity to effectively and appropriately respond to changes and shocks in food and nutrition security needs including an adequate and responsive knowledge and science base
78. The NFNSP strives to:
Improve women’s nutrition throughout their lifecycle;
Protect, promote and support exclusive breastfeeding and safe complimentary feeding for infants and young children
Promote appropriate nutrition for school children and adolescents;
Promote healthy lifestyles across the population and to specific vulnerable groups;
Improve nutrition care and support for the elderly, the sick and the vulnerable.
79. Associated interventions to be initiated include:
i. Promote the consumption of local, diverse and healthy food across the Lifecycle
ii. Promote local healthy food businesses
iii. Develop and upgrade food labeling requirements and regulations for both local as well as imported foods.
iv. Strengthen monitoring of maternal nutritional status
v. Test, develop standards and regulate marketing of breast milk substitutes.
vi. Develop and implement a national communication strategy on infant and young child feeding.
vii. Institutionalize routine assessment and monitoring of the nutritional status of infants, young children, school children and adolescents and create awareness on healthy diets.
viii. Strengthen and support community based nutrition programs for the elderly, sick and vulnerable.
ix. Implement the National School Nutrition Policy which will coordinate all aspects of school nutrition including the curriculum, the school tuck shop, provision of school meals ,training of school personnel and establishing linkages with families and school personnel.
Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf" "40064","BEN","Benin",""," Stratégie nationale pour l’alimentation du nourrisson et du jeune enfant 2015-2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2014","","2019","Ministère de la santé","7","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Catholic Relief Services|Other, please specify under further details|Plan International|Terre des Hommes","Borne Fonden","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","Université d'Abomey CalaviIRSP","","","","","Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
Effet UNDAF 3: D’ici 2018, les populations les plus vulnérables utilisent les services sociaux de base de qualité (éducation, santé, sécurité alimentaire, eau et assainissement) ainsi que des services financiers adaptés.
Produit 3.1 : Les populations les plus vulnérables ont accès à un paquet de services essentiels de santé de qualité définis selon les normes nationales.
Produit 3.3 : Les ménages atteignent un niveau de sécurité alimentaire acceptable
Produit 3.4 : Les populations vulnérables ont accès à l’eau potable
","3. Les ménages atteignent un niveau de sécurité alimentaire acceptable : depuis plusieurs années, la couverture des besoins alimentaires nationaux est en partie assurée par un important volume d’importations, essentiellement constituées de produits carnés, traduisant la forte dépendance à l’extérieur ; d’où la nécessité de la relance de la production nationale. Les capacités des femmes seront renforcées étant donné leur important rôle dans le secteur agricole en général et en particulier dans la culture de production subsistance et dans l’alimentation. Le SNU accompagnera le renforcement des capacités techniques, logistiques et humaines du secteur agricole et halieutique, par l’encadrement des producteurs au niveau départemental et par l’appui à la diversification de leurs activités.
4. Les populations vulnérables ont accès à l’eau potable : L’accès à l’eau de boisson est un défi majeur au Congo. Malgré quelques progrès réalisés ces dernières années, des disparités existent toujours selon le milieu de résidence et les départements, et les risques d’exposition aux maladies d’origine hydrique (diarrhées, choléra) demeurent importants, au regard du faible accès à l’eau potable et des faiblesses des services d'assainissement, notamment dans les zones rurales et périurbaines. La fréquence des épidémies (choléra, poliomyélite…) enregistrées au cours de ces trois dernières années en est une excellente illustration. De ce fait, le SNU accompagnera techniquement le gouvernement dans l’amélioration de la fourniture et de la surveillance de la qualité de l’eau potable fournie aux populations.
","Taux de mortalité maternelle. Baseline : 426/100 000 Cible : 390/100 000
Taux de mortalité infantile. Baseline : 81décès pour 1000 naissances vivantes Cible : 56décès pour 1000 naissances vivantes
Taux de malnutrition chronique. Baseline : 24,4% ; Cible : 20,0%
Taux d’accès à l’eau potable. Baseline : 32% dans les zones rurales et 65%en milieu urbain ; Cible : 95%
Proportion des formations sanitaires offrant un paquet de services essentiels de santé complet. Baseline : 30% ; Cible : 90%
Pourcentage de la population qui utilise le paquet de services essentiels. Baseline : 20% ; Cible : 60%
Pourcentage des ménages ayant bénéficié d’un appui pour compléter leur ration alimentaire (jardins potagers, petit élevage, etc.).
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202014%20UNDAF.pdf" "23501","GHA","Ghana","","National Nutrition Policy 2014-2017","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2017","Government of Ghana","","2013","","","","no","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Labour|Sub-national|Other","Government of Ghana, Education and research, Finance, budget and planning, Food and agriculture, Health, Industry, Labour and employment, Environment, Gender and Social protection, Informationa and media Relations, Trade, Local Government, M. of Water and Housing","Other","SUN + unspecified 'traditional devlopment partners'.","","CSO's, NGOs","","","","","National NGOs","","Research/academia","","Private sector","food producers","Other","Cross Sectoral Planning Group, Ghana Statistical Service","3.1 Policy Goal
The goal of the NNP is to ensure optimal nutrition of all people living in Ghana throughout their lifecycle.
3.2 Policy Objectives
The NNP has three objectives:
1. To increase coverage of high-impact nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout their lifecycle, with special reference to maternal health and child survival
2. To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
3. To reposition nutrition as a priority multi-sectoral development issue in Ghana.
","3.3 Policy Measures
3.3.1 Policy Objective 1: To increase coverage of high impact
nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout the lifecycle with specific reference to maternal health and child survival
Policy Measures
1. Nutrition of Women in Child-Bearing Age and the New-Born
2. Optimal Nutrition during Infancy and Childhood
3. Nutrition of School-Age Children and Adolescents
4. Nutrition in the General Population
5. Prevent and Manage Obesity and Diet-Related Non-Communicable Diseases
6. Prevent and Manage Acute Malnutrition
7. Nutrition in Emergency Situations
3.3.2 Policy Objective 2: To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
Policy Measures
1. Health, Water, Hygiene, and Sanitation Services
2. Agriculture and Food Security
3. Social Protection and Safety Nets
4. Education
3.3.3 Policy Objective 3: To Reposition Nutrition as a Priority Multi-Sectoral Development Issue in Ghana
Policy Measures
1. Advocacy and Communication
2. Nutrition as a Priority
3. Integration and Coordination
4. Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Minimum acceptable diet|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Dietary guidelines|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","http://ndpc.gov.gh/downloads/Policy%20Almanac/Nutrition%20Policy_September%202013%20(Draft).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202013%20National%20Nutrition%20Policy.pdf" "23523","GIN","Guinea","","Plan Stratégique Multisectoriel d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","5","2014","","2016","Ministère de la Santé et de l'Hygiène Publique","5","2014","Adopted","5","2014","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Environment|Industry|Information|Sub-national","Comité national de suivi de la CINAlliance guinéenne pour la fortification des aliments Conseil national de sécurité alimentaire Agence nationale de développement agricole et de sécurité alimentaire, Division alimentation et nutrition)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)|Terre des Hommes","","Other|Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","3.2 Objectifs du plan stratégique national de nutrition et alimentation
Le but de ce plan est de faire reculer la sous-alimentation et la malnutrition ainsi que leurs conséquences socio-sanitaires.
Les objectifs spécifiques d’ici à fin 2016 sont de:
3.4.2 Approche stratégique 2 : La sécurité nutritionnelle des groupes vulnérables
7. Promotion de l’alimentation de la mère et de l’enfant
12. Supplémentation alimentaire aux groupes vulnérables – enfants de 24 à 59 mois, personnes âgées, malades, population carcérale, enfants dans la rue, réfugiés, soudure rigoureuse, PVVIH
15. Supplémentation en micronutriments (Fer Acide folique, Vit A, Zinc, Calcium…) des femmes enceintes et allaitantes, femmes de 15 à 45 ans, enfants scolarisés et non scolarisés de 1 à 14 ans
3.4.3 Approche stratégique 3 : L’Accès universel à la prise en charge holistique des cas de malnutrition
3.4.4 Approche stratégique 4 : La Formation, la recherche et le développement pour la sécurité alimentaire et nutritionnelle
Further detail on activities per strategies can be found in tables P20-25
","
3.3 Objectifs
L’objectif général est d’éradiquer la sous-alimentation et de faire reculer la malnutrition ainsi que ses conséquences économiques et socio-sanitaires.
Les objectifs spécifiques sont :
(i) atteindre l’autosuffisance alimentaire,
(ii) consolider la sécurité alimentaire,
(iii) garantir la couverture universelle de la prise en charge holistique de tous les cas de malnutrition et des maladies provoquées par la malnutrition et,
(iv) parvenir à une couverture universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité
","3.4.1 Axe 1 : La mobilisation nationale pour éradiquer la sous-alimentation
Il s’agit d’aligner les stratégies sectorielles de développement socio-économique pour la sécurité alimentaire et nutritionnelle à travers une meilleure coordination, une analyse approfondie de la situation socio-économique territoriale et la création des synergies pour des effets tangibles sur la sous-alimentation. Les secteurs suivants sont concernés au premier chef : développement agropastoral et halieutique, protection de l’environnement, promotion de l’emploi des jeunes, éducation des filles, alphabétisation, promotion de l’agro-industrie, hydraulique, énergie, eau, transports et travaux publics, communication, douanes, forces de sécurité.
3.4.2 Axe 2 : La mobilisation nationale pour faire reculer la malnutrition
Il s’agit de créer une synergie sectorielle effective pour des interventions sensibles à la nutrition telles que l’éducation nutritionnelle, la fortification alimentaire, l’hygiène alimentaire, l’assainissement du milieu, la sécurité sanitaire des aliments, la communication, l’enseignement supérieur et la recherche scientifique et technique.
3.4.3 Axe 3 : La capacitation des collectivités déconcentrées et décentralisées et des communautés locales à la base
Il s’agit d’engager davantage les autorités des collectivités déconcentrées et décentralisées dans la promotion et le suivi des activités concourant à la sécurité alimentaire et nutritionnelle d’une part et de veiller à l’appropriation effective des activités par les organisations communautaires à la base d’autre part.
3.4.4 Axe 4 : Le renforcement du système de santé pour l’accès universel aux services et soins de santé primaires de qualité
Il s’agit de veiller particulièrement à la prise en charge holistique de tous les cas de malnutrition et à l’intégration effective des interventions essentielles d’alimentation et de nutrition dans le continuum des soins pour protéger les 1000 premiers jours de vie sur l’ensemble du territoire.
","
Priority Actions
Implementation matrix of all interventions on p. 71
","Full list of indicators on p.73
Strategies:
• Increased and better targeted public spending in social programmes which impact on food security;
• Efforts to increase food production and distribution, including increased access to production inputs for the emerging agricultural sector;
• Leveraging Government food procurement to support community-based food production initiatives and smallholders; and
• The strategic use of market interventions and trade measures which will promote food security
Pillars:
• The availability of improved nutritional safety nets, including government run and supported nutrition and feeding programmes, emergency food relief, as well as private sector, CBO and NGO interventions.
• Improved nutrition education, including District level nutrition services to assist households and communities monitoring nutritional indices, providing
consumer literacy and assisting with better food management and improved meal planning.
• The alignment of investment in agriculture towards local economic development, particularly in rural areas. This includes the provision or subsidisation of inputs and support services for increased food production, as well as more effective food storage and distribution networks, involving both
government and private agencies, to eliminate waste and ensure better access to food for all.
• Improved market participation of the emerging agricultural sector through public-private partnerships, including off-take and other agreements, a government food purchase programme that supports smallholder farmers, as well as through the implementation of the Agri-BEE Charter, which requires
agro-processing industries to broaden their supply bases to include the emerging agricultural sector.
• Food and Nutrition Security Risk Management, including increased investment in research and technology to respond to the production challenges currently facing the country, such as climate change and bioenergy. It would also include the protection of prime agricultural land, and limitations on its alienation for other activities, including mining, game farming, and property development. Improved food security information management systems would also be required, with periodic scientific reviews of the state of food security in the country.
Effet UNDAF 1 : La sécurité alimentaire, la résilience des communautés aux changements climatiques et l’accès des jeunes et des femmes à l’emploi sont améliorés
Effet UNDAF 2 : Les populations notamment les plus vulnérables ont un accès équitable aux services sociaux de base de qualité
Produit 2.2 : L’offre des services de prévention, de traitement, de soins et d’appui en matière de maladies transmissibles et non transmissibles est améliorée
Produit 2.3 : La nourriture, l’eau, l’hygiène et l’assainissement sont rendus disponibles dans les écoles, les formations sanitaires et dans les communautés.
","La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
Pour en savoir plus, consulter VII. Résultats indicatifs.
","Taux de couverture des besoins alimentaires.
Pourcentage d’enfant de moins de 5 ans souffrant de malnutrition chronique.
Pourcentage d’enfants bénéficiant d’un allaitement maternel exclusif.
Nombre de personnes vivant dans des communautés ayant atteint le statut FIDAL (fin de la défécation à l’air libre).
Nombre d’école primaire publique et de structures sanitaires bénéficiant d’un point d’eau potable, et de latrines améliorées.
Nombre d’écoles publiques bénéficiant de repas scolaires pendant les jours ouvrables.
Nombre d’enfants scolarisés des écoles publiques des zones défavorisées recevant au moins un repas équilibré par jour.
Nombre de cadre de concertation, pour une alimentation saine et suffisante et une nutrition équilibrée, fonctionnels.
Nombre d’établissements scolaires disposant de jardins et des cantines scolaires fonctionnels
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TGO%202014%20UNDAF.pdf" "23503","ZWE","Zimbabwe","","Zimbabwe National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2018","Food and Nutrition Council","","2014","","","","","Education and research|Food and agriculture|Health|Labour|Nutrition council|Social welfare|Women, children, families","Food and Nutrition Council Education and research, Food and agriculture, Health, Labour, Nutrition council, Social welfare, Women, children, families,","","UN","","International NGOs & National NGOs","","","","","National NGOs","","","","","","","","KEY RESULT AREAS GOALS AND STRATEGIES
1) KRA 1 Adolescent and Maternal Nutrition Services
a. Goal 1: Coverage of health and community nutrition services for adolescents increased to 50% by 2018
b. Goal 2: Standard maternal health and nutrition package scaled up to 90% coverage by 2018
c. Goal 3: 50% of women of reproductive age have positive support from spouses and communities for decisions on maternal health, nutrition, healthy lifestyles and safe living environment by 2018.
2) KRA2: Infant and Young Child Nutrition
a. Goal 4: All health institutions provide the standard IYCF package (BMFHI, BF, CF, multiple micronutrient supplementation and fortification, dietary diversification, disease prevention and management, nutrition interventions in emergencies, feeding behaviours and stimulation, PMTCT, WASH and IMAM) by 2018
b. Goal 5: Community IYCF counseling package increased from 44% to 100% of districts and in at least 90% of the wards by 2018
c. Goal 6:Coverage of growth monitoring and promotion for under-fives increased from 2 districts to 20 districts by 2016 and to 40 districts by 2018 and covering 5 wards per district by 2018
3) KRA3 Clinical Nutrition Services
a. Goal 7: To increase the proportion of the adult population practicing at least one or a combination of the top 5 healthy lifestyles to 40% by 2018
b. Goal 8: Proportion of health facilities (central, provincial, mission and district hospitals) providing quality nutrition services for communicable (schistosomiasis, HIV, malaria, soil transmitted helminthes) and non-communicable diseases increased to 75% by 2018.
c. Goal 9: 30% of institutions adopt national food service and nutrition guidelines by 2018.
4) KRA4 Enhancing the Quality of Nutrition Information Systems and Effectiveness of Advocacy
a. Goal 10: Timely availability of relevant nutrition information that incorporates disaster risk reduction at all levels adequate for disaster preparedness planning and nutrition programming by 2018.
5) KRA 5 Strengthening Multi-sectoral Coordination and Collaboration for Integrated Nutrition Response
a. Goal 11:80% of women of reproductive age have the capacity to safely provide for their food, health and nutrition security using appropriate technologies
b. Goal 12: Coverage of health and community nutrition services for school children increased to 50% by 2018
c. Goal 13: All provinces and districts have Food and Nutrition Security Committees that are fully discharging their terms of reference by 2014, 50% of ward level committees functioning by 2018
d. Goal 14: To increase the proportion of households consuming safe and acceptable diets all year round to at least 80% by 2018
e. Goal 15: Scale up evidence-based nutrition sensitive interventions in social protection services to 80% coverage by 2018
f. Goal 16: At least 50% of community based health workers promote WASH related behaviour change whilst integrating nutrition messaging by 2018
g. Goal 17: To ensure that at least 50% of imported and locally produced foods are evaluated for safety by 2018.
6) KRA6 Capacity Development for Nutrition Service Delivery and Resource Mobilization
a. Goal 18:To ensure that the National Nutrition Department has a critical mass of staff with the ability, tools, supportive supervision and resources to integrate nutrition into other sectors
b. Goal 19: To increase resource allocation to nutrition to 1% of GDP per year by 2018.
","","Table 14 contains Outcome Indicators, Baseline Values, Targets and Allowable Variance
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202014%20National%20Nutrition%20Strategy.pdf" "24707","BFA","Burkina Faso","","Plan de Renforcement de la Lutte Contre les Carences en Micronutriments","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2015","","2020","Ministere de la Sante","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Industry","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Helen Keller International (HKI)|Nutrition International|Terre des Hommes","","","","","","","","","","","","","","Objectif général
financements pour une mise en oeuvre efficiente de la lutte contre les carences en Contribuer à la réduction des carences en micronutriments au Burkina Faso d’ici 2020.
Objectifs spécifiques
Supplémentation médicamenteuse
La fortification à domicile
L’iodation universelle du sel
Education nutritionnelle
Renforcement du suivi et de l’évaluation des interventions
","Table Pages 44-45
","Outcome indicators","","Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Maize flours|Complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202015%20Plan%20contre%20les%20carences%20en%20micronutriments.pdf" "39450","CIV","Côte d'Ivoire","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2020","","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade|Industry","Ministère en charge des Ressources Animales et Halieutiques,Ministère en charge de l’hydraulique humaine","","Système des Nations Unies","Other","Organisations Non Gouvernementales internationales.","Other","partenaires multilatérauxpartenaires bilatéraux","","","National NGOs","","","","","","","","6.2. Objectif Général
L’objectif général du Plan National Multisectoriel pour la Nutrition 2016-2020 est
d’améliorer le statut nutritionnel de la population.
6.3. Objectifs Spécifiques
6.4. Objectifs Sectoriels
5.1.2 Objectif global
Réduire de 15% le nombre de la population en situation d’extrême pauvreté
","Axe stratégique 1 : Augmentation les revenus des plus pauvres
Axe stratégique 2 : Amélioration de l’accès aux services sociaux de base
Pillar 3: Accelerating human development
D. By 2018, children under five, adolescent girls, women of reproductive age, vulnerable groups and households are better protected from hunger and show improved nutritional status as a result of stronger UN support to the government.
E. By 2018, communities have improved and equitable use of safe drinking water, sanitation and hygiene practices.
Pillar 6: Strengthen social protection systems
A. By 2018, vulnerable populations including adolescent girls have increased access to livelihoods, education and improved nutritional status
B. By 2018, 20% of extremely poor households have access to social safety nets
","","
Proportion of women 15-49 years with anaemia.
Proportion of children under 2 years. that are stunted
Proportion of children under 5years that are Underweight
Proportion of infants 0-5 months that are exclusively breastfed
Proportion of population using an improved water source
Proportion of population using basic sanitation
Proportion of population that is practicing open defecation
Percentage of food secure house hold
Supplementary feeding performance rates among targeted children under 5
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Food distribution/supplementation for prevention of acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202015%20UNDAF.pdf" "24689","BEN","Benin","","Directives nationales pour la surveillance de la croissance et du développement de l’enfant au Benin","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","6","2016","","","Ministère de la Santé/DIRECTION DE LA SANTE DE LA MERE ET DE L’ENFANT","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","Objectif général
Améliorer les pratiques de la surveillance de la croissance et du développement de l’enfant pendant et après la fenêtre d’opportunité des 1000 premiers jours de vie.
Objectifs Spécifiques
surveillance de l’état nutritionnel de la femme enceinte
surveillance de l’état nutritionnel chez la femme allaitante
surveillance de la croissance et le développement des enfants 0-24 mois
surveillance de la croissance et du développement de l’enfant après les 1000 premiers jours de vie
","
2.1. But
Contribuer à la réduction de la mortalité infantile à travers l’allaitement maternel.
2.2. Objectif général
Améliorer l’état nutritionnel des enfants de 0 à 24 mois, à travers la pratique adéquate de l’allaitement maternel d’ici fin 2020
2.3. Objectifs spécifiques
D’ici 2020 :
•Porter de 46,6 à 80% le taux de mise au sein dès la première heure de vie ;
•Porter de 41,4 à 60%, le taux d’allaitement maternel exclusif jusqu’à six mois ;
•Accroître de 45,5 à 70%, le taux d’allaitement maternel continu jusqu’à 24 mois en plus de la diversification alimentaire.
2.4. Objectifs intermédiaires
2.4.1. Chez les mères
D’ici 2020 :
1. Amener 90% des mères à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
2. Augmenter à 75% la proportion des mères qui adoptent un bon positionnement du nouveau-né au sein et une bonne prise de sein,
3. Porter à 75%, la proportion des mères qui pratiquent adéquatement la technique d’expression du lait maternel,
4. Augmenter à 60%, la proportion des mères qui jouissent de leurs droits relatifs à l’allaitement maternel au Bénin.
5. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
6. Amener 80% des mères à appliquer la Méthode Kangourou chez les enfants de faible poids de naissance (hypotrophe et prématuré) ;
7. Rendre disponible dans toutes les formations socio-sanitaires, les fiches techniques et les affiches sur l’allaitement maternel ;
2.4.2. Chez les membres de la communauté
8. Augmenter à 80%, la proportion des mères qui continuent l’allaitement maternel jusqu’à 24 mois en plus de la diversification alimentaire adéquate,
9. Amener 50% des membres de la communauté à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
10. Mettre en place au moins un groupe de soutien à l’allaitement dans chaque village ou quartier de ville.
2.4.3. Chez le personnel socio-sanitaire
11. Amener75% du personnel socio-sanitaire à avoir une bonne connaissance sur les avantages, les méthodes d’expression et de conservation du lait maternel ainsi que la durée de conservation,
12. Augmenter à 75%, la proportion du personnel socio-sanitaire qui donne des conseils adéquats sur l’AM lors des séances d’éducation individuelle et collective
13. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
2.4.4. Au plan administratif, politique et législatif
14. Renforcer les connaissances des différents acteurs (employeurs, agents socio-sanitaires, mères) sur les textes et les lois en faveur de l’AM.
15. Inciter à la révision et l’application des textes et lois en faveur de l’AM
","
I- STRATEGIES
Pour atteindre ces objectifs, les orientations stratégiques suivantes sont proposées :
process indicators: see pages 19-27
outcome indicators: see pages 30-34
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Regulation on marketing of complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20de%20Renforcement%20Alllaitement%20maternel.pdf" "40061","BDI","Burundi","","Politique nationale de santé 2016 – 2025","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2025","Ministère de la Santé Publique et de Lutte contre le Sida","1","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Environment|Information|Other","Défense et SécuritéÉnergie et Mines","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","A l’horizon 2025, le Burundi vise :
(6) Réduction de la malnutrition jusqu’aux seuils de l’OMS soit : malnutrition chronique :<40%, Insuffisance pondérale :<25%, Malnutrition aigue : <5% particulièrement chez les populations les plus vulnérables notamment les enfants de moins de cinq ans, les femmes enceintes ou allaitantes, les personnes vivant avec le VIH et les personnes âgées.
(10) L’accès pour les jeunes de 20- 24 ans à l’éducation nutritionnelle des jeunes
","6.1.3. Domaine prioritaire III : amélioration de la santé maternelle, du nouveau-né, de l’enfant d’âge préscolaire, de l’enfant d’âge scolaire, de l’adolescent(e) et de la personne âgée.
(1) Période pré-gestationnelle:
(2) Période gestationnelle:
(3) Période de travail et de l’accouchement :
(5) Période postnatale (nouveau-né):
(6) Période de la petite enfance ( jusqu’à 11 mois):
(7) Période de l’enfance (12-59 mois)
(8) Période scolaire (6 à 10 ans): (
(9) Période de l’adolescence (10- 20 ans)
(10) Période de la jeunesse (20- 24 ans) :
6.1.4. Domaine prioritaire IV : lutte contre la malnutrition
6.1.4.1. Reduction de la malnutrition chronique chez les enfants de moins de 5 ans
6.1.4.2. Reduction de la malnutrition chez la femme en âge de procréer, surtout la femme enceinte ou la femme allaitante
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
% d’enfants < 5 ans souffrant de malnutrition chronique
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20National%20Health%20Policy.pdf" "40363","BDI","Burundi","","Stratégie nationale de la santé des adolescents au Burundi","Health sector policy, strategy or plan with nutrition components","","French","","2016","11","2020","Ministère de la santé publique et de la lutte contre le sida","11","2015","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information|Justice","Ministère de la Jeunesse, Sport et CultureMinistère de la Communication et des relations avec le ParlementMinistère de la Solidarité Nationale, des Affaires Sociales et du GenreMinistère de l’Intérieur et de la Formation PatriotiqueMinistère de la Défense et des Anciens Combattants et le Ministère de la sécurité publique","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","US Agency for International Development (USAID)","coopération AllemandeRoyaume des Pays Bas","","","","","","","","","Other","Organisations de la société civile Organisations confessionnellesOrganisations de jeunesse","","","Pourcentage d'adolescents et de jeunes ayant des connaissances sur au moins trois composantes de santé des adolescent(e)s et des jeunes(nutrition, activité physique, santé sexuelle et reproductive, usage d'alcool, tabac et autres substances nuisibles à la santé (psychoactives), accident de la voie publique).
","Process indicators","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202015%20Strategie%20Sante%20des%20Adolescents_0.pdf" "39451","CIV","Côte d'Ivoire","","Plan National de Development Sanitaire 2016-2020","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2020","","","2016","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Environment","ministère de la promotion de la femme, de la famille et de la protection de l’enfant","","","","","","","","","National NGOs","","","","","","","","","AXE 4 : LUTTE CONTRE LA MALADIE
EFFET 4: La morbidité et la mortalité liées aux principales maladies sont réduites d'ici 2020 de 50%
Effet intermédiaire 4.3 : La proportion de la population présentant une malnutrition est réduite de 25%. Deux (2) extrants concourent à l’atteinte de cet effet intermédiaire. Ce sont : (i) la sous nutrition est réduit de 20% chez les enfants ; (ii) la surnutrition est réduite de 30% au niveau de la population générale ;
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years","","http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/cote_divoire/pnds_2016-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202016%20Plan%20national%20de%20developpement%20sanitaire_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" "24468","ETH","Ethiopia","","United Nations Development Assistance Framework for Ethiopia ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team in Ethiopia","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNCTAD, UNEP, UNCDF,UNODC , UNOPS, UN Women","Other","","","","","","","","Research/academia","","Private sector","","","","
Outcome 1: By 2020 Ethiopia will achieve increasingly robust and inclusive growth in agricultural production and productivity and increased commercialisation of the agricultural sector.
Outcome 7: Enhanced appropriate feeding and care practices for improved nutrition status of children under five years,adolescents, pregnant and lactating women.
Output 7.1: National,subnational and partner capacity (multisectoral nutrition technical committees and nutrition coordination bodies at all levels) strengthened for National Nutrition Programme (NNP) implementation, coordination, monitoring and reporting.
Output 7.2: Improved nutrition care practices for infants, young children, adolescents, and pregnant and lactating women (PLW).
Output 7.3: Enhanced capacity of the health system to provide quality preventive and curative nutrition services for infants, young children, adolescents, and pregnant and lactating women.
Outcome 9: By 2020 the Ethiopian population, in particular women, children and vulnerable groups, have increased access to and use affordable, safe and adequate water, sanitation and hygiene (WASH) services.
Output 9.1: Strengthened capacity of WASH sector Ministry (water, health & education) in conducting strategic planning, coordination, leveraging, advocacy and implementation of development and emergency WASH interventions.
Output 9.2: Strengthened sector WASH capacity in knowledge management that informs improvements in service delivery, policies, procedures, monitoring and evaluation at the federal and regional levels.
Output 9.3: Enhanced support for children and families leading to resilient and equitable, access to and use of safe and adequate water and sanitation services and adoption of appropriate hygiene practices in households and institutions in urban and rural areas.
Output 9.4:Populations affected by WASH Emergencies receive WASH services in line with minimum standards.
","Outcome 1. Under this outcome the UN will work with the relevant Government and other partners to strengthen the capacities of farmers and agro-pastoralists to adopt innovative farming techniques and inputs for increased production and productivity. Specific technologies that will be promoted through advocacy and practical training sessions include agricultural technologies and practices that: help increase production and productivity; ensure the reduction of pre and post-harvest losses; improve livestock production; encourage sustainable land management; promote integrated watershed management; and stimulate climate-smart agricultural practices and nutrition-sensitive agriculture. Furthermore emphasis will be placed on crop diversification as well as value added processing and commercialization of
selected commodities through inclusive value chain approaches. On the supply side, the capacity of service providers and local level institutions will be strengthened to deliver quality agricultural extension services, including financial services, further improving the capabilities of farmers, (especially women and youth) to access and control productive resources and have access to markets and agricultural related financial products.
Outcome 7. In the area of nutrition the UN will support the Government to implement and monitor the National Nutrition Programme, including the strengthening of coordination of partners working in the sub-sector at national, regional and zonal levels. At the service delivery level, the capacity of the health, agriculture and education system to provide quality preventative and curative nutrition services for infants, young children, adolescents, pregnant and lactating women, and people living with HIV will be strengthened. At the community level the UN will engage with households to improve nutrition care practices for infants, young children, adolescents and pregnant and lactating women, and provide treatment of moderate and severe acute malnutrition. In addition to this, UN agencies will use their collective capacity and work with other partners to strengthen the capacity of Government to monitor and use nutrition information, and prepare and respond to nutrition needs during emergencies.
Outcome 9. In this area the UN will work with the Government to build the capacity of technical staff in the Ministry of Water, Irrigation and Energy and at subnational level to plan, coordinate and implement both development and emergency related WASH interventions; increasing their capacity of relevant institutions to collect and analyse data to inform evidence-based service delivery. At the community level emphasis will be placed on increasing communitylevel knowledge and awareness to improve hygiene and sanitation practices within the household.
","3.3: Global acute malnutrition rate (GAM)
7.1: Proportion of children 6 to 23 months with minimum acceptable diet
7.2 Proportion of children under 6 months exclusively breastfed (disaggregated by national & refugee population)
7.1.1: Federal and regional coordination bodies and technical committees (NNCB, NNTC, RNCBs, RNTCs) meet as per schedule
7.1.2: NNP monitoring mechanism (scorecard) established at federal and regional level and updated on a regular basis
7.1.3 Number of ministries that have aligned their respective sector plan with NNP
7.1.4 Integrated NNP monitoring tool established at different levels (national and woreda)
7.2.1: Percent of GMP participation for girls and boys under 2 year of age
7.2.2: Number of woredas in developing regions with active Women-to-Women support groups.
7.3.1: Percent of children under 5 receiving vitamin A supplementation
7.3.2:. Percent of health facilities providing SAM treatment
7.3.3: Number of health posts or mobile health and nutrition teams (MHNT) providing MAM treatment
7.3.4: Number of woredas with schools providing nutrition programmes including adolescents
7.3.5: Number of SAM cases treated among refugee populations
9.1: % of populations using safe and adequate WASH services disaggregated by rural and urban areas
9.3.1: % of Ethiopian population and refugee users of safe, adequate and resilient water supply services disaggregated by urban and rural areas
9.3.2: % of Ethiopian population and refugee using safe, adequate and resilient sanitation services disaggregated by urban and rural areas
9.3.4: # of people adopting appropriate hand washing practices
9.4.1: # of people affected by WASH emergencies provided with safe and adequate water supply as per minimum emergency standards
9.4.2: # of people affected by WASH emergencies provided with appropriately designed emergency latrines
9.4.3: # of people affected by WASH emergencies participating in hygiene promotion activities
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Minimum acceptable diet|School-based health and nutrition programmes|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://et.one.un.org/content/unct/ethiopia/en/home/assistance-framework/undaf.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20UNDAF.pdf" "24473","GNB","Guinea-Bissau","","Partnership framework between Guinea-Bissau and the United Nations ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team of Guinea-Bissau","4","2016","Adopted","10","2016","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Justice|Other","Foreign Affairs, Defense, Security","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC, UNOPS, UN Women","","","The World Bank","","European Union|Other","African Union, IMF","National NGOs","","Research/academia","","Private sector","","","","
Outcome 3:All citizens, particularly the most marginalized and vulnerable, have equitable, sustainable access to and will use the services in health, nutrition, HIV/AIDS, water, sanitation and hygiene, education, and protection services.
","The promotion of the right to food and the improvement of governance of food and nutritional security as well as land governance;
The improvement in infant and newborn health through the implementation of the vaccination strategy, the promotion at the community level of knowledge, behaviors, and practices affecting the health of the newborn, infant, and mother, and the reduction in acute and moderate malnutrition in children 6 to 59 months of age, pregnant women, and nursing mothers;
The improvement of the nutritional status of TB and HIV patients under treatment;
In the area of water, sanitation and hygiene, the interventions of the United Nations team will make a contribution to the promotion of the use of improved sanitation facilities, the transition to scale of the washing of hands using soap, the promotion of sustainable, equitable access to potable water in the communities, schools, and health centers, and the development of the capacities of resource managers in potable water.
","Indicator 3.7: Proportion of children under 5 years old suffering from chronic malnutrition
Indicator 3.8: Proportion of children at least 5 years old suffering from acute malnutrition
Indicator 3.12: Rate of defecation in open air
Indicator 3.13: Proportion of people with access to potable water
Indicator 3.16: Nutritional recovery rate
","Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202016%20UNPAF.pdf" "40054","LSO","Lesotho","","Lesotho Food and Nutrition Policy (LFNP) 2016-2025","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2025","Food and Nutrition Coordinating Office","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Other","Food and Nutrition Coordinating Office (under the Prime Minister’s Office), Ministry of Local Government, Ministry of Water, Ministry of Gender, Youth, Sports and Recreation, Disaster Management Authority, Food Management Unit, National AIDS Commission","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","NGOs (unspec.), community volunteers","","","","","National NGOs","","","","","private education institutions","","","2.3. Goal
To attain optimal nutritional requirements for the improvement of health status among the population of Lesotho, enabling them to contribute effectively to national socio-economic growth and development.
3.1. Policy Objectives
Objective I. Nutrition-Specific Programming
1. To ensure that women of child-bearing age and during the neonatal period consume a diet that provides adequate nutrients appropriate for their physiological needs
2. To ensure that all infants and young children 0-59 months of age in Lesotho are appropriately fed
3. To ensure optimal nutrition for school-age children and adolescents
4. To ensure prevention, treatment and management of acute malnutrition according to IMAM guidelines
5. To ensure prevention and control of diet-related non-communicable diseases and ensure a healthy lifestyle.
6. To ensure that all people in Lesotho have adequate micronutrient status
7. To ensure that nutrition aspects are strengthened in all TB and HIV and AIDS prevention, treatment and care programmes.
Objective II. Nutrition-Sensitive Programming
1. To achieve reliable production, supply and utilisation of a variety of safe, adequate, affordable and nutritious foods at all times, the Government shall aim to promote climate-smart technologies
2. To ensure that multiple micronutrients are added to staple and other regularly consumed foods
3. To enact and implement appropriate legislation and other regulatory frameworks to ensure that safe and high quality food is available at all times
4. To expand the coverage of social protection programmes, target nutritionally vulnerable groups and strengthen the quality of service provision
5. To ensure that all children in Early Childhood Care and Development (ECCD) centres and primary schools get adequate nutrition and that nutrition education is covered in curricula from ECCD to institutions of higher learning
6. To ensure that all households and other institutions in Lesotho can live in conditions of good environmental health.
Objective III. Enabling Environment
1. Nutrition capacity building
2. Nutrition research, to ensure coordinated, regulated and appropriately prioritised nutrition research that contributes to and supports policy objectives, poverty reduction and strategy reviews.
3. Institutional framework, to facilitate coordination and harmonisation of all nutrition-related policies and programmes in order to avoid duplication, ensure optimal use of scarce resources and ensure standardisation of operations by all public and private entities
4. Budget - Efficient allocation and use of resources for implementation of LFNP
5. Common Results Framework - Monitoring and evaluation of nutrition programmes.
3.2. National Nutrition Targets to be achieved by 2025
Based on WHA global targets, the following national targets have been formulated for the LFNP to be achieved by 2025:
1. Stunting among children 6-59 months of age will be reduced to a prevalence of 23 per cent or lower
2. Anaemia prevalence among women of reproductive age (15-49 years) will be reduced to 13 per cent or lower
3. Childhood overweight will not have increased and at most will affect 7 per cent of children under five years of age
4. The exclusive breastfeeding rate during the first six months will be maintained at a level of at least 50 per cent
5. Childhood wasting will be maintained at a level below 5 per cent.
6. Low birth-weight will be maintained at a level below 5 per cent.
","
4.1. Improving Maternal Nutrition
Strategic objectives:
1. Integrate nutrition services into antenatal and postnatal care and family health packages.
2. Ensure routine iron folate supplementation and deworming.
3. Institutionalise universal maternity care.
4. Prevent malnutrition and mother-to-child transmission of HIV; ensure adherence to treatment through provision of nutrition services to women and infants.
5. Promote nutritional support for malnourished women of child-bearing age.
4.2 Promotion of Appropriate Infant and Young Child Feeding Practices
Strategic objectives:
1. Promote, protect and support exclusive breastfeeding and create an enabling environment that includes enforcement of the law on marketing breast-milk substitutes.
2. Promote efficient nutrition assessment and counselling.
3. Promote and create access to appropriate, diverse, nutritionally adequate complementary foods for children aged 6-to-24 months.
4. Support the monitoring of IYCF trends.
5. Provide essential nutrition services.
6. Advocate for the incorporation of IYCF into the curricula at all levels of formal and non-formal education systems.
4.3. Prevention, Treatment and Management of Malnutrition
Strategic objectives:
1. Promote efficient early identification, management and follow-up of acute malnutrition patients at community and health facility level.
2. Ensure availability of specialised nutrition products to treat acute malnutrition.
3. Enhance monitoring, evaluation and management of acute malnutrition programmes.
4.4. Nutrition in the General Population
Strategic objectives:
1. Facilitate the prevention and control of nutritional deficiencies through micronutrient supplementation, food fortification, food-based approaches and disease-control measures.
2. Promote behavioural practices supportive of optimal nutrition and healthy lifestyles.
4.5. Preventing and Managing Diet-Related Non-Communicable Diseases
Strategic objectives:
1. Promote consumption of healthy foods and diets, physical activity and healthy lifestyles
2. Promote programmes on prevention and management of diet-related NCDs
3. Promote screening for NCDs
4.5. Preventing Micronutrient Deficiencies
Strategic objectives:
1. Provide access to essential nutrition services, with a focus on vitamin A and iron supplementation and salt iodisation
2. Enforce micronutrient legislation
3. Support the implementation of appropriate micronutrient supplementation programmes for identified groups at risk (pregnant and lactating mothers, infant and young children, school-aged children and people living with HIV/AIDS and TB)
4. Promote the production, processing, preservation, packaging and consumption of foods rich in micronutrients
5. Develop new (and/or update existing) regulations and legislation on micronutrient fortification of both locally-produced and imported foods
6. Develop and implement a communication strategy on the importance of foods rich in micronutrients, to encourage behavioural change
7. Strengthen collaboration and linkages between communities, the GoL, NGOs and the private and informal sectors
8. Support the enforcement of food-fortification regulations and legislation
9. Advocate for the integration of routine de-worming for all populations at risk.
4.6. Nutritional Needs of Special Groups
4.6.1. Nutrition, HIV and AIDS and TB
Strategic objectives:
1. Integrate nutrition into TB, HIV and AIDS prevention, treatment and care programmes
2. Advocate for increased commitment at public, private, NGO and community levels to support nutrition, TB, HIV and AIDS programmes
3. Establish linkages between nutrition assessment care and support (NACS) in communities and livelihood programmes.
4.6.2. School-Aged Children and Adolescents
Strategic objectives:
1. Promote nutrition for optimal growth and development for school-age children and adolescents
2. Promote optimal nutrition composition of all school meals
3. Support school-based meals that contribute to improved daily attendance and reduction of dropout rates
4. Strengthen nutrition education.
5. POLICY OBJECTIVE 2: NUTRITION-SENSITIVE PRIORITY ACTIVITY AREAS
5.1. Food and Nutrition Security at National, Community and Household Level
Strategic objectives:
1. Promote utilisation of diverse, safe and nutritious foods
2. Contribute to the diversification of sustainable food production and supply-base, considering climate-smart technologies
3. Promote community nutrition programmes that support income-generating, sustainable and resilient livelihoods
4. Promote climate-smart and labour-saving technologies.
5.2. Food Fortification
Strategic objectives:
1. Promote the consumption of nutrient-enhanced foods.
2. Advocate for the provision of multiple micronutrient sachets for addition to a child’s meal before consumptions and addition to milling machines used in the community each time a pre-measured portion of grain is added.
5.3. Food Safety and Standards
Strategic objectives:
1. Improve/ensure food standards, quality and safety.
2. Develop food standards guidelines.
5.4. Caring for the Socio-Economically Deprived & Nutritionally Vulnerable
Strategic objectives:
1. Promote social protection interventions for improved nutrition
2. Promote participation by men in the provision of nutritional care and support for their families
3. Support the creation of community-based livelihood and growth-promotion programmes
4. Build capacity for the provision of nutritional care to socio-economically deprived and nutritionally vulnerable household members
5. Advocate for food and nutrition programmes directed to vulnerable groups
6. Ensure that all food packages aimed at nutritionally vulnerable groups meet nutritional standards.
5.5. Early Childhood Care and Development
Strategic objectives:
1. Improve the nutritional status of children in ECCD
2. Improve the nutritional status of children in primary schools
3. Reduce malnutrition in schools
4. Improve food and nutrition security
5. Increase knowledge on nutrition, food production and livelihood opportunities at all schools.
5.6. Water, Sanitation and Hygiene (WASH)
Strategic objectives:
1. Promote safety of drinking water, including commercially bottled water
2. Promote essential WASH practices (hand-washing with water and soap at critical times, treatment and safe storage of drinking water, and sanitary disposal of human faeces)
3. Promote water protection interventions
4. Advocate for water, sanitation and hygiene distribution services to households and other institutions.
5.7. Nutrition in Emergency Situations
Strategic objectives:
1. Strengthen nutrition early warning systems by including a food security and nutritional assessment
2. Strengthen the capacity of Government, UN agencies and NGOs to respond to nutrition and nutrition-related early warning information related to potential shocks
3. Ensure availability of specialised nutrition products, supplementary food, therapeutic food, safe drinking water and water purification commodities
4. Support integration and linkage of emergency programmes to livelihood interventions and social safety nets/transfers
5. Support infant and young child nutrition emergency principles, including breastfeeding support, essential WASH actions and access to other critical services.
","","","","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 in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|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|School meal standard|Home grown school feeding|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Nutritional care & support for people with TB|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/LSO%202016%20Food%20and%20Nutrition%20Policy.pdf" "36188","SYC","Seychelles","","Seychelles Strategy for the Prevention and Control of Noncommunicable Diseases, 2016-2025 ","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2025","Ministry of Health","","2016","Adopted","6","2016","The Strategy was presented at Cabinet and approved on the 30th of June 2016 (C16/D/MEM/154). The Strategy was subsequently presented by the Minister of Health at the National Assembly with no objection (Nation 28 July 2016).","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Urban planning|Trade|Environment|Industry|Information|Labour","Health, agriculture, communication, education, employment, energy, environment, finance, food, foreign affairs,housing, justice and security, legislature, social welfare, social and economic development, sports,tax and revenue, trade and industry, transport, urban planning and youth affairs and partnershipwith relevant civil society and private sector entities","","","","","","","","","National NGOs","","","","","","","","
1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.pdf" "36034","TZA","United Republic of Tanzania","","National Multi-sectoral Nutrition Action Plan (NMNAP)","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","Prime Ministers Office: United Republic of Tanzania","10","2016","Adopted","10","2016","Prime Ministers Office: United Republic of Tanzania. High Level Steering Committee on Nutrition (HLSCN)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Information|Labour|Sub-national","Prime Ministers Office: United Republic of TanzaniaTNFC","","UNICEF, WHO, UN-REACH, WFP, FAO","Helen Keller International (HKI)","PANITA, HKI, COUNSENUT","","Fhi360, Irish Aid, DFID, USAID","","","National NGOs","","","academia (SUA, MUHAS); institutions (Ifakara Health Institute), Tanzania Public Health Association - TPHA, Tanzania Diabetic Association – TDA, Tanzania NCD Alliance)","","unspecified","","","The NMNAP’s broad goal is to accelerate scaling up of high impact multisectoral nutrition specific and nutrition sensitive interventions and creating an enabling environment for improved nutrition, to contribute to the building of a healthy and wealthy nation.
NMNAP Key targets by 2020/21
4.5 Key strategies
4.5.1 Community-centred multisectoral approach as overarching strategy
82. Acknowledging that nutrition is a crosscutting issue that requires the effective contribution of multiple actors, sectors and administrative levels, the NMNAP is based on a national multisectoral strategic nutrition framework for planning, implementation and coordination. Thus, the overarching strategy for the NMNAP is a community-centred multisectoral nutrition approach that explicitly embraces simultaneous actions for nutrition specific interventions at the level of immediate causes and nutrition sensitive interventions at the levels of underlying and basic causes of malnutrition. A multisectoral nutrition system is composed of multiple sectors (e.g. agriculture, health, WASH (water, sanitation and hygiene), education, social protection, environment); multiple levels (national, regional, Local Government Authorities and importantly the community); and multiple partners (Government, development partners – UN/multi-laterals, bilaterals, NGOs, CSOs, academia and private sector). The multisectoral community-centred strategy is based on the overwhelming scientific evidence that achieving high coverage of the evidence-based high impact nutrition interventions (Lancet Nutrition Series 2008 and 2013) requires multisectoral harmonization and collaboration with key nutrition stakeholders.
4.5.2 Supportive cross-cutting strategies
83. The overarching multisectoral approach is complemented by several supportive strategies which are relevant and applicable to each of the seven key result areas. These include: -
1) Social and Behaviour Change Communication (SBCC) for nutrition through interpersonal communication and mass media to promote adoption of appropriated behaviours and practices and commitment to achieving common results for everyone and everywhere in the country for improved nutrition. The NMNAP will use the SBCC Strategy for 2013-2018.
2) Advocacy and Social mobilization to sustain political will and Government commitment for nutrition and to mobilise adequate resources for nutrition. Social mobilisation activities are important to create awareness of the problems of malnutrition among decision makers and community members to improve nutrition. For example, a 2013 landscape analysis by TFNC found that policy makers and communities do not perceive stunting and micronutrient deficiencies as problems to be addressed. Since many of the actions in advocacy and social mobilization require behavioural, attitude and practice changes by policy makers and communities for overall societal change all types of media need to be involved. Social mobilization will also increase the participation of communities in the implementation of the NMNAP. Since the key actors for improved nutrition are households and communities ensuring their active participation of communities is a critical success factor for the NMNAP.
3) Community-Centred Capacity Development (CCCD): The development of human, institutional and organizational capacity is critical in the implementation of the NMNAP especially at the community level. Community participation in doing their own triple A processes of assessment, analysis and action can be greatly enhanced by developing the capacity of the community and that of community-based organisations to support social accountability mechanisms (see section 6.1 for definition of social accountability). Recognizing that communities constitute the greater whole of society and that they exist in relationship with society as a whole, development of capacity of communities should go hand in hand with developing capacity at the higher levels – council, district, region, national.
4) Developing functional human resource capacity: Although human resource technical capacity in nutrition is fairly adequate, functional capacity in communication skills, coordination and strategic leadership and management requires further development. System-wide development of nutrition relevant institutions, especially for TFNC as the institutional leader in the implementation of this NMNAP will be given priority. Institutionalization of the nutrition steering committees at all levels and developing their functional capacity will be further explored.
5) Aligning all stakeholders with the NMNAP through Community-Public-Private Partnerships (C-PPP) using the “three ONES principle” of ONE plan, ONE coordinating mechanism and ONE monitoring and evaluation framework, so that every stakeholder come together to tackle malnutrition and build an enabling environment for improved nutrition with equity. Capacities will be developed to conduct and manage C-PPPs as part of a collaborative leadership strategy. Forming strategic partnerships at all levels of the nutrition system will enhance coordination and accountability. Strategic collaboration, including the engagement of the private sector through implementation of appropriate principles of social and corporate responsibility, is likely to result in cost-efficiency and effectiveness and promote ownership and sustainability.
6) Delivery of quality and timely nutrition services: This NMNAP will promote the delivery of nutrition and nutrition-relevant services that are timely and of high quality. Tools will be put in place to assess the effective implementation and delivery of services, and where bottlenecks are identified, remedial and corrective measures will be adopted including legal enforcement as appropriate.
7) Mainstream equality in all the seven Key Result Areas of the NMNAP without discrimination, focusing on women, children and adolescent girls. Although generally Tanzania has made good progress in empowering women, traditional patriarchal practices remain, that favour men, including in nutrition relevant practices, and are often reflected in both formal and informal systems and institutions especially in the rural areas.
8) A resource mobilization strategy will be developed to advocate for resource allocation to the NMNAP by both Government and partners.
9) Tracking progress and operational research and development will be promoted to ensure key lessons and insights gained from the implementation of the NMNAP are learnt and used in adjusting and improving the proposed interventions at regular intervals and linking research with programmes and training. Research will also provide quality assurance, robust data on program performance and support learning. Linking research to the programmes and to training will assure evidence-based sharing of experience and intergenerational transfer of knowledge. Efforts will be made to link the implementation of the NMNAP with nutrition-relevant centres of excellence both nationally and internationally.
10) Overall planning and coordination is a key strategy to align implementation of the NMNAP to achieve far greater results than what single sectors could achieve alone.
","note: indicators are embedded in targets: see above and document, table 4, p49
","Outcome indicators","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Staple foods|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Family planning (including birth spacing)|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.tfnc.go.tz/uploads/publications/en1512587132-NMNAP%202016-21.pdf ","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
Outcome 2.2: Health
Increased equitable access to quality health for all including the most vulnerable.
Outcome 2.3: Nutrition
Increased equitable and quality access to nutrition specific and sensitive services including the most vulnerable.
Outcome 3.1: Agriculture and Food Security
Sustainable agricultural production and productivity increased for enhanced food security, nutrition and income generation for all in rural and urban areas.
","","
3. Under (-5) mortality rate
6. Proportion of population using improved water sources for drinking
7. Proportion of population using improved sanitation facilities
1. % of children under five years stunted
2. % of children under five years wasted
3. Household Dietary diversity score (DDS)
4. Proportion of children (0-6 months) exclusively breastfed
1. Food consumption Score
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Minimum dietary diversity of women|Provision of school meals / School feeding programme|Food security and agriculture|Water and sanitation","","https://www.humanitarianresponse.info/system/files/documents/files/undaf_gmb_2016_final_0.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GMB%202016%20UNDAF.pdf" "39770","NAM","Namibia","","National Multisectoral Strategic Plan For Prevention and Control of Non-Communicable Diseases (NCDs) in Namibia 2017/18 – 2021/22","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Social Services, Primary Health Care Directorate, Family Health Division, Non-Communicable Diseases (NCDs) Programme","11","2017","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information","","","","","","","","","","National NGOs","","","","","","","","Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","
Objectif Stratégique (OS) n°1 : Réduire d’au moins 20% la prévalence du retard de croissance d’ici 2021 au niveau national
OS.1.1. Réduire d’au moins 40% la prévalence du retard de croissance dans les régions de Sédhiou, Tambacounda, Kédougou, Kolda, Louga Kaffrine, Fatick, Matam, Diourbel ;
OS.1.2. Réduire d’au moins 15% la prévalence du retard de croissance dans les autres régions (Dakar, Thiès, Kaolack, Saint-Louis, Ziguinchor) ;
OS.1.4.Augmenter d’au moins 30% la proportion de femmes enceintes et allaitantes qui ont un régime alimentaire varié, diversifié, de quantité suffisante et équilibrée ;
OS.1.5. Augmenter à 20% au moins la proportion d'enfants 6-23mois qui bénéficient d'un apport alimentaire minimum acceptable.
Objectif Stratégique (OS) n°2 : Réduire de 15% la proportion d’enfants ayant un faible poids de naissance, d’ici 2021
OS.2.1. Réduire d'au moins 40% la prévalence du faible poids de naissance dans les régions Centre et Nord ;
Objectif Stratégique (OS) n°3 : Réduire à moins de 5% la prévalence de la malnutrition aigüe des enfants de 0 à 5 ans
OS.3.1. Réduire à moins de 10% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les régions de Saint Louis, Matam, Louga, Tambacounda et Diourbel ;
OS.3.2. Réduire à moins de 5% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les autres régions.
OS.2.2. Réduire d'au moins 20% la prévalence du faible poids de naissance dans les régions Sud, Sud-Est et Ouest.
Objectif Stratégique (OS) n°4 : Porter à 43% au moins le taux de l’Allaitement Maternel Exclusif durant les 6 premiers mois
OS.4.1. Réduire de 50% le pourcentage de femmes qui donne de l’eau en plus de l’allaitement maternel pendant les six (06) premiers mois ;
OS.4.2. Porter la mise au sein précoce (dans l’heure qui suit la naissance) à 50% au moins.
Objectif Stratégique (OS) n°5 : Réduire de 25% la prévalence de l’anémie chez les groupes vulnérables
OS.5.1. Réduire de 25% la prévalence de l’anémie chez les enfants de 6 - 59 mois ;
OS.5.2. Réduire de 25% la prévalence de l’anémie chez les adolescentes (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.5.3. Réduire de 25% la prévalence de l’anémie chez les femmes en âge de reproduction.
Objectif Stratégique (OS) n°6 : Réduire d’au moins 20% la prévalence des carences pour les autres micronutriments (iode, zinc et vitamine A)
OS.6.1. Réduire de 20% la carence en zinc chez les enfants de moins de 5 ans ;
OS.6.2. Réduire d’au moins 20% la prévalence de la carence en iode chez les FAR ;
OS.6.3. Réduire d’au moins 20% la prévalence de la carence en iode chez les FE ;
OS.6.4. Réduire d’au moins 20% la prévalence de la carence en Vitamine A chez les enfants de moins 5 ans ;
OS.6.5. Porter à 80% le taux de consommation de sel adéquatement iodé dans les ménages.
Objectif Stratégique (OS) n°7 : Réduire de 10% la prévalence de l’obésité chez les groupes vulnérables
OS.7.1. Réduire la prévalence de l’obésité d’au moins 5% chez les enfants de moins de 5 ans ;
OS.7.2. Réduire la prévalence de l’obésité de 5% chez les adolescents (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.7.3. Réduire la prévalence de l’obésité de 5% chez les FAR.
","","*Voir le Tableau 1 sur la page 70
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Vitamin A|Other B-vitamins|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","http://intomorrowetrust.com/psmn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2017-2021-Plan%20Strategique%20multisectorel%20de%20la%20Nutrition.pdf" "96698","MLI","Mali","","Plan stratégique intègre de lutte contre les maladies non transmissibles (MNT) 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé et des Affaires Sociales","2","2018","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Environment","","","","","","","","","","National NGOs","","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
E- CIBLES
These guidelines focus on the benefits of exclusive breastfeeding, management of breast problems, introduction of complementary foods and young child nutrition needs. The purpose of these guidelines is to promote, protect and support breastfeeding for all children.
The objectives of these guidelines are to provide health workers with the capacity, knowledge, and skills to:
Promote, protect and support exclusive breastfeeding
Assist all mothers irrespective of their HIV status to effectively and safely feed (avoid mixed feeding) their infants and young children.
Refer women, their partners and their children for required services, including HIV Counselling and Testing (HCT), Prevention of Mother to Child Transmission (PMTCT) and Infant and Young Child Feeding (IYCF) Counselling as necessary
This guideline does not prepare health workers to become HIV counsellors as it only covers the aspect of infant and young child feeding. Health workers should also be trained in breastfeeding promotion and management, PMTCT and HCT.
","
Promotion de l’allaitement exclusif puis complété.
Promouvoir une alimentation saine et équilibrée.
Promouvoir la consommation du sel suffisamment iodé.
Cible 27 : D’ici fin 2018, le niveau de la malnutrition aigüe sévère passe de 2% à moins de 0,5%
R2.15. Augmenter le taux d’allaitement maternel exclusif de 64,3% à 70%
R2.16. Réduire le niveau de la malnutrition aigüe sévère de 5,5 % à moins de 3,5%
R2.17. Réduire le niveau de la malnutrition chronique de 48,8 % à moins de 35 %
","
Multiplication des Centres Nutritionnels de PEC de malnutrition
Renforcement des prestations des interventions à haut impact sur la SRMNIA (PF, CPNr, SONU, SENN, PCIME, PTME, Vaccination, Nutrition, SRAJ, PEC des fistules obstétricales et VBG, prévention du cancer du col utérin,
Organisation des visites à domicile pour relancer les femmes enceintes à la CPN, les parturientes à la CPoN, et les mères des enfants malnutris à l’éducation et récupération nutritionnelle
A2.6.1. Elaborer les normes et standards sur le paquet des soins des adolescents intégrant les volets nutritionnel, psychologique, comportemental, et la prévention de la consommation d’alcool, du tabac et des drogues ;
A2.7.18. Former les ASC sur leur rôle dans la santé maternelle, néonatale et infantile, notamment sur le dépistage, la référence et le suivi de la PEC des cas de malnutrition dans le cadre du paquet intégré communautaire
","Taux d’allaitement maternel exclusif
Prévalence de la malnutrition aigüe chez les enfants de moins de 5 ans
Prévalence de la malnutrition chronique chez les enfants de moins de 5 ans
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Breastfeeding|Breastfeeding - Exclusive 6 months|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on infant feeding in the context HIV|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Family planning (including birth spacing)|Vaccination|Water and sanitation","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20Plan%20Nationalde%20la%20Sante%20de%20la%20Reproduction%20de%20la%20Sante%20de%20la%20Mere%2C%20lu%20Nouveau-Ne%2C%20de%20L%E2%80%99enfant%20et%20de%20L%E2%80%99adolescent.pdf" "40696","LSO","Lesotho","","National Adolescent Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","","The Government of Lesotho","11","2006","Not adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Justice|Labour|Other","the National AIDS Commission","","","","","","","","","","","","","","","","","In order to create an enabling policy environment and align with the strategic directions in FNP, FNS will have the following strategic objectives:
Page 66 - Page 175
Page 66 - Page 175
V- OBJECTIFS
5.1. Objectif général
Contribuer à l’amélioration de l’état nutritionnel des populations du Burkina Faso d’ici 2015.
5.2. Objectifs spécifiques
1. Réduire la prévalence de l’insuffisance pondérale de 38% à 25% chez les enfants de moins de 5 ans d’ici 2015 ;
2. Renforcer la lutte contre les carences en micronutriments (iode, fer, vitamine A) d’ici 2015 ;
3. Renforcer la lutte contre les maladies chroniques non transmissibles liées à la nutrition d’ici 2015 ;
4. Améliorer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
5. Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015 ;
6. Améliorer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
","VI. ORIENTATIONS STRATEGIQUES
Stratégie 1 : Surveillance et prise en charge nutritionnelle
Il s’agira de renforcer les mécanismes de surveillance de l’état nutritionnel des groupes vulnérables (nourrissons, jeunes enfants, femmes enceintes et femmes allaitantes y compris PVVIH) et la prise en charge de la malnutrition à travers :
Stratégie 2 : Promotion de l’alimentation optimale du nourrisson et du jeune enfant
La mise en oeuvre de cette stratégie se fera par le soutien aux approches et initiatives suivantes :
6.4. Objectif spécifique 4 : Renforcer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
6.5. Objectif spécifique 5 : Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015.
6.6. Objectif spécifique 6 : Renforcer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015