"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" "8032","KIR","Kiribati","","Breastfeeding policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","1998","","","Min of Health","","1998","Adopted","","2009","","Health","Min of Health","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|Complementary feeding|Nutrition & infectious disease","","https://www.babymilkaction.org/wp-content/uploads/2022/09/Kiribati.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "8843","KAZ","Kazakhstan","","Iodine deficiency disorders prevention among population of Kazakhstan Republic for 2001-2005","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","","2001","","","Ministry of Public Health of Kazakhstan Republic and The Kazakh Academy of Nutrition","","2002","Adopted","","","","","","","","","","","","","","","","","","","","","","","","","","","Iodine","","https://adilet.zan.kz/kaz/docs/P010001283_","","Coutry reporting template,2009, WORLD HEALTH ORGANIZATION Regional Office for Europe, Noncommunicable Diseases and Environment Unit Monitoring progress on improving nutrition and physical activity and preventing obesity in the WHO European Region","" "8233","GTM","Guatemala","","Plan de Contingencia Alimentaria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2009","","2010","Consejo de Cohesión Social","","2009","Adopted","","2009","Gobierno de la República de Guatemalahttp://www.guatemala.gob.gt/noticia4.php?codigo=3435&titulo2=Nacional http://www.redhum.org/emergencias2.php?emergencia=321","Education and research|Food and agriculture|Health","MINEDUC, MAGA, MOH","","","","","","","","","National NGOs","FONAPAZ, SE-CONRED","","","","","","","","","","","","Food distribution/supplementation for prevention of acute malnutrition","","http://www.sesan.gob.gt/","","WHO Global Nutrition Policy Review 2009-2010","" "36085","BEL","Belgium","","Plan wallon nutrition santé et bien-être des ainés","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2012","","","Gouvernement wallon","","2012","Adopted","","2010","Gouvernement wallon","","Gouvernement wallon","","","","","","","","","National NGOs","","","","","union professionnelle des diplômés en diététique de langue française (UPDLF)","","","","","","","","","","http://socialsante.wallonie.be/ https://www.wallonie.be/sites/default/files/2018-12/plan_wallon_pour_la_nutrition_la_sante_et_le_bien-etre_des_aines_-_guide_pour_les_maisons_de_repos_partie_1_et_2.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "8516","PYF","French Polynesia","","Programme polynésien pour la promotion de l'allaitement maternel","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2015","","2020","Ministère de la santé","","2015","","","","","Health","","","","","","","","","","","","","","","","","","","","","","","Breastfeeding","","https://www.service-public.pf/dsp/wp-content/uploads/sites/12/2019/12/Programme-AM-2015-2020.pdf","","","" "8203","CRI","Costa Rica","","Plan Nacional para la Prevención y abordaje Obesidad","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2017","","2020","","","2017","","","","","Education and research|Health|Social welfare","Ministerio Educación Pública. (MEP), Ministerio de Salud, Caja Costarricense de Seguro Social","","","","","","","","","","","Research/academia","Universidad de Costa Rica (U.C.R.)","","","","","","","","","","Overweight and obesity in school age children and adolescents|Diet-related NCDs","","https://www.fao.org/faolex/results/details/es/c/LEX-FAOC211094/","","","" "96706","TUR","Türkiye","","Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı. Yetişkin ve Çocukluk Çaği Obezitesinin Önlenmesi ve Fiziksel Aktivite Eylem Plani 2019-2023 [Adult and Childhood Obesity Prevention and Physical Activity Action Plan]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Turkish","","2019","","2023","Ministry of Health","10","2019","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Finance, budget and planning|Trade","Ministry of Health; General Directorate of Public Health; Department of HealthyNutrition and Active Life; Ministry of Agriculture and Forestry; Ministry of Finance; Ministry of Commerce: Ministry of Labor; Social Services and Family;","","","","","","","","","","","","","Private sector","the industry sector","","","
BÖLÜM I. YETİŞKİNLERE YÖNELİK EYLEM PLANI
…
2. HEDEF VE STRATEJİLER
A. Bütünsel sağlık yaklaşımı için yönetişim ve iş birliklerinin güçlendirilmesi
Ana Öncelik:
Önemli bir halk sağlığı sorunu olan obezitenin önlenmesi ve azaltılması için ilgili kurum ve kuruluşlarla iş birliği içinde obezite ile mücadele eylem planının uygulanmasını sağlayarak obezite ile etkin mücadele etmek.
B. Sağlıklı beslenme çevreleri oluşturulması
Ana Öncelik:
Toplumda yeterli ve dengeli beslenme ve fiziksel aktivite alışkanlığını kazandırmak ve obezite riskini azaltmak.
C. Özellikle dezavantajlı gruplar başta olmak üzere yaşam boyu sağlıklı beslenmenin kazanımlarının desteklenmesi
Ana Öncelik:
Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı kapsamında bütün vatandaşlar için dengeli ve sağlıklı beslenme için sağlıklı gıdaya erişimini sağlamak.
D. Sağlık hizmetlerinin reorganizasyonu; entegre sağlık hizmeti sunumu (beslenmeyle ilgili bilgi ve danışmanlık verilmesi, erken tanı, tedavi rehabilitasyon hizmetleri)
Ana Öncelik:
Sağlık kuruluşlarına başvuran bireyleri fazla kiloluluk ve obezite açısından değerlendirmek, obezite teşhisi konan hastaların erken tanı, danışmanlık ve tedavilerini (tıbbi ve cerrahi tedaviler dâhil olmak üzere) yapmak, obezite ve obezite ile ilişkili kronik hastalıkların tedavisinin yol açtığı sağlık harcamalarını ve obezite sıklığını azaltmak.
…
BÖLÜM II. ÇOCUKLUK ÇAĞIOBEZİTESİNİN ÖNLENMESİ EYLEM PLANI (2019-2023)
…
2. HEDEF VE STRATEJİLER
Programda yer alan eylem alanları ve ana öncelikler aşağıda yer almakta olup eylemlere ilişkin detaylı aktiviteler ve izleme göstergeleri tablolarda yer almaktadır.
A. Hayata sağlıklı bir başlangıcın desteklenmesi
“Çocukluk çağı obezitesi riskinin azaltılması ve BOH’ların önlenmesi için mevcut doğum öncesi ve gebelik öncesi bakım rehberliklerinin güçlendirilerek entegre edilmesi”
Ana Öncelik:
Mümkün olabildiğince erken yaşta/aşamada etkili bir yaklaşımı sağlamak.
B. Okullarda ve okul öncesinde daha sağlıklı çevrelerin teşvik edilmesi
“Sağlıklı davranışların geliştirilmesi ve çocukların uygun büyümelerinin sağlanması, erken çocukluk döneminde sağlıklı beslenme, uyku ve fiziksel aktivitenin desteklenmesi ve rehberlik sağlanması”.
“Okul çağı çocuklar ve ergenlerde sağlık ve beslenme okuryazarlığı, fiziksel aktivitenin geliştirilmesine yönelik sağlıklı okul çevrelerinin geliştirilmesi için kapsamlı programlar uygulanması”.
Ana Öncelik:
Okullarda çocukların sağlığını öncelik olarak belirlemek.
C. Ailelerin bilgilendirilmesi ve güçlendirilmesi
“Obez olan çocuk ve gençler için yaşam tarzı ağırlık yönetimi üzerine çok bileşenli aile tabanlı hizmet sağlanması”.
Ana Öncelik:
Çocuklu aileleri günlük besinleri ve sağlıklı seçenekler hakkında bilgilendirmek.
D. Sağlıklı seçeneklerin kolay seçenek olmasının sağlanması
“Çocuk ve ergenler tarafından şekerli ve sağlıksız gıdaların alımını azaltan ve sağlıklı gıdaların alımını teşvik eden kapsamlı programların uygulanması”.
Ana Öncelik:
Çocuklara sağlıklı gıda seçeneklerinin geniş bir şekilde sunulmasını / erişilebilirliğini sağlamak.
E. Çocuklara yönelik pazarlama baskısının azaltılması
Ana Öncelik:
Çocukların yüksek yağ, tuz ve şeker içeren gıda /içecek reklamlarına maruz kalmalarını sınırlamak, konuyla ilgili mevzuat ve düzenlemeler geliştirmek gibi etkili önlemler almak ve mevzuatın etkin bir şekilde uygulanabilmesi için mekanizmalar oluşturmak.
“Sağlıksız gıdaların pazarlanma gücü ve çocuk ve ergenlerin pazarlama maruziyetinin azaltılması için alkolsüz içecekler ve gıda pazarlamaları üzerine DSÖ öneri setlerinin uygulanması”.
…
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Maternity protection|Stunting in children 0-5 yrs|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|School fruit and vegetable scheme|School milk scheme|School gardens|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Menu labelling|Fats|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Folic acid|Iodine|Iron|Vitamin D|Home, school or community gardens|Water and sanitation|Vulnerable groups","","https://hsgm.saglik.gov.tr/tr/beslenmehareket-yayinlar1/beslenmehareket-programlar/585.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUR%202019%20T%C3%BCrkiye%20Sa%C4%9Flikli%20Beslenme%20ve%20Hareketli%20Hayat%20Programi.pdf" "8016","CHL","Chile","","Programa Nacional de Alimentación Complementaria y Programa de Alimentación Complementaria del Adulto Mayor (PNAC-PACAM)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","1920","","","Gota de Leche","","1920","Adopted","","1964","MINSAL","Health","Gota de Leche Health: MINSAL","","","","","","","","","","","","","","","","","","","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Vitamin and mineral nutrition|Food fortification|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition","","http://www.minsal.cl","","WHO Global Nutrition Policy Review 2009-2010","" "7922","CHL","Chile","","Programa de Alimentación Escolar (PAE)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","1964","","","Junta Nacional de Auxilio Escolar (JUNAEB)Ministerio de Educación","","1964","Adopted","","1964","Ley de la República año 1964","Education and research","","","","","","","","","","","","","","","","","","OBJETIVO GENERAL
Contribuir con el acceso y la permanencia escolar de los niños, niñas y adolescentes en edad escolar y registrados en la matrícula oficial, fomentando estilos de vida saludables y mejorando su capacidad de aprendizaje, a través del suministro de un complemento alimentario.
OBJETIVOS ESPECÍFICOS
La complementación alimentaria se refiere al suministro diario durante el calendario escolar, de por lo menos una ración de alimentos, a los alumnos registrados en el Sistema de Matrícula SIMAT como estudiantes oficiales, financiados con recursos del Sistema General de Participaciones, focalizados por el Programa. Los complementos alimentarios deben ser entregados en los establecimientos educativos para consumo inmediato, garantizando la existencia de condiciones de infraestructura y calidad en los procesos de compra, almacenamiento, producción y distribución de los alimentos.
Normas higiénico sanitarias (Dec 3075/97)
","","","Food distribution/supplementation for prevention of acute malnutrition","","http://www.junaeb.cl","http://www.mineducacion.gov.co/1621/articles-321386_PAE.pdfhttp://www.mineducacion.gov.co/1621/articles-323866_archivo_pdf_enfoque_PAE.pdf","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHL%20Programa%20de%20Alimentaci%C3%B3n%20Escolar%20%28PAE%29.pdf" "8632","DMA","Dominica","","Commonwealth of Dominica Breastfeeding Policy - Adopted 1993 and Revised - 1999","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","1993","","","Government","","1993","Adopted","","1993","","","","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes","","","","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html)","" "8710","KWT","Kuwait","","Strategy for the National Plan of Action for Nutrition Awareness","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","1993","","","Nutrition Council","","1993","","","","","Education and research|Food and agriculture|Health|Other|Sub-national|Trade|Urban planning","Kuwait Institute for Science Research, The National Center for Educational Development, Public Authority For Agriculture and Fish Resources, Ministry of Health, Ministry of Electricity and Water, Kuwait Municipality, Ministry of Commerce and Industry, General Administration of Customs, Ministry of Planning","","","","","","","","","","","","","Private sector","","","","","","","","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Low birth weight|Underweight in women|Complementary feeding|Diet-related NCDs|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KWT%201993%20Strategy%20for%20the%20National%20Plan%20of%20Action%20for%20Nutrition%20Awareness.PDF" "8136","BOL","Bolivia (Plurinational State of)","","Estrategia AIEPI Nut Clínico","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","1996","","","MSD","","1996","Adopted","","1996","MSD","Cabinet/Presidency|Health|Sport","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Food fortification|Food security and agriculture","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202009%20-%20AIEPI%20nut%20clinico.pdf" "8044","CRI","Costa Rica","","Estrategia de Educación alimentaría Nutricional: Guías Alimentarias","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","1997","","","Ministerio de Salud","","1997","Adopted","","1997","Ministerio de Salud","Education and research|Health|Social welfare","Ministerio de Educación Pública, Ministerio de Salud, Caja Costarricense de Seguro Social.","","","","","","","","","","","Research/academia","Escuela de Nutrición de la Universidad de Costa Rica","","","","","","","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Food fortification","","http://www.ministeriodesalud.go.cr","","WHO Global Nutrition Policy Review 2009-2010","" "8012","GHA","Ghana","","Vitamin A Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","1998","","","GHS","","1998","Adopted","","","MOH","Health","GHS","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|Complementary feeding|Vitamin A|Food fortification","","","","WHO Global Nutrition Policy Review 2009-2010","" "11564","NAM","Namibia","","Prevention, Control and treatment of Vitamin A Deficiency Policy Guidelines","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","1999","","","Ministry of Health and Social Services","","1999","","","","","Health","Ministry of Health and Social Services","","","","","","","","","","","","","","","","","","","","","","","","","","http://scalingupnutrition.org/sun-countries/namibia","" "8510","VUT","Vanuatu","","Vanuatu Plan of Action For Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1999","","2003","Ministry of Health","","1999","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","Prevent undernutrition and reduce its prevalence in the population with specific emphasis on improving nutritional status of those most at risk (infants and pre-school children, pregnant and lacting women
reduce or at least prevent an increase in prevalence of nutrition-related disorders (obesity, hupertension and diabetes)
Increase food self-sufficiency and reduce dependence on imported foods and beverages, in particular those which are inducive of nutrition related disorders
Improve household food security
Improve availability and access to nutritious and safe foods
Enhance disaster preparedness
","","to reduce the prevalence of underweight children
To promote the practice of breast-feeding in the urban areas and prevent the decline in the rural areas
To reduce the prevalence of iron-deficiency anaemia among pregnant women by at least 20 per cent from the 1996 levels.
To reduce or control the prevalence of obsesity, hypertension and diabetes in the adult population by about 10 per cent
","Breastfeeding|Breastfeeding - Exclusive 6 months|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight and obesity in adults|Growth monitoring and promotion|Nutrition counselling on healthy diets|Iron|Food safety|Food security and agriculture|Household food security","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VUT%201999%20Venuatu%20Plan%20of%20Action%20For%20Food%20and%20Nutrition.PDF" "14850","MLT","Malta","","A Breast Feeding Policy for Malta","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2000","","","Health Division Malta","4","2000","Adopted","4","2000","Minister of Health","Health","Health Division Malta Health: Health Promotion Department, Maternity Hospitals","","","","","","","","","National NGOs","National NGOs: Mother-to-Mother Voluntary Support Groups (CANA Group)","","","","","Other","Other: Health Care Professionals (Doctors, Community Pharmacists, Midwives, MMDNA- workers, Nurses, Voluntary groups","Goal: To re-establish and reinforce a breast-feeding culture.
Aim: To formulate a local breast feeding policy that will be implemented in various settings within the health system, workplace and community.
Objectives:
Issues for implementation
Long Term
Medium Term
4. Objectivo geral do programa:
Eliminação das Doenças por Deficiência do Iodo (DDI) até ao ano 2004, através da iodização de mais 95% do sal para consumo humano e animal e o estabelecimento de condições de sustentação do processo de iodização de sal na indústria salineira.
4.1 Objectivos específicos:
a) garantir a iodização de pelo menos 95% do sal produzido em Angola através do reforço e instalação de capacidades de iodização em todas as províncias produtoras de sal;
b) reforçar o sistema organizativo através da consolidação/criação de Comissões Provinciais Técnicas de lodização de Sal (CPTIS) em todas as províncias, com trabalho permanente e eficiente;
c) estabelecer o controlo da qualidade do sal produzido e comercializado através da implementação de um sistema funcional de controlo;
d) estabelecer um sistema de vigilância epidemiológica que permita conhecer a magnitude e evolução das Doenças por Deficiência do lodo (DDI) em Angola;
e) desenhar e implementar uma estratégia nacional de Informação, Educação e Comunicação a todos os estratos da população sobre a iodização universal do sal e para a promoção do consumo humano e animal de sal iodizado.
","","","","","","","","","ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202002%20Resolu%C3%A7%C3%A3o%20n.%2028-B02.pdf" "8058","NZL","New Zealand","","Breastfeeding: A Guide to Action","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2002","","2003","Ministry of Health","11","2002","","","","","Health","Ministry of Health","","","","","","","","","","","","","","","","","The seven goals for the Action Plan are:-to establish a national intersectoral breastfeeding committee-to achieve Baby Friendly Hospitals throughout New Zealand-to gain active participation of Maori and Pacific whanau/family to improve breastfeeding promotion, advocacy and support-to establish nationally consistent breastfeeding reporting and statistics-to increase breastfeeding promotion, advocacy and co-ordination at both national and local levels-to ensure pregnant women can access anenatal education-to ensure high quality and ongoing post-partum care","Goal one:-Begin work on develping a cross-sector national breastfeeding strategy. This will supotrt the government and private sector to address the wide range of social, employment and othet barriers-Review and modify breastfeeding targetsGoal two:-Ensure all maternity facilities are working towads implementing the Baby Friendly Hospital Initiative and have a plan and timeline for attaining accreditation-Engage with the District Health Boards (DHBs), encouraging inclusion of breastfeeding initiatives in district strategic and annual plans and encourage auditing for the Baby Friendly Hospital Initiative (BFHI)-Begin development of Baby Friendly Hospital Initiative guidelines that are culturally responsive for primary health care practioners-Support the New Zealand Breastfeeding Authority (NZBA) to co-ordinate nationally training, quality and support for the Bab Friendly Hospitals Initiative Goal three:-Establish a national breastfeeding campaign specifically tailored for Maori and Pacific family/whanau and communities-Undertake an assessment of the Maori and Pacific peoples workforce to establish capacity and capability to provide family/whanau support within the communities-Support mainstream services to be culturally responsive in providing appropriate and accessible services to Maori and Pacific family/whanau and communitiesGoal four:-Standardise the Ministry of Health’s breastfeeding definitions and reporting requirements in all public health, maternity and well child service specifications-Ensure the annual report from the Maternal and New-born Information System includes a section on breastfeeding outcomes-Collect breastfeeding data automatically (eg, as part of Child Health Information Strategy) as soon as possible-Encourage education of providers and women to enhance understanding, compliance and accuracy with breastfeeding definitionsGoal five:Establish biannual national meetings and quarterly teleconferences between the Ministry, DHBs and providers, including NZBA, in order to gain consistent direction and allow recognition of important breastfeeding and other health strategies-Establish breastfeeding advocacy services-Reprint culturally appropriate resources-Incorporate breastfeeding messages with other media or marketing strategies as opportunities arise, and include information in other strategies and resources where breastfeeding provides benefits-Establish relationships with media and local councils, organisations and facility providers to promote messages in public places that depict breastfeeding as the norm and to prevent the portrayal of pacifiers and bottles-Establish relationships with employers, policy makers and others to enable and promote continued breastfeeding when mothers return to work-Undertake an international literature review of the effectiveness of social marketing and mass media campaigns. Promote breastfeeding through and annual World Breastfeeding Week-Complete the review of e New Zealand interpretation of the WHO Code and implement the recommendations to ensure that it is meeting the primary aim of protecting and promoting breastfeeding along with the provision of safe and adequate nutrition for infants-Include breastfeeding information in the Ministry of Health’s consumer information, which all practioners working under the section 88 Maternity Notice are required to give to womenGoal six:Monitor current programmes for accessibility, especially for Maori and Pacific women and their whanau and families-Encourage DHBs to consider pregnancy and parenting education as a core-service, and, as funding permits, make further courses available in areas of New Zealand where less than 30 percent of pregnant women have access to coursesGoal seven:-Secondary maternity service, via DHBs, are checked to ensure that he are providing a lactation consultancy service for women requiring specialist breastfeeding advice, and which is responsive to Maori and Pacific peoples-Ensure questions on breastfeeding are included in consumer surveys on maternity services-Identify those DHBs with poor breastfeeding outcomes and discuss strategies to improve outcomes with DHBs by December 2003-Monitor uptake of the new fee for additional midwifery postnatal home visits, allowing support for women who are having difficulty with breastfeeding-Monitor breastfeeding outcomes for all lead maternity carers to provide them with comparisons between individual and national outcomes-Audit accuracy of breastfeeding data being provided under Section 88 Maternity Notice of the New Zealand Public Health and Disability Act 2000-Encourage lead maternity carers to provide clear leadership in terms of consistency of advice and support for women and around breastfeeding during both heir hospital stay and immediately following discharge-Encourage he transfer of well child services occurs in a planned way and in consultation with the women, her lead maternity carer, and her choice of well child carer-Encourage continuity of care between lead maternity carers and well child where the woman/infant has additional needs, especially the establishment and continuance of breastfeeding-Support DHBs to implement the new framework for delivering well child services over the next two to three years","-to increase the breastfeeding (exclusive and fully) rate at 6 weeks to 74% by 2005, and 90% by 2010-to increase the breastfeeding rate (exclusive and fully) at 3 months to 57% by 2005, and 70% by 2010-to increase breastfeeding rate (exclusive and fully) at 6 months to 21% by 2005 and 27% by 2010","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Vulnerable groups","","http://www.health.govt.nz/publication/breastfeeding-guide-action","","","" "14780","UGA","Uganda","","National Anemia Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2002","","","Ministry of Health","","2002","","","","","Health","Ministry of Health","","","","","","","","","","","","","","","","","","","","","","","","http://library.health.go.ug/file-download/download/public/1061","","http://scalingupnutrition.org/sun-countries/uganda","" "8851","UKR","Ukraine","","State program on prevention of iodine deficiency among population in 2002-2005 ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Ukrainian","","2002","","","Cabinet of Council","","2002","Adopted","","","","","","","","","","","","","","","","","","","","","","Prevention of Iodine deficiency
","","","","","Iodine","","","","Country reporting template, 2009, WHO Regional Office for Europe, Noncommunicable Diseases and Environment Unit Monitoring progress on improving nutrition and physical activity and preventing obesity in the WHO European Region","" "8443","DNK","Denmark","","National Action Plan Against Obesity - Recommendations and Perspectives, Short version","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","","National Board of Health, Center for Health Promotion and Preven","6","2003","Adopted","","2003","National Board of Health","Health|Sub-national|Other","National Board of Health; Center for Health Promotion and Prevention","","","","unspec. NGOs","","","","","","","Research/academia","Institute of Preventive Medicine","Private sector","Workplaces; Food Trade Industry; Food Retail Services","Other","Hospitals; President of the Danish Society for the Study of Obesity","3.1. Objective
The objective of the action plan is to contribute to producing awareness and cultural norms in the Danish population that promote normal weight development. Also the action plan should counteract habits that lead to overweight and contribute to reducing body weight for persons who already suffer from or have a special risk of developing obesity – especially persons with type 2 diabetes and cardiovascular disease.
The overall objective is
Intermediate aims are
3.2 Target groups
The various strategies comprise the following target groups:
Specific targets for initiatives
Chapter V. Target groups provides a set of 66 actions actions that can be executes to achieve the objectives on: Private; Community; and Public Sector level.
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Fibre|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Nutrition education|Food safety","","http://www.sst.dk/publ/publ2003/National_action_plan.pdf","With this plan the National Board of Health aims to look at overweight in a holistic perspective and provide a basis for exchange of experience and dialogue with regard to future initiatives. The plan does not involve any specific ideal of slimness but rather suggests a balanced view of body weight and health which implies that slim does not equal healthy and overweight in itself does not necessarily equal poor mental and physical well-being.","WHO Global Nutrition Policy Review 2009-2010, NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DNK%202003%20National%20Obesity%20Action%20Plan.pdf" "8282","MWI","Malawi","","Infant and Young Child Nutrition Policy and Guidelines","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","2020","The Ministry of Health and Population","","2003","","","","","Health","The Ministry of Health and Population","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Family Health International (incl.AED)|World Vision International","Academy for Education and Development (AED)/Linkages, World Vision Malawi - MICAH Project","","","","","","","","","","","","","PROGRAM GOAL AND OBJECTIVES
The Infant and Young Child Nutrition Policy has been developed as an integral part of EHP, safety nets and nutrition sub-components of the PRSP. This Policy guides program coordinators/managers, policy makers, health workers and other stakeholders dealing with infants, young children and mothers on how to implement nutrition program activities.
Program Goal
To contribute to improved infant and young child nutrition for survival, growth and development.
Program Objectives
1. To increase the rate of exclusive breastfeeding among infants for the first 6 months of life.
2. To reduce mother to child transmission of HIV caused by breastfeeding
3. To provide caregivers with knowledge and enhance skills on timely, appropriate and adequate complementary feeding.
4. To ensure that nutritional needs of infants and young children and their mothers in emergency affected populations are addressed.
5. To strengthen nutrition surveillance at all levels.
6. To enhance good nutritional status for all women of the reproductive age.
7. To improve management of moderately and severely malnourished infants, young children and mothers.
8. To increase access to micronutrients by infants, young children and mothers(p. 5/6)
INFANT AND YOUNG CHILD FEEDING
A. Infant and young child feeding in the first 2 years of life
B. Infant and young child feeding and HIV/AIDS
C. Infant and young child feeding in emergency situations
D. Replacement feeding in emergency situations
E. Prevention and control of micronutrient deficiencies
i. Supplementation
ii. Fortification
iii. Dietary Diversification
iv. Public Health
F. Growth monitoring and promotion
G. Management of moderately & severely malnourished children and mothers
i. Management of moderate acute malnutrition (supplementary feeding)
ii. Management of severe acute malnutrition (therapeutic feeding)(p. 7-15)
Goal:
To ensure the survival, healthy development, and protection of the child from birth up to 5 years and the healthy status of mothers.
Objectives:
Strategies:
1. Achieve healthier weight in children and young people through actions which first stop and then reverse the increasing rates of overweight and obesity.
2. Increase the proportion of children and young people who participate in andmaintain healthy eating and adequate physical activity.
3. Strengthen children, young people, families and communities with the knowledge, skills, responsibility and resources to achieve optimal weight through healthy eating and active living.
4. Address the broader social and environmental determinants of poor nutrition and sedentary lifestyles.
5. Focus action on giving children, young people and families the best possible chance to maintain healthy weight through their everyday contacts and settings.
","Settings Strategy
1.Child Care (including child care centres, family day care and outside school hours care)
Health sector leadership:
• Seek a joint Call to Action with relevant Children and Family Services and Health Ministers.
• Develop, disseminate and promote physical activity guidelines for children under five.
• Disseminate, promote and implement the NHMRC Dietary Guidelines for Children and Adolescents.
Collaboration across sectors:
• Introduce ‘good practice’ standards on healthy eating and physical activity that meet the above guidelines and build on accreditation and funding frameworks.
• Address real and perceived barriers that may limit the achievement of standards and guidelines (eg legal liability issues, food safety regulations) including education with regard to ‘perceived’ barriers.
• Implement ‘good practice’ interventions, including training for childcare workers and information and support for parents, grandparents and carers on active play and healthy eating (including breast feeding).
2.Schools—Primary and Secondary (including public and private schools, and use of school facilities)
•Seek a joint Call to Action by Education, Sport, Recreation and Health Ministers.
• Identify, disseminate and implement ‘good practice’ and innovative curricula and environmental interventions on a national basis (eg fruit and vegetable promotion, cooking skills, physical activity).
• Promote widely the implementation of the NHMRC Dietary Guidelines for Children and Adolescents and Australian Guide to Healthy Eating by introducing standards for school canteens, vending machines, fund raising, sponsorships, special events, and by strengthening nutrition education in the curriculum.
• Develop and promote widely the implementation of physical activity guidelines for children and adolescents, and increase the amount and reach of physical education in schools (including traditional Indigenous games).
• Support initiatives for safe active travel/transport to school (eg walking/cycling to school programs).
• Develop integrated programs to reduce excessive television watching and computer games using multiple strategies with young people, teachers and parents.
• Forge and extend partnerships between schools and the wider community to raise awareness and provide resources and information to young people and families (eg sporting and recreational bodies, local government, horticulture industry).
• Develop programs to support children and adolescents to be advocates for healthy eating and active living
3.Primary Care Services (including general medical practice, community health centres, and other community-based and private sector services)
Health sector leadership:
• Promote NHMRC guidelines/prompt sheets on the prevention, treatment and management of overweight and obesity to all primary health care professional groups.
• Develop IT software for GP child and adult screening of body mass index and intervention and referral pathways.
• Develop and Implement Lifestyle Scripts for young people and parents.
• Increase the number of community-based support programs for management of overweight in young people and families, which are culturally appropriate.
4.Family and Community Care Services (including social work, child protection, juvenile justice, Centrelink, outreach services to vulnerable and disadvantaged groups)
Health sector leadership:
• Seek a joint Call to Action with relevant Children and Family Services and Health Ministers.
• Develop, disseminate and promote physical activity guidelines for children under five.
• Disseminate, promote and implement the NHMRC Dietary Guidelines for Children and Adolescents.
Collaboration across sectors:
• Introduce ‘good practice’ standards on healthy eating and physical activity that meet the above guidelines and build into the accreditation and funding frameworks.
• Implement ‘good practice’ interventions, including training for family and community care workers and information and support for parents, grandparents and carers on active living and healthy eating.
• Ensure that, where relevant, assistance with living skills includes assistance with food preparation and developing healthy eating habits.
5.Maternal and Infant Health (including hospitals, infant and child health clinics, community health services)
Health sector leadership:
• Extend ‘good’ practice programs for healthy eating (including breastfeeding) and active living within antenatal and postnatal care (including home visiting), and increase the access of these services by Indigenous people.
• Develop and disseminate information resources for parents at different stages of their child’s development—starting with new parents—on healthy eating, active living and healthy weight for themselves as well as their child.
• Assist hospitals and health services to be accredited as ‘Baby Friendly’ hospitals and community services.
• Develop and implement breastfeeding support policies and programs for all government organisations at local, state, territory and federal levels—with health departments leading by example.
6.Neighbourhoods and Community Organizations (including state/ territory government, local government, community groups, recreation and sporting bodies, and private organisations)
Collaboration across sectors:
• Seek a joint Call to Action by Local Government, Planning and Health Ministers, the Australian Local Government Association and the Planning Institute of Australia.
• Introduce healthy eating and active living initiatives in existing and future urban design projects, neighbourhood renewal and community strengthening programs.
• Strengthen state/territory government, local government and community planning of physical and service infrastructure to support healthy eating and active living (eg density of food outlets, integrated planning for ‘mixed-use localities’, availability of swimming pools in rural areas).
• Develop and promote tools for local government and community organisations (including sporting bodies) on ‘good practice’ options, including partnerships with the private sector such as retailers, the development industry and community service providers.
• Promote the National Indigenous Housing Guide to ensure improvement in household environment design and essential amenities (eg food storage, cooking facilities, power, safe water, and sanitation).
• Investigate ways to address legal liability issues where they pose barriers to active living.
7.Workplaces (including government, private and non government work settings both formal and informal)
Health sector leadership:
• Ensure that health agencies provide the lead in creating workplace environments conducive to healthy eating and active living, and improve workplace policies to assist parents with healthy eating and active living in their families (eg disseminate parent support information).
• Encourage other public sector agencies as well as the private and nongovernment sectors to provide supportive healthy eating and active living workplace environments, and improve workplace policies to assist parents with healthy eating and active living in their families (eg disseminate parent support information).
Collaboration across sectors:
• Support programs promoting active travel/transport eg walking/cycling to work and Transport Access Guides, with government agencies taking the lead.
• Initiate programs in healthy eating and active living to support parents of young children seeking work.
8.Food Suply (including food producers, manufacturers, and retailers, eg supermarkets, markets, stores, and food service outlets eg restaurants, cafes and take-aways)
Health sector leadership:
• Support and extend good practice programs (including codes of practice) to promote healthy eating (especially vegetables and fruit) through all types of food service and retail outlets, including a focus on remote and rural communities.
• Enhance consumer education, including point of sale advice, to improve understanding of food labels; dietary guidelines; and the links between weight, energy intake and physical activity levels.
• Monitor the cost and availability of healthy food choices including further development of the Healthy Food Access Basket Surveys.
Collaboration across sectors:
• Develop a national accreditation system for food service outlets and Aboriginal community controlled stores based on sales of healthy food and encourage funding bodies to recognise accreditation when funding.
• Encourage the food service industry to limit size of servings and reduce energy content of less healthy meals and snacks, and support the food manufacturing industry to develop less energy dense products.
• Develop cold chain management initiatives to improve the quality and safety of fresh produce in rural and remote areas.
• Address food access and food security issues for young people in socially disadvantaged, remote and Indigenous communities, to increase the availability of healthy foods and establish patterns of healthy eating.
9.Media and Marketing (including television, cinemas, videos, electronic games, print, internet and commercial advertising, marketing and promotions)
Health sector leadership:
• Coordinate a national program of marketing and communication activities, which supports healthy weight through promoting healthy eating and active living.
• Undertake research to understand and assess the impact of current food and drinks advertising practices on community levels of overweight and obesity.
Collaboration across sectors:
• Monitor and assess the effectiveness of the Children’s Television Standards and the revised regulatory framework for food and drinks advertising to children in meeting health objectives, and recommend modifications if necessary (eg the inclusion of health objectives in the regulatory code of practice).
National Strategies
1.Support for Families and Community-wide Education (including public policy and support strategies for families, and planned mass media communication and education)
Health sector leadership:
• Develop and implement a coordinated a whole of community education and social marketing strategy—acknowledging the needs of different communities particularly Indigenous communities—which links with other relevant communication strategies.
• Support the Australian Fruit and Vegetable Coalition in its work to promote and increase the consumption of vegetables and fruit.
• Develop parent-focused multi-media campaigns with associated support services (eg web site).
• Create and implement an ongoing public relations program and specific marketing initiatives, which support the Healthy Weight 2008 Settings Strategies.
• Develop a national awards program for innovation in promoting healthy eating and active living across the full range of Settings Strategies.
• Establish and promote a common identity and image for all initiatives.
Collaboration across sectors:
• Support parents, carers and families directly in healthy eating and active living by actions initiated through the National Agenda for Early Childhood (eg home visiting, income support).
2.‘Whole of Community’ Demonstration Areas (integrated actions from all the Settings implemented in discrete population areas as potential models for wider long term implementation in other communities and to enhance community ownership and capacity for sustained actionprevious examples have been effective)
Health sector leadership:
• Select, designate and resource at least one ‘whole of community’ demonstration area in each State and Territory (including at least two Indigenous communities) which comprises comprehensive, community-wide interventions that are evaluated.
• Establish a network of demonstration areas, and through a planned and systematic mechanism actively exchange experiences, opportunities and results.
• Establish a professional support unit and clearinghouse, to provide technical assistance, training, analysis and evaluation of the demonstration areas.
• Initiate a proactive dissemination and professional development strategy to inform policy and interventions, and strengthen capacity throughout the whole of Australia.
Collaboration across sectors:
• Establish mechanisms to disseminate findings to other sectors particularly education and local government.
• Establish a pool of ‘local champions/leaders of good practice’ within demonstration areas to provide local support (eg skills and experiences) to a range of sectors.
3.Evidence and PerformanceE Monitoring (including measurement, analysis, evaluation, policy and action research to inform planning and management, and enhance accountability)
Health sector leadership:
• Scope and develop specifications for national nutrition and physical activity monitoring and surveillance systems, including culturally appropriate Indigenous components.
• Design a comprehensive, regular, coordinated monitoring system for height and weight status (particularly of young people) and a series of validated indicators of key behaviours and environments related to healthy eating and active living.
• Establish benchmarks and strategic tracking indicators for best practice and monitor performance across the strategies.
• Begin to implement continuous progress reporting across all the Healthy Weight 2008 strategies through a performance management cycle.
• Conduct strategic and policy research to inform decision-making, and fast track the sharing and application of new research evidence Australia-wide.
• Consider the value and validity of setting measurable targets when baseline measures are available.
Collaboration across sectors:
• Undertake health impact assessments of new policies likely to impact on healthy weight.
4.Coordination and Capacity Building (including strategic management, operational coordination, infrastructure support, community and stakeholder strengthening, and professional development)
Health sector leadership:
• Develop and disseminate healthy weight resources to community members who are in a position to inluence healthy eating and active living behaviours, such as parents, teachers, child care workers, health professionals, Indigenous leaders, sports managers, caterers, manufacturers and employers.
• Establish a new national leadership development program for obesity prevention including strong Indigenous participation.
• Support relevant professional networks that can assist in the dissemination of ‘good practice’, including specific assistance for Indigenous health, education and other sector workers.
Collaboration across sectors:
• Seek the support, commitment and cooperation of all levels of government, the private sector, non-government organisations and the public for national crosssectoral action to tackle obesity.
• Encourage and support key workers and organisations to lead by example as champions for healthy weight.
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Growth monitoring and promotion|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Food security and agriculture|Household food security","","http://www.healthyactive.gov.au/internet/healthyactive/publishing.nsf/Content/healthy_weight08.pdf/$File/healthy_weight08.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AUS%202008%20healthy%20weight.pdf" "8368","BRA","Brazil","","Programa de Alimentação do Trabalhador","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Portuguese","","2004","","","Ministério do Trabalho e Emprego","","2004","Adopted","","","Ministério do Trabalho e Emprego","","","","","","","","","","","","","","","","","","","","10. PROPOSTA DE AÇÃO/PLANEJAMENTO
10.1. Possibilitar uma presença constante de técnicos que assessorem a coordenação do Programa na elaboração de projetos, no planejamento e na avaliação das ações;
10.2. Capacitar as DRTs para o atendimento ao público mediante o
treinamento regional ou local dos AFTs e pessoal administrativo afeitos ao PAT;
10.3. Intensificar a fiscalização do PAT, mobilizando os AFT’s através de pontuação específica para o atributo PAT;
10.4. Estabelecer contatos com o Ministério da Agricultura, Ministério do Desenvolvimento Social e Combate a Fome, Conselho Nacional de
Segurança alimentar e Nutricional - CONSEA, Confederação Nacional
da Agricultura e Pecuária, Confederação Nacional do Trabalhadores na
Agricultura – CONTAG e outros parceiros, a fim de promover
entendimentos para execução de um projeto piloto que favoreça o
pequeno produtor das imediações locais e reduza o custo da cesta de
alimentos para o trabalhador, mediante a eliminação do intermediário;
10.5. Propor a atualização do valor máximo incentivado, tendo em vista sua atual desafazem, e considerando que já está estabelecido na Lei o limite de dedução do Imposto de Renda em até 4%;
10.6. Estimular o controle das condições higiênicas e sanitárias dos alimentos;
""""2. GOAL AND OBJECTIVES OF THE STRATEGY
The overall goal of this strategy is to improve infant and young child feeding practices in Ethiopia. The objectives include:
1. To standardize infant and young child feeding (IYCF) practices for improved child health.
2. To specify roles and responsibilities of partners in promoting appropriate IYCF practices
3. To outline technical directives for interventions.""""(pg.3)
3. INFANT AND YOUNG CHILDREN FEEDING:
TECHNICAL GUIDANCE
3.1 Breastfeeding - 0 to 6 months (pg.3-4)
RECOMMENDATIONS (12) (pg.4-5)
3.2 Complementary feeding - 6 to 24 months and beyond (pg.5)
RECOMMENDATIONS (17) (pg.6-7)
4. INFANT AND YOUNG CHILD FEEDING INDIFFICULT CIRCUMSTANCES
4.1 IYCF in Emergencies (pg.8)
RECOMMENDATIONS (pg.9)
4.2 Infant and Young Child Feeding related to HIV & AIDS
RECOMMENDATIONS (pg.10)
5. INTERVENTIONS TO IMPROVE INFANT ANDYOUNG CHILD FEEDING
5.1 Supportive law (pg.12)
5.2 Pre service training
5.3 Advocacy
5.4 Health Facilities (pg.13)
5.5 Communities (pg.14)
6. MONITORING AND EVALUATION
Continued clinical and population based research and investigation of behavioral concerns are mechanisms for improving feeding practices. Crucial areas include:
completion and application of the international growth standards,
prevention and control of micronutrient malnutrition,
programmatic approaches and community based interventions for improving breastfeeding and complementary feeding practices,
improving maternal nutritional status and pregnancy outcome, and
interventions for preventing mother-to-child transmission of HIV in relation to infant feeding
Indicators to monitor for determining the impact of this strategy wouldinclude:
Prevalence of pre-lacteal feeding
Rate of continued breastfeeding to 24 months
Frequency of complementary feeding between 6 and 24 months
Variety of foods being fed between 6 and 24 months of age(pg.15)
Strategic directions for action
Expected results
Structure indicators
Renforcer le bien-être des enfants et des adolescents.
Mieux connaître les pratiques de terrain.
Artikel 1
Artikel 3
The key objectives for Fruit in Schools are to see:
1.2 Goal and Objectives
Infant and young child feeding is an integral part of the overall objective of ensuring the socio-economic well being of all Nigerians. It is in this context that the problem of malnutrition exists and within which the goal and objectives of this policy are derived.
1.2.1 Goal
The overall goal of the National Policy on Infant and Young Child Feeding in Nigeria is to ensure the optimal growth, protection and development of the Nigerian child from birth to the first five years of life.
1.2.2 Specific Objectives:
i. To promote, protect and support exclusive breastfeeding in the first six months of life.
ii. To create and sustain a positive image for breastfeeding throughout the society.
iii. To empower all women (including women who work outside their homes) to adopt and practice optimal infant feeding.
iv. To promote the timely introduction of appropriate and adequate complementary foods while continuing breastfeeding up to 24 months and beyond.
v. To ensure the provision of specific feeding recommendations for all infants and young children irrespective of their circumstances of birth and health status.
vi. To promote the provision of appropriate information for nutrition counselling and support for households in the prevention of malnutrition in children.
vii. To develop and strengthen activities that will protect, promote and support adequate infant and young child feeding practices.
viii. To raise awareness on issues affecting infant and young child feeding in Nigeria.
ix. To provide an enabling environment for mothers, family members and communities to make and implement informed decisions on optimal feeding of infants and young children.
x. To support and enhance the provision of enabling environment without any form of discrimination for working mothers, fathers and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
Chapter 2 and 3 promote breastfeeding and complementary feeding, with particular attention to ""special situation"" groups:
Infants and young children of HIV positive mothers;
Sick infants and young children, particularly 1) with persistent diarrhoea 2) living with HIV/AIDS;
Low birth weight infants;
Motherless/adopted infants and young children;
Infants and young children in emergency situations;
Infants of adolescent mothers;
Infants with cleft-palate.
The National Policy on infant and young child feeding in Nigeria shall achieve its goal and objectives through the following key strategies:-Legal, gender and cultural considerations-Advocacy and social mobilisation-Information, Education, Communication (IEC)-Capacity building and development-Counselling and support services-Research-Monitoring and evaluation-Supervision-Coordination
Objetivo geral
Este módulo tem como objetivo propiciar ao cursista a aquisição de informações teóricas e práticas que fundamentem sua compreensão e atuação, de forma eficiente e eficaz, na operacionalização, no controle social e no acompanhamento do Programa Nacional de Alimentação Escolar (Pnae). Dessa forma, cada unidade de estudo do módulo deve possibilitar a você o alcance dos seguintes objetivos específicos:
Unidade I – Alimentação escolar: um dos fundamentos para uma educação de qualidade
Unidade II – Conhecendo melhor o Pnae
Unidade III - Alimentação e nutrição
Unidade IV - Gestão e operacionalização do Pnae
Unidade V – A prestação de contas no âmbito do Pnae
Unidade VI – Conselho de Alimentação Escolar (CAE)
O Programa Nacional de Alimentação Escolar (PNAE) oferece alimentação escolar e ações de educação alimentar e nutricional a estudantes de todas as etapas da educação básica pública. O governo federal repassa, a estados, municípios e escolas federais, valores financeiros de caráter suplementar efetuados em 10 parcelas mensais (de fevereiro a novembro) para a cobertura de 200 dias letivos, conforme o número de matriculados em cada rede de ensino.
O PNAE é acompanhado e fiscalizado diretamente pela sociedade, por meio dos Conselhos de Alimentação Escolar (CAE), e também pelo FNDE, pelo Tribunal de Contas da União (TCU), pela Controladoria Geral da União (CGU) e pelo Ministério Público.
","O FNDE é órgão do governo federal, responsável pela assistência financeira, em caráter suplementar, ou seja, é a autarquia que efetua o cálculo dos valores financeiros a serem repassados à clientela beneficiária do Pnae. Também é quem responde pelo estabelecimento de normas, acompanhamento, monitoramento e fiscalização da execução do Pnae, além de avaliar sua eficiência, eficácia e efetividade.
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Nutrition counselling on healthy diets","","http://www.fnde.gov.br/programas/pnae","","WHO Global Nutrition Policy Review 2009-2010","" "8047","CHL","Chile","","Estrategia Global Contra la Obesidad EGO CHILE","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2006","","","Ministerio de Salud","","2006","Adopted","","2006","","Nutrition council|Health|Education and research|Women, children, families|Sport","Ministerio Educación, MINSAL","","","","","","","","","","","Research/academia","Universidades","Private sector","Empresa Privada","","","Objetivo General
Fomentar políticas y planes de acción intersectoriales, destinados a mejorar los hábitos alimentarios y aumentar la actividad física en la población (políticas sostenibles, integrales y con participación de toda la sociedad).
","Ejes de Intervención
1.- Relevar el tema nutricional a nivel del equipo de salud y de la población.
2.- Insertar la Consejería en Vida Sana en todos los controles habituales de salud de la mujer y del niño(a).
3.- Incorporar la nueva gráfica de evaluación del estado nutricional de la embarazada
4.- Evitar excesivo aumento de peso en embarazadas y controlar peso en mujeres en edad fértil
5.- Promover la recuperación de peso pregestacional: insertar control 3er y 6to mes postparto.
6.- Promover lactancia materna
7.- Educar en alimentación al destete: nueva guía alimentaria
8.- Intervenir oportunamente en la infancia e identificar factores de riesgo de ECNTs en la infancia: consulta nutricional al niño sano al 5to mes y a los 3,5 años.
9.- Incorporar a niños(as) y adultos en normativas vigentes de evaluación nutricional, alimentación y actividad física y manejo de malnutrición.
10.- Establecer redes de apoyo intra e intersectoriales.
","Aplicación de la Estrategia
VII. Réalisation des objectifs de la stratégie :
a) La première mesure pour atteindre les objectifs de la présente stratégie consiste à réaffirmer la pertinence et même l’urgence des quatre cibles opérationnelles de la Déclaration « Innocenti » sur la protection, la promotion et le soutien de l’allaitement maternel :
b) Dans le cadre de l’initiative des hôpitaux « amis des bébés », le Mali à labellisé de 2002 à 2006, 19 structures sanitaires au niveau du District de Bamako et dans certaines régions (CSREF et CSCOM).
En outre, la Déclaration « Innocenti » se préoccupe uniquement de l’allaitement maternel. Il faut donc des cibles complémentaires pour refléter une approche globale répondant aux besoins en matière de soins et d’alimentation pendant les trois premières années de la vie au moyen de tout un ensemble de mesures liées entre elles.
c) A la lumière des données scientifiques accumulées et de l’expérience acquise en matière de politiques et de programmes, le moment est venu pour le Mali, avec l’appui des organisations internationales et des autres parties intéressées :
d) Compte tenu de ces considérations, la stratégie Nationale aura comme priorité l’atteinte des cibles opérationnelles supplémentaires ci-après :
Basic Strategy objective for the food safety and nutrition is protection and improvement of public health by minimizing health and social difficulties which have appeared as a consequence of the foodborne diseases.
Nutrition Objectives
Strategic activities
For achievement of basic objective as well as specific aspirations, following strategic principles are proposed:
2. OBJECTIF GLOBAL DU PROGRAMME
L’objectif global du programme est de contribuer à améliorer la santé des populations pour la survie et le développement humain durable
3. BUT DU PROGRAMME
Le but du programme est de réduire les prévalences des carences en micronutriments (fer, vitamine A, iode), chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
4. OBJECTIFS SPECIFIQUES
En termes d’objectifs spécifiques, le programme se propose de :
5. 1. Enrichissement en fer et vitamine A des aliments dont la technologie est bien maitrisée
5. 2 Accélération de l’iodation du sel et utilisation des acquis comme référence pour les autres micronutriments
5.3 – Partenariat
","See document table ANNEX1, pages 33-43
","","Outcome indicators|Process indicators","Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Wheat flours","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202006%20Plan%20Strat%C3%A9gique%20pour%20la%20Fortification.pdf" "8002","LKA","Sri Lanka","","School Canteen Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","","Ministry of Education and Ministry of Health","","2006","Adopted","","","Ministry of Education and Ministry of Health","Health|Education and research","","","","","","","","","","","","","","","","","","","Meausres will be taken to optimise the educational performane among school children by improving their nutritional status by drawing attention to aabove mentioned areas and adoption the following strategies.
1. The Government will ensure the right of school children to have nutritious, culturally acceptable food available at a reasonable cost within the school premises
2. Ensure food hygiene
3. Facilitate children to get their meals during school hours,
4. Develop the school canteen as a “health promoting center”
5. Promote and provide child friendly services in school canteens
6. Allocation of necessary funds to improve facilities of school canteens
7. Support & strengthen human resource development to improve quality of services to a level acceptable to the consumer
8. Build up a regular monitoring system with the participation of relevant officers in both health and education sectors in National, Provincial, District, Zonal and Divisional levels
9. Take every opportunity to develop healthy dietary habits among school children by improving their knowledge, attitude and practices over diet
10. Evaluate at national level to assess the achievements of the broad aims of the policy
","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme","","https://fhb.health.gov.lk/images/FHB%20resources/School%20Health/circular/School%20Canteen%20Policy%202006%20-%20English.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LKA%202006%20School%20Canteen%20Policy%202006%20-%20English.pdf" "8453","SWE","Sweden","","A better life through diet and physical activity: Nordic plan of action on better health and quality of life through diet and physical activity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","","Nordic Council of Ministers","","2006","Adopted","","","","","","","","","","","","","","","","","","","","","","","","","","","","","http://norden.diva-portal.org/smash/get/diva2:701045/FULLTEXT01.pdf","","","" "8852","UKR","Ukraine","","Urgent measures on organization of nutrition for children in preschool, school and educational institutions","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","","Ministry of Education and Ministry of Health","","2006","Adopted","","","","","","","","","","","","","","","","","","","","","","","Control and prohibition of energy dense and nutrient-poor foods in school catering service
","","Outcome indicators","Order of Ministry of Education and Ministry of Health
","Overweight and obesity in school age children and adolescents|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Regulating marketing of unhealthy foods and beverages to children|Food distribution/supplementation for prevention of acute malnutrition","","","","Country reporting template, 2009, WHO Regional Office for Europe, Noncommunicable Diseases and Environment Unit Monitoring progress on improving nutrition and physical activity and preventing obesity in the WHO European Region","" "8145","VNM","Viet Nam","","National IYCF Action Plan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2006","","2010","National Institute of Nutrition","","2006","Adopted","","2006","MOH","Education and research|Health|Information","National Institute of Nutrition Education and research, Health, Information: Ministry of Education and Training, National Institute of Nutrition, Ministry of Information and Culture","","","","","","","","","National NGOs","National NGOs: Women Union","","","","","","","","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies","","http://www.viendinhduong.vn/home/vi/25/Download.aspx","","WHO Global Nutrition Policy Review 2009-2010","" "39783","VNM","Viet Nam","","Plan of Action for Infant and Young Child Feeding 2006-2010 ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","2010","Ministry of Health -National Institute of Nutrition","","2006","","","","","Health","","","","","","","","","","","","","","","","","","AIM
To improve knowledge and practice on IYCF (for children aged 0-3 years) of mothers and caregivers in order to improve nutritional and health status for optimal growth and development of Vietnamese children by the year 2010.
II. SPECIFIC OBJECTIVES
1. Specific objective 1
To improve availability and accessibility of appropriate and correct information on IYCF for the population.
2. Specific objective 2
To improve awareness and to change behavior/practice on IYCF for mothers and other caregivers.
3. Specific objective 3
To create an enabling environment and policies, which support proper IYCF practice.
MAIN APPROACHES AND ACTIVITIES ON IYCF IN VIETNAM
I. Improvement of the availability and accessibility of appropriate and correct information on IYCF for the population
II. Improvement of awareness and behavior/practice on IYCF of mothers and other caregivers
- Communication activities will be conducted regularly through mass media: television, radio, newspapers, and journals...1. Specific objective 1
To improve availability and accessibility of appropriate and correct information on IYCF for the population.
Indicators:
Number of communal health stations with communication and counseling corners on IYCF.Number of local health workers being trained on IYCF knowledge and counseling skills.
Number of IEC materials on IYCF published and disseminated.
2. Specific objective 2
To improve awareness and to change behavior/practice on IYCF for mothers and other caregivers.
Indicators:
Number of mothers being trained on IYCF knowledge and skills.
Percentage of infants being breastfed within one hour after birth.
Percentage of children being exclusively breastfed in the first 6 months of life.
Percentage of children being given proper complementary feeding (initiation, quantity and quality of complementary food).
3. Specific objective 3
To create an enabling environment and policies, which support proper IYCF practice.
Indicators:
Number of establishments, workshops, factories achieving the criteria of ""Baby Friendly Initiative""
The establishment of a system of legal documents and supportive policies to reinforce proper IYCF, meeting the need of a legislative corridor for IYCF.
Number of hospitals achieving the criteria of BFHI.
Number of communes (or CHS) achieving the criteria of “Baby Friendly Initiative”.
Establishment of a supervising and monitoring network on IYCF from the central to the local level.
Policy Objectives:
a) Promote and improve nutrition status of learners in order to enhance and sustain their physical, social and mental well-being.
b) Promote and maintain the health status of learners through the initiation of effective health promoting activities.
c) Improve collaboration among line ministries in planning and implementation of SHN interventions.
d) Strengthening school and community based health and nutrition activities.
e) Provide health and nutrition education and promotion of activities at all levels of the education system.
f) Promote and sustain a safe and healthy learning environment.
g) Ensure capacity building among stakeholders.
POLICY STATEMENTS:
Health:
a) a regular physical examination, treatment and referral systems in all learning institution are re-established and sustained;
b) all eligible learners are immunized;
c) guidance and Counselling services are strengthened;
d) appropriate protective clothing is provided to learners;
e) appropriate facilities for learners with Special Education Needs (SEN) are provided;
f) physical Education in all learning institutions is strengthened;
g) adequate clean and safe water is available;
h) regular personal hygiene inspections on learners are carried out;
i) appropriate and adequate sanitary facilities are available;
j) the school environment and structures are safe, clean and maintained;
k) family Life and Sexuality Education is promoted in all schools;
l) initiatives aimed at controlling, preventing and mitigating the spread and impact of STIs/HIV AND AIDS on the school community are established and strengthened;
m) preventive and control measures against communicable and non-communicable diseases are instituted;
n) school based anti-substance abuse programmes in all schools are intensified; and
o) collaboration and partnership with relevant stakeholders are promoted and strengthened;
Nutrition:
a) health and nutrition education is institutionalised at all levels of the school system;
b) eligible learners receive micronutrient supplements;
c) a school de-worming programme is established;
d) food production units are revitalised in all learning institutions;
e) the school feeding services are initiated and communities are involved; and
f) growth monitoring and promotion is institutionalised and implemented;
Institutional Framework:
a) SHN focal persons at all levels in the MoE, MoH, MACO and MCDSS are appointed;
b) SHN monitoring and evaluating systems are established; and utilized;
c) partnerships with all stakeholders in SHN activities are strengthened;
d) SHN is institutionalised at all levels of the Education system;
e) a procurement and distribution system for drugs, micronutrients supplements and supplies is established; and sustained and;
f) networking and sharing information between learning institutions, districts and provinces is initiated and strengthened at all levels;
Legal Framework:
(a) SHN activities are implemented as provided for within the existing pieces of legislation.
(b) United Nations and the African Union Children’s Charters and any other relevant Charters are incorporated into SHN activities.
The overall goal of the National Strategy is to improve the nutritional status, growth and development, health, and survival of infants and young children in Bangladesh through optimal infant and young child feeding practices.The specific objectives of the National Strategy, to be achieved by 2010, are:
-Increase the percentage of newborns who are breastfed within one hour of birth from 24% to 50% (early initiation of breastfeeding)
-Increase the percentage of infants aged less than 6 months of age who are exclusively breastfed from 42% to 60% (exclusive breastfeeding)
-Maintain the percentage of children aged 20-23 months who are still breastfed at 90% (continued breastfeeding)
- Increase the percentage of children aged 6-9 months who are breastfed and receive appropriate complementary foods (rice or starch plus foods from animal sources and one other item of fruit, pulses or vegetable) to 50% (complementary feeding)
Legislation, policy and standards
Strategy 1: Code of marketing of breast-milk substitutes
- Strengthen the implementation, monitoring and enforcement of the Breastmilk Substitutes (Regulation of Marketing) Ordinance and amendments.
Strategy 2: Maternity protection in the workplace
- Enact adequate legislation protecting the breastfeeding rights of working women in a full range of employment and establish the means for its enforcement.
Strategy 3: Codex Alimentarius
- Ensure that processed infant and complementary foods are safe and nutritionally adequate, in accordance with the relevant Codex Alimentarius standards.
Strategy 4: National policies and plans
- Incorporate infant and young child feeding interventions into national development policies and plans, major health initiatives and other projects to advocate for its importance and mobilize resources.
Health system support
Strategy 5: Baby-Friendly Hospital Initiative
- Ensure that every health facility successfully and sustainably practices all the ""Ten steps to successful breastfeeding"" and other requirements of the BFHI.
Strategy 6: Mainstreaming and prioritization of IYCF activities
- Integrate skilled behavior change counseling and support for infant and young child feeding into all points of contact between mothers and health service providers during pregnancy and the first two years of life of a child.
Strategy 7: Knowledge and skills of health service providers
- Improve the knowledge and skills of health service providers at all levels to give adequate support to mothers on infant and young child feeding, including skills training on interpersonal communication, behaviour change counselling and community mobilization.Community-based support
Strategy 8: Community-based support
- Develop community-based networks to help support appropriate infant and young child feeding at the community level, e.g. mother-to-mother support groups and peer or lay counsellors.IYCF in exceptionally difficult circumstances
Strategy 9: IYCF in exceptionally difficult circumstances
Strategy 9a: HIV and IYCF
- Develop capacity among the health system, community and family to provide adequate support to HIV-positive women to enable them to select the best feeding option for themselves and their infants, and to successfully carry out their infant feeding decisions.
Strategy 9b: Emergencies and IYCF
- Develop capacity among the health system, community and family to ensure appropriate feeding and care for infants and young children in emergencies.
Strategy 9c: Malnutrition and IYCF
- Develop the capacity among the health system (both facility and community-based), community and family to manage malnutrition, including severe wasting.
NATIONAL STRATEGY
Actions in support of anaemia prevention and control must be monitored and evaluated to test and assess program effectiveness, justify the continuation or modification of interventions and provide feedback at all levels. Monitoring of an ongoing program is continuous and aims to provide the management and other stakeholders with early indications of progress (or lack thereof) in the achievement of results and objectives. Evaluation is a periodic exercise that attempts to systematically and objectively assess progress towards and the achievement of a program's objectives or goals. Because progress in anaemia prevention and control depends on the achievement of behavioural aims and objectives, monitoring and evaluation of behavioural indicators should be given special attention.
A monitoring and evaluation plan should be developed to provide a standardized framework on how needed information will be collected, processed, analysed, interpreted, shared and used. All organizations working in the field of anaemia prevention and control should follow the same monitoring and evaluation plan to ensure comparability. It is particularly important to ensure the consistent use of indicators for monitoring and evaluating trends in anaemia prevention and control. Where possible, monitoring indicators should be incorporated into existing health information systems. Outcome and impact indicators can be included in surveys such as the Bangladesh Health and Demographic Survey, Child Nutrition Survey, and Multiple Indicator Cluster Survey.
Research, including operations research, is needed to determine the factors that contribute to anaemia and to identify cost-effective approaches to its prevention and control for evidence-based advocacy and programme implementation.
BROAD PLAN OF ACTION
3.6.1 Develop a monitoring and evaluation framework/plan to monitor and evaluate the effectiveness of IYCF interventions:
Select a standard set of input, process, output and impact indicators, including behavioural indicators
For each indicator, identify criteria and targets; trigger points for remedial action; data collection methodology, and types and sources of data.
3.11.2 Incorporate IYCF indicators into existing information systems by modifying monitoring and reporting formats and training health service providers to collect monitoring data as part of their routine activities
3.11.3 Review the monitoring data at the sub-district, district and national level and provide constant feedback to stakeholders for appropriate action.3
.11.4 Conduct periodic evaluations of the impact of interventions on infant and young child practices every 2-3 years
3.11.5 Identify priority research gaps to improve the design of interventions and programmes, and institutions which can help, technically and/or financially, to conduct and/or support the needed research.
3.11.6 Conduct assessments, operations research and evaluations of interventions related to infant and young child feeding practices.
3.11.7 Disseminate results of research, and revise strategies, interventions and guidelines in response to new knowledge and programme experiences and outcomes.
The overall goal of the National Strategy is to reduce by one quarter the prevalence of anaemia among high-risk groups in Bangladesh by 2015.The objectives to be achieved by 2015 are:
- Provide a package of interventions to prevent and control anaemia in 60% of high-risk groups, including micronutrient supplementation, parasitic diseases control, and promotion of key dietary behaviours known to improve micronutrient intake.
- Fortify at least one food vehicle with iron and other micronutrients needed for anaemia prevention
- Increase the availability of affordable micro-nutrient rich foods through household food production, crop diversification, biotechnology and biofortification.
As there are many causes of anaemia, multiple strategies are needed for its prevention and control. These strategies fall into two categories: population-based strategies and targeted strategies for high-risk groups:
Targeted strategies for high-risk groups
Strategy 1: Micronutrient supplementation
- Provide iron-folate (IFA) or multiple micronutrient (MMN) supplements to low birth weight infants aged 2-5 months and all children aged 6-23 months, pregnant women, and breastfeeding women for the first three months after delivery, adolescent girls and newly wed women in the recommended dose and frequency.
- If resources are available, provide IFA or MMN supplements to other vulnerable groups, such as children aged 24-59 months, school-aged children and non-pregnant women of reproductive age in the recommended dose and frequency.
- Counsel women and caregivers on how to take the IFA/MMN supplements, the importance of taking the full dose, and help them solve any problems they have in complying, such as managing side effects.
- Screen all children, adolescent girls and women for severe anaemia at every contact with a health service provider using the most appropriate and feasible screening method at the health care level. Provide appropriate treatment for anaemia or refer children and women for treatment.
- In emergencies, provide MMN supplements or therapeutic spreads to children aged less than 5 years, pregnant women, and breastfeeding women.
Strategy 2: Dietary improvement
- Protect, promote and support breastfeeding and complementary feeding practices, including
- Initiation of breastfeeding immediately after delivery (within half an hour)
- Exclusive breastfeeding for the first six months (180 days) of life
- Timely and appropriate introduction of complementary feeding on completion of six months (180 days) of life
- Continued breastfeeding until the child is at least 2 years
- Advise adolescent girls, mothers and caregivers on how to improve the dietary intake for themselves and their young children:
- Increase intake of meat and fish, where economically and culturally feasible
- Increase intake of locally available and affordable plant foods that are rich in micronutrients (e.g. green leafy vegetables, pulses, and legumes) and contain vitamin C to enhance iron absorption from plant foods (e.g. citrus fruits and guava)
- Consume foods and beverages which contain substances that inhibit iron absorption from plant foods at least one hour after meals (e.g. tea, milk and milk products)
- Use food processing techniques such as germination and fermentation to improve iron absorption from plant foods
- Using cooking techniques that minimize the loss of micronutrients and increase the bioavailability of micronutrients (e.g. cut vegetables after washing, add small amounts of oil, and minimize cooking times).
- Educate school children about the importance of nutrition and options for improving nutrient intake.
- Promote the consumption of fortified foods, where available and affordable.
Strategy 3: Parasitic disease control
Soil-transmitted helminths and diarrhoea
- Provide presumptive anti-helmintic treatment to children aged 24-59 months2 and adolescent girls once every six months.
- Provide a single dose of presumptive anti-helmintic treatment to pregnant women at the earliest opportunity in the second trimester3. If the local prevalence of hookworm infections is >50%, provide a second dose of anthelmintic treatment at the earliest opportunity after delivery.
- If resources allow, provide anthelmintic treatment to children aged 5-11 years every six months4.
- Provide information to women and caregivers on home care of diarrhoea (oral rehydration therapy and continued feeding), the danger signs of severe diarrhoea, and when and how to seek medical care.
- Promote good hygiene and sanitary practices to prevent infection, including the use of shoes and latrines, and hand washing after defecation, before food preparation and before eating.
Malaria (areas of malaria transmission only)
- Provide information to women and caregivers on the danger signs of malaria, and when and how to seek treatment.
- Provide rapid malaria treatment to young children and pregnant women with symptoms of fever or malaria in line with national malaria management protocol
- Promote protection measures against malaria (use of insecticide-treated bed-nets, particularly by pregnant women and children aged less than 5 years, and environmental control of mosquitoes)
Strategy 4: Family planning and safe motherhood
- Encourage women to attend ANC services as early as possible in pregnancy, and PNC after delivery.
- Provide micronutrient supplementation (Strategy 1), counseling on dietary improvement (Strategy 2), and interventions to prevent and treat hookworm infection and malaria, where endemic (Strategy 3) to pregnant and breastfeeding women.
- Mitigate and manage blood loss during delivery and in the postpartum period using appropriate methods.
- Intensify efforts with adolescents, families and communities to delay age at marriage and age at first pregnancy.
- Promote family planning methods to delay and space birthsPopulation-based strategies
Strategy 5: Food fortification
- Set legislation and regulations for fortification with iron and other micronutrients.
- Develop, produce and market foods fortified with iron and/or other micronutrients (including folic acid, vitamin B-12 and vitamin A) for the general population.
- Develop, produce, and market low cost foods fortified with iron and/or other micronutrients for specific vulnerable groups, particularly infants and young children.
- Fortify food aid products for development and emergency response programmes with iron and other micronutrients, including school-feeding programmes.
- Promote (through social marketing) foods fortified with iron and other micronutrients.
Strategy 6: Production of micronutrient-rich foods through household food production, crop diversification, biotechnology and biofortification
- Promote year-round production by households of micronutrient-rich foods or crops in home gardens, fruit tree plantation, small animal husbandry and fisheries.
- Promote the development of new varieties of staples that are rich in micronutrients (biotechnology and biofortification)
El Programa Desnutrición Cero y el rol del Sector Salud
El MSD, ha elaborado el Plan Sectorial Desnutrición Cero, en un marco de estrecha coordinación entre la Unidad de Servicios de Salud y Calidad y la Unidad Nacional de Nutrición. El plan sectorial incluye tres objetivos a ser alcanzados durante la gestión, que representan la contribución sectorial para el logro de la “Meta Desnutrición Cero”9:
1. Mejorar las prácticas de alimentación y de cuidado de los niños/as menores de 5 años.
2. Promover el consumo de alimentos fortificados y suplementos de micronutrientes para prevenir la desnutrición (Alimento Complementario Nutricional para niños/as de 6 meses a menores de 2 años y mujeres embarazadas desnutridas, hierro, vitamina A).
3. Mejorar la capacidad institucional para la atención nutricional y de las enfermedades prevalentes de los niños/as menores de 5 años.
","
Las intervenciones y estrategias consideradas por el sector salud para “Desnutrición Cero” son:
• AIEPI-Nut Clínico: Incluye la capacitación, seguimiento y monitoreo del personal de salud del primer nivel y del nivel de referencia; incorporación de los nuevos estándares de crecimiento y desarrollo de la OMS; mejora en la identificación de los niños/as con desnutrición aguda y crónica y un fuerte enfoque hacia la promoción de la salud.
• AIEPI-Nut de la familia y la comunidad, orientado al cambio social, con participación plena de los actores sociales y sus redes en todo el proceso, tal como se postula en el Modelo SAFCI. Incluye un modelo, específico para nutrición, de gestión local que considera talleres de planificación participativa, planes locales de acción, seguimiento y evaluación, determinación de responsabilidades, etc. Estos planes de acción fortalecerán la estrategia de salud municipal del Plan de Desarrollo Municipal (PDM).
Ambas intervenciones, que corresponden a la estrategia AIEPI-Nut, en el marco del Programa Desnutrición Cero, priorizan la promoción de la salud, sobre la base de las prácticas apropiadas para el cuidado y nutrición de la niñez; la prevención de las enfermedades y de la desnutrición y, como puede apreciarse, se encuentran enmarcadas en los principios y conceptos del Modelo de Salud Familiar Comunitaria Intercultural del MSD.
La estrategia AIEPI-Nut es el resultado de una profunda revisión y adecuación de la estrategia AIEPI, la cual venía siendo implementada en el país desde 1996; adecuación que se ajusta a las necesidades actuales y responde con elementos prácticos a la necesidad de combatir la desnutrición de la niñez, en todas sus formas (aguda y crónica).
• Unidades de Nutrición Integral -UNIS-, que incluye la conformación y capacitación de equipos multidisciplinarios básicos, infraestructura y equipamiento, con la finalidad de realizar actividades de promoción en temas nutricionales; vigilancia comunitaria de la desnutrición y nutrición de los niños y embarazadas; recolección y análisis de la información, etc.
• Alimento complementario para niños/as de 6 a 23 meses de edad, que se refiere a la promoción del consumo de un alimento complementario (Nutribebé), elaborado industrialmente, rico en energía y nutrientes, el cual será financiado por los municipios.
• Manejo estandarizado de la desnutrición aguda severa en hospitales de referencia seleccionados.
• Información, educación y comunicación (IEC), en el marco de una estrategia nacional, departamental y municipal.
Como puede advertirse, la estrategia AIEPI-Nut, con sus componentes clínico y comunitario, es una de las principales estrategias para contribuir al logro de la “Meta Desnutrición Cero”.
El presente documento tiene el propósito de presentar los elementos conceptuales y un modelo de trabajo con la comunidad, sus actores sociales y la organización social, para la salud y nutrición de la niñez. Se incluyen recomendaciones para que este proceso siga una secuencia lógica y fluida, además de algunas herramientas operativas básicas.
Este documento brinda una visión general del trabajo y de los roles de los diferentes actores sociales y no se enfoca hacia ningún actor social en particular.
Si bien reconoce la importancia de los ACS, no detalla todas las actividades que podrían realizar durante la visita domiciliaria ni propone herramientas de trabajo adecuadas a AIEPI-Nut; la revisión y adecuación de las herramientas específicas para ACS serán el motivo de un trabajo posterior.
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition & infectious disease|Food safety|Food security and agriculture|Vaccination","","http://www.ops.org.bo/textocompleto/naiepi28828.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BOL%202007%20-%20AIEPI%20nut%20de%20la%20Familia%20y%20la%20Comunidad.pdf" "8083","KHM","Cambodia","","National Vitamin A Policy Guidelines","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","","Ministry of Health","","2007","Adopted","","2007","Ministry of Health","Health","National Nutrition Programme, MoH, Other relevant MoH programmes: National Immunization Programme & National Reproductive Health Programme","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)|World Vision International","","US Agency for International Development (USAID)","A2Z","","","National NGOs","RACHA, RHAC, IRD, and Medicam","","","","","","","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Nutrition counselling on healthy diets|Vitamin A|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Household food security|Home, school or community gardens","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202007%20National%20Vitamin%20A%20Policy%20Guidelines.pdf" "8046","CRI","Costa Rica","","Estrategia 5 al Día Costa Rica","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2007","","","Ministerio de Salud","","2007","","","","","Health|Food and agriculture|Education and research|Social welfare|Other","Consejo Nacional de Producción (CNP), Comité Ejecutivo 5 al Día, Caja Costarricense de Seguro Social","World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Food fortification","","http://www.rafapana.org","http://www.paho.org/cor/index.php?option=com_docman&view=download&category_slug=alimentacion-y-nutricion&alias=27-informe-lanzamiento-estrategia-5-al-dia-costa-rica&Itemid=222","WHO Global Nutrition Policy Review 2009-2010","" "8302","KEN","Kenya","","Kenya Nutrition and HIV/AIDS Strategy 2007-2010","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","2010","Ministry of Medical Services","","2008","Adopted","","2008","Ministry of Health","Health","Ministry of Medical Services Health: Ministry of Health/Global Fund","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","2.2 Overview of National Nutritional Targets:
(a) Integrating the nutritional needs of PLWHA into the training curriculum for health and community workers in the national strategies for ART, home based care (HBC), infant and young child feeding (IYCF), paediatric HIV/AIDS and reproductive health
(b) Providing nutritional supplements to 60 percent of those who need them and are receiving ART in the public, mission andNGOsites
(c) Strengthening the draft of the national food security and nutrition strategy to address the impact of HIV/AIDS with specific focus on vulnerable groups, includingOVCand affected families
3.2 Goals and Strategic Objectives:
The overall goal of the strategy is to facilitate mainstreaming nutrition in HIV/AIDS policies and programmes and to assist alignment of structures and action designed to control and prevent malnutrition among PLWHA (people living with HIV/AIDS).
Strategic objectives:
1. Strengthen human resource capacity in nutrition care and support.
2. Strengthen key areas of policy and guideline development.
3. Develop and produce educational materials and job aids on nutrition and HIV/AIDS.
4. Strengthen communications and advocacy.
5. Strengthen coordination and collaboration.
6. Provide therapeutic and supplemental food and dietary commodities.
7. Develop and maintain quality assurance and standards for services and products.
8. Strengthen the system to ensure continuous monitoring and regular evaluation.
9. Promote research and dissemination.
3.2 Goals and Strategic ObjectivesStrategies:
1.1. Increase the number of nutritionists, front line health personnel and community service providers with the knowledge and skills to provide quality nutritional interventions to PLWHA, OVC and other vulnerable groups.
1.2. Recruit and deploy additional nutritionists to reduce existing deficits.
1.3. Carry out a needs assessment for human resources to provide nutrition and HIV/AIDS in the nongovernmental sectors.
2.1 Update current national policy guidelines: Review IYCF policy and Kenya's Infant and Young Child Feeding Guidelines in the Context of HIV (2004).
2.2 Identify gaps in policies and programmes related to nutrition and HIV/AIDS, as well as opportunities for mainstreaming nutrition interventions in the HIV/AIDS agenda and vice versa.
3.1. Develop improved training manuals suitable for ongoing programme interventions such as CCCs, infant feeding and maternal nutrition, paediatric care,HBCand inpatient care.
3.2. Develop national advocacy strategy and materials for PLWHAand OVC.
4.1. Improve awareness of the added value of integrating nutrition in the management of HIV/AIDS, targeting PLWHAand vulnerable groups such asOVCand TB patients.
4.2. Increase awareness of the importance of integrating the needs of PLWHA,OVCand other vulnerable groups, and affected families in food security and nutrition intervention programmes.
4.3. Support the widespread dissemination and application of the 2006 WHO consensus statement on HIV and infant feeding.
5.1. Improve coordination and networking among public and private stakeholders providing services and/or financing nutrition in HIV/AIDS interventions in line with ongoing coordination byNASCOP and NACC on food support used in HIV and other programmes implemented in the country
5.2. Foster close multi sectoral collaboration and coordination among key sectors including health, agricultural, livestock and fisheries, education, culture and social services, national planning and development, trade and finance
6.1. Increase the coverage of therapeutic and supplemental foods and dietary formulations for malnourished PLWHA, pregnant and lactating women in PMTCT programmes and OVC throughfacility and community delivery systems.
6.2. Increase the percentage of PLWHA, TB patients, OVC and vulnerable groups accessing supplemental quality foods and dietary supplements.
7.1. Standardise and harmonise specifications for appropriate therapeutic and supplementary foods for malnourished PLWHA in care and treatment programs, pregnant/lactating women in PMTCT programs and infants of HIV positive women from 6 months to 2 years old, as well as indicators and end points for 5 to 13 year olds.
7.2. Conduct the Baby Friendly Hospital Assessment and external review of sites offering replacement formula.
8.1. Ensure sustainable system of collecting and collating nutrition data/information needed to inform programs and HIV/AIDS campaigns
8.2. Establish systems for the regular use of M&E information within HIV facilities, by programme managers, for national advocacy purposes and for tracking progress toward universal access targets for care and treatment.
9.1. Identify knowledge gaps related to nutrition and HIV/AIDS policies and programming Support implementation and dissemination of strategic operations and applied research.Actions
(Activities)
1. Develop and produce educational materials and job aids on nutrition and HIV/AIDS.
1.1. Develop training manuals for CCCs, infant feeding and maternal nutrition, paediatric care, HBCand inpatient care.
1.2. Facilitate adaptation and translation of nationally recommended materials for local application to ensure uniformity.
1.3. Facilitate harmonisation of nutrition messages produced and communicated by government and private/NGO actors.
2. Review key policies and guidelines.
2.1. Current national policy guidelines on IYCF and Kenya's Infant and Young Child Feeding Guidelines in the Context of HIV (2004) will be updated with the WHO consensus statement on HIV and infant feeding (2006) and will be disseminated nationally by 2008.
2.2. Review the guidelines for nutrition and HIV/AIDS to update information.
3. Strengthen human resource capacity in nutrition care and support.
3.1. Develop and implement national TOT in nutrition and HIV/AIDS and IYCF and subsequently roll out to in service training of nutritionists and other health staff serving CCCs and district facilities and to pre service training in training institutions.
3.2. Carry out a needs assessment for human resources to provide nutrition and HIV/AIDS in the non governmental health sector.
3.3. Integrate nutrition and HIV/AIDS into the training curricula of agriculture, education, livestock and fisheries, culture and social services sectors.
3.4. Train trainers of extension workers in agriculture, livestock and fisheries, education, and culture and social services sectors.
4. Develop and maintain quality assurance and standards for services and products.
4.1. Develop and disseminate standards/specifications for food and nutrition supplements for PLWHA.
4.2. Develop and disseminate standards/specifications for nutrition assessment and counselling for PLWHA.
4.3. Review existing national guidelines and integrate standards of food/nutrition interventions for PLWHAand OVC. Guidelines include the National Guidelines for Nutrition and HIV/AIDS as wellas guidelines for HBC, ART, TB, PMTCT, IMCI and management of severe malnutrition in children.
4.4. Develop and implement quality monitoring of food and nutritional supplements being distributed to PLWHAfor conformity with standards/specifications.
4.5. Establish standards for best practices for nutritional interventions for PLWHAand OVC.
4.6. Support acquisition of basic equipment for assessing the nutrition status of PLWHA in unequipped facilities.
5. Strengthen communications and advocacy.
5.1. Increase awareness of materials and information on the nutrition and HIV/AIDS guidelines, counselling materials, curricula and training materials, and information and policy recommendations in the food security and nutrition policy sessional paper
5.2. Launch the nutrition guidelines, curriculum and IEC materials and disseminate them and the national advocacy strategy nationally.
5.3. Establish a clinical pathway of care and a continuum of national service delivery framework for HIV positive mothers and their infants.
5.4. Facilitate and lobby for representation in key stakeholder forums to promote national standards on nutrition and HIV/AIDS.
5.5. Develop messages to support a media campaign for nutrition and HIV/AIDS.
5.6. Mobilise political support for nutrition care and support activities to strengthen commitments to improve availability and access to good quality services and products.
5.7. Develop and upload a web page on nutrition and HIV/AIDS on theMoHwebsite.
6. Strengthen coordination and collaboration.
6.1. Support consultative meetings for stakeholders and partners supporting nutrition and HIV/AIDS programmes.
6.2. Coordinate systems for providing nutritional support to PLHWA and OVC at the national and district levels.
6.3. Incorporate nutrition into the District Health Stakeholders Forum in all districts and support
6.4. Facilitate integration of nutrition and HIV/AIDS services plans and budgets in the Medium Term Expenditure Framework (MTEF) process of government and development partners.
6.5. Coordinate consultations with the wider HIV/AIDS network to ensure realisation of GIPA (greater involvement of people with HIV/AIDS) objectives, especially in the fight against stigma.
6.6. Facilitate consultative and joint planning meetings at national, regional, district and constituency levels with extension workers in agricultural, livestock and fisheries, education, and culture and social services sectors to create gender sensitive demand for nutritional services.
6.7. Establish a resource mobilisation mechanism for government and development partners and identify and recruit other partners to participate in the programme.
7. Provide therapeutic and supplemental food and dietary commodities.
7.1. Ensure all service points are stocked with nutritional commodities, namely,MMN, supplementary foodsand therapeutic foods.
7.2. Improve eligible clients' access to dietary supplements.
7.3. Improve all clients' access to safe drinking and cooking water.
7.4. Scale up an improved dry ration for eligible clients.
8. Strengthen continuous monitoring and regular evaluation.
8.1. Institute monitoring and reporting of nutrition and HIV/AIDS service delivery in public and nongovernmental sectors and the community to ensure that standards of care are achieved for HIV positive mothers and ART beneficiaries and to monitor progress toward universal access targetsfor care and treatment.
8.2. Review facility data collection forms 711 and the COBPAR for community activities.
8.3. Train district and service providers on using the data collection system proposed by NASCOP and NACC.
8.4. Assess the level of nutrition risk among vulnerable communities at the district and constituency levels.
8.5. Conduct an operational analysis for innovations in nutritional care.
9. Promote research and dissemination.
9.1. Identify gaps in policies and programmes related to food and nutrition security and HIV/AIDS and further opportunities for integrating nutrition interventions and incorporating HIV/AIDS issues in national food and nutrition policies and programmes.
9.2. Establish national research and policy priorities on nutrition and HIV/AIDS.
9.3. Conduct operational research to strengthen infant feeding practices for HIV positive mothers.
9.4. Establish a national database for research in nutrition and HIV/AIDS.
9.5. Support implementation and dissemination of strategic operations and applied research.
Targeted Outputs:
1.Eighty percent of nutritionists in the districts are trained on nutritional care and support for HIV/AIDS, integrated IYCF counselling and/or clinical nutritional care for children with HIV/AIDS.
2. Fifty percent of front line clinical staff (nurses, clinical officers and doctors) in public facilities are trained on nutritional care and support for HIV/AIDS, integrated IYCF counselling and/or clinical nutritional care for children with HIV/AIDS
3. All ART centres andPMTCT services offer nutritional support (in terms of nutritional counselling, multiple micronutrients (MMN), education and nutritional assessment) to HIV positive clients
4. Eighty percent of public facilities have adequate stocks of recommended therapeutic and supplementary foods for eligible clients.
5. Eighty percent of HIV positive mothers receive counselling on infant feeding before and after giving birth.
6. Eighty percent ofPMTCT sites offer replacement feeding externally reviewed through the Baby Friendly Hospital Assessment.
7. Nutritional indicators are integrated in the national and district HIV/AIDSM&E framework.
8. Nutrition and HIV/AIDS resource packages for service providers and communities are regularly updated.
9. A functionalTWGon nutrition and HIV/AIDS is operational and meets at least quarterly.
6. Strategic areas:
Cele programu:
Cele szczegółowe programu to:
3. Plan działań – opis działań, które mają doprowadzić do osiągnięcia celów Poprawa sposobu żywienia, zwiększenie aktywności fizycznej i poprawa stanu odżywienia ludności w Polsce w celu zatrzymania epidemii nadwagi i otyłości oraz zmniejszenia wydatków na ochronę zdrowia, a także zmniejszania częstości występowania żywieniowych czynników ryzyka przewlekłych chorób niezakaźnych poprzez:
5) wskaźniki monitorowania oczekiwanych efektów
Promote the use of iodised salt
","","","","
Decision No 539 of 17 May 2007 (http: justice.md)
","Iodine|Food grade salt","","","","Country reporting template, 2009, WHO Regional Office for Europe, Noncommunicable Diseases and Environment Unit Monitoring progress on improving nutrition and physical activity and preventing obesity in the WHO European Region","" "11520","ZAF","South Africa","","Infant and Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","","Department of Health","","2007","","","","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","
Aim:
The aim of this policy is to improve the nutritional status, growth, development and health of infants and young children by protecting, promoting and supporting optimal safe infant feeding practices.
Objectives:
Strategies and programmes:
Neni 4
Detyrimi për jodizimin e kripës
Jodizimi i përgjithshëm i kripës për konsum njerëzor e shtazor dhe për përdorim në industrinë ushqimore është i detyrueshëm në territorin e Republikës së Shqipërisë.
Neni 5
Niveli i jodizimit për kripën e prodhuar në vend
Kripa, e prodhuar në vend për konsum të drejtpërdrejtë dhe të tërthortë, njerëzor e shtazor dhe për përdorim në industrinë ushqimore, nuk lejohet të jodizohet në një nivel më të ulët se 40 mg jod për kg kripë dhe më të lartë se 60 mg jod për kg kripë në pikën e prodhimit.
A Estratégia Nacional para Alimentação Complementar Saudável (ENPACS) visa fortalecer as ações de apoio e promoção à alimentação complementar no Sistema Único de Saúde – SUS. Ela propõe o incentivo a orientação alimentar para crianças menores de dois anos como atividade de rotina nos serviços de saúde, contribuindo assim para a formação de hábitos alimentares saudáveis desde a infância.
","A ENPACS é uma estratégia que visa à qualificação do profissional da Atenção Básica com o fortalecimento das ações de apoio e promoção da alimentação saudável no âmbito do SUS. A replicação e continuidade da ENPACS é garantida através do trabalho local dos tutores, que são profissionais selecionados pelos estados e/ou municípios e que participam de uma Oficina de formação de tutores. A oficina tem duração de três dias (24h – 3 turnos de 8 horas). Assim, ao retornar para seu âmbito de atuação, o tutor tem a missão de replicar o conteúdo da ENPACS, que pode ser feito de duas formas: com a realização de novas oficinas de formação de tutores (formando multiplicadores da estratégia) ou com a realização de oficinas de sensibilização sobre o tema nas Unidades Básicas de Saúde (UBS), chamadas “Rodas de Conversa”, conforme figura abaixo.
","O monitoramento da ENPACS está dividido em duas fases: Monitoramento da implementação da estratégia e monitoramento dos resultados alcançados nos indicadores de alimentação e nutrição em crianças menores de dois anos. Todos os atores envolvidos na implantação e implementação da ENPACS são responsáveis pelo seu monitoramento e avaliação. O objetivo desse material é subsidiar os tutores na utilização do monitoramento do processo de implementação da ENPACS.
","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets","","http://189.28.128.100/nutricao/docs/Enpacs/outros/passo_a_passo_enpacs.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202008%20Estrat%C3%A9gia%20Nacional%20para%20a%20Alimenta%C3%A7%C3%A3o%20Complementar%20Saud%C3%A1vel.pdf" "8082","KHM","Cambodia","","National Policy on Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","","Ministry of Health","6","2009","Adopted","","2008","Ministry of Health","Health","National Nutrition Programme, Ministry of Health, Other relevant MoH programmes: National Reproductive Health Programme","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)|World Vision International","","US Agency for International Development (USAID)","A2Z","","","National NGOs","RACHA, RHAC, IRD, and Medicam","","","","","","","The overall goal is to improve the survival and well being of infants and young children by improving their nutritional status, growth, and development through optimal feeding.
Specific objectives:
1. All newborns are initiated to breastfeeding within one hour of birth
2. All infants are exclusively breastfed for 6 months
3. All infants are given timely, appropriate, and safe complementary foods
4. Breastfeeding is continued up to two years and beyond
5. Appropriate care, counseling, and other services for IYCF are provided to all infants and young children and their families, including children in special circumstances (such as times of emergency), and for HIV-positive mothers and their infants, and for children during times of illness
6. Linkages to related programs and appropriate support systems enhance caretaker’s ability to provide appropriate and optimal infant and young child feeding
Target Beneficiaries are pregnant women, children 0-5 years of age and women of reproductive age. Focus will be on:
-Maternal Nutrition
-Breastfeeding Practices
-Complementary Feeding Practices
-Growth promotion, growth assessment, and growth monitoring
-Food fortification (including Universal Salt Iodization)
-Exercising other feeding options
-Infant and Young Child Feeding in emergencies
-Feeding during and after illness
-Feeding options for infant and young children of HIV positive mothers
-Treatment and rehabilitation of malnourished children
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Complementary food provision|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient powder for home fortification|Food fortification|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition & infectious disease|Household food security|Diarrhoea or ORS","","","Relevant Policies:Cambodia Millennium Development Goals, National Strategic Development Plan 2006-10, Health Strategic Plan II 2008-15, National Nutrition Strategy 2009-15, Sub-Decree on Marketing of Products for Infant and Young Child Feeding, Joint Prakas on the Implementation of the Sub-Decree on Marketing of Products for Infant and Young Child Feeding, Sub-Decree on the Management of Iodized Salt Exploitation","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202008%20National%20Policy%20on%20Infant%20and%20Young%20Child%20Feeding.pdf" "8043","CRI","Costa Rica","","Plan Nacional Desnutrición Erradicación Infantil","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2008","","2012","Ministerio de Salud","","2008","Adopted","","2008","Dra. María Luisa Ãvila AgüeroMinistra de SaludPresidenta Consejo Ministerial de la Secretaría de la Política Nacional de Alimentación y Nutrición (SEPAN)","Education and research|Food and agriculture|Health|Other|Social welfare|Women, children, families","Ministerio de Salud Education and research, Food and agriculture, Health, Social welfare, Social welfare, Women, children, families: Ministerio de Educación, Ministerio de Agricultura, Ministerio de Salud / Secretaría de la Política Nacional de Alimentaci","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Inter American Development Bank","Bilateral and donor agencies and lenders: Inter American Development Bank","","","","","Research/academia","Research/academia: Universidad de Costa Rica","","","","","","","","","","Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO Global Nutrition Policy Review 2009-2010","" "14980","CRI","Costa Rica","","Política Pública de Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2008","","","Ministerio de Salud.","","2009","Adopted","","2009","Ministerio de Salud","Health","","","","","","","","","","","","","","","","","","
La Política Pública de Lactancia Matena para Costa Rica tiene como objetivo maximizar la salud integral de las madres, niñas y niños, jóvenes, familias y población en general.
","En Costa Rica la lactancia materna está protegida por la Constitución Política, la Ley General de Salud (No. 5395), la Ley General de la Administración Pública (No. 6227), el Código de Trabajo (No. 01), el Código de la Niñez y de la Adolescencia (No. 7739), la Ley de Fomento a la Lactancia Materna (No. 7430), entre otras leyes y decretos.
1. El amamantamiento es la norma biológica que debe orientar la alimentación del niño y de la niña, por lo que las instituciones públicas y privadas prestadoras de servicios a la niñez, deben garantizar las condiciones necesarias para que este grupo poblacional sea alimentado con lactanccia materna, de manera exclusiva hasta los seis meses de edad y de forma complementaria hasta los dos años o más, con alimentos saludables, autóctonos y producidos en su comunidad.
2. Las instituciones públicas y privadas deben velar por el cumplimiento de la normativa vigente (Guías Clínicas, Guías de Atención, Normas, Protocolos, entre otros) relacionada con las buenas prácticas de lactancia materna, en todos los escenarios donde se tenga contacto con los niños, las niñas, sus madres y las familias.
3. Toda actividad que se realice con el fin de promocionar, proteger y apoyar la salud integral del niño, la niña, la madre y la familia, debe cumplir con la legislación vigente relacionada con esta materia (Código de Trabajo, el Código de la Niñez y de la Adolescencia, la Ley de Fomento a la Lactancia Materna, entro otros).
4. Todos los servicios de maternidades y de atención a niños y nñas deben cumplir con las iniciativas internacionales creadas para promocionar, proteger y apoyar la lactancia materna.
5. Las instituciones públicas y privadas de todos los sectores (Salud, Educación, Industria, Economía, Comercio, entre otros) deben apoyar, coordinar y realizar actividades alusivas a la celebración de la Semana Mundial de la Lactancia Materna, con el fin de promocionar en la población, la alimentación al seno materno, de manera exclusiva hasta los seis meses de edad y de forma complementaria hasta los dos años o más.
6. Los jerarcas o directores generales o de mandos altos y medios de las instituciones públicas y privadas de todos los sectores (Salud, Educación, Industria, Economía, Comercio, entro otros) deben velar y asegurar las condiciones para que su recurso humano se capacite y actualice en el tema de la lactancia materna.
7. Los trabajadores del sector público y privado deben tener acceso a la información acerca de sus derechos y deberes, así como de los derechos y deberes de la organización empleadora o patrono, en relación con el apoyo que debe ser ofrecido a las familias, para fomentar la alimentación al seno materno.
8. La alimentación con sucedáneos de la leche materna (alimentos envasados o con etiqueta, que son producidos o comercializados como complementarios en la dieta del niño o de la niña, o como sustitutos totales o parciales de la leche materna) no debe ser promovida por el personal médico ni por otros trabajadores del sector público y privado, del área de la salud, la educación, la industria y el comercio, entre otros.
9. Las organizaciones comunales, los comités o las comisiones y las asociaciones y juntas directivas no gubernamentales, públicas y privadas deben promover, proteger y apoyar la lactancia materna en sus comunidades y desalentar en la población, el uso de biberones, tetinas y chupetas u otros utensilios similares que interfieren de manera negativa el inicio y el mantenimineto de la práctica de la lactancia materna.
10. En situaciones de desastres naturales o de mergencia, los trabajores del sector público o privado deben brindar apoyo alimentario a las madres que amamantan, promover la lactancia materna e informar a la población en general (principalmente a las personas damnificadas) sobre los riesgos de usar biberones y leche en polvo. En caso de detectarse la distribución de esos productos y utensilios, ésta deber ser retirada de manera inmediata. Para casos especiales (lugares con huérfanos y sin Bancos de Leche Materna disponibles), la administración de fórmulas de leche modificada debe responder a criterios terapéuticos y ser supervisada de manera directa por algún trabajador de salud calificado.
","No se incluyen en el documento.
","","","","","http://www.ministeriodesalud.go.cr/gestores_en_salud/lactancia/politica_lactancia_materna.pdf","Esta política corresponde al DM 8514-2008 del 03 de octubre de 2008.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COR%20Politica%20LM%202009_0.pdf" "8099","HRV","Croatia","","Akcijski plan za prevenciju i smanjenje prekomjerne tjelesne težine za razdoblje od 2010. do 2012. godine [National Action Plan for Overweight Prevention and Treatment]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","","Ministry of Health and Social Welfare","","2008","Adopted","","2008","Ministry of Health and Social Welfare","Health","Croatian Institute of Public Health, Ministry of Health and Social Welfare","","","","","","","","","","","","","","","","","","","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults","","https://zdravlje.gov.hr/UserDocsImages//Programi%20i%20projekti%20-%20Ostali%20programi//AKCIJSKI_PLAN_ZA_PREVENCIJU_I_SMANJENJE_PREKOMJERNE_TJELESNE_TEZINE_2010_2012.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "8070","MYS","Malaysia","","National Breastfeeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","2010","Ministry of Health","","1992","Adopted","","1992","Ministry of Health","Development|Education and research|Health|Women, children, families","Ministry of Rural & Regional Development, Ministry of Education, Ministry of Health, Ministry of Women, Family & Community Development","","","","","","","","","National NGOs","Related NGO","Research/academia","Universities","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding","","","","WHO Global Nutrition Policy Review 2009-2010","" "40731","MAR","Morocco","","Lutte contre les Troubles dus aux Carences en Micronutriments","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2008","","2015","","","2008","","","","","","","","UNICEF","","GAIN","","","","","National NGOs","","","","","","","","Le Programme National de Lutte Contre les Troubles Dus aux Carences en Micronutriments s’est fixé quatre objectifs à atteindre d’ici l’an 2015 :
• La réduction du tiers de l’anémie ferriprive par rapport à son niveau de 2000.
• L’élimination de l’avitaminose A et ses effets.
• L’élimination des troubles dus à la carence en iode chez les futures naissances.
• L’atteinte et le maintien d’une couverture nationale par la vitamine D supérieure a 80% (deux doses).
","III. STRATÉG IES DU PROGRAMME
1. Supplémentation médicamenteuse
2. Fortification des aliments de base
3. Education nutritionnelle
4. Mesures de santé publique
Indicateurs d’évaluation de la supplémentation préventive de l’enfant
Vitamine D
Vitamine A
Indicateurs d’évaluation de la supplémentation préventive de la femme enceinte et l’accouchée
Vitamine A
Fer
Indicateurs relatifs à la promotion de la fortification
Indicateurs relatifs à l’éducation nutritionnelle
Government
Objective 1.1(a): The Ministry of Health provides the leadership for breastfeeding strategy and policy.
Objective 1.2(a): The Ministry of Health continues to strengthen the accuracy and completeness of the existing dataset on breastfeeding.
Objective 1.3(a): Identification of New Zealand-specific breastfeeding research needs.
Objective 1.4(b) The Ministry of Health supports a programme of research into marketing of infant formula in New Zealand.
Objective 2.1(b): The Ministry of Health works with District Health Boards (DHBs) to assessand plan for improving access to ante-natal education.
Objective 2.2(b): Communities work with DHBs and other providers to establish new or supportexisting peer support programmes for breastfeeding.
Objective 2.3(a): the second phase of the national breastfeeding social marketing campaignpromotes positive attitudes to breastfeeding in the community and public places.
Health services
Objective 3.1(a): All DHBs achieve and maintain Baby Friendly Hospital accreditation.
Objective 3.2(b): DHBs are aware of and act on the breastfeeding support needs of their Māori,Pacific and other ethnic communities.
Workplace childcare and early childhood education
Objective 4.1(a): The Ministry of Health continues to link with other agencies (for examplethe Families Commission, Department of Labour) to support the development of a policyframework for options for extending current paid parental leave entitlements.
","","Imrpoving breastfeeding rates in New Zealand (also among Maiori): Measurable improvements in the rates and duration of breastfeeding
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vulnerable groups","","http://www.health.govt.nz/publication/national-strategic-plan-action-breastfeeding-2008-2012","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NZL%202009%20National%20Strategic%20Plan%20of%20Action%20for%20Breastfeeding%202008-2012.pdf" "14904","NIC","Nicaragua","","Plan Nacional ""Hacia la Erradicación de la Desnutrición Crónica Infantil en Nicaragua"" 2008 - 2012","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2008","","2015","Ministerio de Salud (MINSA)","","2008","Adopted","","2008","Ministerio de Salud (MINSA)","Cabinet/Presidency|Health|Development","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","INCAP","","","","","","","","","","","","","FIN: Garantizado el derecho y el acceso equitativo y universal a un conjunto de servicios básicos de salud y nutrición para incrementar la esperanza y la calidad de vida de la población nicaragüense.
PROPÓSITO: Incrementada la capacidad de respuesta del sector salud y asegurada la sostenibilidad de las intervenciones en el campo de la salud, alimentación y nutrición con la participación activa y el fuerte compromiso de la actuación intersectorial y la sociedad civil.
OBJETIVO GENERAL DEL PLAN: Reducir de manera sostenida y permanente la desnutrición crónica en la niñez menor de 5 años en el país durante el período 2008 al 2015.
RESULTADO ESPERADO GENERAL: Disminuida al 12% la desnutrición crónica en la niñez menor de 5 años de edad hacia el 2015.
OBJETIVOS ESPECÍFICOS:
1. Brindar atención integral a la niñez menor de cinco años para garantizarles un adecuado estado de salud, alimentación y nutrición.
2. Disminuir la gravedad y letalidad de las EDA por rotavirus (aplicando la nueva generación de intervenciones pra el abordaje de la diarrea).
3. Brindar atención integral a la mujer con el propósito de garantizar un estado de salud óptimo durante su embarazo, parto y puerperio.
4. Contribuir a la seguridad alimentaria y nutricional de la mujer y la niñez.
5. Población recibe mensajes educativos para promoer estilos de vida saludables que mejoren la salud y la nutrición en la familia y en la comunidad.
6. Evaluar con indicadores de procesos y de resultados el Plan Nacional ""Hacia la Erradicación de la Desnutrición Crónica Infantil"" (HEDCI).
","
Obetivo Específico 1: Brindar atención integral a la niñez menor de cinco años para garantizarles un adecuado estado de salud, alimentación y nutrición.
Actividades:
1. Adaptación e implementación de las normas y protocolos con nuevos estándares de crecimiento, equipamiento y capacitación a nivel nacional y SILAIS.
2. Fortalecimiento del programa de micronutrientes.
3. Fortaleciiento de la coordinación entre las direcciones de regulación de alimentos, Nutrición, Atención Integral a la Niñez y Salud Reproductiva para la aplicación de las normas técnicas de fortificación.
4. Suplementación cocn micronutrientes encapsulados.
5. Adquisición y distribución de antiparasitarios.
6. Atención integrada a las enfermedades prevalentes de la infancia a nivel institucional y comunitario.
7. Fortalecimiento del Programa Comunitario de Salud y Nutrición (PROCOSAN).
Objetivo Específico 2: Disminuir la gravedad y letalidad de las EDA por rotavirus (aplicando la nueva generación de intervenciones para el abordaje de la diarrea).
8. Suplementación con zinc y uso de nuevas sales de rehidratación oral de baja osmolaridad en niños y niñas con diarrea.
9. Inmunizaciones
10. Vacuna Anti-rotavirus.
Objetivo Específico 3: Brindar atención integral a la mujer con el propósito de garantizar un estado de salud óptimo durante su embarazo, parto y puerperio.
11. Fortalecimiento del Programa Nacional de Lactancia Materna.
12. Detección, prevención y tratamiento de la anemia y deficiencia de ácido fólico.
Objetivo Específico 4: Contribuir a la seguridad alimentaria y nutricional de la mujer y la niñez.
13. Entrega de alimentos complementarios fortificados según criterios de selección en las zonas de alta y muy alta vulnerabilidad alimentaria y nutricional.
Objetivo Específico 5: Población recibe mensajes educativos para promover estilos de vida saludables que mejoran la salud y la nutrición en la familia y en la comunidad.
14. Implementación de Estrategia de Comunicación y Acción Comunitaria en Salud.
Objetivo Específico 6: Evaluar con indicadores de procesos y de resultados el Plan Nacional ""Hacia la Erradicación de la Desnutrición Crónica Infantil"" (HEDCI).
15. Diseño y ejecución de un sistema de Seguimiento y Evaluación del Plan Nacional HECDI.
","
Actividad 1: Adaptación e implementación de las normas y protocolos con nuevos estándares de crecimiento, equipamiento y capacitación a nivel nacional y SILAIS.
Indicadores:
1.1. El 100% de unidades de salud utilizan nuevos estándares de crecimiento OMS.
1.2. En implementación el sistema de información de SAN del menor de 5 años de edad con inclusión de la diversidad de la dieta y el patrón alimentario.
1.3. Incremento de la cobertura del VPCD (vigilancia y promoción del crecimiento y desarrollo) en el menor de una ñao al 90% de acuerdo a los nuevos estándares.
1.4. El 100% de madres qeu participan en las sesiones de evaluación del crecimiento infantil reciben consejería alimentaria basadas en el registro semanal del consumo de alimentos por el infante y de estimulación del desarrollo infantil.
Actividad 2: Fortalecimiento del programa de micronutrientes.
Indicador:
2.1. Incremento del 30% en la cobertura del segundo VPCD en el año en los niños y niñas de 1 a 4 años.
Actividad 3: Fortalecimiento de la coordinación entre las direcciones de regulación de alimentos, Nutrición, Atención Integral a la Niñez y Salud Reproductiva para la aplicación de las normas técnicas de fortificación.
Indicadores:
3.1. Al menos el 95% de los niños y niñas menores de 5 años reciben micronutrientes deficitarios en la dieta básica: vitamina A, sulfato ferroso, zinc, ácido fólico, yodo y flúor.
3.2. El 85% de expendios o procesadoras de alimentos cumplen con las normas de control y garantía de calidad.
Actividad 4: Suplementación con micronutrientes encapsulados.
Indicador:
4.1. El 100% de niños y niñas beneficiarios de PAININ reciben micronutrientes encapsulados.
Actividad 5: Adquisición y distribución de antiparasitarios.
Indicador:
5.1. El 100% de los niños y niñas de 2 a 5 años reciben tratamiento antiparasitario según normas del MINSA.
Actividad 6: Atención integrada a las enfermedades prevalentes de la infancia a nivel institucional y comunitario.
Indicador:
6.1. El 100% de unidades de salud ejecutan AIEPI a nivel institucional y comunitario.
Actividad 7: Fortalecimiento del Programa Comunitario de Salud y Nutrición (PROCOSAN).
Indicadores:
7.1 El 95% de los niños y niñas atendidos por PROCOSAN son referidos y evaluados en el VPCD.
7.2. El 100% de madres que participan en las sesiones de PROCOSAN reciben consejería en salud, alimentación y nutrición.
Actividad 8: Suplementación con zinc y uso de nuevas sales de rehidratación oral de baja osmolaridad en niños y niñas con diarrea.
Indicador:
8.1. El 80% de los niñas y niñas cocn diarrea reciben suplementos de zinc y sales de rehidratación oral de baja osmolaridad.
Actividad 9: Inmunizaciones
Indicador:
9.1 Al menos el 95% de los niños y niñas menores de 5 años cumpletan su esquema de vacunación.
Actividad 10: Vacuna Anti-rotavirus.
Indicador:
10.1. Al menos el 95% de los niños y niñas completan a los 6 meses su esquema de vacunación Anti Rotavirus.
Actividad 11: Fortalecimiento del Programa Nacional de Lactancia Materna
Indicadores:
11.1. Incremento al 53% de mujeres con niños y niñas menores de seis meses que dan lactancia materna exclusiva.
11.2. El 100% de unidades de salud certificadas que cumplen con los 11 pasos para la promoción de una lactancia materna exitosa.
11.3. Instalado y funcionando el primer banco de leche humana en el Hospital Berta Calderón.
Actividad 12: Detección, prevención y tratamiento de la anemia y deficiencia de ácido fólico.
Indicador:
12.1. El 95% de la MEF reciben suplementación con hierro y ácido fólico en los 66 municipios priorizados.
Actividad 13: Entrega de alimentos complementarios fortificados según criterios de selección en las zonas alta y muy alta vulnerabilidad alimentaria y nutricional.
Indicador:
13.1. El 100% de las familias con mujeres embarazadas, madres lactantes y niños menores de tres años en las zonas de intervención del MINSA, MAGFOR y PMA.
Actividad 14: Implementación de Estrategia de Comunicación y Acción Comunitaria en Salud.
Indicador:
14.1. Implementada la Estrategia de Comunicación y Acción Comunitaria dirigida a la familia.
Actividad 15: Diseño y ejecución de un sistema de Seguimiento y Evalución del Plan Nacional HECDI.
Indicador:
15.1. El 100% de las actividades de monitoreo y evaluación del plan nacional HEDCI cumplidas en las zonas de intervención.
","","","Growth monitoring and promotion|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition","","http://www.incap.int/index.php/es/publicaciones/doc_view/255-plan-nacional-hacia-la-erradicacion-de-la-desnutricion-cronica-infantil-en-nicaragua","En la carátula del documento aparece 2008 - 2012 pero en la introducción (página 4) se refieren al Plan Nacional "Hacia la Erradicación de la Desnutrición Crónica Infantil en Nicaragua 2008 - 2015".","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIC%20Plan%20Nac%20Hacia%20Erradicaci%C3%B3n%20DCI.pdf" "40735","NER","Niger","","Stratégie nationale pour l’alimentation du nourrisson et du jeune enfant","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2008","","2015","Ministère de la Santé Publique","","2008","","","","","Health","","","","","","","","","","National NGOs","","","","","","","","
2.1. But
Le but de la stratégie est de contribuer à la réduction de la mortalité infantile par l’alimentation optimale de nourrisson et du jeune enfant. Améliorer (par une alimentation optimale) l’état nutritionnel, la croissance et le développement, la santé et, ainsi, la survie du nourrisson et du jeune enfant.
2.2. Objectif général :
Améliorer l’état nutritionnel, la croissance et le développement de l’enfant de moins de 5 ans au Niger
2.3. Objectifs spécifiques:
D’ici l’année 2015 :
2.4. Objectifs opérationnels :
2.1.6. Les stratégies de lutte contre la carence en vitamine A
2.1.6.1. La supplémentation en VA
2.1.6.2. Les approches alimentaires
A) L’enrichissement des aliments en vitamine A
B) La diversification alimentaire
2.1.6.3. Mesures d’accompagnement de santé publique
2.2.6 Stratégies de lutte contre les carences en fer
2.2.6.1 La supplémentation
2.2.6.2 La fortification
2.2.6.3 Diversification alimentaire
2.2.6.4 Le Déparasitage
2.2.6.5 Lutte contre le paludisme
2.3.4 Stratégies de lutte contre les carences (note : en iode)
2.3.4.1 Traitement curatif
2.3.4.2 La Prévention
A) la Supplémentation
B) Iodation ou fortification alimentaire
C) communication pour un changement de comportement
D) La promotion de la consommation des aliments riches en iode et désintoxication des aliments goitrigènes.
2.4.5 Les stratégies de lutte contre la carence en zinc
2.4.5.1 La supplémentation
2.4.5.2 La fortification
2.4.5.3 Diversification alimentaire
2.5 Stratégie de Multimicronutriments
2.5.4 Stratégies de supplémentation en multi micronutriment
La supplémentation en multimicronutriments se fait pour les groupes de populations vulnérables à doses physiologiques. Il s’agit des :
- Femmes enceintes ;
- Femmes allaitantes ;
- Enfants de 6 – 59 mois ;
","","","","Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in the school curriculum|School gardens|Vitamin A|Micronutrient supplementation|Nutrition education|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/strat%C3%A9gie%20micronutriments11.pdf" "17795","PAN","Panama","","Plan Nacional de Combate a la Desnutrición Infantil 2008 - 2015","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","2","2008","","","Ministerio de Salud, Secretaría Nacional para el Plan Alimentario Nutricional","1","2008","Adopted","","","Ministerio de Salud, Secretaría Nacional para el Plan Alimentario Nutricional","","","","","","","","","","","","","","","","","","","Fin: Se erradica la desnutrición aguda y crónica en la niñez panameña.
Propósito: Se reduce la prevalencia de desnutrición moderada o severa en niños de 0 a 36 meses.
Resultados Esperados:
1. Se incrementa la cobertura de atención primaria en salud de embarazadas y niños de 0 a 36 meses.
2. Las madres embarazadas atendidas en el sistema de salud llegan al parto con un incremento de peso adecuado y sin anemia.
3. Se incrementa el porcentaje de madres que dan lactancia exclusiva hasta los 6 meses.
4. Los niños inician alimentación cumplementria a los 6 meses con alimentos adecuados en calidad y cantidad.
5. Se reduce la prevalencia de deficienia de micronutrientes (vitamina A, hierro, cinc) en menores de 3 años.
","
Resultado 1: Se incrementa la cobertura de atención primaria en salud en embarazadas y niños de 0 a 36 meses.
Actividades:
Resultado 2: Las madres embarazadas atendidas en instalaciones del MINSA llegan al parto con un peso adecuado y sin anemia.
Actividades:
Resultado 3: Se incrementa el porcentaje de madres que dan lactancia materna exclusiva hata los 6 meses.
Actividades:
Resultado 4: Los niños inician alimentación complementaria a los 6 meses con alimentos adecuados en calidad y cantidad.
Actividades:
Resultado 5: Se reduce la prevalencia de deficiencia de micronutrientes (vitamina A, hierro, cinc) en menores de 3 años.
Actividades:
","
Para 2015
1. La prevalencia de retarde en talla moderado y severo a nivel nacional se reduce en 30% en niñoes menores de 36 meses.
2. La prevalencia de desnutricicón global en menores de 5 años a nivel nacional se reduce en 50%.
3. La prevalencia de desnutrición aguda en menores de 5 años a nivel nacional se reduce en 30%.
Resultado 1:
Resultado 2:
Resultado 3:
- A los 4 meses en un 70%
- A los 6 meses en un 30%
Resultado 4:
Resultado 5:
Los objetivos el Plan Nacional de Micronutrientes son los siguientes:
A. Objetivo General
Prevenir y reducir de manera sostenida las deficiencias de vitaminas y minerales en la población del país evitando excesos y desbalances, con énfasis en los grupos vulnerables y excluídos.
B. Objetivos Específicos
1. Determinar la situación nutricional de los micronutrientes en la población panameña.
2. Prevenir y reducir la anemia por deficiencia de hierro en los recién nacidos e incrementar los depósitos de hierro en las niñas y niños menores de 6 meses a nivel nacional mediante la prevención de la anemia durante el embarazo, la aplicación de la práctica de la ligadura tardía del cordón umbilical y la lactancia materna exclusiva.
3. Prevenir y reducir la anemia en niñas y niños menores de 5 años (prioridad menores de tres años), escolares y en las mujeres embarazadas a nivel nacional, mediante el uso combinado de estrategias de suplementación medicamentosa, intervenciones en salud primaria, diversificación de la dieta y biofortificación, engtre otras estrategias y prácticas innovadoras.
4. Prevenir y reducir la deficiencia de cinc en niñas y niños menores de 5 años y contribuir a la disminución de las enfermedades diarreicas agudas y la desnutrición crónica.
5. Eliminar virtualmente la deficiencia de vitamina A en el país, reducir la prevalencia en poblaciones indígenas y contribuir a la disminución de las infecciones prevalentes de la infancia y la mortalidad infantil, a través de la suplementación a menores de 5 años con megadosis bianuales de vitamina A.
6. Mantener los logros obtenidos en el control de los desórdenes por deficiencia de yodo (la eliminación virtual de los DDI) y evitar los excesos, mediante el consumo universal de la sal adecuadamente yodada.
7. Prevenir y reducir la incidencia de defectos del tubo neural mediante la suplementacicón con ácido fólico a las mujeres en edad fértil en distritos prioritarios y la fortificación de alimentos de consumo masivo con ácido fólico y vitaminas del complejo B.
Resultados Esperados 2008-2015
Los principales resultados que se esperan alcanzar en los 5 años de implementación del Programa de Micronutrientes, son los siguientes:
1. Las madres embarazadas llegan al parto con incremento de peso adecuado y hemoglobina adecuada.
2. Haber disminuido la anemia en el recién nacido, incrementando los depósitos de hierro y prevenido la anemia durante los primeros 6 meses de edad.
3. Haber incrementado el porcentaje de infantes que reciben lactancia materna exclusiva hasta los 6 meses y que continúan con la lactancia hasta los 2 años.
4. Los infantes inician su alimentación complementaria a los 6 meses con alimentos que proporcionan macro y micronutrientes en cantidad y calidad adecuadas, juntamente con la lactancia materna.
5. Haber disminuido la anemia por deficiencia de hierro y la deficiencia de cinc en las niñas y niños menores de 5 años, en especial en los infantes entre 6 y 36 meses de edad.
6. Haber incrementado la disponibilidad de alimentos fortificados y alimentos fuente de micronutrientes para niñas y niños preescolares, escolares y mujeres embarazadas.
7. Haber incrementado el acceso y consumo de micronutrientes en la población vulnerable del país, en especial el hierro, cinc, vitamina A y ácido fólico.
8. La eliminación virtual de los desórdenes por deficiencia de yodo se mantiene de manera sostenida en todo el país y se previenen los problemas de exceso de yodo en la población.
9. S e cuenta con un sistema de información, monitoreo, vigilancia epidemiológica y evaluación de las deficiencias de micronutrientes.
10. Haber implementado y ejecutado un programa de información, mercadeo social y comunicación de impacto a nivel nacional en el área de micronutrientes.
11. El marco institucional fortalecido con instituciones organizadas y recursos humanos capacitados para combatir las deficiencias de vitaminas y minerales en el país.
","
ESTRATEGIAS PARA REDUCIR Y CONTROLAR LAS DEFICIENCICAS DE MICRONUTRIENTES
Las estrategias utilizadas y/o por utilizar son las siguientes:
A. Fortificación de alimentos de consumo masivo.
B. Fortificacicón de alimentos complementarios.
C. Fortificación de alimentos a nivel del hogar.
D. suplementación medicamentosa o profiláctica.
E. Biofortificación.
F. Servicios básicos de salud. Entre estas se pueden mencionar: Ligadura tardía del cordón umbilical, control de enfermedades prevalentes de la infancia y desparasitación.
G. Diversificación de la dieta.
ÁREAS PROGRAMÁTICAS
En la elaboración del plan se han considerado cinco áreas programáticas, las cuales incorporan un conjunto de acciones y programas interrelacionados e independientes de responsabilidad interinstitucional, multisectorial y multidisciplinaria. Las áreas prográmaticas son:
A. Mejoramiento de la Salud Materno Infantil con Énfasis en Nuricicón de Micronutrientes:
Para aprovechar al máximo los micronutrientes que serán suministrados es necesario que las madres e infantes mantengan un buen estado de salud. En esta área se incluyen una serie de actividades de atención primaria en salud como las descritas en la estrategia F.
B. Disponibilidad de Alimentos Fuentes de Micronutrientes:
Para mantener oportunamente la cantidad y calidad de los micronutrientes, de acuerdo a las necesidades de los grupos vulnerables, a través de alimentos fortificados, suplementos, alimentos fuente de micronutrientes y proyectos de producción de alimentos de alto valor nutritivo.
C. Acceso y Consumo de Micronutrientes:
Se garantizará el acceso físico y económico, así como el consumo de los micronutrientes, mediante el suministro oportuno de los mismos a los diferentes grupos de población, con prioridad en los más vulnerables por su condición biológica, étnica, geográfica y económica. Se logrará acceso y consumo a través de alimentos fortificados especicalmente distribuidos para el consumo de niñas, niños, mujeres embarazads y madres lactantes al igual que a través de la fortificación casera y de los suplementos suministrados por los programas de gobierno.
D. Monitoreo, Vigilancia y Evaluación de las Deficiencias de Micronutrientes
Se ha contemplado elaborar un sistema de información acutalizado de casos de deficiencias en micronutrientes; fortalecer los sistemas de monitoreo, vigilancia epidemiológica y evaluar el impacto de las intervenciones en la población más vulnerable.
E. Mercadeo y Comunicación
Los programas de comunicación, integrales, coordinados y continuos constituyen un aspecto central de apoyo a todas las otras áreas programáticas y a la implementación de las diferentes estrategias para garantizar la disponibilidad, el acceso, el consumo y el aprovechamiento biológico de todos los micronutrientes.
Un plan de mercadeo debe incluir análisis de la situación, estudios de mercado, estrategias de abogacía con las autoridades, propaganda directa, actividades de consejería a las madres, asi como comapañas masivas de educación e información al consumidor; para crear conciencia en la población y contribuir a la promoción de estilos de vida saludable.
","
HIERRO
- Para el 2015 se reduce en un 25% la prevalencia de anemia en niños y niñas menores de 2 años (de 36.0% a 27.0%), en niños y niñas de 2 a 5 años (de 41.8% a 30%) y en mujeres en edad fértil (de 40.0% a 30.0%).
- Para el 2015 se reduce en un 30% la prevalencia de anemia en escolares (de 24.7% a 18.0%) y embarazadas (de 36.0% a 24.0%).
VITAMINA A
- Para el 2015 se reduce en un 20% la prevalencia de deficiencia de vitamina A en niños y niñas menores de 2 años (de 9.6% a 7.7%).
- Para el 2015 se logra la eliminación virtual de la deficiencia de vitamina A en el país (reducción en un 50% de la prevalencia de deficiencia de vitamina A en niños y niñas de 2 a 5 años de 19.3% a 10.0% en áreas indígenas y de 1.8 a 0.9% en demás áreas del país).
CINC
- Para el 2015 se reduce en un 20% la prevalencia de deficiencia de cinc en niños y niñas menores de 5 años (de 36% a 29.0%).
YODO
- Para el 2015 se mantiene la eliminación virtual de la deficiencia de yodo entodo el país.
En la propuesta operacional del plan de micronutrientes por resultados (2008 - 2015), en las matrices se incluyen indicadores para cada uno de los resultados esperados (página 37 a la 43).
","Outcome indicators","","Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iron|Zinc|Delayed cord clamping|Deworming|Diarrhoea or ORS|Vulnerable groups","","http://www.senapan.gob.pa/pdfs/Plan-Nacional-de-Prevencion-y-Control-de-la-Deficiencias-de-Micronutrientes-2008-2015.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAN%20Plan%20Nac%20MN%202008-2015.pdf" "8322","GBR","United Kingdom","","Healthy Weight, Healthy Lives: A Cross-Government Strategy for England","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","","Department of Health and Department of Children, Schools and Families","1","2008","Adopted","","","Government","","","","","","","","","","","","","","","","","","","
Our ambition is to be the first major nation to reverse the rising tide of obesity and overweight in the population by ensuring that everyone is able to achieve and maintain a healthy weight. Our initial focus will be on children: by 2020, we aim to reduce the proportion of overweight and obese children to 2000 levels.
","The Government is therefore committing to publishing an annual report setting out performance against these and other BMI indicators:
• children in Reception Year: overweight and obesity levels
• children in Year 6: overweight and obesity levels
• young adults: overweight and obesity levels (based on Health Survey for England data)
• adults: overweight and obesity levels (based on Health Survey for England data).
However, because changes to population measures of BMI can take some time to become apparent, the Government will complement these with a range of early indicators of success. These will be based on the evidence of what causes or is correlated to weight problems. As with the indicators on young adults and adults, they will not form additional reporting requirements for primary care trusts (PCTs) and local authorities, outside of the National Indicator Set but will as far as possible be based on existing data, or use centrally-led surveys. Following the publication of this strategy the Government will finalise these indicators, but they are likely to include:
• Childhood
– Proportion of mothers breastfeeding at six months
– Take-up of school meals
– Portions of fruit and vegetables consumed daily per child
– Number of school children doing at least two hours of school sport a week
– Progress against new ambition for each young person to have access to five hours of PE and sport
• Promoting healthier food choices
– Nutrient intake data
– Consumption (and/or sales) of high in fat, salt and sugar foods
– Proportion of the adult population consuming their ‘5 A Day’
• Building physical activity into our lives
– Hours of sedentary leisure activity (e.g. TV viewing)
– Numbers of people doing recommended levels of physical activity (e.g. number of days on which people have walked or cycled for at least 30 minutes)
• Personalised advice and support Use data on the onset of Type 2 diabetes in adults to model adult obesity rates in a population – Proportion of people maintaining weight loss or BMI reduction on completion of weight management programme.
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School fruit and vegetable scheme|Monitoring of children’s growth in school|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages high in fat, sugars, salt|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Conditional cash transfer programmes|Vulnerable groups","","http://webarchive.nationalarchives.gov.uk/20130401151715/http://www.education.gov.uk/publications/eOrderingDownload/DH-9087.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GBR%202008%20Healthy%20Weight%2C%20Healthy%20Lives-%20A%20Cross-Government%20Strategy%20for%20England.pdf" "17859","PSE","West Bank and Gaza Strip","National Breastfeeding Committee","National Strategy for Infant and Young Child Feeding االخطة الاستراتيجية الوطنية لتغذية الرضع وصغار الاطفال","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Arabic","","2008","","2010","Ministry of Health","","2008","","","","","Health|Other|Social welfare|Women, children, families","National Breastfeeding Committee, Ministry of Economics, Ministry of Labour, Ministry of National Economy, Ministry of Social Affairs, Ministry of Women's Affairs","United Nations Children's Fund (UNICEF)|United Nations Relief and Works Agency (UNRWA)|World Health Organization (WHO)","","","","","","","","National NGOs","","Research/academia","","","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Complementary feeding|Growth monitoring and promotion|Nutrition counselling on healthy diets","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PSE%202008%20National%20Strategy%20for%20Infant%20and%20Young%20Child%20Feeding.pdf" "17770","AFG","Afghanistan","","National Infant and Young Child Feeding Policy and Strategy 2009-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2009","","2013","Ministry of Public Health","9","2009","Adopted","","2009","Executive Board","Other|Education and research|Food and agriculture|Health|Trade|Women, children, families","Breastfeeding Promotion Network of India (BPNI), Interior (MoI) to promote IYCF and the application of the Code of Marketing of BMS, Religious Affairs, Rehabilitation and Rural Development (MRRD), Justice, Labor and Social Affairs","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Basics Support for Institutionalizing Child Survival (BASICS)|International Baby Food Action Network (IBFAN)|Nutrition International|World Alliance for Breastfeeding Action (WABA)","","US Agency for International Development (USAID)","","","","","","","","","","","","2.3. Goal and objective of the National IYCF Policy and Strategy
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghanistan National Health and Nutrition Sector Strategy 2008-2013 of reducing child and maternal mortality and malnutrition.
Its overall goal is the same as the overall goal of the Public Nutrition Policy and Strategy, namely: To reduce all forms of undernutrition, thereby improving the growth, development and health of Afghan infants and young children, through improved infant and young child feeding practices.
The objective of the Infant and Young Child Feeding Policy, and its associated Strategy is:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20%, by 2013).
Strategic components and approaches to achieve this objective are described in section 3 of the present document.
2.4. Purpose of the Infant and Young Child Feeding Policy and Strategy
The purpose of the present Policy and Strategy is to describe the Government of Afghanistan’s position on IYCF, in accordance with the Global Strategy on IYCF. All key stakeholders directly or indirectly involved in IYCF, notably health sector professionals, NGOs, UN agencies, military, and private sector, are responsible, and will be held accountable, for respecting the present Policy.
This document also clarifies the strategies that need to be adopted and interventions to be implemented to achieve the policy objectives. It will serve to support advocacy and resource mobilization, as well as coordination between the main implementing partners (MoPH Departments, BPHS partners, NGOs, UN, private sector, communities). Finally, it provides guidance on how to monitor the protection and promotion of optimal IYCF in Afghanistan.
","Strategy for Promoting Optimal Infant and Young Child Feeding
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghan National Health and Nutrition Sector Strategy and the overall goal of the Public Nutrition Policy and Strategy by focusing on the following objective:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20% by 2013).
This objective will be achieved through the following three strategy components:
1. Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
National IYCF Policy and Strategy
1. Disseminate the National IYCF Policy and Strategy amongst all key stakeholders (MoPH, MAIL, MoJ, MoMI, MoEd, MoRA, MoWA, NGO’s, private sector).
2. Regular updating of IYCF action plan and preparation of a resource mobilization plan to support the implementation of the IYCF Policy & Strategy
3. Review MoPH related sub-policies, strategies and guidelines and make sure IYCF has been reflected in these documents
The Code of Marketing of Breast-milk Substitutes
4. Establish a National Committee for the Enforcement of the Code
5. Establish enforcement mechanisms for the Code of Marketing of BMS
6. Disseminate information on the Code (including translations) and related legislation to all key stakeholders (Provincial Departments of Health, PRTs, private sector, all health facilities, MOWA, NGOs, etc.) through posters, leaflets, and workshops
7. Training of Code monitors (IBFAN)
Maternity protection
8. Establish enforcement mechanisms and develop guidelines for the implementation of the Maternity Protection Act
9. Inform working women of their rights under the Maternity Protection Act (e.g. through leaflets and radio; can be part of IYCF Public Awareness Campaign)
IYCF Guidelines
10. Review existing international guidelines and national training packages and develop a comprehensive and coherent set of harmonized guidelines covering IYCF policy and priorities and strategic interventions, namely: IYCF promotion in different health facilities (including BFHI guidelines); IYCF promotion at community level; Infant and Young Child Feeding in Emergencies; Implementation of the Code, etc.
11. Disseminate guidelines to the relevant stakeholders, and conduct trainings on their implementation (c.f. also training activities under outputs 2 and 3)
Infant and Young Child Feeding in Emergencies
12. As part of the Afghan IYCF guidelines, develop a section on IYCF in Emergencies based on the internationally endorsed Operational Guidance for IFE
13. Disseminate the IFE Guidelines to all relevant stakeholders (including the Disaster Management Committee, the PRT, NGOs and Provincial Development Councils) and ensure they are implemented in emergency situations.
2. Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required for IYCF, through IEC/BCC and community support interventions.
Public awareness Raising
Establishment of community support groups and interventions
Integration of IYCF in non-health community-level interventions
3. IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities.
Capacity-building of various categories of personnel involved in implementation will be an integrated component of each strategic priority/output. Advocacy and resource mobilization will be essential to enable the implementation of the activities required to achieve these outputs. An advocacy and resource mobilization plan will therefore be developed. The activities to be implemented to achieve these outputs/strategic priorities are described below.
Expansion of Baby-Friendly Hospital Initiative to more hospitals and selected health facilities providing MCH services
1. Review lesson learned from the current BFHI
2. Train pool of BF assessors/advocates at the central and regional level.
3. Develop tools, conduct assessment/re-assessment to certifying health facilities as Baby-friendly
4. Train health facility staff on measures required to comply with BFHI criteria and implement these measures
5. Supervise and monitor facilities and provide certificates for facilities complying with BFHI criteria
Integrationif IYCF counselling in all health gacilities
6. Develop guidelines and establish IYCF corners in health facilities, including breastfeeding counselling and participatory cooking sessions (N.B. can be part of child health corner)
7. Ensure IYCF counselling is part of health education activities, including breastfeeding demonstration and participatory cooking sessions
8. Ensure breastfeeding counselling and re-lactation assistance are part of the management of acute malnutrition (in TFU and CMAM)
9. Identify at least one referral centre in each province for referral of complicated and difficult lactation and IYCF cases.
Training of health staff on IYCF
10. Integrate IYCF into the curricula of all medical and paramedic education institutions including community midwifery school and postgraduate programs (esp. residency training programs in paediatrics, obstetrics and gynaecology).
11. Develop training packages and job aids on IYCF for different health staff categories, including: doctors, nurses, midwives, community midwives, and CHWs
12. Integrate IYCF training modules as part of in-service trainings, in particular for MCH staff, CHWs & midwives (e.g. as part of C-IMCI training)
13. Distribute printed material and job aids to all facilities, including for CHWs and community midwives as part of C-IMCI
15. Train and establish pool of trainers at the national level and in “each region” on MBFI and IYCF, in particular by training Provincial Nutrition Officers on IYCF
16. Train at least 2 MCH staff of each health facility.
17. Train out-reach staff to enable them to integrate IYCF in out-reach services.
","Indicator (Baseline, Target)
Overall Goal: The prevalence of chronic and global acute undernutrition among children 0-59 months and the prevalence of MDDs are reduced by 10% of current levels
Objective: To increase the percentage of child caregivers that have adopted appropriate infant and young child feeding and caring practices.
(see new WHO indicators for IYCF in annex 5)
Component 1: Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
Component 2: Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required to apply adequate IYCF through IEC/BCC and community support interventions
Component 3: IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities
","Outcome indicators|Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Management of severe acute malnutrition|Home, school or community gardens|Improved hygiene / handwashing","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Infant%20and%20Young%20Child%20Feeding%20Policy%20and%20Strategy.pdf" "36089","BLR","Belarus","","Приказ об утверждении клинического протокола диагностики, лечения и медицинской реабилитации взрослого и детского населения Республики Беларусь с избыточной массой тела и ожирением [Adoption document for clinical protocol on overweight and obesity]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","6","2009","","","Ministry of Health","5","2009","Adopted","6","2009","Minister of Health","Health","","","","","","","","","","National NGOs","","","","","","Other","Health sector committees, Heads of Health Facilities","","","","","
Утвердить:
Le but du plan stratégique est de contribuer à la réduction de la mortalité infantile et infanto juvénile dans la perspective de l’atteinte des Objectifs 1 et 4 du Millénaire pour le Développement (OMD).
IV. - Objectif: Elever le taux d’allaitement maternel exclusif de 27 % à 70 % d’ici 20011 sur toute l’étendue du territoire national.
OBJECTIFS NATIONAUX SUR L’ALLAITEMENT MATERNEL
En accord avec les données de référence les objectifs suivants ont été fixés pour la période 2009 -2012 :
Taux d’allaitement maternel (Actuelle: 98.1%, Objectif 2012: 100%)
Taux d’allaitement maternel exclusif (Actuelle: 25%, Objectif 2012: 50%)
Pourcentage d’enfants allaités dans l’heure qui suit l’accouchement (Actuelle: 42%, Objectif 2012: 95%)
Pourcentage d’enfants allaités dans les 24 heures suivant la naissance (Actuelle: 45%, Objectif 2012: 100%)
Pourcentage d’enfants de 0-1 mois qui sont exclusivement allaités (Actuelle: 17,7%, Objectif 2012: 50%)
Pourcentage d’enfants de 4-6 mois exclusivement allaités (Actuelle: 25%, Objectif 2012: 50%)
Pourcentage d’enfants de 8-9 mois qui sont allaités et qui reçoivent des aliments de complément (Actuelle: 42%, Objectif 2012: 95%)
La durée médiane de l’allaitement maternel (Actuelle: 22 mois, Objectif 2012: 24 mois)
V. Stratégies
Les stratégies adoptées dans le cadre de cette Politique reposent sur l’expérience positive des stratégies mises en œuvres jusqu’ici dans la plupart des pays de la région dans la lutte contre la malnutrition, ainsi que les bonnes pratiques au niveau global. Ces stratégies viseront à prévenir la malnutrition à tous les stades critiques du cycle de vie (enfants d’âge préscolaire et scolaire, femmes enceintes et allaitantes, adolescentes) tout en éliminant les discriminations à l’encontre des filles et des femmes en matière de nutrition et luttant contre l’exclusion des groupes marginalisés
AXES STRATEGIQUES D’INTERVENTION
Pour atteindre les buts énoncés le plan d’action se développe autour des axes suivants :
Axe 1. Développement des politiques et stratégies en faveur de l’allaitement maternel optimal
Axe 2. Soutien de l’allaitement maternel auprès des mères allaitantes et en incluant leur famille et leur communauté.
Axe 3. Promotion des interventions d’IEC/CCC en faveur de l’allaitement maternel
Axe 4. Renforcement des capacités
Axe 5. Recherche, surveillance, suivi et évaluation
INTERVENTIONS RECOMMANDEES
1. Développement des politiques et stratégies en faveur de l’allaitement maternel optimal
1.1.Développer les politique et législation en faveur de l’A.M.E
o Finaliser et valider la Stratégie Nationale de l’Alimentation du Nourrisson et du Jeune
o Enfant basée sur la Stratégie mondiale pour l’ANJE et l’intégrer à toutes les politiques générales de santé
1.2. Coordonner la mise en œuvre des Programmes
o Mettre au point des plans annuels d’interventions au niveau national et régional et re-planifier sur la base des bilans annuels effectués
o Coordonner les initiatives de soutien à l’allaitement avec les autres programmes et actions de santé publique et de promotion de la santé
o Renforcer les capacités opérationnelles du Cellule de l’allaitement maternel
o Renforcer le Comité National d’Allaitement Maternel intersectoriel et mettre en place des Comités Régionaux d’Allaitement maternel
1.3. Mobiliser les Ressources nécessaires
o Allouer les ressources humaines et financières nécessaires pour la protection, la promotion et le soutien de l’allaitement
o Veiller à ce que l’élaboration, la mise en oeuvre, la surveillance et l’évaluation des activités soient menées indépendamment des financements des fabricants et distributeurs de produits visés par le Code international.
1.4. Plaidoyer en faveur de l’allaitement maternel exclusif jusqu’à six mois
o Faire connaître les politiques et les programmes de soutien à l’allaitement à tous les groupes de professionnels de santé, aux écoles et universités concernées offrant une formation et aux ONG et au grand public
1.5. Promouvoir le Code international de commercialisation des substituts du lait maternel
o Faire adopter et appliquer de manière complète la loi sur la commercialisation des substituts du lait maternel qui, au minimum, incluent toutes les dispositions du Code international et s’étendent à tous les produits visés par le Code
o S’assurer que le Codex Alimentarius reflète les dispositions du Code international et de la loi Guinéenne sur la commercialisation des substituts du lait maternel
o Informer l’ensemble des professionnels de santé et les responsables des établissements de santé de leurs responsabilités au regard du Code international et la loi Guinéenne sur la commercialisation des substituts du lait maternel
o Elaborer un code éthique s’appliquant aux critères de subvention individuelle et institutionnelle des cours, des documents de formation, de la recherche, des conférences et autres activités et événements, afin d’éviter les conflits d’intérêt qui pourraient nuire à l’allaitement
o Diffuser de l’information auprès du public sur les principes, les objectifs et les dispositions du Code, sur les procédures de contrôle de son respect et les sanctions en cas d’infractions
1.6. Améliorer la législation concernant la maternité au travail
o Améliorer la législation nationale tenant compte des standards OIT minimum de manière à garantir un cadre législatif suffisant pour donner aux mères la possibilité d’allaiter exclusivement leurs nourrissons les six premiers mois et de poursuivre ensuite l’allaitement
o S’assurer que les employeurs, les professionnels de santé et le public sont parfaitement informés de la législation en vigueur sur la protection de la maternité et en matière de santé et de sécurité au travail en ce qui concerne les femmes enceintes et les mères qui allaitent
o Informer les employeurs des avantages, pour eux- mêmes et pour leurs employées qui allaitent, à faciliter l’allaitement après le retour au travail, et des aménagements nécessaires pour garantir que cela est possible (horaires ménageables, pauses, et endroit où tirer et stocker le lait maternel)
1.7. Promouvoir l’Initiative Hôpital Ami des Bébés (I.H. A.B)
o Organiser des formations des agents de santé sur la gestion de la lactation et l’Initiative hôpitaux amis des bébés
o Organiser les évaluations externes et auto évaluations des hôpitaux ayant reçu le label H.A.B.
o Encourager les hôpitaux qui ne sont pas actuellement engagés dans une démarche vers l’accréditation HAB à s’assurer que leurs pratiques sont néanmoins révisées pour être en conformité avec les standards IHAB de pratique optimale
o Décerner le label H.A.B aux hôpitaux remplissant les conditions requises
o Organiser et renforcer les groupes de soutien à l’allaitement maternel au tour des H.A.B
2. Soutien de l’allaitement maternel auprès des mères allaitantes et en incluant leur
Famille et leur communauté.
2.1. Renforcer les capacités sur le conseil et soutien en allaitement maternel des agents de santé et secteur sociaux
o Garantir des formations initiales et de formation continue ainsi que des séances d’information pour médecins, gynécologues, pédiatres, nutritionnistes sages-femmes, infirmières et pour les professionnels de l’éducation et de la petite enfance.
o Adapter le programme de formation des professionnels de la santé (Evaluation, actualisation et adaptation du contenu pédagogique du programme des futurs professionnels de la santé aux évidences aussi bien scientifiques que de santé publique sur l´allaitement maternel et notamment la physiologie, la gestion et la promotion de l’allaitement maternel).
o Promouvoir les consultations prénatales et postnatales en mettant un accès particulier sur les conseils en allaitement maternel
o Elaborer du matériel de conseil (Carte conseil, pagi volt, film, affiches…) traduits et adaptés à mettre à disposition dans les CS, hôpitaux, cabinet médicaux et autres intéressés.
o Elaborer du matériel de conseils spécifiques pour les groupes à risques (primipares, mères séropositives, adolescentes…).
2.2. Soutenir l’allaitement maternel par des conseillers non professionnels formés et par les groupes de soutien de mère à mère
o Mettre au point ou réviser/mettre à jour les programmes (contenus, méthodes, documents, durée) pour la formation des conseillers en allaitement et des responsables de groupes de soutien de Mère à Mère
o Encourager la mise en place et/ou assurer une plus large couverture du soutien offert par les conseillers non professionnels formés et les groupes de soutien de Mère à Mère
o Renforcer la coopération et la communication entre les professionnels de santé travaillant dans différents établissements de santé, les conseillers en allaitement formés et les groupes de soutien en allaitement maternel
2.3. Soutenir l’allaitement maternel optimal dans la famille, dans la communauté et sur le lieu de travail
o Organiser des Communautés Amis des Bébés
o Former les relais communautaires sur le conseil et soutien en allaitement maternel
o Soutenir l’organisation des séances de sensibilisation, des débats communautaires, des témoignages, des négociations sur l’allaitement maternel et des visites à domiciles en faveurs des mères ayant des difficultés d’allaiter (primipares, adolescentes, mères célibataires, mères qui ont vécu une expérience d’allaitement difficile et infructueuse...)
2.4. Soutenir l’allaitement maternel optimal Au niveau du lieu de travail des femmes allaitantes
o Plaidoyer auprès des établissements publics et privés afin qu’ils facilitent aux mères d’allaiter et protègent le droit des femmes à allaiter quels que soient le moment ou l’endroit où elles en éprouvent le besoin.
o Organiser des Campagnes de sensibilisation en collaboration avec les Ministères du travail, les Syndicats, les associations professionnelles, patronales et les ONGs etc. pour informer sur la législation protégeant la maternité et les femmes allaitantes
2.5. Soutenir les femmes séropositives qui choissent l’allaitement maternel exclusif
o Former les agents de santé en conseil en allaitement maternel et VIH
o Doter des centres PTME en en cartes conseils sur l’alimentation infantile et VIH
3. Promotion des interventions d’IEC/CCC en faveur de l’allaitement maternel
3.1. Renforcer les capacités des hôpitaux et centres de santés dans l’IEC/CCC en allaitement maternel optimal
o Soutenir la conceptualisation, l’élaboration et la diffusion de matériel approprié d’IEC auprès du personnel de santé
o Offrir aux mères des conseils individualisés au cours d’entretiens face-à-face menés par des professionnels de santé formés, des conseillers non professionnels et des groupes de soutien de M à M
3.2. Assurer la sensibilisation du grand public sur l’allaitement maternel optimal
o Soutenir la conceptualisation, l’élaboration et la diffusion de matériel de sensibilisation au grand public, aux médias, aux enseignants et aux élèves sur l’allaitement maternel optimal.
o Informer le public des principes, des objectifs et des dispositions du Code International et sur la loi Guinéenne de commercialisation des substituts du lait maternel ainsi que sur les procédures de contrôle de son respect et les sanctions en cas d’infractions.
o S’assurer qu’il n’y ait pas de publicité ni aucune autre forme de promotion auprès du public des produits visés par le Code international
o Organiser la célébration de la Semaine Mondiale de l’Allaitement maternel
o Contrôler, informer et utiliser tous les organes des medias pour promouvoir et soutenir l’allaitement et s’assurer que l’allaitement est à tout moment représenté comme normal et souhaitable
4. Renforcement des capacités
4.1. Formation initiale
o Elaborer ou réviser s’il existe, les manuels de cours et le matériel de formation dans les écoles de formations en santé et facultés de médecine, pour les harmoniser avec un standard minimum (contenus, méthodes, durée) aux politiques et pratiques recommandées
o Elaborer en collaboration avec le ministère de l’éducation nationale des modules traitant l’allaitement maternel et promouvoir leur intégration dans le programme de la scolarité obligatoire
4.2. Formation continue
o Offrir une formation continue interdisciplinaire basée sur le cours OMS/UNICEF ou d’autres cours étayés scientifiquement sur la physiologie de la lactation et la gestion de l’allaitement, comme mise à niveau des acquis et formation continue, pour tout le personnel de santé concerné, avec une attention particulière au personnel de 1ère ligne en maternité et en pédiatrie
o Soutenir les professionnels de santé concernés à suivre les formations en allaitement spécialisées reconnues et à acquérir le diplôme de consultant en lactation ou une certification équivalente qui a prouvé son excellence
o Encourager les réseaux de communication Internet entre les spécialistes de l’allaitement de façon à augmenter les connaissances et les savoir-faire
5. Recherche, surveillance, suivi et évaluation
5.1. Encourager la recherche sur le lait maternel, sur l’allaitement et les bébés allaités
o Encourager et soutenir la recherche sur l’allaitement fondé sur des priorités et un programme convenus, libres de toute compétition et de tout intérêt commercial
o Soutenir et garantir des échanges intensifs d’expertise en recherche sur l’allaitement, au sein des instituts de recherche
o Participer à des projets nationaux et internationaux de recherche sur l’allaitement
5.2. Mettre en place un système de surveillance sur l’allaitement maternel
o Collecter de façon continue les données et statistiques sur l’allaitement maternel sur la bases indicateurs clés
o Mettre au point un système continu de surveillance sur l’allaitement maternel basé sur des définitions et méthodes standardisées universellement admises (sortie des hôpitaux et dans les communautés sentinelles)
o Elaborer et publier des rapports réguliers pour rendre compte de l´évolution de la situation, pour analyser d´une manière critique les objectifs visés et les progrès atteints, pour adapter en cas de besoin la politique et les actions.
o Etablir un système de surveillance, indépendant des intérêts commerciaux, qui ait la responsabilité de contrôler le respect du Code de commercialisation des substituts du lait maternel, d’enquêter sur les infractions et si nécessaire d’engager des poursuites, de même que de fournir des informations au public et aux autorités compétentes sur toute infraction portée devant les juridictions concernées
5.3. Assurer le Suivi et Evaluation des interventions
o Mettre en place un système régulier d’auto évaluation des Hôpitaux Amis des Bébés.
o Evaluation régulière des hôpitaux par rapport aux dix conditions de l’Initiative Hôpital Ami des Bébés tous les 2 ans
o Vérifier régulièrement les progrès et évaluer périodiquement les résultats du plan national/régional
o Réaliser la supervision des activités a tous les niveaux.
3. Les indicateurs -clés pour le suivi -évaluation du plan stratégique
Allaitement maternel exclusif (AME)
o Pourcentage d'enfant âgés de moins de 6 mois (0-6 mois ou <183 jours, c'est-à-dire jusqu'à la veille de leur sixième mois) qui ont été allaités exclusivement pendant les dernières 24 heures. Un nourrisson est considéré comme allaité exclusivement si il/elle a reçu uniquement du lait maternel, sans autre liquides ni solides, même pas d'eau, à l'exception de gouttes ou sirops (vitamines, minéraux, médicaments). S’assurer d'inclure dans le dénominateur les enfants qui n'ont jamais été allaités.
Initiation de l’alimentation de complément dans les temps (6-9 mois)
o Pourcentage des enfants âgés de 6 à 9 mois (183 à 299 jours, c'est-à-dire du sixième mois jusqu'à la veille de leur 10ème mois) qui sont allaités et ont reçu des aliments solides ou semi solides dans les dernières 24 heures.
Initiation de l’allaitement maternel dans les temps (0-11 mois)
o Pourcentage d'enfants âgés de moins de 12 mois (0-12 mois ou <366 jours, c'est-à-dire jusqu'à la veille de leur premier anniversaire) qui ont été mis au sein dans l'heure suivant la naissance.
o Pourcentage des enfants (0-11 mois) allaités le jour suivant la naissance (24h)
Colostrum
o Pourcentage des enfants de 0-24 mois dont les mères déclarent avoir donné du colostrum à leur enfant Pourcentage des enfants de moins de 12 mois (0-12 mois ou <366 jours, c'est-à-dire jusqu'à la veille de leur premier anniversaire) qui ont reçu du colostrum.
Durée médiane d’allaitement maternel (0-24 mois)
Les autres indicateurs
o Nombre d’acteurs/partenaires dans la Promotion Soutien et Protection de l’allaitement maternel,
o Nombre de projets exécutés
IV. Objective
This guide is intended to help health, nutrition, and other professionals to work together and coordinate with each other in nutrition management in emergencies and disasters whether at the local and national level. By improving understanding among the various sectors who are collectively responsible for ensuring adequate nutrition among emergency and disaster-affected population, this guide will promote coordinated and effective action.
This will then ensure that appropriate and quality package of nutrition interventions are delivered to prevent deterioration of the nutritional status of the affected population particularly women, infants, children, older persons, persons with disabilities, and the minority groups in emergencies and disasters.
B. Planning
2. The plans for nutrition management in emergency and disaster situations should define or identify:
a. Nutrition package and services to be delivered, including estimated or forecasted requirements of the following:
1) Food rations for mass and supplementary feeding3. Key services that should be available in the emergency (early, intermediate, and extended) phase
a. Protection and reinforcement of breastfeeding in the general population and among females who are HIV positive
1) All efforts could be exerted to ensure that infants less than 6 months old are exclusively breastfed, infants 6 months and older receive complementary foods with continued breastfeeding up to the second year of life or beyond. Such efforts could include:
a) Linking with other sectors to provide ‘safe havens’ for pregnant and lactating women in the early phase of an emergency. These ‘safe havens’ should be easily accessible areas where privacy, security and shelter are provided with access to water and food for pregnant and lactating women. An alternative would be designating a special area in evacuation centers or camps for pregnant and lactating women.d. Vitamin A supplementation
e. Iron supplementation
Оптимизация питания детей первого года жизни как один из ключевых подходов к улучшению состояния здоровья детского населения Российской Федерации.
В родильном доме с целью становления достаточной по объему и продолжительности лактации здоровый новорожденный ребенок должен выкладываться на грудь матери в первые 30 минут после не осложненных родов на срок не менее 30 минут
Важнейшая роль в пропаганде грудного вскармливания отводится врачам и медицинским сестрам, которые должны активно поощрять семейную и социальную поддержку грудного вскармливания, обеспечивать родителей полной информацией о его всестороннем положительном влиянии на организм ребенка и преимуществах перед детскими смесями.
","ОЖИДАЕМЫЕ РЕЗУЛЬТАТЫ:
Goal:
To provide the framework for ensuring the survival of, and enhancing the nutrition, health, growth and development of infants and young children, as well as strengthening the care and support services to their parents and caretakers to help them achieve optimal IYCF.
Objectives:
1. Promote, protect, and support exclusive breastfeeding for the first months of life, with continued breastfeeding up to 2 years and beyond.
2. Ensure nutritionally adequate and safe complementary feeding from 6 months of life while breastfeeding continues.
3. Support PMTCT services while promoting optimal IYCF in HIV-exposed children.
4. Strengthen the care, support, and follow-up services for pregnant women, mothers and caretakers in order to practice optimal IYCF.
5. Enhance optimal IYCF in other exceptionally difficult circumstances.
6. Advocate for appropriate interventions that promote and support the practice of optimal IYCF for all women, including employed mothers.
7. Contribute to the prevention and reduction of childhood and maternal malnutrition, illness and death.
Policy Guideline 1:
All mothers should be counselled and supported to initiate breastfeeding within an hour of delivery and to exclusively breastfeed their infants for the first 6 months of the infant’s life unless medically contra-indicated.
Policy Guideline 2:
Parents shall be counselled and supported to introduce adequate, safe and appropriately fed complementary foods at 6 months of the infant’s age while they continue breastfeeding for up to 2 years or beyond.
Policy Guideline 3:
Pregnant women and lactating mothers should be appropriately cared for and encouraged to consume adequate quantities of nutritious foods.
Policy Guideline 4:
4a) Health service providers should establish the HIV status of all pregnant women and lactating mothers.
4b) All pregnant women and lactating mothers should be encouraged to confidentially share their HIV status with service providers and key family members in order to get appropriate IYCF services.
Policy Guideline 5:
Exclusive breastfeeding should be recommended for infants of HIV infected women for the first 6 months of the infant’s life, irrespective of the infant’s HIV status, unless replacement feeding is acceptable, feasible, affordable, sustainable and safe (AFASS) for them and their infants before that time.
Policy Guideline 6:
Infants born to mothers living with HIV should be tested for HIV infection from 6 weeks of age, appropriate IYCF counselling given to the mother, based on her personal situation.
Policy Guideline 7:
Malnourished children should be provided with appropriate medical care, nutritional rehabilitation and follow-up.
Policy Guideline 8:
Mothers of infants who are born with low birth weight but can suckle should be encouraged to breastfeed, unless there is a medical contra-indication. Mothers of low birth weight infants who cannot suckle well shall be encouraged and assisted to express breast milk and to give it by cup, spoon or naso-gastric tube.
Policy Guideline 9:
Mothers, caretakers, and families should be counselled and supported to practice optimal IYCF in emergencies and other exceptionally difficult/special circumstances.
- Percentage of mothers initiating breastfeeding within one hour of delivery
- Percentage of mothers rooming in/bedding in with their newborn babies
- Percentages of HIV negative or unknown status mothers practicing exclusive breastfeeding at 3 and 6 months
- Percentage of babies aged 0-6 months receiving no other food or fluid apart from breast milk
- Percentage of HIV positive mothers practicing mixed feeding at 3 months
- Percentage of children started on complementary foods at 6 to 10 months
- Percentage of mothers who continue to breastfeed up to 2 years
- Percentage of infants receiving feeds using open cups
- Number of trained IYCF counsellors
- Number of mothers individually counselled on infant and young child feeding
- Percentages of HIV positive mothers practicing exclusive RF at 3 and 6 months
- Percentages of HIV positive mothers practicing exclusive breastfeeding at 3 and 6 months
- Percentage of children under 6 months in difficult circumstances who are being exclusively breastfed
- Percentage of children under 6 months in difficult circumstances who are being fed on breast milk substitutes
- Percentage of children aged 6 to 59 months who received Vitamin A supplements
- Percentage of children aged 6 to 59 months who received de-worming medicine
- Number of health workers trained in preparedness and support for IYCF in difficult circumstances at both the national and district levels
- Number and gravity of violations of the Food Safety (Marketing of Infant and Young Child Foods) Regulations
- Percentages of legible health facilities that are baby friendly
- Propotion of HIV positive mothers practicing mixed feeding at 3 months
","Outcome indicators|Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Vitamin A|Iron and folic acid|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutrition & infectious disease|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202009%20IYCF%20Guidelines.pdf" "14782","UGA","Uganda","","Nutrition in the Context of HIV and Tuberculosis Infection. Strategic Plan 2009-2014","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2009","","2014","Ministry of Health","","2009","Adopted","","2009","MoH","Health","Ministry of Health Health: Ministry of Health","World Food Programme (WFP)","World Food Programme (WFP)","Global Alliance for Improved Nutrition (GAIN)|International Baby Food Action Network (IBFAN)","International NGOs: Global Alliance for Improved Nutrition (GAIN), International Baby Food Action Network (IBFAN),","US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID)","","","","","Research/academia","","","","","","Goal
The overall goal of the Strategic Plan is to provide a framework for technically sound, integrated and coordinated food and nutrition interventions in the context of HIV and TB programs.
","Objective 1. To strengthen advocacy and mobilise resources for nutrition in HIV and TB interventions at all levels
Strategic interventions:
1.1 Convene annual donor conferences for resource mobilisation
1.2 Convene bi-annual advocacy meetings for the nutrition, HIV and TB stakeholders
1.3 Develop, produce, launch and disseminate a communication strategy on nutrition in HIV and TB
1.4 Identify and support activists on nutrition in HIV and TB
Objective 2.To increase coverage of food supplementation for persons infected with HIV and TB
Strategic interventions:
2.1 Support production and appropriate use of RUTF based on the locally available foods for TB and HIV infected persons
2.2 Promote appropriate use of the locally available foods at the household level
2.3 Integrate food supplementation and nutrition education into home based care, TB-DOTS and ART programmes
Objective 3. To establish and/or strengthen the institutional capacity to support quality nutrition in HIV and TB interventions
Strategic interventions:
3.1 Review, update and/or develop guidelines on the essential components of nutrition in HIV and TB
3.2 Produce and disseminate the guidelines through a comprehensive plan
3.3 Recruit additional human resource at national level; fill the existing gaps at national, regional and district levels
3.4 Source for appropriate technical assistance on nutrition in HIV and TB
3.5 Procure equipment and supplies for nutrition interventions and programmes
3.6 Develop standards and the regulatory framework for food products at the Ministry of Health
3.7 Finalise the development, production and integration of nutrition in HIV and TB into pre- and in-service training curricula
3.8 Support in-service training and other capacity building activities for formal and traditional service providers
3.9 Facilitate participation of nutritionists at regional training workshops and conferences
Objective 4. To promote coordination and strengthen linkages among partners involved in food and nutrition interventions in context of HIV and TB
Strategic interventions:
4.1 Integrate nutrition, HIV and TB into the existing coordination structures at national, regional and district levels
4.2 Develop, produce and disseminate policy and implementation guidelines on nutrition in HIV and TB
Objective 5. To strengthen the nutrition management information system and use of strategic information for decision making and planning for nutrition in HIV and TB
Strategic interventions:
5.1 Establish a data base and monitoring/ surveillance system that include nutrition in HIV and TB indicators
5.2 Train service providers at all levels on the nutrition information management system
5.3 Document best practices and periodically share experiences and technical updates on nutrition in HIV and TB e.g. Annual & Quarterly Bulletins
5.4 Develop a research agenda for nutrition in HIV and TB
Objective 6. To promote and support meaningful community involvement in nutrition within the context of HIV and TB
Strategic interventions:
6.1 Develop and produce a community information package on nutrition in HIV and TB
6.2 Train the VHT and other existing networks on nutrition in HIV and TB
6.3 Train PLHIV and caretakers on nutrition in HIV and TB
6.4 Support community-based nutrition education including the use of demonstration gardens and agricultural plots
Objective 7. To promote regular monitoring and evaluation of nutrition in HIV and TB Activities
Strategic interventions:
7.1 Monitor for the appropriate use of guidelines and standards
7.2 Conduct technical support supervision/ mentoring visits and regional meetings
7.3 Conduct mid-term review and evaluation of programme interventions
","The main input indicators identified for monitoring the nutrition programme in context of HIV and TB infections have been spelt in relation to the strategic interventions in the report’s Gantt chart.
2.2.1 Goal:
To operationalize the nutrition component of the Child Survival Strategy (CSS) in order to accelerate the reduction of under-five mortality, and thus contribute to the National Development Plan (NDP), the Health Sector Strategic Plan (HSSP) III, and the MDGs.
2.2.2 Overall Objective
To strengthen the implementation of a defined package of proven nutritional interventions that are cost effective and to achieve and sustain high coverage.
2.2.3 Specific Objectives
1. To implement cost effective nutrition interventions through community, population/scheduled, and clinical services.
2. To scale up proven nutrition interventions through community, population /scheduled and clinical services.
3. To sustain high coverage of proven interventions through community, population/scheduled and clinical services.
","Thematic Objective 1: Mainstreaming maternal nutrition interventions designed to ensure
adequate pregnancy outcomes and healthy infancy
Interventions
1. Providing iron and folic acid tablets to adolescents in and out of school, and to pregnant and
lactating mothers
2. Encouragement and support of antenatal care services through health education
3. Promotion of adequate intake of nutrient dense foods by the mother during pregnancy and
lactation, and of more daytime rest during pregnancy
4. Post-partum supplementation with vitamin A, iron and folate
5. Consideration of maize meal fortification with folic acid to help assure maintenance of
adequate serum folate prior to conception
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 2: Mainstreaming infant and young child nutrition interventions to ensure
growth and development
Interventions
1. Counselling during ante-natal and post-natal care to promote and support exclusive
breastfeeding.
2. Continued and intensified growth monitoring and promotion with intensive counselling to
address needed behavioural change, and referral as necessary for facility-based attention.
3. Promotion and support for exclusive breastfeeding for six months, timely introduction of
adequate complementary feeding, and continued breastfeeding to at least 24 months
4. Semi-annual Vitamin A supplementation to infants and children 6 to 59 months
5. Semi-annual deworming of children aged 1 to 14 years
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 3: Mainstreaming nutrition to ensure control and prevention of micronutrient
deficiencies
Interventions
1. Establishment of a comprehensive policy framework for micronutrient deficiency control
2. Support for implementation of a consolidated policy on micronutrient deficiency control
3. Advocacy for the control and prevention of micronutrient deficiencies
4. Control of iodine deficiency disorders
5. Vitamin A supplementation for children and post partum women
6. Iron supplementation for anaemic children and non pregnant women
7. Iron and folic acid supplementation for adolescent girls and for pregnant and lactating
women
8. Deworming of young children, school children and pregnant women
9. Food fortification, particularly of complementary foods with vitamin A, iron and other
micronutrients
10. Control of zinc deficiency through food fortification and supplementation as part of diarrhea
management
11. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 4: Mainstreaming the treatment of acute malnutrition into the health delivery
system with nutrition interventions to control for co- morbidities
Interventions
1. Identification, referral and management of cases of acute malnutrition
2. Nutrition management and support of sick children following IMCI protocols.
Thematic Objective 5: Mainstreaming nutrition into the treatment and management of HIV/AIDS
Interventions:
1. Providing nutritional services and supplements in the context of HIV/AIDS
2. Support for Infant and Young Child Feeding (IYCF) in the context of HIV
3. Prevention of mother to child transmission of HIV.
Thematic Objective 6: Mainstreaming nutrition interventions into emergency planning,
preparedness and response
Interventions
1. Providing nutrition services in emergencies
2. Support for Infant and Young Child Feeding in emergencies.
Thematic Objective 7: Cross cutting issues
Interventions
1. Operational research
2. Human capacity strengthening
3. Linking services across ministries
4. Family Care Practices.
Thematic Objective 8: Development of a comprehensive communication strategy to support all
nutrition interventions
Interventions
1. Development of an effective and comprehensive communication strategy designed to
encourage optimal IYCN for use at all levels
2. Production of appropriate information, education and communication materials at all levels
3. Development of advocacy packages for policy makers, program managers and communities.
","M&E indicators are available.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Capacity building for the Code|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","http://www.health.go.ug/nutrition/docs/infant/Operational_Framework.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202009%20The%20Operational%20Framework%20for%20Nutrition%20in%20the%20National%20Child%20Survival%20Strategy.pdf" "17841","AFG","Afghanistan","","Strategy for the Prevention and Control of Vitamin and Mineral Deficiencies in Afghanistan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2010","","","Ministry of Public Health","","2010","","","","","Food and agriculture|Health|Other|Trade","Ministry of Public Health Ministries of Health, Agriculture, Trade; Public Nutrition Department","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Nutrition International","","The World Bank|US Agency for International Development (USAID)","International Donor Agencies,","","","National NGOs","","","Academic Institutions","","food industry: producers, importers and retailers","Other","Afgan National Standards Agency, Provincial Nutrition Officer, Salt Millers Association, Flour Millers Association","2.1.3. Goal
Contribute to the reduction of infant, child and maternal mortality and morbidity caused by malnutrition.
2.1.4. Objectives
By the end of 2013 in Afghanistan:
1. Reach and sustain >90% coverage of high dose Vitamin A capsule distribution among children 6 – 59 months.
2. Enable >50% of households to regularly access Vitamin A and D fortified cooking oil and ghee (clarified butter).
3. Enable >90% of households to regularly access and consume iodized salt.
4. Increase the coverage of iron and folic acid (IFA) supplementation for pregnant and lactating women and iron supplementation of children less than 24 months of age through Basic Package of Health Services to 50%.
5. Fortify all industrially produced flour produced or imported into the country with vitamins and minerals according to international recommendations.
6. Enable 30% of households to utilize commercially or home-fortified complementary foods to feed their children.
7. Increase use of zinc supplementation as a component of diarrhoea treatment among more than 80% of affected preschool children.
8. Build national human capacity in nutrition science and food science and industry to adequately prevent and control vitamin and mineral deficiency in Afghanistan.
The overall aim of the “National Nutrition Policy and Strategy” of the MoPH is to “prevent, control and treat major micronutrient deficiency disorders and their outbreaks throughout the country with a major focus on iodine, iron, zinc, folic acid, Vitamin A and Vitamin C”. Some population-based interventions as well as a number of targeted local projects have been implemented to address vitamin and mineral deficiencies with support from international donor agencies such as UNICEF, WFP, FAO, USAID, and The Micronutrient Initiative. These programs should be strengthened or expanded while additional evidence-based interventions could be implemented to help improve the micronutrient status of the Afghan population, especially among women and young children.
Based on experiences from successful vitamin and mineral deficiency intervention programs in other countries, evidence from published literature, and the current public nutrition situation and capacity in Afghanistan, recommendations are proposed based on three broad themes:
1) Strengthen micronutrient deficiency prevention (and treatment) through the BPHS;
2) Expand and strengthen public-private-civic sector partnerships; and
3) Develop public and private sector human capacity and expertise.
","Strategies:
2.2. Three Pillars of the Proposed Strategy
2.2.1. Strengthen Preventive and Therapeutic Micronutrient Deficiency Interventions through the BPHS
To improve the coverage and effectiveness of micronutrient supplement and in-home fortificants distribution through the public health facilities and the BPHS, innovative and appropriate strategies are needed to encourage and enable large proportions of women and children to access health facilities for preventive and therapeutic services. In the past few years, the MoPH and its partners have been working to increase population access to primary health care and to improve the quality of preventive and therapeutic health services in the country. Such efforts have helped to decrease infant mortality rate from 165 to 129 and under-five mortality rate from 257 to 190 (per 1000 live births).
2.2.2. Public-Private Sector Partnerships: Recognizing the Role, Responsibility and Potential Capacity of the Food Industry and Local Markets in Afghanistan
It should be understood that the food industry – producers, importers, wholesalers and retailers have an essential role in enabling the majority of the population of Afghanistan to access vitamin and mineral rich foods and supplements. The role of government is to implement appropriate policies, and promulgate and enforce needed laws, regulations and standards to allow for the production, importation and sale of nutrient-rich foods, especially quality fortified products and vitamin and mineral supplements.
2.2.3. Strengthen National Nutrition Capacity
To help enable the national and local public nutrition and health personnel to advocate for, plan, design, implement, monitor, and evaluate effective population based vitamin and mineral deficiency prevention and control programs, it is essential that they have the needed technical and programmatic skills and expertise. Although participation in short-term training programs has helped to increase the knowledge of the limited number of Public Nutrition Department (PND) staff within MoPH at the Central level, most staff at the local levels does not have the minimum needed skills in public nutrition. Further, as mentioned above, there has been substantial turnover of PND staff since the Department was established in 2002. Currently, Afghanistan has no academically trained nutritionists with public health or clinical expertise, and the nutrition curriculum offered to medical and nursing students is reported to be relatively weak.
It is therefore recommended that a cadre of post-graduate Afghan nationals be encouraged and supported to attend graduate level training abroad in human and public nutrition science, policy and epidemiology, as well as food science. The existing nutrition curriculum offered to medical and nursing students should be 36 evaluated and appropriately modified to help meet the training needs of future Afghan physicians and nurses who make up the back-bone of the national health care system. To build a solid foundation for the future, bachelor and graduate level academic degree programs in nutrition and food science as well as public nutrition should be offered through public and private academic institutions within Afghanistan.
","
Indicators:
# of available doses of Vitamin A supplement
Estimated # of children to be supplemented
# of children who received Vitamin A supplement
# of children surveyed in target area
# of children with low serum retinol
# of children tested in target area
# of available doses of prenatal Fe/FA supplement
Estimated # of pregnant women to be covered
# of pregnant women who received supplement
# of target pregnant women surveyed
# of pregnant women with anemia_______
# of pregnant women tested for hemoglobin levels
Quantity of quality iodized salt produced and/or imported
Quantity of salt needed by target population
# of households using quality iodized salt
# of target households surveyed
# of women or school-age children with low urinary iodine
# of target women or school-age children tested
Quantity of quality fortified flour produced and/or imported
Quantity of flour needed by target population
# of households using quality fortified flour
# of target households surveyed
# of women of with iron deficiency
# of target women tested
# of birth with neural tube defects
# of live births among target population
Quantity of quality fortified oil/ghee produced and/or imported
Quantity of oil/ghee needed by target population
# of households using quality fortified oil/ghee
# of target households surveyed
# of women of with vitamin A deficiency
# of target women tested
","","","Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Vitamin and mineral nutrition|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|Complementary foods|Nutrition and infectious disease|Nutrition sensitive actions|Food security and agriculture|Health related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202010%20Strategy%20for%20the%20Prevention%20and%20Control%20of%20Vitamin%20and%20Mineral%20Deficiencies.pdf" "23268","BGD","Bangladesh","","National Communication Framework and Plan for Infant and Young Child Feeding in Bangladesh","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2010","","","Ministry of Health and Family Welfare","","2010","","","","","","Ministry of Health and Family Welfare","United Nations Children's Fund (UNICEF)","","CARE|Concern Worldwide|Helen Keller International (HKI)|International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)|Save the Children","International NGOs: CARE, Concern Worldwide, Helen Keller International (HKI), International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Save the Children, -","US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID)","","","","","","","","","","","
The IYCF framework and plan has been prepared for 2010-2013. The
following communication objectives have been identified for advocacy,
communication for social change, and behaviour change related to
priority topics in IYCF.
Advocacy Objectives:
By the end of 2013,
- 50% of government authorities (all directors and programme managers from DGHS and DGFP) and development partners are
sensitized about National IYCF Strategy and initiate allocation of resources for implementing relevant sections of the action plan and
give additional support for mainstreaming IYCF into health, family planning, education, agriculture, food security and nutrition sector
programmes
- DGFP and DGHS add counseling and support to mothers for appropriate IYCF in job descriptions of health providers, particularly
those who provide services on ANC, PNC, ENC, FP, immunizations and management of childhood illnesses; and HMIS indicators for
appropriate IYCF are added and reviewed regularly by relevant health and family planning staff
- Policy makers agree that government medical and nursing colleges will be teaching about how to provide practical support to mothers
- 50% of monthly District Development Coordination Committee (DDCC) review meetings cover topics related to IYCF, including the
importance of maternal and child nutrition and reporting of IYCF progress made in various sectors in programme areas
- National school curriculum for classes 6-10 include the importance of maternal and child nutrition and appropriate IYCF
- At least 20% of business corporations; and BTMA, BGMA, BKMA members; the national forum for CSR; consumers associations; and chamber
of commerce members are sensitized about the impact of
childhood nutrition and IYCF on adult labour productivity and at least 40% of these are promoting appropriate IYCF among their workers
and communities in which they operate
- Handwashing linked to complementary feeding addressed in national hygiene promotion strategy and active plans
- Reporters and gatekeepers from 50% of national media outlets (print,broadcast, radio and web) producing increased coverage on IYCF
practices and impact on child mortality, nutrition, health and development outcomes in order to remove barriers and increase
support and resources for IYCF services among policy and decision makers.
Communication for Social Change Objectives:
By the end of 2013,
- 50% of trained health service providers (doctors, nurses, village doctors, pharmacists, CHWs) in programme areas support mothers
to practice priority IYCF behaviours (EI, EBF, CF and hand washing)
- At least 30% of religious leaders in programme areas coming in contact with pragnent women or their family members promote
priority IYCF practices during their regular and special prayers and ceremonies
- 25% of communities in programme areas have more than one community leader e.g. teachers, elites, union parishad members,
woman leaders and others, promote emphasis behaviours of IYCF among all family members
- 25% of communities in programme areas have adolescent groups actively promoting priority IYCF practices
- At least 50% of existing community groups and associations in programme areas support emphasis IYCF behaviours
- At least 3 soap manufacturers agree to include handwashing linked to complementary feeding messages in their advertising campaigns
Behaviour Change Objectives:
By the end of 2013,
- Mothers initiated breastfeeding immediately (within one hour) of birth increased from
43% to 65%
- At least 65% of birth attendants (SBA, TBA, family members) reached through the
IYCF initiative put infant to mother's breast immediately (within one hour) of birth
- Mothers exclusively breastfeeding their infants 0-6 months of age increased from
43% to 60%
- An additional 10% mothers and caregivers over baseline feed animal foods to
children 6-24 months of age
- 50% of mothers and caregivers in programme areas feed ageappropriate quantity
of diversed solid or semi-solid atleast once daily family food (atleast 4 food groups)
to 6-24 month old children
- 10% of additional mothers and caregivers wash their hands thoroughly with soap
before food preparation and feeding of children 6-24 months of age
- 50% family members and birth attendants prevent giving pre and post lacteals
within first 3 days after birth and continue exclusive breastfeeding
- Atleast 50% family planning workers promoting LAM as a contraception method
","","","","","Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Nutrition sensitive actions","","http://scalingupnutrition.org/wp-content/uploads/2013/07/IYCF-Plan-Document-24-11-2010.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BAN%202010%20National%20Communication%20Framework%20and%20Plan%20for%20Infants%20and%20Young%20Child%20Feeding%20in%20Bangladesh_5.pdf" "23758","CAN","Canada","","Curbing Childhood Obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","","","","2010","Adopted","","","","Health","Federal, provincial and territorial. Ministers of Health and/or Health Promotion/Healthy Living will take a leadership role through their commitment to collectively champion the pressing public health issue of childhood obesity.","","","","","","","","","","","","","","","","","
Canada is a country that creates and maintains the conditions for healthy weights so that children can have the healthiest possible lives.
","Evidence shows that childhood overweight and obesity can be influenced by several important factors, including:
- the availability and affordability of nutritious food;
- the accessibility of proper nutrition and support to mothers during pregnancy;
- the provision of baby-friendly health settings;
- the protection of children from the marketing of foods and beverages high in fat, sugar and/or sodium;
- the levels of physical activity and healthy eating within the school environment;
- the early identification of infants and children who are overweight or obese and referral to an effective child healthy weight program;
- the supportive design of communities to encourage active living;
- the levels of awareness, skills and knowledge of Canadians, including parents and caregivers, regarding the importance of healthy eating and physical activity;
- the need for children and their families to have positive mental health and have access to community or public health services.
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Nutrition counselling on healthy diets","","http://www.phac-aspc.gc.ca/hp-ps/hl-mvs/framework-cadre/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CAN_2010_CCO.pdf" "39440","CHL","Chile","","Estrategia de Intervención Nutricional a través del Ciclo Vital para la Prevencion de Obesidad y otras Enfermedades no Transmisibles (EINCV)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2010","","","Health ministry","","2010","Adopted","","2010","","Health","","","","","","","","","","","","","","","","","","OBJETIVO GENERAL DE LA EINCV
Fomentar la alimentación saludable y aumentar la actividad física a lo largo de todo el ciclo vital, con focalización inicial en su primera etapa en la mujer y sus hijos hasta los seis años de edad, a quienes los equipos de salud de la atención primaria les realizan controles de salud sistemáticos, otorgan consejería y acompañamiento, además, de mantener la vigilancia nutricional para generar nuevas iniciativas que permitan alcanzar el propósito.
OBJETIVOS DE LA EINCV
1. Intervenir precozmente a la población infantil y a las mujeres embarazadas, idealmente desde la etapa preconcepcional, con la promoción de alimentación sana y actividad física periódica, a través de los controles de salud; haciendo énfasis en la población con mayor riesgo de desarrollar obesidad y enfermedades no transmisibles (ENT), según la evidencia disponible.
2. Vigilar el estado nutricional y el incremento de peso durante el embarazo, interviniendo oportunamente en las desviaciones de la normalidad.
3. Vigilar que el estado nutricional de las mujeres en edad fértil bajo control atendidas en el nivel primario se mantengan con índice de masa corporal (IMC) normal.
4. Controlar la recuperación del peso pregestacional en la mujer al 6º meses postparto.
5. Promover la lactancia materna exclusiva hasta el 6º mes de vida y su prolongación complementada con sólidos hasta el año de edad. 10
6. Vigilar el estado nutricional y el incremento de peso durante la infancia e intervenir oportunamente en las desviaciones de la normalidad.
7. Prevenir las enfermedades transmitidas por alimentos promoviendo hábitos de higiene y manipulación de alimentos en el hogar.
8. Incorporar otros hábitos tales como aseo bucal y cesación tabáquica.
","ESTRATEGIA OPERATIVA DE LA EINCV La EINCV
consiste en coordinar matricialmente las actividades de promoción de salud que desarrollan los diferentes programas relacionados que implementa del Ministerio de Salud y otros implementados por instituciones a fines, como Chiledeporte. Esta coordinación permitirá actuar de modo integral sobre los grupos familiares en riesgo. Las acciones comprendidas en esta Estrategia serán canalizadas en la red asistencial a través de la atención primaria en las diferentes actividades que realiza el equipo de salud de cabecera a lo largo del ciclo vital, las que serán reforzadas por las acciones de los Planes Comunales de Promoción, del Sistema Chile Crece Contigo, EGO-Chile y por los Servicios de Salud.
EJES DE INTERVENCIÓN DE LA EINCV
1. Relevar el tema nutricional en el ámbito del equipo de salud y población.
2. Incorporar la Consejería en alimentación saludable y actividad física en todos los controles habituales de la mujer y de la niña(o).
3. Cautelar el aumento de peso excesivo durante el embarazo.
4. Promover la recuperación del estado nutricional pregestacional.
5. Promover lactancia materna.
6. Intervenir oportunamente en la infancia.
7. Prevenir las enfermedades transmitidas por alimentos con la promoción de hábitos de higiene y manipulación de alimentos en el hogar.
","INDICADORES
SITUACIÓN NUTRICIONAL DE LA EMBARAZADA BAJO CONTROL
El estado nutricional de la embarazada bajo control en la red asistencial del sistema público de salud, destaca que más de la mitad de las mujeres en control presenta exceso de peso y que existe una reducida proporción de bajo peso. El análisis por grupo de edad muestra un aumento significativo de la obesidad a medida que aumenta la edad de la gestante (ver tabla Nº1). Sin embargo, la prevalencia del bajo peso promedio que se observa en Tabla Nº 2, muestra una alta prevalencia de ésta, principalmente en el análisis por grupo de edad en las embarazadas menores de 15 años.
Monitoreo
Considerando que la evidencia científica sostiene que las acciones más costo efectivas son aquellas intervenciones iniciadas precozmente se han definido algunos indicadores que deben ser monitoreados y analizados al 8 menos semestralmente en los establecimientos y Servicios de Salud del País:
• Situación nutricional de la embarazada bajo control,
• Situación nutricional de la mujer al sexto mes post parto,
• Lactancia Materna exclusiva al sexto mes de vida,
• Prevalencia de mal nutrición por exceso en la población infantil menor de seis años bajo control.
","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|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|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Creation of healthy food environment|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Nutrition education|Milk|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|Food safety|Importance of not introducing complementary feeding before 6 mos|Milk for mothers|Maternal nutrition and preparation for and maintenance of breastfeeding|Monitoring mechanism established","","http://web.minsal.cl/portal/url/item/8a2cacad32ce5b9ce04001011e017fb4.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHL%202010%20Estrategia%20de%20Intervenci%C3%B3n%20Nutricional%20a%20trav%C3%A9s%20del%20Ciclo%20Vital%20para%20la%20Prevencion%20de%20Obesidad%20y%20otras%20Enfermedades%20no%20Transmisibles%20%28EINCV%29.pdf" "39441","CHL","Chile","","Estrategia para la Reducción del Consumo de Sal en Chile Plan de Acción","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2010","","2014","","","2010","","","","","Health","","","WHO, PAHO","","","","","","","National NGOs","","","","","","","","Objetivos sanitarios década 2011‐2020
Estrategia para la Reducción del Consumo de Sal en Chile
Vigilancia
Objetivos generales y específicos
El Plan Decenal, de acuerdo con lo definido en el enfoque estratégico de estrategias y objetivos, centra su actuación en tres objetivos generales que se complementan para garantizar no sólo logros institucionales y programáticos, sino un fortalecimiento comunitario y social amplio, acompañado de una apuesta pública consolidada a favor de las mejores condiciones de los niños y las niñas menores de dos años de edad.
Desarrollo de actuación relacionado con el fortalecimiento de capacidades y competencias institucionales
Desarrollo de actuación relacionado con las transformaciones sociales a favor de la lactancia materna
Desarrollo de actuación relacionado con la gestión política para el apoyo, promoción y protección de la lactancia materna
Indicadores
Artikel 1. Algemene doelstelling
Partijen stellen zich met betrekking tot het beoogde effect van het Convenant Gezond Gewicht de volgende algemene doelen:
Artikel 2. Deelconvenanten
1. de bevordering van een integrale en structurele aanpak van een gezonde leefstijl op scholen op het gebied van voeding en bewegen. Deze integrale aanpak bestaat uit: a) het gebruik van toepasbare en effectieve lesmethoden over gezonde voeding en bewegen;
b) een aanbod van gezonde voeding in de schoolkantines en eventuele andere verkooppunten binnen de school;
d) de bewustwording van het belang van gezonde voeding en bewegen in de opvoeding vergroten bij ouders/verzorgers, scholen en onderwijscateraars;
e) de samenwerking met gemeenten, sportorganisaties, bedrijven en andere betrokken partijen in de omgeving van de school;
f) afspraken over schoolbeleid met ouders en scholen over gezond eten en drinken, traktaties, tussendoortjes en een gezond voedingsaanbod tijdens de overblijf; g) monitoring en evaluatie;
2. In 2015 zijn de onderwerpen gezonde voeding, beweging en het maken van gezonde keuzes voor scholen structureel verankerd in het schoolbeleid. Voor ontbijten wordt als norm gehanteerd dat deelnemers in alle leeftijdsgroepen dit dagelijks doen.
Voor groenteconsumptie gelden leeftijdsafhankelijke normen. Voor deelnemers van 4-11 jaar geldt dat zij de norm halen wanneer zij dagelijks 3 of meer opscheplepels (150 gram) groente eten. Voor deelnemers van 12 jaar en ouder geldt dat zij de norm halen wanneer zij dagelijks 4 of meer opscheplepels (200 gram) groente eten. Voor fruitconsumptie geldt voor deelnemers in alle leeftijdsgroepen dat zij de norm halen wanneer zij dagelijks minimaal 2 stuks fruit eten.
","","","","Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle","","https://www.10000stappen.nl/uploaded/koepelconvenant.pdf ","SMART actions mandated, zero measurement on food intake and nutrition habits conducted. Final reports indicates SMART measures taken and presents reduced overweight rates per Municipals.","Zero Measurements TNO 2011: https://www.gezondeschool.nl/sites/default/files/o11783_2011-016-monitor-convenant-gezond-gewicht-def.pdf Progress Report Nota to Government 2015: https://zoek.officielebekendmakingen.nl/dossier/31899/kst-31899-25.htmlProgress Report Actions taken Covenant per Municipally: https://jongerenopgezondgewicht.nl/userfiles/5%20Jaar%20Convenant%20Gezond%20Gewicht%20in%20beeld.PDF","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202010-2014%20Covenant%20on%20healthy%20weight.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202010-2014%20Covenant%20on%20healthy%20weight.pdf" "25920","NGA","Nigeria","","National Policy on Infant and Young Child Feeding in Nigeria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","","Federal Ministry of Health, Department of Family Health","11","2010","","","","","Health|Food and agriculture|Women, children, families|Information","Federal Ministry of Health, Department of Family Health; Federal ministry of Women Affairs;Federal Ministry of Information and Communication;National Agency on Food and Drug Administration and Control (NPHCDA);National Primary Health Care Development Agency (NPHCDA);","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Nutrition International","","","","","","National NGOs","Nutrition Society of Nigeria","Research/academia","","","","","","Goal and Objectives
Infant and young child feeding is an integral part of the overall objective of ensuring the socio-economic well-being of all Nigerians. It is in this context that the problem of malnutrition exists and within which the goal and objectives of this Policy are derived.
Goal
The overall goal of the National Policy on Infant and Young Child Feeding in Nigeria is to ensure the optimal growth, protection and development of the Nigerian child from birth to the first five years of life.
Specific Objectives:
i. To protect, promote and support exclusive breastfeeding in the first six months of life
ii. To create and sustain a positive image for breastfeeding throughout the society
iii. To empower all women (including women who work outside their homes) to adopt and practice optimal infant feeding.
iv. To promote the timely introduction of appropriate and adequate complementary foods while continuing breastfeeding up to 24 months and beyond.
v. To ensure the provision of specific feeding recommendations for all infants and young children irrespective of their circumstances of birth and health status.
vi. To promote the provision of appropriate information for nutrition counseling and support for households in the prevention of malnutrition in children.
vii. To develop and strengthen activities that will protect, promote and support adequate infant and young child feeding practices.
viii. To raise awareness on issues affecting infant and young child feeding in Nigeria
ix. To support and enhance the provision of an enabling environment without any form of discrimination for working mothers, fathers and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
x. To promote the prevention of mother-to-child transmission of HIV and ensure HIV-free survival through appropriate and safe measures that ensure optimal infant and young child feeding.
xi. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding, including in emergency situations.
xii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Vitamin A|Iron|HIV/AIDS and nutrition","","http://www.health.gov.ng/index.php/resources/policy-documents/family-health","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202010%20National%20Policy%20on%20Infant%20and%20Young%20Child%20Feeding%20in%20Nigeria.pdf" "126481","WSM","Samoa","","Samoa National Food And Nutrition Policy & Plan Of Action 2021-2026 ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","6","2021","","","Ministry Of Health ","6","2021","Adopted","6","2021","Ministry Of Health ","Health","","","","","","","","","","","","","","","","","","
Vision
“Nutritional health for Samoa”
Mission
“To reduce malnutrition, and food and nutrition-related diseases in Samoa”
Targets
5% reduction in under-5 stunting.
5% reduction in under-5 overweight
No increase in childhood/adolescent overweight.
5% reduction in the childhood/adolescent obesity.
5% reduction in adult overweight.
5% reduction in adult obesity.
5% reduction in adult diabetes.
5% reduction in adult raised blood pressure.
5% reduction of anaemia in women of reproductive age.
5% increase in 6-month exclusive breastfeeding rate.
5% increase in intake of fruits and vegetables in communities. 5% reduction in mean population intake of salt/sodium.
5% reduction in foodborne diseases.
5% reduction in DMFT (Decayed Missing and Filled Teeth) Index.
Strategic Objectives
1. To foster inter-sectoral governance and leadership for an integrated and multi- sectoral approach to food and nutrition in Samoa.
2. To strengthen the policy and regulatory framework for improved food and nutritional health in Samoa.
3. To further develop and implement interventions for improved sustainable food and nutritional focus across the communities, and using the life cycle approach for targeted interventions for women, infants and children, and other vulnerable groups.
4. To raise societal awareness and understanding of food and nutrition issues and challenges, and for community to effect own social and behavioural changes;
5. To enhance capacity building in food and nutrition.
6. To strengthen resourcing commitments for food and nutrition development,including implementation of the NFNP Action Plan 2021-2026.
1. Leadership and governance for a multi- sector approach to food and nutrition enhanced.
1.1. Establishment of the National Food and Nutrition Policy Committee (FNPC).
1.2. Strengthening the role of the FNPC.
1.3. Establishment of a National Food and Nutrition Focal Point.
1.4. Sensitising political leaders to the needs for improved food and nutrition in Samoa.
1.5. Enhancing partnerships and collaborative efforts for food and nutrition
2. Samoa’s policy and regulatory framework for food and nutrition strengthened.
2.1. Implementation and enforcement of food legislation.
2.2. Development of additional food standards and other regulatory requirements.
2.3. Review, development and implementation of food and nutrition fiscal policy - food pricing and taxation measures.
2.4. Development of national operating procedures and guidelines on food and nutrition, including organisational and institutional level operating policies on food and nutrition.
2.5. Strengthen surveillances of food and nutrition-related diseases.
2.6. Strengthen monitoring and evaluation of food and nutrition measures.
3. Improved sustainable food and nutritional focus across the communities, and using the life cycle approach through targeted interventions.
3.1. Active promotion of breastfeeding in all health services, workplaces, community settings, and other public places.
3.2. Continuation and scale- up of interventions aimed at addressing maternal health and infant and young child feeding issues.
3.3. Interventions for increased uptakes of needed nutritional food for healthy development.
3.4. Strengthen service provisions on nutritional health, including targeted services for reducing child malnutrition
4. Societal awareness, understanding and ownership of food and nutrition issues and solutions enhanced.
4.1. Health promoting communities.
4.2. Health promoting schools.
4.3. Health promoting workplaces.
4.4. National and event-based and issue- based programs including multi-media campaigns on issues and solutions.
5. Capacity building and learnings in food and nutrition development strengthened.
5.1. Strengthening of the curriculum on food and nutrition and education strategies on food and nutrition.
5.2. Capacity building for key change agents working in food and nutrition areas.
5.3. Capacity building for food industry to enhance understanding and compliance with food and nutrition legislative requirements, including a stock take and review of current levels of understanding about, and compliance with, food and nutrition.
5.4. Strengthen research, studies and analysis for building evidence- based understanding on food and nutrition areas.
6. Resourcing commitments for food and nutrition development enhanced.
6.1. Address misalignment of food and nutrition performance management measures in national budgets and those in approved national policies and plans.
6.2. Seek development partners’ support for the implementation of programs/ projects on food and nutrition development.
....
....
23. Breastfeeding Committee revived and is in full operation.
24. Promotional initiatives implemented.
25. M&E Reports on Baby Friendly Initiative in all health settings, workplaces, communities, and other public places.
26. Work place policies that strengthening protection of breastfeeding rights of working women established.
27. Maternity leave increased to 6 months and increase for working mothers in private sector on par with mothers working in the public sector.
28. Number of capacity building initiatives on Baby Friendly and breastfeeding initiatives conducted.
29. Assessment report on interventions and services addressing maternal health and infant and young child feeding.
30. M&E reports on implementation of actions addressing maternal health and infant and young child feeding (including those to build awareness and capacities).
31. M&E reports on implementation of strategies to control marketing of foods and non-alcoholic beverages to children.
32. Reports on uptake of fruits and vegetables, and other required and most needed supplements in the community.
33. Assessment report on services and programs providing nutrition services.
34. M&E reports on implementation of actions addressing nutrition-related diseases and other health issues.
35. 85% coverage of all primary/pre-school children in Samoa by the school dental health programs targeting the 5yrs – 12yrs old aged group.
36. Health promoting community, health promoting workplace, and health promoting school models documented and are in place.
37. M&E reports on the adoption and implementation of community-based health promotion and awareness initiatives.
38. Independent assessment report on the implementation status of the health promoting school model across Samoa.
39. M&E reports on implementation of the health promoting school model, including assessing of capacities, awareness and programs aimed at monitoring and reducing obesity in schools.
40. M&E reports on implementation of the health promoting workplace model.
41. M&E reports on promotion initiatives for awareness about food safety, healthy lifestyles, malnutrition and nutrition- related diseases, sustainable food and nutrition security.
42. Reduction in the use of unsafe pesticides in the community.
43. Partnerships formed with education sector key agencies/ organisations on education policy strengthening activities for food and nutrition.
44. Food and nutrition policy embedded in national education strategies and school operations.
45. School curricula on nutrition strengthened.
46. Number of pre-service and in- service training for teachers including number of participants.
47. Increase in tertiary scholarships in nutrition and graduates with majors in nutrition.
49. Increased food and nutrition manpower and capacities including revised organisational structure to accommodate increase manpower.
50. In-service accredited training on food and nutrition (inclusive of food trade aspects) developed.
51. Number of training on food and nutrition and number of health worker participants in trainings.
52. Capacity building/training package on food and nutrition policy and legislative measures and requirements.
53. Number of training on food and nutrition & number of food industry participants in trainings.
54. M&E reports on understanding of food safety partners, business sector, food industry, academic and education institutions, etc., on issues relating to the food system and nutritional health.
55. New technology/recipe modification for improved nutritional quality of locally produced processed food adopted and implemented.
56. Initiatives aimed at strengthening capacity of food industry on ways to reduce fat, trans fatty acids, salt and sugar in food products adopted and implemented.
57. Routine data collection improved
58. Food and nutrition database established and used to capture baseline, surveillance and M&E data relating to national food and nutrition.
59. Number and quality of research conducted on issues relating to food and nutrition.
60. Alignment of indicators in policy, planning and programming documents of MoH and sector partners strengthened.
61. Improved national budget allocation for the implementation of food and nutrition policy/measures.
62. Dialogue amongst FNPC about financing options for food and nutrition measures strengthened.
63. Development partners financial and technical support made available to support implementation of the NFNP Plan of Action 2021-2026.
","","","Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Breastfeeding|Breastfeeding - Exclusive 6 months|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|Sodium/salt intake|Fruit and vegetable intake|Baby-friendly Hospital Initiative (BFHI)|Maternity protection|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Regulating marketing of unhealthy foods and beverages to children|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition & infectious disease|Food safety|Household food security","","https://www.health.gov.ws/wp-content/uploads/2023/02/National-Food-and-Nutrition-Policy-2021-2026.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/WSM%202021%20National%20Food%20and%20Nutrition%20Policy%202021-2026.pdf" "40752","KOR","Republic of Korea","","Comprehensive plan for safety control of children's dietary life (Under the Special Act)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","","","","2010","","","","","","","","","","","","","","","National NGOs","","","","","","","","","","","","","Nutrition in schools|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Food labelling|Regulating marketing of unhealthy foods and beverages to children","","http://elaw.klri.re.kr/kor_service/lawView.do?hseq=32724&lang=ENG","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "8095","SLB","Solomon Islands","","Solomon Islands Breastfeeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","2017","Ministry of Health and Medical services","","2008","","","","","Health","Ministry of Health and Medical services","","","","","","","","","National NGOs","","","","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding","","","","WHO Global Nutrition Policy Review 2009-2010","" "38220","TGO","Togo","","Politique nationale d'alimentation en milieu scolaire","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2010","","2015","","","2010","","","","","","","","","","","","","","","National NGOs","","","","","","","","","","","","","","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "14781","UGA","Uganda","","5-Year Nutrition Action Plan Maternal Infant and Young Child Nutrition (MIYCN)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","","Ministry of Health","","2010","","","","","Health","Ministry of Health","","","","","","","","","","","","","","","","","GOAL: To Improve Maternal, Infant and Young Child Nutrition (MIYCN) for better Health, Survival and Development .
Objective 1: Coordinate and Advocate for Support to Promote and Increase Investment for MIYCN
Objective 2: Develop and Disseminate Policies /Guidelines/ Standards related to MIYCN.
Objective 3: Establish and Strengthen Structures and Systems for Effective Implentation of MIYCN at all Health Delivery Levels.
Objective 4: Establish an Intergrated Nutrition Communication Strategy
Objective 5: Establish and Support Nutrition Monitoring and Evaluation System.
Objective 6: Build capacity for implementation of MIYCN activities
Activities page 3-28
","Indicators page 3-28
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Complementary feeding|Breastfeeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition in the school curriculum","","","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA-2010-The%20Five-Year%20MIY%20Children%20Nutrition%20Action%20plan.pdf" "23551","BLR","Belarus","","Республиканская программа ”Детское питание“ на 2011 – 2015 годы [National programme on 'child nutrition' 2011-2015]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","","2011","","2015","Government of Belarus","6","2011","Adopted","6","2011","Counsel of Ministers of Belarus","Health","Ministry of Health","","","","","Other","National fund for innovations in food production ''Белгоспищепром''","","","","","Research/academia","Institute for meat and milk products production","Private sector","Multiple food production companies","","","Основной целью Республиканской программы ”Детское питание“ на 2011 – 2015 годы является обеспечение детей всех возрастных групп пищевой продукцией для детского питания в соответствии с рекомендуемыми Министерством здравоохранения нормами потребления.
Необходима дальнейшая разработка национальных стандартов, регламентов ЕврАзЭС и Таможенного союза на сырье, компоненты и основные группы пищевых продуктов для детей, методов контроля качества.
","Для достижения этой цели необходима реализация следующих задач: наращивание производственного потенциала по выпуску пищевой продукции для детского питания; обеспечение выпуска высококачественных пищевых продуктов для детей с учетом реального потребительского спроса. Республиканской программой предусмотрено выполнение мероприятий согласно приложению 1.
Планируется: проведение обследования зон для производства сельскохозяйственными организациями сырья растительного и животного происхождения для изготовления пищевой продукции для детского питания; разработка рекомендаций по производству сельскохозяйственными организациями сырья (молочного, плодоовощного, мясного) для изготовления пищевой продукции для детского питания и методов контроля его качества; разработка новых видов пищевой продукции для детского питания, в том числе для детей, страдающих определенными заболеваниями; научно-методические консультации для организаций – изготовителей пищевой продукции для детского питания по вопросам организации производства новых видов пищевых продуктов для детей, отработки технологических параметров; разработка и актуализация технических нормативных правовых актов в области производства пищевой продукции для детского питания, национальных стандартов, регламентов ЕврАзЭС и Таможенного союза на сырье, компоненты и основные группы пищевых продуктов для детей, методов контроля качества. Формирование тематики научно-исследовательских работ по пищевой продукции для детского питания будет осуществляться на конкурсной основе по результатам государственной научно-технической экспертизы Государственного комитета по науке и технологиям.
Наименование мероприятий
","
Реализация мероприятий Республиканской программы позволит увеличить производственные мощности по выпуску жидких молочных продуктов для детского питания с 34,1 тонны в смену до 68 тонн в смену (24,3 тыс. тонн в год), пастообразных молочных продуктов – с 5 тонн в смену до 15 тонн в смену (5,4 тыс. тонн в год), консервов на мясной основе – с 2 млн. условных банок в год до 10 млн. условных банок в год, плодоовощных консервов – с 20,6 млн. условных банок в год до 29 млн. условных банок в год, а также экспорт консервов на мясной основе.
","Outcome indicators|Process indicators","","International Code of Marketing of Breast-milk Substitutes|Sugar intake|Complementary food provision|Food labelling|Reformulation of foods and beverages high in fat, sugars, salt|Micronutrient supplementation|Milk|Food safety","","http://www.government.by/upload/docs/file70cb2a5406802109.PDF","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202011-2015%20Infant%20nutrition.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202011-2015%20Infant%20nutrition.pdf" "22855","KHM","Cambodia","","National Interim Guidelines for the Management of Acute Malnutrition","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2011","","","National Nutrition Program","12","2011","Adopted","","","","","","","","","","","","","","","","","","","","","","","","","","","Wasting in children 0-5 years","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/National%20Interim%20Guidelines%20for%20the%20Management%20of%20Acute%20Malnutrition.pdf" "8294","CRI","Costa Rica","","Plan De Acción De Reducción Y Control De Las Deficiencias De Micronutrientes 2011 – 2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2011","","2020","Ministerio de Salud","","2013","","","","","Health|Social welfare","","","","","","","","","","","","","","Private sector","Empresa privada","","","","","","","","Micronutrient supplementation|Food fortification","","https://www.ministeriodesalud.go.cr/index.php/biblioteca-de-archivos/tecno-ciencia/documentos-2/2684-plan-de-accion-de-reduccion-y-control-de-las-deficiencias-de-micronutrientes-2011-2020-costa-rica/file","http://www.ministeriodesalud.go.cr","WHO Global Nutrition Policy Review 2009-2010","" "17788","CRI","Costa Rica","","Plan Nacional para la Reducción del Consumo de Sal / Sodio en la población de Costa Rica 2011 - 2021","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Ministerio de Salud","","2011","Adopted","","2011","Ministerio de Salud","Health","","","","","","","","","","","","","","","","","","Objetivo General
Contribuir a la disminución de la morbimortalidad atribuible a hipertensión arterial y enfermedad cardiovascular en Costa Rica, mediante la reducción de sal en los alimentos que consume la población nacional, para alcanzar progresivamente la recomendación de la OMS (5 g sal ó 2 g sodio/persona/día).
Objetivos Específicos
1. Conocer la situación nacional respecto a la ingesta de sodio, las fuentes alimentarias, su contenido en los alimentos de mayor consumo y los conocimientos, actitudes y comportamientos del consumidor.
2. Implementar estrategias en coordinación con la industria alimentaria y los servicios de alimentación para disminuir el contenido de sodio/sal en los alimentos procesados y preparados.
3. Promover un cambio de conducta en la población, sobre el consumo excesivo de sal en la alimentación, mediante un plan de mercadeo social y capacitación.
4. Monitorear y evaluar las acciones para la reducción del consumo de sal/sodio en la población.
","Área de Intervención 1: Investigación
Actividades:
1.1. Estimación de la ingesta de sodio, yodo y flúor, mediante el método de excreción urinaria de 24 horas en grupos prioritarios.
1.2. Estimación del consumo de sal en la Encuesta Nacional de Nutrición 2008-2009.
1.3. Identificación y cuantificación de sodio en los alimentos fuente y de mayor consumo.
1.4. Realización de estudios exploratorios sobre los conocimientos, actitudes y prácticas, en relación con el consumo de sal y la salud.
1.5. Estudio de mercadeo sobre etiquetado en sodio/sal en alimentos preenvasados y preparados.
1.6. Estimación económica del costo-beneficio de la reducción del consumo de sal/sodio en la atención de enfermedades asociadas.
Área de Intervención 2: Industria alimentaria y servicios de alimentación
Actividades:
2.1. Sensibilización a la industria alimentaria y a los servicios de alimentación.
2.2. Coordinación con Cámara Costarricense de Industria Alimentaria (CACIA) y otras asociaciones gremiales par realizar actividades de capacitación a los asociados.
2.3. Negociación con la industria alimentaria para la reducción del contenido de sodio en los alimentos procesados.
2.4. Negociación con los servicios de alimentación para reducción del contenido de sal en las preparaciones de alimentos.
2.5. Asistencia técnica a la pequeña empresa para reducir el contenido de sodio en los alimentos.
Área e Intervención 3: Mercadeo social y capacitación
Actividades:
3.1. Elaboración del plan de mercadeo social.
3.2. Gestión de estudios exploratorios sobre los conocimientos y prácticas, en relación con el consumo de sal y la salud.
3.3. Búsqueda de alianzas estratégicas, para la implementación del plan de mercadeo y capacitación.
3.4. Ejecución del plan de mercadeo social por medio de campañas publicitarias, con base en el estudio cualitativo, que promuevan la reducción del consumo de sal en los diferentes grupos poblacionales.
3.5. Elaborar y ejecutar un plan de capacitación en instituciones técnicas y profesionales sobre métodos, técnicas y estrategias par la reducción de sal/sodio.
Área de Intervención 4: Monitoreo y evaluación
Actividades:
4.1. Monitoreo del contenido de sodio en los alimentos reformulados definidos previamente.
4.2. Monitoreo del consumo de sal/sodio en la población.
4.3. Replantear al necesidad de ajustar la fortificación de los alimentos con yodo y flúor.
","Indicadores de Gestión
Área de Investigación 1: Investigación
1.1. Ingesta estimada de consumo de sodio, yodo y flúor.
1.2. Consumo de sal estimado.
1.3. Investigaciones desarrolladas/programadas
1.4. Estudios exploratorios realizados
1.5. Estudio desarrollado sobre etiquetado en sodio/sal en alimentos preenvasados y preparados.
1.6. Estudio de costo beneficio realizado.
Área de Intervención 2: Industria alimentaria y servicios de alimentación
2.1. Actividades realizadas / programadas (sensibilización a la industria alimentaria y servicios de alimentación)
2.2. Actividades de capacitación realizadas /programadas (con CACIA y otras asociaciones gremiales)
2.3. Negociaciones ejecutadas / negociadas (negociación con la industria alimentaria para reducir el contenido de sodio en alimentos procesados)
2.4. Negociaciones ejecutadas / negociadas (negociación con los servicios de alimentación para reducir el contenido de sal en las preparaciones)
2.5. Actividades realizadas/Programadas (Asistencia técnica a la pequeña empresa para reducir contenido de sodio en alimentos).
Área de Intervención 3: Mercadeo social y capacitación
3.1. Plan de mercadeo elaborado
3.2. Estudios exploratorios realizados
3.3. Alianzas establecidas
3.4. Plan de mercadeo social en ejecución.
3.5. Plan de capacitación técnica y profesional elaborado y ejecutado.
Área de Intervención 4: Monitoreo y evaluación
4.1. Estudios realizados/estudios programados (monitoreo del contenido de sodio en alimentos reformulados)
4.2. Estudios realizados /estudios programados (monitoreo del consumo de sal/sodio en la población)
4.3. Fortificación de los alimentos con yodo y flúor ajustada.
","","","Sodium/salt intake","","https://www.ministeriodesalud.go.cr/index.php/biblioteca-de-archivos/sobre-el-ministerio/politcas-y-planes-en-salud/planes-en-salud/1103-plan-nacional-para-la-reduccion-del-consumo-de-sal-sodio-en-la-poblacion-de-costa-rica-2011-2021/file","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COR%20Plan%20Nac%20Reducci%C3%B3n%20Sal.pdf" "11638","SLV","El Salvador","","Política de Protección, Promoción y Apoyo a la Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Ministerio de Salud","","2011","Adopted","","2011","Ministerio de Salud","Nutrition council|Health|Education and research|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO","","","","","","","","","","","","","","","
Objetivo General
Garantizar el ejercicio del derecho a la lactancia materna de las niñas, niños, madres y familias salvadoreñas, como elemento indispensable para lograr un óptimo estado de salud, desarrollo y nutrición.
Objetivos Específicos
1. Fortalecer el marco legal y normativo para la protección, promoción y apoyo de la lactancia materna en El Salvador.
2. Asegurar la promoción de la lactancia materna para la población salvadoreña, teniendo en cuenta las diferentes condiciones sociales, culturales y medio ambientales.
3. Fortalecer los mecanismos de apoyo a la lactancia materna a nivel comunitario, laboral y en la prestacción de los servicios de salud con participación intersectorial.
4. Generar condiciones que faciliten la lactancia materna en situaciones especiales y a grupos vulnerables.
","Para cada uno de los objetivos específicos, se definieron estrategias y líneas de acción.
1.1. Elaboración y actualización de instrumentos legales y normativos para la protección de la práctica de la lactancia materna a través de un proceso participativo.
1.1.1. Promover la adopción de los convenios y recomendaciones internacionales relacionadas con la práctica de la lactancia materna.
1.1.2. Promover el proceso de elaboración y aprobación de la Ley de protección, promociónl y apoyo a la lactancia materna que incluya los artículos del Código Internacional de Comercialización de sucedáneos de la Leche Materna.
1.1.3. Establecer mecanismos de monitoreo y evaluación de las prácticas de comercialización de los sucedáneos de la leche materna.
1.1.4. Promover y vigilar el cumplimiento de la legislación relacionada a las licencias por maternidad y período de lactancia de la madre trabajadora tanto en el sector público como en el privado, incluyendo aquellas que ejercen formas atípicas de trabajo.
1.1.5. Actualizar y armonizar la normativa del Sistema Nacional de Salud relacionada con la atención integral de la madre, el recién nacido y el lactante, la lactancia materna y la alimentación infantil.
2.1. Crear y desarrollar herramientas innovadoras e inclusivas de información, educación y comunicación sobre lactancia materna a nivel nacional, con enfoque de derecho, género y participación social.
2.1.1. Fortalecer el Comité Nacional de Lactancia Materna para la integración de las herramientas de información, educación y comunicación.
2.1.2. Implementar planes de información, educación y comunicación sobre la práctica de lactancia materna, dirigido al personal de salud que atiende a mujeres, niñez, familia, comunidad y otros actores sociales.
2.1.3. Implementar campañas permanentes dirigidas a mujeres, familia y comunidad, que contribuya a crear valores y comportamientos culturales favorables a la lactancia materna con participación intersectorial e interinstitucional a través de diferentes medios.
2.1.4. Gestionar la incorporación de la temática de lactancia materna con efoque de derecho y metodología innovadora en la currícula del sistema educativo del paísl.
3.1. Propiciar las condiciones necesarias para asegurar la práctica de la lactancia materna exclusiva hasta los seis meses y prolongada hasta los dos años y más.
3.1.1. En las instituciones de Salud:
3.1.1.1. Implementar en todos los hospitales del Sistema Nacional de Salud y del sector privado que cuentes con atención de partos, la iniciativa de Hospitales Amigos de la Niñez y las Madres a través del cumplimiento de los diez pasos para una lactancia exitosa:
3.1.1.2. Implementar en los establecimientos del primer nivel del Sistema Nacional de Salud y del sector privado la iniciativa de Unidades de Salud Amigas de la Niñez y las Madres que incluya:
3.1.2. Ámbito laboral:
3.1.3. Ámbito comunitario:
4.1. Velar por el ejercicio del derecho de lactancia materna en aquellas situaciones especiales que limitan su práctica.
4.1.1. Creación y desarrollo de los bancos de leche humana a nivel institucional para alimentar a las niñas y niños en situaciones especiales.
4.1.2. Garantizar las condiciones para iniciar o continuar la práctica de lactancia materna durante y despúes de una situación de emergencia y desastre.
4.1.3. Ampliar en la red de establecimientos del Sistema Nacional de Salud y en el sector privado el desarrollo de la estrategia canguro.
","
No los incluye el documento.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes","","http://siteresources.worldbank.org/EXTLACREGTOPNUT/Resources/4160377-1357590589927/8996498-1357590799892/8996560-1357606699744/POLITICA_LACTANCIA_MATERNA_FINAL.pdf","El 17 de agosto de 2011, la Primera Dama de la República y Secretaria de Inclusión Social, Dra. Vanda Pignato, junto a la Ministra de Salud, Dra. María Isabel Rodríguez, oficializaron la Política de Lactancia Materna.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/POLITICA_LACTANCIA_MATERNA_FINAL.pdf" "39752","FRA","France","","Plan Obésité 2010-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","7","2011","","2013","Ministère du Travail, de l’Emploi et de la Santé","","2010","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Information|Labour|Other","Ministère de l'intérieur, de l'outre-mer, des collectivités territoriales et de l'immigration.","","","","","","","","","","","","","Private sector","","","","AXE 2 → Mobiliser les partenaires de la prévention, agir sur l’environnement et promouvoir l’activité physique
","Mesure 2.1 : Actions préventives conduites dans le cadre du PNA
Pour son volet « prévention », le Plan obésité s’appuie sur les axes suivants du Programme national pour l’alimentation (les actions du PNA intégrées dans le Plan obésité ont pour numéro 15 (15.1, 15.2…)).
Faciliter l’accès de tous à une alimentation de qualité (Axe I)
- Mieux manger en situation précaire (I.1) :
- Prendre de bonnes habitudes alimentaires dans le cadre scolaire ou périscolaire (I.2) :
Améliorer l’offre alimentaire (Axe II)
- Généraliser les démarches volontaires et les partenariats publics/privés permettant d’innover pour améliorer la qualité des aliments (II.1).
- Développer des variétés végétales à haute valeur environnementale, nutritionnelle, et organoleptique (II.2).
Améliorer la connaissance et l’information sur l’alimentation (Axe III)
- Former les jeunes consommateurs de demain (III.1) :
- Éduquer les consommateurs (III.2) :
- Informer les consommateurs (III.3) :
Mesure 2.2 : Actions préventives conduites dans le cadre du PNNS
Pour son volet « Prévention », le Plan obésité s’appuiera sur les axes suivants du PNNS (les actions du PNNS intégrées dans le Plan obésité ont pour numéro 16 (16.1, 16.2…)).
Développer l’activité physique et sportive et limiter la sédentarité (Axe 2)
- Promouvoir, développer et augmenter le niveau d’activité physique quotidienne pour tous (mesure 1).
- Promouvoir l’activité physique et sportive adaptée (APA) chez les populations défavorisées, en situation de handicap, atteintes de maladies chroniques, ou âgées (mesure 2).
Valoriser le PNNS comme référence pour les actions en nutrition ainsi que l’implication des parties prenantes (Axe 4)
- Mettre en place une stratégie de communication du PNNS (mesure 1, action 29).
- Développer les chartes d’engagements des collectivités territoriales actives du PNNS (mesure 2, actions 30, 31 et 32).
- Développer la charte « entreprises actives du PNNS » (mesure 3, action 33).
- Faire connaître et valoriser les actions et documents validés par le PNNS (mesure 4, actions 34, 35 et 36).
Réduire, par des actions spécifiques, les inégalités sociales de santé dans le champ de la nutrition au sein d’actions générales de prévention (Axe 1)
- Mettre en place des interventions spécifiques pour réduire les inégalités sociales de santé (ISS) en matière nutritionnelle (mesure 1, actions 1 à 5).
- Développer et valoriser les chartes d’engagement volontaires de progrès nutritionnel pour une offre alimentaire allant dans le sens des objectifs du PNNS (mesure 2, action 8).
- Développer des actions d’information et d’éducation nutritionnelle (mesure 4) :
- Promouvoir l’allaitement maternel (mesure 5, action 13).
Organiser le dépistage et la prise en charge des patients en nutrition (Axe 3)
- Prévenir et prendre en charge les troubles nutritionnels des populations en situation de handicap (Mesure 4, action 28).
","","","","Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Breastfeeding promotion/counselling|School-based health and nutrition programmes|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food security and agriculture|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/FRA_B11_Plan_Obesite_2010_2013-2.pdf, https://extranet.who.int/ncdccs/Data/FRA_B11_Obésity plan.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA%202010%20Plan%20Obesite.pdf" "14839","ISR","Israel","","Health Behaviors, Prevention and Treatment of Obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2011","","2020","Ministry of Health","","2011","Adopted","","2016","Ministry of health","Health|Education and research|Sub-national|Other","Health Behaviors Committee","","","","","","","","","","","","","Private sector","Food Processing Industry","Other","Institute of Medicine of the U.S. National Academy; Media; Education Institutions; Clinics","Prevention and Treatment of Obesity
Outcome objectives
1. Reduce the proportion of adults 18 years and older who are considered obese by 11.2%.
2. Reduce the proportion of adults 18 years and older in the Jewish population who are considered obese by 10%.
3. Reduce the proportion of adults 18 years and older in the Arab population who are considered obese by 15%.
4. Increase the proportion of adults 18 years and older who are at a healthy weight by 10%.
5. Reduce the proportion of children and adolescents who are considered obese by 10%.
Developmental objectives
1. Measuring the waist circumference of all adults.
2. Conducting surveys, including anthropometric measurements (e.g height and weight) on a regular basis (at least once every five years for all age groups).
3. Assessment of the contribution of advanced nutritional labeling strategies in helping consumers choose healthful food.
Healthful Nutrition
Key objectives
Year 2020 targets were set by defining ambitious but achievable targets as per international best practice. Nutrients for which less than 75% of the population meet the EAR (Estimated Average Requirement) are listed.
Target values (%) by year 2020:
Fruits & Vegetables: 50% consuming 3 vegetables and 2 fruits per day
Calcium: 50% meeting EAR
Magnesium: 97% meeting EAR
Potassium: 50% meeting EAR
Zinc: 97% meeting EAR
Iron: 97% meeting EAR
Vitamin A: 97% meeting EAR
Vitamin B1: 75% meeting EAR
Vitamin B2: 97% meeting EAR
Vitamin B3: 97% meeting EAR
Vitamin B6: 97% meeting EAR
Folic acid: 97% meeting EAR
Vitamin B12: 97% meeting EAR
Vitamin C: 97% meeting EAR
","
Prevention of Obesity
The health system
1. Monitor BMI on an annual basis, and in the future, measure waist circumference in primary care clinic.
2. Provide incentives for maintenance of a healthy lifestyle such as engaging in physical activity and adhering to healthy nutrition (via discrete funding through the Health Basket).
Industry and government
Encourage the provision of healthful food through legislation or through negotiation with the food industry to reduce the price of healthful food products and improving their content, along with reducing portion sizes, encouraging the low energy density foods, and providing information regarding the nutritional composition of ready to eat or prepared foods sold in supermarket chains, fast food chains or served in restaurants.
The media
1. Limit advertising of food with low nutritional value during children’s peak television viewing hours.
2. The media should be encouraged to use positive role models to further the consumption of healthful food.
Schools
1. Limit the sale of low nutritional value food and drink and increase the availability of healthful foods in cafeterias and vending machines.
2. Adopt innovative approaches in the teaching of nutrition, physical activity and wellness, as well as select and train appropriate teaching staff.
3. Monitor students’ BMI from the age of six and above.
4. Include education for a healthy lifestyle in the school curriculum.
Family
1. Reduce children’s “screen time” (television, computer, video games) by one of the following behavioral methods:
• Skill building, goal setting and reinforcement techniques.
• Parent or family support through provision of information on successful environmental strategies for reducing access to television, video games, and computers.
• Encourage a “TV turnoff challenge” in which participants are encouraged not to watch television for a specified number of days.
2. Encourage family meals, including provision of support for healthy decision-making with regard to the type and quantity of food, as well as the frequency of meals.
Treatment of Obesity
The health system
1. Monitor weight in the clinics by means of BMI screening and lifestyle counseling, including an assessment of barriers and readiness to make behavioral changes. This will generally be performed by the primary care team. The US Preventive Services Task Force (USPSTF) recommends BMI screening in children aged six and above.
2. Offer behavioral therapy or cognitive behavioral therapy for people suffering from obesity, through monthly or more frequent sessions. Obese children should be offered at least 25 hours of therapy over 6 months by skilled professionals such as dieticians.
3. Individual or group counseling with the aim of maintaining desired weight, through personal counseling or with written materials, as well as with technology such as the Internet, e-mail, computer programs, computerized telephone systems focused on health-promoting nutrition and physical exercise, and using pedometers with written or computerized tracking of the number of steps taken daily.
4. Offer incentives for participation in weight loss classes or workshops.
5. In cases where behavioral change has not been sufficiently successful, weight loss medication should be considered.
6. If all the above do not succeed and the person involved has a body mass index of ≥ 40 or ≥ 35 with obesity-related morbidity (e.g., diabetes), bariatric surgery should be considered.
The workplace
1. Increase employees’ knowledge of health-promoting nutrition and physical exercise by means of lectures, written information, or designated computer software.
2. Change employee behavior by means of behavioral and social strategies such as individual or group behavioral counseling, skill-building activities such as cue control, providing encouragement or rewards, and inclusion of co-workers or family members to build support systems.
3. Enact changes in policy or in the work environment, such as improving access to healthful foods by changing cafeteria offerings and vending machine content, along with provision of on-site and on-the-job time for physical activity.
Schools and families
1. Develop and field multi-year school curricula on topics such as reducing “screen time”, increasing physical activity, increasing consumption of fruits and vegetables, and reducing consumption of unhealthful foods. Involve parents in the development and family-relevant implementation of programs.
2. Cast parents as agents of change promoting a healthy lifestyle for the entire family. Efforts should be focused on families that are motivated to succeed and willing to devote effort in changing the lifestyle of the entire family.
Healthful Nutrition
Prioritized interventions:
1. Mandatory fortification of basic foods with the vitamins and minerals listed below :
a. All flour imported and/or produced in Israel should be fortified with iron (44mg/kg) and the full vitamin B complex.
b. All salt, imported and domestic, should be fortified with iodine (20 mg/kg). Future reductions of recommended salt intake and salt concentration in processed foods should be taken into account.
c. All dairy products (including milks, yoghurts, soft cheese, and milk substitutes) should be fortified with vitamin D (400 IU/liter).
d. Continued fluoridation of all community water supplies.
2. Healthful food and drink should be assured through reguation, establishment of labeling standards for macro- and micronutrients, and provision of healthful menus in cafeterias of large organizations. Particular attention should be paid to the following:
a. Banning of importing, production, and sale of trans fats-rich foods by the year 2013. These should not be replaced with saturated fats. Clearly label high trans or saturated fat foods.
b. Reduce the sodium content of manufactured foods by 25% by the year 2015, and 35% by 2020, while clearly labeling the salt content of processed foods.
c. Reduce the sugar content in processed foods by 15% by 2020. Clearly label sugars of all kinds on all products.
3. Healthcare providers should counseling people with nutritionally-sensitive chronic diseases and/or risk factors for disease, in keeping with international best practice. This includes the prescription of the following supplements (which should be funded through the Health Basket):
a. Vitamin D: Daily vitamin D supplements (400 IU/d for children and 1000 IU for those 71+) and/or measured daily exposure to the midday sun, considering individual dermal solar sensitivity.
b. Folic acid: Women of childbearing age should be encouraged by all health and social agency providers to consume 400 mg/d.
c. Iron: Infants aged 4 to 12 months should receive 15 mg of iron per day. Assess iron-deficiency status at 9 -12 months, 18 months in all infants. Assess at 24 months in high risk toddlers (Arab/Bedouin, ultraorthodox, low SES, low birth weight, and premature birth) to determine need for continued supplementation.
d. Parenteral supplementation with Vitamin K at birth to all newborns.
","
8.2 Monitoring
Monitoring must take place at the individual level by healthcare providers. The Sick Funds should continue to monitor BMI, along with other health and nutrition indicators, paying particular attention to the nutritional needs of each life-stage. Along with the Well-baby clinics (Tipot Chalav), the Sick Funds should continue to monitor the nutritional status of infants, children, adolescents, as well as the elderly and other high nutritional risk groups. This data should be made available on a continuing basis.
National and municipal authorities should monitor the food provided in institutions, pre-schools and schools, workplaces and in the IDF. When new policies require changes in the ingredients of food products, the responsibility for monitoring rests with the manufacturers, but must be overseen by the government.
9.4 Monitoring, research, and oversight
Nutrition is a dynamic field of public health and agricultural, epidemiologic, and nutritional sciences. It is in a continuing state of development and reevaluation as the scientific base expands. The Ministry of Health should conduct MABAT nutrition status monitoring every ten years, with specific surveys during intervening years. Infant and child growth (height, weight, head circumference, and BMI) should be monitored annually and published in summary reports and presented by age (e.g., anthropometric data on infants and children), gender, ethnic group, region of residence, and maternal education levels. Funding for continuing nutrition research by academic centers, in cooperation with the Ministry of Health, should be made available to broaden the information base available for policy generation and revision
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin B12|Other B-vitamins|Fluoride|Micronutrient supplementation|Food fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Milk|Food distribution/supplementation for prevention of acute malnutrition|Conditional cash transfer programmes|Vulnerable groups","","https://www.health.gov.il/PublicationsFiles/Obesity-prof_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISR%202011%20Health%20Behaviors_0.pdf" "36107","LUX","Luxembourg","","Plan d'actions national pour la protection, promotion et le soutien de l'allaitement au Luxembourg 2011-2015 [National Action Plan for the protection, promotion and support for breastfeeding]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2011","","2015","Ministère de la Santé","","2012","Adopted","","2006","Ministère de la Santé","Health|Education and research|Women, children, families","","","","International Committee of the Red Cross (ICRC)|Other","Ligue Médico-sociale","","","","","National NGOs","","Research/academia","","Private sector","Professional Unions; Media","","","1. Continuer le développement des programmes et des politiques en faveur de l’allaitement maternel.
2. Maintenir et perfectionner le système de recueil de données, d’évaluation, de surveillance et d’information épidémiologique sur l’alimentation du bébé.
3. Optimiser l’information, les conseils et le soutien des mères dès la grossesse et à travers toute la période de l’allaitement et y inclure leurs familles et leur environnement.
4. Améliorer la promotion, la protection et le soutien de l’allaitement maternel dans tous les secteurs de vie de l´enfant et de la mère
5. Encourager la recherche sur le lait maternel, sur l’allaitement et les bébés allaités
","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Minimum acceptable diet|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Monitoring of the Code|Regulation on marketing of complementary foods|Conditional cash transfer programmes","","http://www.sante.public.lu/fr/publications/p/plan-actions-allaitement-maternel-2011-2015/index.html","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LUX%202012%20Breastfeeding%20Action%20Plan.pdf" "11517","PHL","Philippines","","The Philippine Infant and Young Child Feeding Strategic Plan of Action for 2011-2016","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2011","","2016","Family Health Office, National Center for Disease Prevention and Control; Department of Health","","2011","","","","","Food and agriculture|Health|Other","Family Health Office, National Center for Disease Prevention and Control; Department of Health Food and agriculture, Health: Food and Drug Administration, National Center for Disease Prevention and Control; Center for Health Development; Interagency Commi","","","","","","","","","","","","","","","","","GOAL:
Reduction of child mortality and morbidity through optimal feeding of infants and young children
MAIN OBJECTIVE:
To ensure and accelerate the promotion, protection and support of good IYCF practice
OUTCOMES:
By 2016:
1. 90 percent of newborns are initiated to breastfeeding within one hour after birth;
2. 70 percent of infants are exclusively breastfeed for the first 6 months of life; and
3. 95 percent of infants are given timely adequate and safe complementary food starting at 6 months of age.
TARGETS:
By 2016:
1. 50 percent of hospitals providing maternity and child health services are certified MBFHI;
2. 60 percent of municipalities/cities have at least one functional IYCF support group;
3. 50 percent of workplaces have lactation units and/or implementing nursing/lactation breaks;
4. 100 percent of reported alleged Milk Code violations are acted upon and sanctions are implemented as appropriate;
5. 100 percent of elementary, high school and tertiary schools are using the updated IYCF curricula including the inclusion of IYCF into the prescribed textbooks and teaching materials; and
6. 100 percent of IYCF related emergency/disaster response and evacuation are compliant to the IFE
Strategies:
1. Partnerships with NGOs and GOs in the coordination and implementation of the IYCF Program;
2. Integration of key IYCF action points in the Maternal Newborn Child Health and Nutrition (MNCHN) Plan of Action;
3. Harnessing of the executive arm of government to implement and enforce IYCF related legislations and regulations (EO 51, RA 7200 and RA 10028);
4. Intensified focused activities to create an environment supportive to IYCF practices;
5. Engaging the Private Sector and International Organizations to raise funds for the scaling up and support of the IYCF Program.
Национальная программа по ликвидации йододефицитных нарушений до 2015 года (в дальнейшем – Программа) предназначена для защиты здоровья населения относительно пищевого фактора, в частности, ликвидации пищевого недостатка йода и его последствий – йододефицитных нарушений.
Цель настоящей Программы – ликвидация йододефицитных нарушений до 2015 года путем обеспечения и поддержания йодирования соли как основной стратегии общественного здоровья.
","Для удовлетворения пищевых нужд населения в йоде и для консолидации и обеспечения устойчивого использования пищевой йодированной соли импортеры и дистрибьюторы пищевой соли на рынке Республики Молдова поставят в распоряжение предприятий пищевой промышленности, торговли пищевыми продуктами и общественного питания, в том числе в места питания в общественных и частных медико-санитарных учреждениях, в учреждения для детей и подростков на всей территории Республики Молдова адекватно йодированную пищевую соль, соответствующую действующим положениям. В свою очередь, указанные предприятия и учреждения поставят в распоряжение покупателей и потребителей адекватно йодированную пищевую соль.
Программа направлена на реализацию задач Плана действий по внедрению Национальной программы по ликвидации йододефицитных нарушений до 2015 года в соответствии с приложением к настоящей Программе, в том числе:
9. Министерство здравоохранения обеспечит мониторинг качества пищевой йодированной соли, импортированной и размещенной на внутреннем рынке Республики Молдова.
","Ожидаемые результаты к 2015 году следующие:
The purpose of the National Policy for the Prevention and Control of Micronutrient Deficiencies through Supplementation in Women and Children is to provide a clear rationale and guidelines to enable effective strategies to be implemented and scaled up, therefore improving women and children’s health and survival in Cambodia. This policy is based on the latest evidence and “best practices” for the appropriate use of supplements and “home (point of use) fortification” to prevent and control micronutrient deficiencies. Supplementation programmes should be integrated into broader public health programmes, which are directed to the same population target groups. Emphasis should be placed upon increasing capacity of antenatal, postnatal and child health clinics to provide supplementation for mothers and children.
","3.3.1 Overview of strategies for the prevention and control of iron deficiency and anemia among pregnant and postpartum women
1. Dietary diversity and modification
2. Food fortification
3. Helminth control
4. Malaria control
5. Reproductive and obstetric strategies
6. Public health measure for disease control
7. Supplementation with iron/folic acid
4.3.1 Overview of strategies for the prevention and control of iron deficiency and anemia among women of reproductive age
1. Dietary diversity and modification
2. Food fortification
3. Helminth control
4. Malaria control
5. Reproductive and obstetric strategies
6. Public health measure for disease control
7. Supplementation with weekly iron/folic acid
5.3.1 Overview of strategies for the prevention and control of anemia and iron deficiency among children
1. Dietary diversity and modification
2. Improved infant and young child feeding
3. Food fortification
4. Helminth control
5. Malaria control
6. Public health measure for disease control
7. Supplementation with iron
8. In‐home fortification
","Table 20. IFA supplementation: process and impact indicators
Process indictors
1. % women who received 90 IFA tablets during pregnancy
2. % women who reported taking 90 IFA tablets during pregnancy
3. % women who received 42 tablets during 6 weeks postpartum
4. % women who reported taking 42 tablets during postpartum period
Impact indicators
Clinical indicators
Biochemical indicators
Health and Nutrition indicators
Table 23. Weekly iron/folic acid supplementation: process and impact indicators
Process indictors
1. % WRA who received a monthly supply of WIFS
2. % WRA who took 1 tablet per week for last 4 weeks
3. Number of tablets taken by WRA per week and per month for the last 3 months
Impact indicators
Clinical indicators
Biochemical indicators
Health and Nutrition indicators
Table 27. MNP supplementation: process and impact indicators
ss indicators Data
Process indictors
1. % of children 6‐24 months received 15 sachets per month
2. % of children 6‐24 months who consumed 15 sachets per months for the last month (or 3 months)
3. Number sachets given to the child per month
4. % caregivers who gave child 15 sachets per month
5. % caretakers who correctly report the purpose of MNPs
6. % caretakers who correctly report how to use MNPs
7. % caregivers who observe positive changes in child (e.g. behaviour, physical, appetite, reduced frequency and or severity of illness)
Impact indicators
Clinical indicators
Biochemical indicators
Health and Nutrition indicators
Objetivos
Objetivo General
Contribuir a la disminución de la morbi mortalidad atribuible a hipertensión arterial y enfermedad cardiovascular en la población Colombiana, mediante la reducción gradual del consumo de sal proveniente de las diferentes fuentes alimentarias, hasta lograr la recomendación de la OMS prevista para el año 2021 (5 g sal ó 2 g sodio/ persona/día).
Objetivos Específicos
Conocer la situación nacional respecto a la ingesta de sodio, las fuentes alimentarias, su contenido en los alimentos de mayor consumo y los conocimientos, actitudes y comportamientos del consumidor.
Implementar estrategias en coordinación con la industria alimentaria y los servicios de alimentación para disminuir el contenido de sal/sodio en los alimentos procesados y preparados.
Promover un cambio de hábitos en la población, sobre el consumo excesivo de sal en la alimentación, mediante un plan de educación y promoción de hábitos alimentarios saludables.
Monitorear y evaluar las acciones para la reducción del consumo de sal/sodio en la población.
","Líneas de acción
Industria
Teniendo en cuenta la multiplicidad de actores de este sector así como las preferencias de los consumidores los objetivos planteados esta relacionados con:
• Sensibilizar a actores clave del sector de panificación con relación a la necesidad de reducir de manera gradual el contenido de sal en la formulación del pan, a fin de comercializar un producto más saludable y de óptimas características sensoriales.
• Establecer la reducción gradual del contenido de sal en los tipos de pan fresco de mayor consumo a nivel territorial, partiendo de las formulaciones utilizadas en entidades formadoras de recurso humano calificado.
Información, Educación y Comunicación IEC
Su objetivo es sensibilizar a la población y a todos los actores (industria alimentaria, productores, distribuidores, servicios de alimentos, consumidores, personal de salud, alto gobierno) para que realicen cambios de comportamiento, modifiquen sus hábitos alimentarios relacionados con la ingesta excesiva de sal/ sodio; se reformule la adición de sal/sodio en los productos y preparaciones a fin de reducir la prevalencia de hipertensión arterial en la población y promover una dieta balanceada y saludable.
Proveeduría Institucional
Esta línea de acción tiene un alcance a nivel nacional, busca establecer los lineamientos sobre los contenidos máximos de nutrientes de interés en salud pública (incluido el sodio), en los alimentos procesados que son incluidos en los programas sociales de ayuda alimentaria suministrados por el gobierno a beneficiarios de diferentes grupos de edad.
Investigación
Esta línea de acción estudia y evalúa la situación de Colombia respecto a las fuentes alimentarias, el contenido de sodio en los alimentos, la ingesta diaria de sodio por parte de la población, las actitudes, prácticas y costumbres de la población respecto al consumo de sal, a fin de establecer las líneas de base para fijar metas de reducción del contenido de sal/sodio en los productos y preparaciones que consume la población para alcanzar la meta de consumo fijada por la OMS 2 gramos de sodio/persona/día.
","Seguimiento, Monitoreo y Evaluación
Según el Ministerio de Salud y Protección Social41 un sistema de sistema de seguimiento y evaluación es un conjunto de instrumentos e insumos de información que apoya la toma de decisiones de los principales actores del Sistema de la Protección Social. Algunos de los objetivos el Sistema de Seguimiento y Evaluación son:
• Mejorar el nivel de información en el sector en cuanto a resultados e impactos de sus políticas, programas y proyectos.
• Ampliar la utilización de este tipo de datos tanto en los procesos de toma de decisiones al interior del sector, como en los procesos de rendición de cuentas a la ciudadanía.
• Tomar mejores decisiones en torno a la ampliación o modificación de políticas, programas y proyectos.
• Decidir qué ajustes son necesarios en los diseños de los mismos y en general adoptar medidas correctivas frente a síntomas de mal desempeño.
• Usar la información ideal para desarrollar procesos de rendición de cuentas continuos y enfocados en la difusión de los resultados y efectos alcanzados por la gestión pública.
Los Componentes del Sistema de Seguimiento y Evaluación-SSE
El Sistema de Seguimiento y Evaluación está compuesto por tres componentes que interactúan y se retroalimentan constantemente:
1. Componente de Seguimiento y Monitoreo de las Políticas y Programas: consiste en el seguimiento sistemá- tico de las políticas y programas del SPS a través de instrumentos de seguimiento como indicadores, reportes, balances, etc. El SSE realiza el seguimiento y monitoreo sobre la base de objetivos definidos, metas medibles e indicadores concretos con valores de línea de base cuantificados y verificables.
2. Componente de Evaluación: consiste en la formulación y el desarrollo de una agenda de evaluación concreta sobre los principales programas del Ministerio en donde se identifican los efectos e impactos de estos programas de tal forma sea posible su ajuste y rediseño de los mismos en la política social
3. Componente de Rendición de Cuentas: consiste en la difusión hacia la sociedad civil y al público en general de los resultados de la gestión del Ministerio en sus principales programas sociales y su retroalimentación por parte de la sociedad civil para el mejoramiento de la gestión.
","","","Sodium/salt intake|Salt/sodium","","https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/SNA/Estrategia-reduccion-sal-2012-2021.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202012%20Estrategia%20Nacional%20para%20la%20Reducci%C3%B3n%20del%20Consumo%20de%20Sal%20Sodio%20en%20Colombia.pdf" "23604","ETH","Ethiopia","","National School Health and Nutrition Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2012","","","Ministry of Education","","2012","","","","","Education and research","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","","Save the Children","","","","","","","","","","","","","","1.3. GOAL
To improve access and educational achievement of schoolchildren through health and nutrition interventions in educational establishments in Ethiopia.
1.4. OBJECTIVES
The main objectives are:
The specific objectives are:
Kuwait Action Plan for SFA intake reduction and TFA Elimination
The overall aim of the Healthy Weight for Life Strategy is to curb and reverse the growing proportion of overweight and obese children and adults in the population in order to reduce the health, social and economic consequences of excess body weight.
","The Public Health Case for Action
Economic Evaluation of Overweight and Obesity
Promoting Healthy Eating
Promoting Physical Activity
Healthcare Services
In order to measure the effectiveness of this Strategy, we aim to demonstrate the following improvements in children and adults by 2020:
• Reduction in the self-reported proportion of the adult population who are overweight from 36% to at least 33%.
• Reduction in the self-reported proportion of the adult population who are obese from 22% to at least 18%.
• Reduction in the proportion (measured by anthropometric studies) of 7 year olds who are overweight and obese from 32% to 27%.
• Maintenance of the proportion of 13 year olds above the 95% weight centile (obese) below 15%.
Monitoring of the targets will take place on a triennial basis (in 2015 and 2018) followed by an end of plan evaluation. The Healthy Weight for Life Implementation Group will be responsible for ensuring that the actions within the different settings are achieved according to the timeframe set and within the allocated budget.
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Capacity building for the Code|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Vulnerable groups","","https://health.gov.mt/en/Documents/National-Health-Strategies/hwl_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202012%20Healthy%20Weight%20for%20Life.pdf" "36109","MDA","Republic of Moldova","","Национальная Программа по снижению нарушений, обусловленных дефицитом железа и фолиевой кислоты, до 2017 года [National programme for reduction of diseases caused by the deficiency of iron and folic acid until 2017]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","3","2012","","2017","Monitorul Oficial Nr. 54-59 (Government)","3","2012","Adopted","3","2012","Government of Moldova","Health|Food and agriculture|Other","National Agency for food safety","","","","","","","","","National NGOs","","","","Private sector","Wheat milling companies","","","
Программа имеет следующие задачи:
Ожидаемыми результатами к 2017 году являются:
تنفيذاً لتوصيات المؤتمر الدولي لأنماط الحياة الصحية والأمراض غير السارية بالعالم العربي والشرق الأوسط سبتمبر 2012م تحت رعاية خادم الحرمين الشريفين-حفظه الله – ومشاركة جامعة الدول العربية وبعض وزراء الصحة العرب والمكتب الاقليمي لمنظمة الصحة العالمية للشرق الأوسط، والأمانة العامة لدول مجلس التعاون، ومشاركة الوزارات والجهات المعنية بالمملكة وما صدر عنه من قرارات وعلى رأسها (إعلان الرياض) وتوصيات الاجتماع الاستشاري لدول إقليم الشرق المتوسط لمنظمة الصحة العالمية المنعقد بمدينة القاهرة بجمهورية مصر العربية في نوفمبر 2012 بخصوص التزام دول الإقليم بوضع استراتيجية لتقليل معدلات استهلاك ملح الطعام بكل دولة بمعدل 30% وذلك نهاية عام 2025م. كما اتفقا على هدف لتخفيض نسبة انتشار ارتفاع ضغط الدم (الذي يعرف بأنه ضغط الدم الانقباضي ≥ 140 ملم زئبقي و / أو ضغط الدم الانبساطي ≥ 90 مم زئبق) بمعدل 25 % بحلول عام 2025م .
","أولاً: رصد استهلاك ملح الطعام
ثانياً : تقليل ملح الطعام المضاف لدقيق المخبوزات
ثالثاً: توسيم الأغذية (البطاقة الغذائية)
رابعاُ : تقليل ملح الطعام في الأغذية المصنعة
","وذلك حيث أن دقيق المخبوزات يعتبر من المصادر الأساسية لملح الطعام في المملكة العربية السعودية نأمل تنفيذ هذه الأولوية بالتعاون مع المؤسسة العامة لصوامع الغلال ومطاحن الدقيق في المملكة العربية السعودية حيث يتم تخفيض ملح الطعام في دقيق المخبوزات بنسبة 30 % خلال ثلاث سنوات تدريجياً (10% كل عام)
","","","Raised blood pressure|Sodium/salt intake|Food labelling|Reformulation of foods and beverages|Salt/sodium","","https://extranet.who.int/ncdccs/Data/SAU_B18_%D8%A7%D9%84%D8%A5%D8%B3%D8%AA%D8%B1%D8%A7%D8%AA%D9%8A%D8%AC%D9%8A%D8%A9%20%D8%A7%D9%84%D9%88%D8%B7%D9%86%D9%8A%D8%A9%20%D9%84%D8%AA%D9%82%D9%84%D9%8A%D9%84%20%D8%A7%D8%B3%D8%AA%D9%87%D9%84%D8%A7%D9%83%20%D9%85","WHO NCD Document Repository https://extranet.who.int/ncdccs/documents/db","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SAU_2012_%D8%A7%D9%84%D8%A5%D8%B3%D8%AA%D8%B1%D8%A7%D8%AA%D9%8A%D8%AC%D9%8A%D8%A9%20%D8%A7%D9%84%D9%88%D8%B7%D9%86%D9%8A%D8%A9%20%D9%84%D8%AA%D9%82%D9%84%D9%8A%D9%84%20%D8%A7%D8%B3%D8%AA%D9%87%D9%84%D8%A7%D9%83%20%D9%85%D9%84%D8%AD%20%D8%A7%D9%84%D8%B7%D8%B9%D8%A7%D9%85.pdf" "24463","SOM","Somalia","","National Infant and young Child Feeding Strategy for Somaliland","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2016","Ministry of Health Republic of Somaliland","","2012","","","","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Main Objective
The IYCF Strategy’s main objective is to improve the nutritional status, growth, development, and survival of infants and young children through promotion and support for optimal infant and young child feeding practices.
Specific objectives of the National IYCF Strategy
The strategy specific objectives are:
1. To ensure that policies and legislation that are supportive of optimal IYCF practices are enacted and adequately implemented.
2. To ensure adequate implementation of IYCF programming via an agreed upon guiding framework and plan of action.
3. To raise awareness of the scale and magnitude and prioritization of responses to identified pertinent infant and young child feeding issues.
","Strategies
The priority strategies for IYCF Strategy falls within three (3) broad categories areas and these are:
1. legislation, policies and standards strategies,
2. Health system strengthening strategies,
3. Community based strategies,
","
- No of mothers practicing exclusive breastfeeding
- No of infants, timely introduced to complementary feeding
- No of individuals mothers counselled
- No of group sessions held
- No of new mother support groups created and the cumulative no per community/MCH.
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Micronutrient supplementation|Food fortification","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SOM_National%20IYCF%20Strategy%20and%20Action%20Plan%20for%20Somaliland%202012-2016.pdf" "24465","SOM","Somalia","","Infant and Young Child Feeding Strategy for Puntland 2012-2016 ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2016","Ministry of Health Garowe- Puntland","","2012","","","","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Specifically, the IYCF Strategy for Puntland seeks to achieve following key objectives:
(i) ensuring that policies and legislation that are supportive of optimal IYCF practices are enacted and adequately implemented,
(ii) ensuring adequate implementation of IYCF programming via an agreed upon guiding framework and plan of action
and (iii) raising awareness of the scale and magnitude and prioritization of responses to identified pertinent infant and young child feeding issues.
","In order to implement activities planned to achieve the outcomes contributing to these
above objectives, specific strategies will be used and these will consist of :
- Supporting the enactment of the Code of marketing Breast Milk Substitutes and strengthening its implementation, monitoring and enforcement of the measures against its violations.
- Supporting the legislation regarding protecting the breastfeeding rights of the woman in the workplace. And increasing understanding of the barriers to optimal breastfeeding among women in the informal sector
- Ensuring that the quality of infant processed available in Puntland is in accordance with the international food standards, guidelines and codes of practices.
- Ensuring that IYCF interventions are incorporated into national development policies, plans, major national health initiatives and other programmes & projects to advocate for its importance and potentially for mobilizing resources.
- Strengthening IYCF role and its coordination mechanisms at national and regional levels.
- Mainstreaming and prioritization of IYCF interventions through multi-sectorial partnerships.
- Scaling up technical capacity of service providers including building the technical capacity of influential people on mothers’ decisions to feeding their young children.
- Establishing linkages between “Baby Friendly Community and “Baby Friendly Hospital/MCH Initiatives
- Regularly monitoring IYCF activities and ensuring collection of routine data collection, analysis, compilation and incorporation into the HIMS as well as undertaking research studies and impact evaluation.
- Supervision of the service providers to ensure quality service delivery.
- Strengthening the improvement of the mother’s caring behaviours through promotion of adequate knowledge on IYCF.
- Creating public awareness on optimum IYCF through community mobilisation
- Enhancing promotion, support and protection of optimum infant and young child feeding practices through individual and group counselling.
- Enhancing partnership and community support groups interventions
","","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Micronutrient supplementation|Food fortification|Food safety|Diarrhoea or ORS","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SOM_IYCF%20Strategy%20and%20Action%20Plan%20for%20Puntland%202012-2016.pdf" "40729","GBR","United Kingdom","England","Framework for Preventing and Addressing Overweight and Obesity in Northern Ireland","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2022","Minister for Health, Social Services, and Public Safety","","2012","","","","","Health","","","","","","","","","","","","","","","","","","Aim
This Framework aims to “empower the population of Northern Ireland to make healthy choices, reduce the risk of overweight and obesity related diseases and improve health and wellbeing, by creating an environment that supports and promotes a physically active lifestyle and a healthy diet”.
Target
In addition, the following overarching targets have been set:
The target is in two parts; the proportion that are obese and the proportion that are overweight and obese.
Objectives
Prevention is typically taken forward through action to address two main areas –
Acknowledging this, two overarching objectives for the Framework have been set:
Strategies
*Pre-Conception, Antenatal, Maternal And Early Year
1. People trying to conceive and expectant parents receive information and guidance on nutrition and recommended levels of physical activity.
2. Overweight and obese expectant mothers have the opportunity to access evidence based weight management interventions developed for expectant mothers.
3. Initiatives and programmes on nutrition and physical activity within all Early Years settings reviewed.
4. Health and Social Care Professionals identify, and provide appropriate interventions or signposting, for young children who are, or are at-risk of, overweight/obesity.
5. New Breastfeeding Strategy in place and being implemented
6. Parents/carers provided with consistent evidence based advice on infant nutrition from health care professionals.
7. Minimum nutritional standards in place for all voluntary, community and private Early Years settings, and compliance monitored.
8. Voluntary, community and private Early Years settings supported to comply with minimum nutritional standards for childcare providers.
9. Food and nutrition initiatives increase nutritional knowledge, practical nutrition and food skills in a variety of voluntary, community and private Early Years settings, including parent/carer and toddler groups. This should include healthy weaning and the use of non- sweet based reward systems.
10. The new CMO Physical Activity Guidelines for Early Years published and disseminated.
11. Voluntary, community and private Early Years settings comply with the new CMO Physical Activity Guidelines for Early Years.
12. Healthcare professionals, childcare workers and those working in Early Years settings receive relevant information and training on physical activity and the new CMO Guidelines.
13. Implementation plan published to deliver the aims and objectives of the Play and Leisure Policy Statement.
14. Children and families have access to safe facilities for play and physical activity in their locality, particularly in areas of deprivation.
* Children and Yound People
2. Initiatives and programmes on nutrition, physical activity and play within children and young people’s settings reviewed
3. Relevant circulars to FE Colleges relating to obesity, food and nutrition and recommended levels of physical activity guidance updated as necessary.
4. Those in University and FE Colleges supported to be more physically active, to eat healthily and develop practical food skills.
5. Those who work in the youth sector and Jobskills/ Training Centre students are supported and trained to encourage promotion of a healthy diet and recommended levels of physical activity.
6. The importance of addressing health issues in education settings continues to be recognised and school development planning regulations continue to require schools to have policies in place to promote the health and wellbeing of students.
7. Continued delivery of the Pupils Emotional Health and Wellbeing Programme.
9. All schools meet the nutritional standards for lunches and ‘other food and drinks’ including breakfast clubs and vending machines.
10. Regional approach to Breakfast Clubs and Healthy Breaks initiatives adopted
11. Initiatives in place to increase uptake of school meals, particularly free school meals.
12. Home Economics remains a compulsory curriculum element for all students in Key Stage 3.
13. Options considered for primary school children to develop practical food skills in line with the Food Competences Framework.
14. Children, young people and their families provided with information in respect of nutrition.
5. Work undertaken with other jurisdictions to monitor and further consider restrictions of advertising products with high fat, salt, sugar and alcohol to children and young people
16. Youth sector settings have healthy food policies in place.
17. Young people, including those in or leaving care, and those deemed to be at risk of overweight and obesity, provided with opportunities to develop knowledge and practical food skills.
18. PE remains a compulsory curriculum element for all students through all Key Stages.
*Adults and general population
1. Consistent, coordinated and integrated campaign developed in respect of nutrition and physical activity, the focus of which is informed by the evidence base and regional/local research.
6. Targeted healthy food initiatives in place.
7. Labelling of alcoholic containers increases awareness of the calorific content of alcohol.
8. Families, groups and communities in areas of deprivation supported to increase knowledge of good nutrition, practical cooking skills and food budgeting.
11. Northern Ireland food manufacturers continue to be encouraged to reformulate their food to reduce saturated fat, sugar, salt, calorific value and provision of smaller portion sizes of energy dense foods.
12. Pre-packed foods labelled with simple, easy to understand, front of pack nutritional information to allow consumers to make an informed choice.
13. Food retailers encouraged and enabled to consider reducing point of sale placement of foods which are high in fat, salt, sugar and increasing exposure to promotion of healthier foods.
14. Improved nutritional content of menu choices including regulation of portion sizes and the provision of appropriate nutritional information for consumers by caterers.
15. Minimum Nutritional Standards developed for all public sector procurement of food and drink.
16. All public sector facilities (including those open to the public, e.g. leisure centres, council facilities) have in place and comply with minimum nutritional standards and nutritional polices including healthy vending.
18. Employees are supported and encouraged to be more active in the workplace and undertake less sedentary behaviour.
19. Reviews of planning policies take account of the impact of planning on health and opportunities for sustainable physical activity.
","Targets
% of overweight/obese expectant mothers
% of mothers breastfeeding at:
birth;
discharge from hospital;
at 10-14 days; 6 weeks;
3 months; and 6 months
% of infants introduced to weaning foods at six months.
% of Early Years providers compliant with nutritional standards.
% of young children eating appropriate portions of fruit/veg per day.
% of overweight and obese children in P1.
% of screen time spent by children and young people.
% of young children with dental decay.
% of children and young people making healthier food choices consuming 5 or more portions of fruit/veg per day.
Prevalence of overweight and obesity in adults.
Occurrences of obesity related diseases.
Awareness of ‘5-a-day’ healthy eating.
% of adults adopting the 5- a-day guidelines.
% of adults experiencing food poverty.
% of food manufacturers currently reformulating
% of adults who are sedentary.
% of adults aware of the physical activity guidelines recommended by the Chief Medical Officer
% of women (16+) meeting the levels of physical activity recommended by the Chief Medical Officer
% of adults (16+) meeting the levels of physical activity recommended by the Chief Medical Officer
% of adults (16+) meeting the levels of physical activity recommended by the Chief Medical Officer through ‘getting about’ (which includes walking and cycling).
","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Front of pack labelling|Menu labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Portion size control|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GBR%202012%20FitfuturesforallObesityFramework_0.pdf" "38206","VNM","Viet Nam","","National Plan of Action for Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2015","Ministry of Health","","2012","Adopted","","","","","Ministry of Health Ministry of Health","","","","","","","","","National NGOs","","","","","","","","","","","","","Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "39782","VNM","Viet Nam","","National Plan of Action for Infant and Young Child Feeding 2012-2015","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2015","Ministry of Health","","2012","","","","","Health","","","","","","","","","","","","","","","","","","I. General objective
To improve knowledge and practice on IYCF and maternal nutrition to contribute to a reduction of stunting malnutrition and improved development of children aged 0 to 2 years.
II. Specific objectives
1. Objective 1— Strengthen advocacy, development and implementation of policies supporting infant and young child feeding
2. Objective 2— Improve infant and young child feeding knowledge and practices among child caregivers
3. Objective 3— Improve maternal and children nutritional status
4. Objective 4—Improve Capacity and effectiveness of health service provision system on IYCF
5. Objective 5—Improve monitoring and evaluation system for IYCF interventions
","III. Objective 3 - Improve maternal and children nutritional status
(The outputs of Objective 3 will be implemented in Plan of Action for Nutrition to 2015).
Output 3.1 Promotion of iron/folic acid, micronutrient supplement, de-worming, treatment for malaria for pregnant women and women at high risks areas
Activities:
· Provide iron/folic acid tablets, micronutrient tablets.
· Provide de-worming tablets and medicines for malaria treatment in areas with high rate of worm and malaria under guidance of the MOH.
· Expand the social marketing approaches to enhance the local production and supply in urban and relevant regions.
Output 3.2 Capacity of health workers at all levels in prevent micronutrient deficiency is strengthened
Activities:
· Provide trainings for health workers at all levels on preventing malnutrition including preventing micronutrient.
· Develop training and communication materials.
· Conduct integrated supportive supervision.
Output 4.2: The Baby-Friendly Hospital Initiative is maintained and strengthened
Activities:
· Develop and implement National guideline on implementation and maintenance of BFHI (10 steps for successful BF).
· Add the standards of BFHI into the standard of annual M&E for hospitals.
· Add the 10 steps for successful BF into the criteria for evaluating quality of hospitals.
· Standardize training materials, provide guidance for evaluation and re-evaluation.
· Organize trainings for health workers of Ob/Ped hospitals on BFHI standards.
· Develop pilot model for Commune Health Center that implement 10 steps for successful BF.
· Organize evaluation, re-evaluation and monitoring the maintenance of BFHI standards.
Output 4.4: Infant and Young Child Feeding in emergency and special conditions are strengthened and duplicated
Activities:
· Evaluate the pilot model of acute malnutrition management for scaling up.
· Develop and implement plan to satisfy nutrition needs in case of emergency for areas frequently faces natural disasters, floods; provide guidelines for acute malnutrition management; prevent micronutrient deficiencies.
· Develop training materials.
· Organize trainings for health workers at all levels.
· Produce and distribute food products to treat acute malnutrition.
Output 4.5: Infant and young child feeding capacity of health workers at all levels is enhanced
Activities:
· Develop training materials and organize national standard for re-trainings on IYCF
· Develop trainers network at central and provincial levels.
· Provide trainings at all levels.
· Provide monitoring after training.
","2. Objective 2— Improve infant and young child feeding knowledge and practices among child caregivers
Monitoring/evaluating indicators by 2015:
· 80% of mothers practice early breastfeeding and 27% of mothers practice exclusive breastfeeding in the first 6 months.
· 60% of mothers continue to breastfeed until 24 months of age or longer
· 80% of mothers practice appropriate complementary feeding for their children from 6 – 24 months.
Objective 3— Improve maternal and children nutritional status:
Monitoring/evaluating indicators by 2015:
· Reduce the rate of chronic energy deficiency in women in reproductive age to 15%
· Reduce the rate of anemia among pregnant women to 28%
· Reduce the rate of birth underweight (<2500g) to under 10%
· Reduce the rate of stunting malnutrition of children under 5 years of age to 26%
· Reduce the rate of underweight malnutrition of children under 5 years of age to 15%
4. Objective 4—Improve Capacity and effectiveness of health service provision system on IYCF
Monitoring/evaluating indicators by 2015:
· Activities of IYCF manage board at all levels are strengthened.
· 75% of provincial health staff and 50% of district health staff have been trained on IYCF counseling.
· 60% nutrition focal persons and nutrition collaborators at commune level have been trained, provided with up-to-date knowledge on IYCF.
· The number of general hospitals at national/provincial/district level and obstetric/pediatric hospitals achieving and maintaining the BFHI standards has doubled in comparison to that of 2012.
· 30% of commune health centers are able to provide counseling services on IYCF.
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Complementary feeding|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Iron and folic acid|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Deworming|Nutrition and malaria","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202012%20National%20plan%20of%20action%20for%20IYCF_0.pdf" "23714","BIH","Bosnia and Herzegovina","","Policy for Improving Child Nutrition in Federation of Bosnia and Herzegovina","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2013","","","Government of the Federation of Bosnia and Herzegovina","2","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Transport|Trade|Industry","","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","","","","","","Other","Media; Education Institutions; Food Producers","
1. Vision
Federation BiH is committed to ensure optimal nutrition to every child, in line with national and international recommendations and standards, and thereby improve the diet and nutritional status of children in Federation BiH
2. Decalaration
5. OBJECTIVE AND PRIORITY COURSES OF ACTION
5.1 Objective Improve feeding and nutritional status of children in FBiH, as an important prerequisite for proper growth and development, as well as prevention of diseases caused by inadequate nutrition and unbalanced diets with a focus on mass NCDs.
5.2 Action areas
The Policy will be implemented through crosssectoral coordination and integrated action through the following action areas:
Chapter 5.2.1 Description of Action areas contains a broad set of strategies and actions
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food safety|Food security and agriculture|Vulnerable groups","","http://www.unicef.org/bih/Politika_ishraneF_BiH(1).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BIH%202013%20Policy%20for%20Improving%20Child%20Nutrition.pdf" "23499","BFA","Burkina Faso","","Plan de passage à l'échelle des pratiques optimales d'ANJE","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2013","","2025","Ministere de la Sante","","2014","","","","","Education and research|Food and agriculture|Health|Women, children, families","Ministère de la Santé, Direction de la Nutrition, Ministère de l’agriculture et de la sécurité alimentaire, Ministère des ressources animals et Halieutiques, Ministère de l’éducation nationale et de l’alphabétisation, Ministère de la recherche et de l’innova","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)","Medicus Mundi Italia, Alive & Thrive","Bill and Melinda Gates Foundation","Medicus Mundi Italia, Alive & Thrive","","","National NGOs","ONG RENCAP","","ONG RENCAP","","","","","II. BUT ET OBJECTIFS DU PLAN
2.1. But
Contribuer à la réduction d’au moins 40% du retard de croissance chez les enfants âgés de 0 – 59 mois d’ici 2025 et à la réduction de la mortalité infanto-juvénile au Burkina Faso.
2.2. Objectif Général
Augmenter le taux de pratique d’allaitement maternel exclusif chez les enfants âgés de moins de 6 mois de 38% en 2012 à au moins 80% en 2025 et le taux de pratique d’alimentation minimale acceptable chez les enfants âgés de 6 – 23 mois de 3.5% en 2012 à au moins 30% en 2025.
2.3. Objectifs spécifiques
En termes d’objectifs spécifiques, le plan de passage à l’échelle de la promotion des pratiques optimales d’ANJE se propose de :
1. Renforcer la qualité et la couverture des interventions communautaires de promotion des pratiques optimales d’ANJE.
2. Créer au niveau communautaire un environnement favorable à la protection et à la promotion des pratiques optimales d’ANJE.
3. Mettre en oeuvre au niveau national un plan de communication d’appui aux activités communautaires.
4. Appuyer la protection et la promotion des pratiques optimales d’ANJE au niveau des structures sanitaires.
5. Renforcer l’application du code international de commercialisation des substituts du lait maternel par une adoption du texte réglementaire relu et la mise en place d’un système de surveillance
6. Renforcer les compétences pour la gestion de l’ANJE dans les situations difficiles (VIH, urgences).
2.4. Résultats attendus
Résultat 1 : D’ici fin 2022, 1122519 soit 90% des femmes enceintes et 1791949 soit 90% des mères d’enfants de 0 à 23 mois de la population totale du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
Résultat 2 : D’ici fin 2022, un environnement favorable à la mise en oeuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies, bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
Résultat 3 : D’ici fin 2022, au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso.
Résultat 4. D’ici fin 2022, la mise en oeuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
Résultat 5. D’ici fin 2016, une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
Résultat 6 : D’ici fin 2022, les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH, situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
","Tableau II : Paquet Intégré des Services d’ANJE à travers le cycle de vie
GASPA Composante du Paquet Intégré des Services d’ANJE
1 Femmes enceintes
Promotion de la consultation prénatale et de l’accouchement assisté
Promotion d’une bonne nutrition chez les femmes enceintes
Appréciation de la perception de la femme enceinte sur la mise au sein précoce et de l’AME pour des conseils appropriés.
Appui à la mise au sein précoce par des conseils appropriés et la création d’un environnement propice.
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
2 Femmes allaitantes d’enfants de moins de 6 mois d’âge
Suivi de l’option des mères pour l’alimentation de leurs nourrissons pour des conseils appropriés
Promotion d’une bonne nutrition chez les femmes allaitantes
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
3 Mère d’enfants ages de 6 – 24 mois.
Rappel systématique de l’introduction d’aliments de complément dès 6 mois
Evaluation de la poursuite de l’allaitement pour des conseils appropriés
Evaluation de la fréquence des repas pour des conseils appropriés
Evaluation de la diversité alimentaire pour des conseils appropriés
Promotion de l’accessibilité à des sources de micronutriments (farine infantile enrichie, fortification à domicile, production vivrière améliorée, produits forestiers non ligneux)
Promotion du principe des mélanges multiples pour la préparation de menus et farine de complément équilibrés par la démonstration culinaire
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
Promotion de la production vivrière améliorée pour la diversification alimentaire
Suivi de l’état nutritionnel des enfants et des mères
Promotion des jeux d’éveil et d’affection chez les enfants
","Indicateurs objectivement vérifiables
Réduction de 40% du retard de croissance chez les enfants ages de 0 – 59 mois d’ici 2025.
Le pourcentage des mères d’enfants âgés de 0 – 23 mois capables de citer trois avantages corrects de la mise au sein précoce augmente au moins de 80% au niveau national en 2025 par rapport à la situation de base.
Le pourcentage de mères d’enfants âgés de 0 – 23 mois capables de décrire correctement les critères pour une alimentation minimale acceptable augmente au moins de 50% en 2025 au niveau national par rapport à la situation de base.
Le taux d’initiation de l'allaitement dans la première heure après la naissance augmente de 29 2% en 2012 à 80% en 2025 au niveau national.
Le taux d’allaitement exclusif des enfants de moins de 6 mois augmente de 38% en 2012 à 80% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une fréquence minimale des repas augmente de 66 6% en 2012 à 85% en 2025 au niveau national.
Pourcentage des enfants de 6-23 mois ayant une diversité alimentaire minimale augmente de 4 8% en 2012 à 30% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une alimentation minimale acceptable (score minimum de diversité alimentaire et fréquence minimale des repas) augmente de 3 5% en 2012 à 30% en 2025 au niveau national.
D’ici fin 2022 1 122 519 soit 90% des femmes enceintes et 1 791 949 soit 90% des mères d’enfants de 0 à 23 mois de la population total du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
D’ici fin 2022 un environnement favorable à la mise en œuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
D’ici fin 2022 au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso
D’ici fin 2022 la mise en œuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
D’ici fin 2016 une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
D’ici fin 2022 les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
D’ici fin 2022 les capacités de 18 ONG RENCAP dans le cadre de la politique de contractualisation des interventions communautaires sont renforcés dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 au moins 35 839agents de santé communautaire sont formés pour le respect d’une norme de qualité dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE au niveau des 63 districts sanitaires du Burkina Faso.
D’ici fin 2022 au moins35 839 personnes ressources volontaires (élus locaux enseignants représentant des groupements de femmes représentant des groupements de jeunes animateurs de radios communautaires leaders communautaires guides religieux ou guides traditionnels) sont identifiées et orientées pour appuyer les ASBC dans la diffusion des pratiques optimales d’ANJE et contribuer à la levée des barrières.
D’ici fin 2022 au moins 35 839 ASBC sont outillés en kits de démonstration culinaire et en boîtes à image pour animer des sessions de groupes d’apprentissage de femmes enceintes et de mères d’enfants âgés de 0 – 23 dans le cadre de la mise en œuvre au niveau communautaire du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 63 fermes modèles sont créées au niveau des districts sanitaire pour servir de cadre de démonstration et de renforcement de capacité de 1 383 760 mères d’enfants 6 – 23 mois sur les activités de production vivrière améliorés (cultures maraîchères et l’arboriculture fruitière petit élevage).
D’ici fin 2022 630 promotrices de production vivrière sont formées dans la gestion de 63 fermes modèles pour assurer le transfert de compétences en direction des GASPA.
92 251 sessions de formation en direction de 1 383 760 mères d'enfants âgés de 6 - 23 mois à travers les Groupes d’Apprentissage et de Suivi des Pratiques optimales d’ANJE sont organisées sur les techniques de production vivrière améliorés
D’ici fin 2022 691 880 mères d’enfants âgés de 0 – 23 mois sont appuyées selon un système de transfert monétaire pour mettre en œuvre leur plan d’action de conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage).
D’ici fin 2022 l’accessibilité des farines infantiles enrichies aux enfants des zones les plus vulnérables (milieu rural zone péri- urbaine) est améliorée par la création de 1260 points de vente à travers le pays.
D'ici 2016 le Burkina Faso dispose d'une stratégie d'extension de la fortification à domicile sur la base de la conduite d'une phase pilote au niveau de la région du Nord.
Au moins une campagne de mass média est organisée annuellement en lien avec la célébration avec la semaine mondiale d’allaitement maternel.
D’ici fin 2014 le Burkina Faso dispose d’un kit d’outils de formation pratiques des prestataires de santé sur l’ANJE qui intègre (1) le guide pratique du formateur (2) et le manuel du participant
D’ici 2015 les curricula de formation du personnel de santé en pré-emploi intègrent la promotion des pratiques optimales d’ANJE.
D’ici fin 2014 le Burkina Faso dispose d'un pool national de formateurs sur l'ANJE de 25 membres intégrant les agents de la DN.
D’ici fin 2018 le Burkina Faso dispose de 13 pools régionaux de formateurs sur l'ANJE de 65 membres pour appuyer les formations décentralisées.
D’ici fin 2023 au moins 5 456 prestataires de santé des formations sanitaires du Burkina Faso sont formés pour jouer leur partition dans la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici 2022 6 000 aide-mémoire pratiques des prestataires de santé pour la délivrance du paquet intégré des services d'ANJE sont mis en place dans les 1 728 formations sanitaires.
D’ici 2022 des outils d’institutionnalisation et de suivi des dix conditions pour le succès de l’allaitement maternel au niveau des services liés à la maternité sont mis en place dans les 1 728 formations sanitaires.
L’arrêté de 1993 d’application du code international de substitut du lait maternel a été revu par un comité de relecture et adopté par le Parlement.
Un comité de vulgarisation et de surveillance de la version revue de l’arrêté d’application du code internationale des substituts du lait maternel est mis en place et produit semestriellement un rapport sur les violations du code et les actions correctrices.
Des aspects d’application du code international des substituts du lait maternel sont intégrés dans les outils de formation des prestataires de santé sur l’ANJE.
D’ici fin 2015 les aspects de gestion de l’ANJE dans les situations difficiles (VIH urgences) sont effectivement pris en compte dans par leur intégration dans le kit d’outils de formation pratiques sur l’ANJE validés et adoptés au niveau national.
D’ici fin 2015 le Burkina Faso adopte une position tranchée conforme aux recommandations de l’OMS 2010 au sujet de l’alimentation des enfants nés de mères séropositives par rapport au niveau d’accessibilité ou non du traitement préventif ARV chez la mère et l’enfant au cours de la grossesse et après la naissance.
D’ici fin 2015 le plan national de contingence multirisques de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d’ANJE.
Kit d’outils de formation des acteurs communautaires développés d'ici fin 2013.
Outils développés
L'atelier de validation et d'adoption organisé en 2013
Reproduction annuelle de 2000 Guides du formateur des agents communautaires sur l'ANJE 5000 Manuels de l’agent communautaire entre 2014 et 2019
5000 Aide-mémoires reproduits annuellement entre 2014 et 2019.
90 agents des ONG-RENCAP formés à travers 6 sessions de formation entre 2013 et 2018.
468 agents d’OBCE formés travers 19 sessions de formation entre 2013 et 2018
1543 diagnostics de base suivis de restitution aux communautés ciblées réalisés dans les aires communautaires des formations sanitaires (CMA CM et CSPS) d'ici 2023.
35 839 agents de santé communautaire ou autres agents communautaires formés à travers 1473 sessions de formation entre 2013 et 2022
35 839 personnes ressources volontaires orientés à travers 1434 sessions d’orientation sur l’utilisation des aide-mémoire entre 2013 et 2022
Au moins 143 356 Outils PRV reproduites d'ici 2022
35 839 boites à images et de kits de démonstration culinaires mis en place au niveau communautaire.
100% des femmes enceintes sont identifiées pour recevoir les services d’ANJE (2) 100% des mères d'enfants 0 – 23 mois sont identifiées pour recevoir les services d’ANJE. (3) Au moins 194 298 groupes d’apprentissage des femmes (soit 15 femmes par groupe) sont constitués.
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des femmes enceintes sont réalisées (soit 67 352 séances réalisées sur 74 835 planifiées mensuellement).
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des mères d’enfants 0
– 23 mois sont réalisées (soit 107 517 séances réalisées sur 119 463 planifiées mensuellement).
D’ici fin 2022 au moins 80% des femmes enceintes attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 898 015 présences sur les 1 122 519 attendues).
D’ici fin 2022 au moins 80% des mères d’enfants 0 – 23 mois attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 1 433 559 de présence sur les 1 791 949 attendues).
D’ici fin 2022 au moins 80% des dialogues communautaires planifiés trimestriellement par les personnes ressources volontaires sont réalisées en direction des cibles secondaires (maris grand mères leaders communautaires) (soit 278 176 réalisées sur 347 720 planifiées trimestriellement).
16 412 activités de mobilisations sociale autour des pratiques optimales d’ANJE semestriellement d'ici 2023 au niveau l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées.
16 412 activités de mobilisations sociales autour des pratiques optimales d’ANJE au niveau de l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées sur la base d’un paquet minimum d’appui financier
Pourcentage de réalisation des missions de supervision des OBCE en direction des ASBC en collaboration avec les ONG réalisées.
Pourcentage de réalisation des missions de supervision des prestataires de santé en direction des sites communautaires de mise en œuvre du PISA en collaboration avec les ONG partenaires des districts sanitaires.
Reproduction de 2000 guide du facilitateur et 5000 manuels du participant annuellement entre 2014 et 2022
Guide et manuel sur les techniques d'activités de production vivrière améliorée.
63 fermes modèles mis en place entre 2014 et 2022.
630 promoteurs de production vivrière formés entre 2014 et 2018.
1 383 760 mères d’enfants 6 – 23 mois sur les techniques de production vivrière améliorée entre 2014 et 2022
691 880 mères d'enfants âgés de 6 - 23 mois bénéficient de transfert monétaire pour exécuter leur plan d'action de production vivrière améliorée (maraîchage ou petit élevage)
1 260 points de vente de farines infantiles enrichies et/ou bouillies enrichies au niveau des districts sanitaires entre 2014 et 2022
Au moins une campagne de marketing sociale sur les farines infantiles enrichies organisée annuellement entre 2014 et 2022
Produire annuellement 5000 guides français et 5000 guides en langue locale de recettes locales par an entre
La phase pilote sur la fortification à domicile est effectivement réalisée évaluée.
Atelier effectivement tenu en 2016.
Un plan d'extension de la fortification à domicile élaboré sur la base des leçons apprises de la phase pilote de fortification à domicile.
Existence du plan stratégique de communication pour la mise en œuvre du PISA
90% des activités planifiées dans le plan stratégique de communication pour la mise en œuvre du PISA sont financés et réalisées
Au moins une activité de plaidoyer organisée annuellement sur les sujets prioritaires en rapport avec les interventions d'ANJE
Au moins une campagne de communication sur l'ANJE réalisée annuellement en lien avec la célébration de la semaine mondiale d'allaitement maternel
Existence du kit d'outils de formation sur l'ANJE à partir de 2013.
L'atelier de validation et d'adoption organisé en 2013
Reproduire annuellement 1000 guides du formateur et 2000 manuels du prestataire de santé sur l'ANJE entre 2014 et 2022.
Une session de formation d'un pool national de formateurs sur l'ANJE de 25 membres organisée en 2014
8 sessions de formation au profit de formateurs régionaux sur l'ANJE constitué chacun de 10 membres au niveau de chaque région du Burkina Faso
5436 prestataires de santé formés à travers 217 sessions de formation entre 2013 et 2018 au niveau des districts sanitaires du Burkina Faso
Outils développés et mis en place au niveau des services de maternité
1000 aide-mémoires reproduits annuellement entre 2014 et 2019.
Des sessions d'orientation sur l'ANJE sont organisées annuellement en direction du personnel enseignant et des prestataires en fin de cycle de formation en pré-emploi entre 2014 et 2016. (2) - Un atelier est organisé pour étudier les modalités de renforcement des services d'ANJE dans le curriculum de formation des agents de santé en pré-emploi à partir de 2017.
Au moins 90% des missions d'appui et de supervision des Equipes cadres de districts sanitaires en direction des prestataires de santé des formations sanitaires planifiées annuellement sont réalisées.
Au moins 90% des missions d'appui et de supervision de la Direction de la Nutrition en direction des districts sanitaires et des hôpitaux en collaboration avec le pool national de formateurs ANJE les équipes régionales et les partenaires techniques planifiées annuellement sont réalisées.
Le comité existe et est fonctionnel.
Tenue de l'atelier de validation de la revue de l'arrêté d'application du code international de commercialisation des substituts du lait maternel tenu avant fin 2016
Tenue de la session de plaidoyer avant fin 2015.
Le mécanisme existe et est fonctionnel d'ici 2017 (2) l'arrêté est diffusé et vulgarisé d'ici 2017
le mécanisme existe et est fonctionnel d'ici 2017 (2) au moins 2 sorties sont réalisées par an.
Un atelier national d'affinement des recommandations actuelles au sujet de l'alimentation des enfants nés de mères séropositives est organisé d'ici fin 2014.
5000 boites à images révisées sont reproduites annuellement entre 2015 et 2020
Existence au moins d'un module consacré à la gestion de l'ANJE dans les situations difficiles (Urgence VIH)
D'ici 2015 le plan national de contingence multirisque de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d'ANJE
Au moins 200 agents humanitaires présetes au Burkina Faso sur la gestion de l'ANJE dans les situations d'urgence d'ici 2015.
Les plans de réponses aux urgences du système des Nations Unies intègrent au moins un axe stratégique sur la gestion de l'ANJE avec un budget associé à partir de 2014.
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia|Minimum acceptable diet|Dietary practice|Fruit and vegetable intake|Fruits|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food safety|Food security and agriculture|Health related|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202014%20Plan%20de%20passage%20%C3%A0%20l%27echelle%20ANJE.pdf" "39420","BDI","Burundi","","Directives nationales sur l’alimentation du nourrisson et du jeune enfant (ANJE)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2013","","","Ministère de la sante publique et de la lutte contre le SIDA","","2013","Adopted","","2013","","Health","Ministère de la sante publique et de la lutte contre le SIDA","","","","","","","","","National NGOs","","","","","","","","IV. OBJECTIFS DES DIRECTIVES NATIONALES D’ANJE
1) Contribuer à l’atteinte et la réalisation des objectifs nationaux en matière de nutrition et d’alimentation (du nourrisson et du jeune enfant) selon le PNDS II et le plan stratégique multisectoriel de lutte contre la malnutrition.
2) Assurer une large diffusion des normes en rapport avec l'allaitement maternel et l'alimentation de complément au niveau des responsables politiques, du public en général et des femmes en âge de procréer, des femmes enceintes ou allaitantes en particulier, afin de mettre en oeuvre une communication efficace et harmonisée ;
3) Sensibiliser les secteurs concernés du gouvernement, les professionnels de la santé et les organisations non gouvernementales (nationales et internationales) à accroitre leur engagement dans la promotion des pratiques optimales d'alimentation du nourrisson et du jeune enfant
","IX. DIRECTIVES OPERATIONNELLES DANS LA PROMOTION D’ANJE
IX.1. Protection de l’allaitement maternel
IX.2. Suivi et promotion de la croissance
IX.3. Communication pour le Changement de Comportement (CCC)
Indicateurs de base
El propósito del Programa es brindar de manera gratuita servicios de alimentación escolar, en respuesta a una política de Estado que contribuye a la reducción de la brecha en el acceso a la universalización de la educación y al mejoramiento de su calidad y eficiencia y que a la vez, mejore el estado nutricional de los estudiantes de instituciones públicas, fiscomisionales y municipales de Educación Inicial y Educación General Básica del país.
","","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Growth monitoring and promotion|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition","","http://educacion.gob.ec/programa-de-alimentacion-escolar/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ECU%202013%20Programa%20de%20Alimentaci%C3%B3n%20Escolar.pdf" "23825","ERI","Eritrea","","Eritrean policy on infant and young child feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2013","","","Ministry of health, nutrition unit","7","2013","","","","","","","","","","","","","","","","","","","","","","","Goal
• To increase rates of early initiation of breastfeeding, exclusive breastfeeding for six months and continued breastfeeding up to two years of age or beyond.
• To reduce mixed feeding before six months and starting at 6 months, promote timely, adequate, safe and appropriate complementary feeding with continued breastfeeding.
• To give effect to the principles and aim of the International Code of Marketing of Breast milk Substitutes (BMS) and to subsequent relevant Health Assembly Resolutions.
• To give effect to the principles and aim of the revised International Labour Organisation (ILO) Maternity Protection Convention and its recommendations.
• Contribute to the elimination of mother to child transmission of HIV/AIDS through correct breastfeeding practices.
• To provide guidance on IYCF in exceptionally difficult circumstances
• To create awareness on child survival strategies that significantly contribute to the reduction of malnutrition-related childhood morbidity and mortality hence contribute to achievement of the Millennium Development Goals (MDG) 1 and 4.
• To encourage commitment of all stakeholders to optimal IYCF.
• To create a supportive environment conducive to optimal IYCF
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Sodium/salt intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Complementary food provision|Folic acid|Iodine|Iron|Micronutrient supplementation|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Family planning (including birth spacing)","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Eritrea_2013_IYCF.pdf" "36100","ISL","Iceland","","Action plan to reduce the prevalence of obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Icelandic","","2013","","","Ministry of Welfare","2","2013","","","","","Health|Education and research|Social welfare|Finance, budget and planning|Transport|Trade|Sub-national|Other","Office of Medical Director for Health","World Health Organization (WHO)","","","","","","","","National NGOs","VIRK; Icelandic Medical Association; Association of Icelandic Physiotherapists; Icelandic Sports Academy Association","Research/academia","Landspítali University Hospital; University of Iceland; Faculty of Health Sciences.","","","Other","Laboratory of Nutrition; Health Care Centers and Health Care Providers; Media; Food Industry","Prevention of onset and progression of life-style related diseases (prevention of NCD*)
Improvement of social environment and such life-style as nutrition and dietary habits, physical activity and exercise, rest, alcohol drinking, tobacco smoking, and oral health.
","
The national government will work toward achieving these targets by setting standards and guidelines relating to healthy diet and nutrition, promoting people’s movements relating to healthy diet through collaboration among relevant administrative organs, promoting dietary education, training human resources with specialized technical ability, and putting in place systems through cooperation between companies and civil organizations, etc
","1.Increase in percentage of individuals maintaining ideal body weight (Reduction in percentage of obese individuals [BMI 25 and more] and underweight individuals [BMI less than 18.5])
Obese males in their 20s to 60s 31.2% (2010) to 28% (2022)
Obese females in their 40s to 60s 22.2% (2010) to 19% (2022)
Underweight females in their 20s 29.0% (2010) to 20% (2022)
2. Increase in percentage of individuals who consume appropriate quality and quantity of food
A. Increase in percentage of individuals who eat balanced diet with staple food, main dish and side dish more than twice a day
68.1% (2011) to 80% (2022)
B. Decrease in mean salt intake
10.6 g (2010) 8g (2022)
C. Increase in consumption of vegetables and fruits
Mean daily intake of vegetables 282g
Individuals who consume fruit less (2010) to 350g (2022)
than 100 g per day 61.4% (2010) to 30% (2022)
3. Increase in dining with family regularly (decrease in percentage of children who eat alone)
Breakfast
Elementary school student 15.3% (2010) to decrease (2022)
Junior high school student 33.7% (2010) to decrease (2022)
Dinner
Elementary school student 2.2% (2010) to decrease (2022)
Junior high school student 6.0% (2010) to decrease (2022)
","Outcome indicators","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition","","http://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/0000047330.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JPN%202013%20National%20Health%20Promotion.pdf" "40738","NER","Niger","","Strategie nationale de prevention de la malnutrition chronique","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2013","","2021","Ministère de la Santé Publique","","2013","","","","","Health","","","Agences des Nations Unies","","","","","","","National NGOs","","","","","","","","2. Buts et Objectifs
Le but de la stratégie de prévention de la malnutrition chronique est d’assurer à chaque enfant nigérien la réalisation de son droit à atteindre son plein potentiel de croissance et permettre un développement harmonieux.
L’objectif général visé par cette stratégie est de contribuer à la réduction de la prévalence de la malnutrition chronique au sein des enfants de moins de deux ans de 35% à 25% d’Ici 2021 au Niger.
","5. Le paquet d’interventions
5.1. Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE)
5.2. Supplémentation en vitamine A et déparasitage
5.3. Promotion de la croissance du jeune enfant
5.4. Eau Hygiène et Assainissement
5.5. Promotion des soins et Pratiques au niveau familial et communautaire.
5.6. Consultation Prénatale recentrée (CPNR)
5.7. Education nutritionnelle, maraîchage et petit élevage dans les écoles et communautés
","III. But du document de politique nationale pour l’alimentation du nourrisson et du jeune enfant
Pour contribuer à l’atteinte de l’objectif global précité (lequel est beaucoup plus vaste), la raison d’être du document de politique nationale d’alimentation du nourrisson et du jeune enfant est de définir un cadre d’accélération au Sénégal, du changement de comportements pour porter au moins à 80% le taux de pratiques d’alimentation appropriée chez le nourrisson et le jeune enfant d’ici 2015. Des pratiques adéquates permettront de:
1) réduire significativement la prévalence de malnutrition ainsi que la mortalité,
2) conduire à l’amélioration du développement de l’enfant,
3) réduire les risques de maladies chroniques et de surpoids,
4) rompre le cycle intergénérationnel de la transmission de la malnutrition.
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Overweight in children 0-5 yrs|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Vitamin A|Iron|Zinc|Management of moderate acute malnutrition|Deworming","","","","","" "24461","SOM","Somalia","","IYCF Strategy and Action Plan for South Central Somalia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2013","","2017","","","2012","","","","","","","","","","","","","","","","","","","","","","","Overall Goal
The strategy’s overall goal is to improve the nutritional status, growth, development and survival of infants and young children through promotion and support for optimal infant and young child feeding and care practices.
Objectives
The strategy has 3 objectives:
1. A supportive environment for IYCF is created
2. Access to quality services for IYCF is ensured
3. Progress and success for IYCF is documented and disseminated
By the end of 2017 the prevalence of exclusive breastfeeding of children under 6 months increases by 15% from the 2009 FSNAU assessment
By the end of 2017 the prevalence of the early initiation of breastfeeding increases by 20% from the 2009 FSNAU assessment
By the end of 2017 the prevalence of adequately fed infants is increased by 5% from the initial assessment
By the end of 2017 the prevalence of anemia in children 6 up to 24 months is decreased by 10% for the 2009 FSNAU assessment
By the end of 2017, 30% Cluster partners uphold a maternity protection policy
The end-term evaluation in 2017 shows that 80% of health facilities supported by health and nutrition Cluster partners offer IYCF Counseling (individual or group)
A home-based fortification strategy for south central Somalia is established and implementation has started by the end of 2014
Anemia status among children below two years has decreased by 10% by the end of 2017
By the end of 2017, DRR frameworks and contingency planning from the Nutrition, Health, WASH, and Protection Cluster includes IYCF specific activities or indicators
Monthly reporting rate for partners implementing IYCF programs is 85% by the end of 2017
The IYCF Coordinating body continues to report on progress on a quarterly basis to the Nutrition and Health Cluster by the end of 2017
A national qualitative and quantitative KAP study is conducted in 2017 and used to inform the end-term evaluation
A national micronutrient deficiency study is conducted in 2017
By the end of 2017 a comprehensive end-term evaluation of the entire IYCF Strategy and Action Plan is conducted
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Health professional training on breastfeeding|Micronutrient powder for home fortification|Food fortification","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SOM_IYCF%20Strategy%20and%20Action%20Plan%20for%20SCZ%20FINAL%20Nov%202012.pdf" "38198","ZAF","South Africa","","Infant and Young Child Feeding Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2013","","","Department of Health","","2013","","","","","Health","Department of Health, South AfricaThe following organisations and persons are acknowledged for their technical contributions and comments during the revision the Policy: Umgungundlovu Health District: (Dr S Kauchali), NDOH, Directorate: Child and Youth Health (Dr L Bamford) and Directorate: Oral Health (Ms E Kgabo)","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","Medical Research Council (Dr T Doherty); University of KwaZulu-Natal (Prof A Coutsoudis)","","","","","2.2 Aim
The aim of the policy is to define strategies and actions that should be implemented to promote, support and protect appropriate infant and young child feeding practices, including in the context of HIV.
2.5 Objectives
The aim will be achieved through the following objectives:
To provide evidence-based information on appropriate infant and young child feeding,including in the context of HIV, to health care personnel to enable them to support pregnant women and mothers of infants and young children.
To strengthen strategies for increasing the rates of exclusive breastfeeding namely:
Mother-Baby Friendly Initiative (MBFI), Kangaroo Mother Care (KMC), human breastmilk banking and Code implementation.19,20
To promote timely introduction of adequate, safe and appropriate complementary foods with continued breastfeeding.
To define strategies on feeding infants and young children in all settings including exceptionally difficult circumstances.21
To advocate for creation of supportive environments, including in the work place, that will enable mothers to breastfeed exclusively for the first six months and to sustain breastfeeding.
To standardize and harmonise messages relating to infant and young child nutrition.
3 Recommended infant and young child feeding practices
4 Policy statements on infant and young child feeding
4.1 Antenatal care (anc)
4.2 Intra-partum (labour and delivery)
4.3 Immediate postnatal care for all mothers
4.4 On-going infant and young child feeding support
4.5 Stopping breastfeeding
4.5.1 What to feed infants when mothers stop breastfeeding
4.5.1.1 For infants less than six months of age:
4.5.1.2 For infants over six months of age:
5 Human milk banking
6 Breastfeeding at work places
7 Infant and young child feeding at community level
8 Complementary feeding for infants six months and older
9 Infants and young children in exceptionally difficult circumstances
9.1 Low birth weight (lbw) infants
9.2 Hospitalised infants, children and mothers
9.3 Severe acute malnutrition (sam) in infants and young children
9.4 Orphans, children in foster care, and children whose mothers are incapable of caring for them due to ill health or mental disabilities
9.5 Children suffering the consequences of emergencies, including natural or human- induced disasters, floods and droughts
9.6 Infants with inborn errors of metabolism.
10 Infant formula
10.1 Use of infant formula in health facilities
10.2 Infant formula for special dietary management
10.3 Code of marketing of breastmilk substitutes / regulations relating to foodstuffs for infants and young children
11 Responsibilities of provinces, districts and health facilities
12 Implementation of the policy
","Prévention et lutte contre l'obésité
","5 axes:
- encourager la production d'aliments favorables à la santé;
- agir sur l'environnement et promouvoir la pratique de l'activité physique de santé;
- éduquer la population pour un comportement alimentaire sain et diététique;
- améliorer l'offre de dépistage et prise en charge de l'obésité;
- mettre en place un plan d'information, de communication et d'éducation pour prévenir et lutter contre l'obésité
","
","","","Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Fruits|Vegetables|Maternal, infant and young child nutrition|Growth monitoring and promotion|Nutrition in schools|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|School fruit and vegetable scheme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Food labelling|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition sensitive actions|Food security and agriculture|Health related","","http://www.institutdenutrition.rns.tn/images/strategie_nat.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN_2014_SPLO.pdf" "23269","TZA","United Republic of Tanzania","","National Nutrition Social and Behavior Change Communication Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2013","","2018","TFNC","","2013","","","","","","TFNC •Line Ministries •National Nutrition SBCC Consultative Committee •Political Leaders, Members of Parliament and Councilors •Regional LGA •District LGA •Ward and Village Government Leaders•Prime Minister's Office","","Unicef, WHO","","unspecified","","","","","","","","","","The private sector is involved in some district coordinating committees (e.g.,Lindi and Iringa)","","• Higher Learning Institutions •Religious Sector •Traditional Sector •VIPs and other Celebrities •Communities. Media","
Strategic Objectives and Activities for the Nutrition SBCC Strategy
SO1. Enhance nutrition behaviours of women, caregivers, family and community members, and those who influence them.
1.1 Improve nutrition knowledge, attitudes and related skills
1.2 Increase demand for quality nutrition SBCC, services and products
1.3 Increase access to quality nutrition SBCC, services and products
1.4 Increase social support (family, friends, peers) and collective actions for quality nutrition SBCC, services and products
1.5 Improve provider attitudes and provider-client relationships in nutrition information, counseling and other nutrition SBCC services
SO2. Enhance the enabling environment for positive nutrition social and behaviour change.
2.1 Enhance visibility and positioning of nutrition at all levels of society
2.2 Improve public perceptions of socio-cultural norms and gender roles favourable to Nutrition
2.3 Increase resource mobilization through public and private sector engagement and ownership
2.4 Increase advocacy to strengthen policies, services and integrated systems supporting nutrition
SO3. Enhance capacity for SOTA nutrition SBCC at national and decentralized levels
3.1 Strengthen Institutional Capacity to manage and implement SBCC Nutrition programming at national and decentralized levels
3.2 Build and Use an Evidence Base for nutrition SBCC data, information and best practices
3.3 Increase access to and sharing of SOTA Knowledge, Expertise, Tools and Best Practices in SBCC programming
3.4 Improve coordination for harmonization and streamlining of nutrition SBCC activities
","","","","","International Code of Marketing of Breast-milk Substitutes|Dietary practice|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Nutrition education|Acute malnutrition|Management of moderate acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","http://scalingupnutrition.org/wp-content/uploads/2014/01/TANZANIA-NATIONAL-NUTRITION-SOCIAL-AND-BEHAVIOR-CHANGE-COMMUNICATION-STRATEGY-2013-latest-1.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TAN%202013%20NATIONAL%20NUTRITION%20SOCIAL%20AND%20BEHAVIOR%20CHANGE%20COMMUNICATION%20STRATEGY.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
Objetivo geral
Orientar e estimular, por meio de estratégias intersetoriais, ações para a prevenção e controle da obesidade na população brasileira, promovendo a alimentação
adequada e saudável e a prática habitual de atividade física.
Objetivos específicos
A Estratégia Intersetorial de Prevenção e Controle da Obesidade: promovendo modos de vida e alimentação adequada e saudável para a população brasileira
será implementada considerando as seguintes diretrizes:
• To achieve zero increase in childhood obesity and overweight by 2020
• To reduce the prevalence of anaemia in pregnant women by 2020
• To achieve zero increase in the rate of low birth weight by 2020
• To halt childhood stunting by 2020
","
Strategy 1: Education, training, monitoring, research and evaluation
Strategy 2: International Code of Marketing of Breast milk substitute
Strategy 3: Supportive environment
Strategy 4: Mother and child friendly initiative
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Anaemia in pregnant women|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum","","http://www.ibfanasia.org/OABPF-10/DrOngSK-National-Strategy-MIYCN-2014-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRN-2014-MIYCN.pdf" "39354","COL","Colombia","","Estrategia Nacional para la Prevención y Control de las Deficiencias de Micronutrientes en Colombia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2014","","2021","Ministerio de Salud y Protección Social","","2014","","","","","Health|Education and research","","","WFP, UNICEF, FAO, PAHO, WHO","","Colombian Dietetic Association","","","","","National NGOs","","Research/academia","","","","","","
Objetivos
Objetivo General
Prevenir y reducir las deficiencias de micronutrientes en la población colombiana, con énfasis en niños y niñas hasta 12 años, gestantes y mujeres en edad fértil.
Objetivos Específicos
a. Fortalecer acciones prioritarias en salud como ventana de oportunidad para la prevención de la deficiencia de micronutrientes.
b. Promover la diversificación de la alimentación con la combinación de alimentos variados, nutritivos, propios de las regiones y en cantidades adecuadas que permitan el aporte de nutrientes sugerido para la edad y estado fisiológico de la población.
c. Fomentar otros procesos de fortificación de alimentos con el fin de contribuir al control de las deficiencias ya identificadas en la población.
d. Establecer lineamientos que orienten la biofortificación o fortificación biológica de los alimentos como una solución innovadora para abordar la desnutrición por micronutrientes de una manera sostenible.
","1. DIVERSIFICACIÓN DE LA ALIMENTACIÓN
Estrategias generales para diversificar la alimentación
2. FORTALECIMIENTO DE ACCIONES PRIORITARIAS: Pinzamiento del cordón umbilical cuando este deje de latir - Lactancia materna y Alimentación complementaria - Desparasitación
a. Hacer pinzamiento del cordón umbilical cuando este deje de latir.
b. Fortalecimiento de la Lactancia Materna y la alimentación complementaria.
c. Desparasitación - Quimioterapia preventiva antihelmíntica.
3. FORTIFICACIÓN
a. Fortificación de alimentos de consumo masivo
b. Fortificación de alimentos específicos
c. Fortificación casera con micronutrientes en polvo
4. BIOFORTIFICACIÓN O FORTIFICACIÓN BIOLÓGICA DE ALIMENTOS.
5. SUPLEMENTACIÓN CON MICRONUTRIENTES
","El seguimiento a la implementación de la diversidad alimentaria es una necesidad si se desea tener una idea clara de los resultados e impactos de los programas sobre las metas nutricionales, incluyendo, la disminución en la prevalencia de la deficiencia de micronutrientes. Para ello se han planteado diferentes indicadores que permiten identificar no solo la adecuación de nutrientes en una variedad de grupos de población y contextos, sino del potencial de diversificación de la dieta a nivel del hogar.
En forma general, la diversidad de la dieta se mide considerando el número de alimentos o grupos de alimentos que se consumen durante un periodo de referencia. El período de referencia por lo general oscila entre uno y tres días, pero también se encuentran estudios donde han empleado periodos hasta de 15 días (Drewnowski et al. 1997). En países desarrollados se emplea el recuento de alimentos (Krebs-Smith et al. 1987) o el número de porciones de los diferentes grupos de alimentos según lo establecido por las guías alimentarias o las directrices dietéticas de cada país. De manera complementaria se han propuesto indicadores específicos, como el de puntuación de la dieta, de (Krebs-smith el al 1987) que asigna valor a los grupos según el número de porciones de los diferentes grupos de alimentos, de conformidad con las guías alimentarias. De igual manera se han propuesto medidas, estimadas en periodos de tiempo de tres días y que incluyen: variedad global o recuento simple de alimentos; una puntuación de variedad entre los principales grupos identificando número de alimentos específicos consumidos o una puntuación de variedad dentro de los principales grupos contando subgrupos.
","","","Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Complementary foods|Biofortifcation","","https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/SNA/Estrategia-nacional-prevencion-control-deficiencia-micronutrientes.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202014%20Estrategia%20Nacional%20para%20la%20Prevenci%C3%B3n%20y%20Control%20de%20las%20Deficiencias%20de%20Micronutrientes%20en%20Colombia.pdf" "39355","COL","Colombia","","Programa para la prevención y reducción de la anemia nutricional en la primera infancia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2014","","","Ministerio de Salud y Protección Social","","2014","","","","","Health|Social welfare","National Committee for the Prevention and Control of Micronutrient deficiencies","","","","","","","","","National NGOs","","","","","","","","El objetivo del programa es prevenir y reducir la anemia nutricional en niños y niñas entre los 6 a 23 meses de edad, mediante la aplicación de la ruta integral de atención a la primera infancia en los primeros 1000 días de vida.
","El Programa será evaluado a través de una Evaluación de Impacto y una Evaluación de Procesos. Con ellas buscamos:
• Establecer la calidad de las atenciones dirigidas a la primera infancia
• Identificar los impactos del Programa sobre el estado nutricional de los beneficiarios y la costo-efectividad de la intervención
• Establecer los ajustes necesarios para expandir exitosamente el Programa al resto de territorio nacional.
• Establecer cual es el mejor escenario para la entrega de los micronutrientes en polvo
","","","Anaemia|Vitamin and mineral nutrition|Micronutrient powder for home fortification","","https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/Micronutrientes%20Minsalud%20Enero%2027%20de%202014.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202014%20Programa%20para%20la%20prevenci%C3%B3n%20y%20reducci%C3%B3n%20de%20la%20anemia%20nutricional%20en%20la%20primera%20infancia.pdf" "23644","NOR","Norway","","Tiltaksplan salt 2014-2018 [Action plan salt 2014-2018]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2014","","2018","Helsedirektoratet","","2014","","","","","Health","Helsedirektoratet Health","","","","","","","","","","","","","","","","","I tråd med nasjonale og internasjonale anbefalinger er tiltaksplanens mål en 30 prosent reduksjon av saltinntaket i befolkningen innen 2025 og en 15 prosent reduksjon innen 2018. Dette tilsvarer en reduksjon av saltinntaket i befolkningen på hhv 3 gram per dag innen 2025 og 1,5 gram per dag innen 2018.
Delmål:
3.1 Overvåke: Saltinntak, saltinnhold i maten og kunnskap/holdninger vedrørende salt
OBJETIVOS
Objetivo general
Contribuir con la reducción de la desnutrición crónica infantil al 10% y la anemia en menores de 3 años al 20%, al año 2016, a través del fortalecimiento de intervenciones efectivas en el ámbito intrasectorial e intersectorial. Objetivos específi cos:
1. Incrementar la proporción de niños menores de 3 años con control de crecimiento y desarrollo (CRED) oportuno, de acuerdo a edad, y suplementados con hierro (multimicronutrientes).
2. Incrementar la proporción de niños menores de 6 meses con lactancia materna exclusiva.
3. Incrementar la proporción de niños menores de 3 años con vacunas completas de acuerdo a la edad.
4. Disminuir la prevalencia de niños con bajo peso al nacer.
5. Disminuir las enfermedades prevalentes de la infancia: infecciones respiratorias agudas, enfermedades diarreicas agudas y parasitosis.
6. Incrementar la calidad de la atención prenatal y el parto institucional.
7. Incrementar el número de hogares con agua tratada.
","ESTRATEGIAS
1. IMPULSAR LAS INTERVENCIONES EFECTIVAS PARA LA REDUCCIÓN DE LA DCI Y ANEMIA EN BASE A LA EVIDENCIA CIENTÍFICA E IMPLEMENTARLAS DE MANERA INTEGRAL
2. INTENSIFICAR LAS INTERVENCIONES EN LOS DISTRITOS DE ALTA PREVALENCIA DE DCI Y ANEMIA EN NIÑAS Y NIÑOS DE 06 A 35 MESES Y EN LAS ZONAS DE ALTA CONCENTRACIÓN DE NIÑAS Y NIÑOS MENORES DE 3 AÑOS
3. UNIVERSALIZAR LA SUPLEMENTACIÓN CON MULTIMICRONUTRIENTES PARA LA PREVENCIÓN DE ANEMIA EN NIÑAS Y NIÑOS DE 06 A 35 MESES
4. SEGUIMIENTO NOMINAL DE NIÑAS Y NIÑOS MENORES DE 3 AÑOS A PARTIR DE LA IDENTIFICACIÓN EN LÍNEA DEL RECIÉN NACIDO
5. ENFOQUE TRANSVERSAL DE INTERCULTURALIDAD Y GENERO
6. CONVENIOS DE GESTIÓN CON GOBIERNOS REGIONALES
","
MONITOREO Y EVALUACION
El monitoreo y evaluación del Plan Nacional para la Reducción de la Desnutrición Crónica Infantil y la Prevención de la Anemia en el País, estará a cargo de la Dirección General de Salud de las Personas y el Centro Nacional de Alimentación y Nutrición del Instituto Nacional de Salud considerando el modelo lógico establecido y detallado previamente (en la sección V), que incluye los productos y procesos necesarios para el logro de los resultados relacionados con la disminución de la DCI y la anemia en niñas y niños menores de tres años. Las fuentes de información de donde procederán los indicadores son encuestas nacionales (ENDES, ENAHO), además de aquellas basadas en registros administrativos y emitidas como reportes a nivel de las direcciones regionales de salud (SIEN, HIS, SIS, SIP, SISMED) en relación a la prestación de los servicios de salud dirigidos a las madres gestantes y a las niñas y niños menores de 5 años, con énfasis en los menores de 3 años, en el marco de la atención integral en salud.
Indicadores de resultado Para efectos de medir el alcance del Plan Nacional para la Reducción de la Desnutrición Crónica Infantil y la Prevención de la Anemia en el País, se han establecido los siguientes indicadores:
IR1 Prevalencia de desnutrición crónica en niñas y niños menores de 5 años de edad.
IR2 Prevalencia de anemia en niñas y niños de 6 a 35 meses de edad.
IR3 Porcentaje de recién nacidos con bajo peso al nacer.
IR4 Porcentaje de recién nacidos con prematuridad.
IR5 Prevalencia de infecciones respiratorias agudas en niñas y niños menores de 3 años de edad.
IR6 Prevalencia de enfermedad diarreica aguda en niñas y niños menores de 36 meses de edad.
IR7 Porcentaje de niñas y niños menores de 6 meses con lactancia materna exclusiva.
IR8 Porcentaje de madres de niña y niños menores de 36 meses que practican lavado de manos en momentos clave.
IR9 Porcentaje de niñas y niños menores de 36 meses con CRED completo de acuerdo a su edad.
IR10 Porcentaje de niñas y niños menores de 36 meses con vacunas básicas completas para su edad.
IR11 Porcentaje de recién nacido con corte oportuno del cordón umbilical. Indicadores de productos y procesos
Los indicadores de productos y procesos están orientados a medir la implementación de las intervenciones dirigidas a las madres gestantes, niñas y niños menores de 5 años, con énfasis en los menores de 3 años, además de los productos obtenidos luego de su ejecución.
Los indicadores de productos identificados se detallan a continuación:
IP1 Porcentaje de gestantes con control prenatal en el primer trimestre de gestación.
IP2 Porcentaje de gestantes con seis o más controles prenatales.
IP3 Porcentaje de gestantes con suplementación completa.
IP4 Porcentaje de gestantes con parto institucional.
IP5 Porcentaje de niñas y niños de 6 a 35 meses con suplemento de hierro (MMN).
IP6 Porcentaje de niñas y niños menores de 24 meses con vacuna contra rotavirus y neumococo de acuerdo a la edad.
IP7 Porcentaje de hogares con acceso a agua segura.
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Nutrition education","","http://www.minsa.gob.pe/portada/especiales/2015/nutriwawa/directivas/005_Plan_Reduccion.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PER%202014%20Plan%20Nacional%20para%20la%20reduccion%20de%20anemia%20y%20desnutricion%202014-2016.pdf" "24466","SOM","Somalia","","Somali National Micronutrient Deficiency Control Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","2016","","","2014","","","","","Health|Food and agriculture|Education and research|Social welfare","The Ministry should advocate and sensitize all stakeholders notably agriculture and other line ministries, institutions, development partners and industry on the national strategy on Micronutrient Deficiency Control and Management. It should pay particular attention to integrating micronutrient control into the health, nutrition, education, social welfare and other relevant programmes and the broader health care programs for women and children.","","","","","","","","","","","","","","","","","Overall outcomes for the communication strategy are defined below along with factors that may influence the achievement of results.
I. Early initiation: By end 2020, at least 80% of women will begin breastfeeding within one hour of delivery.
II. Exclusive breastfeeding: By end 2020, at least 18% of babies aged 0-5 months will be exclusively breastfed.
III. Continued breastfeeding: By end 2020, at least 50% of children aged 20—23 months will still be breastfeeding.
IV. Complementary feeding: By end 2020 at least 90% of infants aged 6-23 months will receive the minimum number of meals.
V. Responding to pneumonia: By end 2020, at least 80% of caregivers can identify two danger signs of pneumonia.
VI. Treating diarrhoea: By end 2020, at least 90% of children with diarrhoea will be given ORS or approved home treatments.
VII. Policy advocacy: By end 2015, government will end the sale of infant formula from health facilities and a by August 2016 a national code on the marketing of breastmilk substitutes will be developed. By 2017 the subsidy for infant formula will be phased out.
VIII. Policy advocacy: By end 2016, national maternity leave legislation will be implemented.
IX. Policy advocacy: By end 2016, research into the scope and causes of injuries to children will be completed.
","1.1.1 National Infant Feeding Task Force is formed and adopts an action plan for advocacy and behaviour change linked with the IYCF+ communication strategy. (See Section 5.5). This includes action to achieve results in promoting:
Early initiation
Skin to skin contact mothers and babies
Exclusive breastfeeding
Continued breastfeeding
Complementary feeding
Advocacy to end clinic sales of formula
Advocacy to end formula subsidy
2.1.1. National Nutrition Guidelines developed incorporating infant and young child feeding
6 Implementation and monitoring plan
6.1 Outcomes
Overall outcomes and interim behavioural targets for the communication strategy are defined below along with factors that may influence the achievement of results. (See Section 3.2 for a more detailed discussion of outcomes)
Early initiation: By end 2020, at least 80% of women will begin breastfeeding within one hour of delivery.
Exclusive breastfeeding: By end 2020, at least 18% of babies aged 0-5 months will be exclusively breastfed.
Continued breastfeeding: By end 2020, at least 50% of children aged 20—23 months will still be breastfeeding.
Complementary feeding: By end 2020 at least 90% of infants aged 6-23 months will receive the minimum number of meals.
Responding to pneumonia: By end 2020, at least 80% of caregivers can identify two danger signs of pneumonia.
Treating diarrhoea: By end 2020, at least 90% of children with diarrhoea will be given ORS or approved home treatments.
Policy advocacy: By end 2015, government will end the sale of infant formula from health facilities and a national code on the marketing of breastmilk substitutes will be developed. By 2017 the subsidy for infant formula will be phased out.
Policy advocacy: By end 2016, national maternity leave legislation will be in development and/or implemented.
Policy advocacy: By end 2016, research into the scope and causes of injuries to children will be completed.
المرحلة الأولى: اجراء الدراسات ومراجعة السياسات ونشر الوعي لدى المستهلكين
تشكيل فريق عمل وطني
زيادة وعي المستهلكين حول تأثيرالدهون المشبعة والمتحولة على الصحة
القيام بحملات توعية عن آثار الدهون المشبعة والمتحولة على الصحة:
أ- توحيد الرسائل التوعوية واعداد المواد الاعلامية اللازمة والمواد التثقيفية
ب- تبني نشر الرسائل التوعوية عن طريق جميع الجهات المعنية بالتنفيذ.
ج- دراسة امكانية ادراج تأثير الدهون المشبعة والمتحولة في المناهج الدراسية
مؤشرات قياس الأداء
- نسبة الوعي لدى المستهلكين.
- عدد اللقاءات التلفزيونية, الاذاعية و المنشورات
- عدد الفعاليات التي تمت مع استبيان تقييم الوعي لدى المستهلكين
- نسبة التفاعل مع مواقع التواصل الاجتماعي
دراسة مبدئية لتحديد مدى ذكر محتوى الدهون المشبعة و المتحولة في البطاقة الغذائية للمنتجات المتوفرة في الأسواق
تحديد عينة ممثلة من المنتجات المتداولة والتأكد من احتواء البطاقة الغذائية لها على نسب الدهون المشبعة و المتحولة.
مؤشرات قياس الأداء
- نسبة احتواء البطاقة الغذائية للمنتجات على الدهون المتحولة.
دراسة متوسط استهلاك الفرد من الأطعمة التي تحتوي على دهون متحولة.
استخدام قاعدة البيانات الإحصائية إن وجدت لكل دولة لتحديد مستوى الاستهلاك للفرد من المنتجات التي تحتوي على دهون متحولة
مؤشرات قياس الأداء
نسبة توفر قاعدة بيانات احصائية لنسب الاستهلاك
تفعيل العمل بالمواصفة القياسية ""بطاقة المواد الغذائية المعبأة “GSO 9/2013
أ- التفعيل الالزامي للمواصفة بضرورة وجود بطاقة غذائية لكل المنتجات والتأكيد على ذكر نسبة الدهون المتحولة على البطاقات الغذائية للمنتجات سواء المصنعة محلياً والمستوردة.
ب- دراسة امكانية اصدار تشريعات تنظيمية بهذا الخصوص وتخصيص بنود للغرامات المالية في حال المخالفة
مراجعة سياسات التدعيم لكل دولة
مراجعة سياسات دعم المنتجات سواء من الزيوت والدهون أو غيرها من المنتجات التي تحتوي على نسبة عالية من الدهون المتحولة ودراسة امكانية اعادة توجيهها لبدائل أفضل
المرحلة الثانية: البدء بحظر استخدام الدهون المتحولة في المصانع والمطاعم و التوجيه لتقنين استخدام مصادر الدهون المشبعة
التقليل التدريجي من استخدام الدهون المتحولة في المصانع و المطاعم المحلية
وضع دليل ارشادي للصناعات الغذائية يوضح البدائل الممكن استخدامها وطريقة التوسيم الصحيحة.
خلق البدائل المناسبة وبأسعار متفاوتة للزيوت المتحولة في الأسواق.
مخاطبة الجهات المسؤولة عن المصانع لكل بلد و القيام بعقد ورش عمل لتوضيح أهداف الاستراتيجية ومدى اهميتها و شرح محتوى الدليل الارشادي.
اعطاء المصانع مهلة زمنية لا تقل عن 6 اشهر للتنفيذ.
مخاطبة الجهات المسؤولة عن المطاعم في كل دولة والقيام بعقد ورش عمل لتوضيح أهداف الاستراتيجية ومدى اهميتها وشرح محتوى الدليل الارشادي
إعطاء المطاعم مهلة زمنية لا تقل عن 6 أشهر للتنفيذ.
مؤشرات قياس الأداء
- نسبة المصانع الملتزمة بتنفيذ هذه الاستراتيجية.
- نسبة انخفاض دهون الدم لدى المستهلكين في نهاية 2018
- نسبة المطاعم الملتزمة بتنفيذ هذه الاستراتيجية.
- نسبة انخفاض دهون الدم لدى المستهلكين في نهاية 2018
و التوجيه لتقنين استخدام مصادر الدهون المشبعة
أ- وضع معايير وطنية للحد من استخدام زيت النخيل وجوز الهند في صناعة الغذاء
ب- وضع معايير وطنية لضمان تقليل محتوى الدهون المشبعة أكثر في منتجات الألبان والتوجيه لاستخدام الألبان القليلة والخالية الدسم في المطاعم والمصانع والمقاهي.
ت- إحداث تغييرات في أنظمة العلف وتربية الحيوانات للتقليل من محتوى الدهون المشبعة في اللحوم.
مؤشرات قياس الأداء
نسبة المطاعم الملتزمة بتنفيذ هذه الاستراتيجية
المرحلة الثالثة: تقنين بيع المنتجات الغذائية المستوردة التي تحوي على الدهون المتحولة
تقنين بيع المنتجات الغذائية المستوردة التي تحوي على الدهون المتحولة
أ و ًلا : التأكد من تنفيذ الروايا الفنية الخاصة بالبطاقات الغذائية لجميع المنتجات
ثانيًا: وضع دليل ارشادي يوضح اشتراطات للنسب المسموح بها من الدهون المتحولة في الأغذية المستوردة استنادا الى المواصفة الخليجية المختصرة بالدهون المتحولة وهي كالتالي: ( الحد الأقصى للدهون المتحولة للزيوت النباتية و الزبدة النباتية اللينة هو 2% من
إجمالي الدهون و محتوى الدهون المتحولة للأطعمة الأخرى هو 5% من إجمالي محتوى الدهون بما فيها المكونات التي تباع للمطاعم
ثالثًا:
الإيعاز للموردين بضرورة مخاطبة الشركات المنتجة بالنسب الجديدة وامكانية تخفيضها في المنتجات
مؤشرات قياس الأداء
نسبة انخفاض الأغذية الواردة الى البلد والتي تحتوي على دهون متحولة اعلى من المعدل
نسبة انخفاض دهون الدم لدى المستهلكين في نهاية 2018
المرحلة الرابعة: الرقابة والمتابعة والتقييم.
الرقابة والمتابعة
1- العمل على اصدار تشريع يقضي بضبطية العمل فلي المصانع والمطاعم ورصد المخالفات.
2- وضع نظام رقابي للوقوف على مدى التزام الموردين.
3- العمل على اصدا تشريع يقضي بالزام الموردين بالاشتراطات المقترحة.
التقييم
1- التأكد من تحقيق الأهداف من الاستراتيجية من خلال مؤشرات قياس الأداء.
2- القيام باعدة الدراسات المبدئية للمقارنة بين النتائج والتأكد من تحقيق الهدف بتقليل استهلاك الدهون المتحولة بالنسب المطلوبة
Goal: The overall goal of the National Strategy on Prevention and Control of Micronutrient Deficiencies (NSPCMD) is to improve the overall health, nutritional status, survival, growth, development and productivity of the population by preventing and alleviating micronutrient deficiencies.
Objectives:
To provide guidelines on interventions and actions for improved access and affordability to micronutrients through increased consumption of micronutrient rich foods, fortified foods and supplements and compliance to micronutrient guidelines and regulations
To provide a common platform for resource mobilization for the implementation of the national micronutrient deficiency prevention and control programmes
To promote efficient implementation and programme delivery of micronutrient interventions that can create impact among the marginalized through improved planning, capacity development, monitoring, coordination and collaboration of partners in the country
To improve knowledge, awareness and utilization of micronutrient deficiency control interventions through advocacy, social mobilization and behavior change communication
To strengthen research and monitoring and evaluation of National Micronutrient Deficiency Prevention and Control programmes in the country
","Micronutrient Priority Areas of Action
Vitamin A
1. Strengthening VAC supplementation strategy for children aged 6-59 months, especially those living in hard-to-reach areas and moderately malnourished children.
2. Revisiting existing policy for post-partum VAC supplementation programme in the context of recent WHO recommendation.
3. Reinforcing compliance by private sectors as key players in the vitamin A fortification program.
Iodine
1. Revising existing Salt Law to implement the use of iodized salt in livestock and processed food.
2. Declaring USI as a programme of national importance and intervening in a mission mode (Salt Mission).
3. Transforming USI project into a sustainable programme and mainstreaming USI activities within NNS.
4. Initiating a Market Intervention Operation (MIO) to determine the right price for consumers.
5. Introducing iodized salt into safety net programmes.
6. Taking strong administrative action against non-performing mills.
7. Imposing restriction on import of refined edible salt, with proper quality checks and with the exception of emergency situations.
Iron
1. Reviewing policy on IFA supplementation guidelines for adolescent girls and NPNL women; consider adding other micronutrients to supplements.
2. Considering policy on multiple micronutrient supplementation during pregnancy.
3. Need based targeted MNP supplementation programme for young children aged 6-23 months.
Zinc
1. Developing and implementing policy on rice fortification with zinc as one of the multiple micronutrients for the poorest group through government safety net programmes and other groups (open market sale, rationing, etc.).
2. Considering bio-fortification of rice with zinc for mass populations.
Vitamin B12
1. Considering possibility of adding animal source foods in appropriate form for vulnerable groups through safety net and food security programme. This can also increase consumption of other micronutrients, such as vitamins A, D, B12, iron and zinc.
Vitamin D and Calcium
1. Developing and implementing policy on food fortification with vitamin D (such as edible oil – consider double fortification).
2. Strengthening calcium supplementation during pregnancy, as per WHO guideline.
","See Table 16 and Table 17, pages 72 and 73
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Nutrition in the school curriculum|School gardens|Vitamin A|Calcium|Iodine|Iron and folic acid|Vitamin D|Zinc|Micronutrient powder for home fortification|Food fortification|Nutrition education|Rice|Food grade salt|Edible oils and margarine|Biofortifcation|Deworming|Food security and agriculture|Home, school or community gardens|Vulnerable groups","","http://iphn.dghs.gov.bd/wp-content/uploads/2016/01/NMDCS-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202015%20National%20Strategy%20on%20prevention%20and%20control%20of%20micronutrient%20deficiency.pdf" "36190","BRB","Barbados","","National Plan of Action for Childhood Obesity Prevention and Control","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2018","","","2015","Adopted","","2014","MoH","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Sport|Urban planning|Trade|Information|Other","Ministries: Health, Education, Agriculture, Trade, National NCD Comission, National Nutrition Center (NNC), Inter Ministerial Committee, Cabinet, Government Information Services","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","WHO, PAHO, FAO, Unicef, UN Women, WTO, UNDP, UNFPA","","","Japan International Co-operation Agency (JICA)","","European Union","","National NGOs","SCOs, Faith based organizations (FBOs), Parent-Teacher Association","Research/academia","","Private sector","Food producers, distributors, restaurants, marketing agents, media, service operators, food vendors","Other","Inter-American Institute for Cooperation on Agriculture (IICA), Barbados National Standards Institute, Healthy Caribbean Coalition (HCC), education facilitators, health professionals working in primary care and tertiary health institutions","Goal:
The ultimate goal is to reverse the upward trends in obesity by 5% by 2019
Objectives:
The broad strategies discussed and agreed in line with the PAHO Regional Plan of Action for the Prevention of Obesity in Children and Adolescents and the Barbados NCD Strategic Plan are as follows:
1. Strengthening Coordination and Management of Obesity Prevention
2. Strengthening Breastfeeding Practices
3. Promoting Physical Activity
4. Developing and Implementing Dietary Regulatory and Fiscal Policies
5. Implementing Health Promoting School Initiatives
","Full list of indicators/targets found in Results Framework on p. 16
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://gisbarbados.gov.bb/download/national-plan-of-action-for-childhood-obesity/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB%202015%20National%20Plan%20of%20Action%20for%20Childhood%20Obesity.pdf" "24707","BFA","Burkina Faso","","Plan de Renforcement de la Lutte Contre les Carences en Micronutriments","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2015","","2020","Ministere de la Sante","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Industry","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Helen Keller International (HKI)|Nutrition International|Terre des Hommes","","","","","","","","","","","","","","Objectif général
financements pour une mise en oeuvre efficiente de la lutte contre les carences en Contribuer à la réduction des carences en micronutriments au Burkina Faso d’ici 2020.
Objectifs spécifiques
Supplémentation médicamenteuse
La fortification à domicile
L’iodation universelle du sel
Education nutritionnelle
Renforcement du suivi et de l’évaluation des interventions
","Table Pages 44-45
","Outcome indicators","","Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Maize flours|Complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202015%20Plan%20contre%20les%20carences%20en%20micronutriments.pdf" "25715","HRV","Croatia","","Strateški plan za smanjenje prekomjernog unosa soli [Strategic Plan for Salt Intake Reduction]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","","2015","","2019","Ministry of Health","9","2014","Adopted","","2014","Ministry of Health","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Other","Ministry of Foreign Affairs and European Affairs; Central Bureau of Statistics","","","","","","","","","National NGOs","Croatian Society for Hypertension; Croatian Society for Atherosclerosis; Croatian Society for Public Health","Research/academia","Croatian Public Health Institute; Faculty of Medicine of the University of Zagreb","Private sector","Food Industry","Other","Croatian Initiative on Salt and Health (CRASH); Mass Media; Croatian Food Agency","VIZIJA: Stanovništvo Republike Hrvatske je umanjilo zdravstvene rizike povezane s prekomjernim unosom kuhinjske soli.
MISIJA: Sustavnim javnozdravstvenim intervencijama i međusektorskom suradnjom povećati razinu svijesti o optimalnom unosu kuhinjske soli uz posljedičnu promjenu navika cjelokupnog stanovništva i osiguranje preduvjeta u svim resorima društva za dostupnost i odabir hrane s manjim udjelom kuhinjske soli.
Cilj Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj jest postupno smanjivati unos kuhinjske soli u općoj populaciji Republike Hrvatske za prosječno 4% godišnje, sa sadašnjih 11,6 grama dnevno na 9,3 grama 2019. godine.
Temeljem iskustva i procjenom rezultata postignutih u drugim državama uz navedeno smanjenje unosa kuhinjske soli za oko 2 g na populacijskoj razini očekuje se značajno sniženje prevalencije arterijske hipertenzije i ostalih kardiovaskularnih i cerebrovaskularnih bolesti.
S obzirom na vodeće uzroke prekomjernog unosa kuhinjske soli definirani su sljedeći prioriteti:
Budući da preko 70% dnevnog unosa kuhinjske soli konzumiramo putem gotove ili polugotove hrane, cilj se mora ostvariti u suradnji s ugostiteljstvom i prehrambenom industrijom, naročito pekarskom jer se kruhom i pekarskim proizvodima unosi 30 - 40% kuhinjske soli.
","4.1 Analiza i planiranje
Mjera 1. Izrada plana smanjenja udjela kuhinjske soli u ugostiteljstvu i prehrambenoj industriji po pojedinim grupama hrane
Mjera 2. Praćenje troškova kroz istraživanje vezano za bolesti povezane s prekomjernim unosom kuhinjske soli
Mjera 3. Istraživanje o konzumaciji soli u Republici Hrvatskoj
4.2 Djelovanje prema proizvođačima i distributerima hrane
Mjera 1. Poticanje proizvodnje hrane s manjim udjelom kuhinjske soli u prehrambenoj industriji
Mjera 2. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i institucionalnim kuhinjama
Mjera 3. Uvođenje zakonske i podzakonske regulative sustava jasnog, jednostavnog, obveznog i dodatnog navođenja udjela kuhinjske soli na svim prehrambenim proizvodima.
4.3 Djelovanje prema građanima – posredno i neposredno
Mjera 1. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja
Mjera 2. Promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli
4.4 Monitoring i evaluacija
Mjera 1. Stalni nadzor i vrednovanje postignutih rezultata
Objetivo General
Controlar y prevenir el sobrepeso y la obesidad en la población hondureña para contribuir al control de las enfermedades crónicas no transmisibles relacionadas con la alimentación y actividad física
","Líneas Estratégicas
1. Toma las cosas a pecho y apoya la lactancia materna. Promoción de la lactancia materna exclusiva, continuada y la introducción de la alimentación complementaria adecuada.
Objetivo específico 1.1: 1.1 Reducir la publicidad de sucedáneos de la leche materna.
Indicador
1.1 Monitoreo de la aplicación del código de sucedáneos de la leche materna publicado en un informe al menos cada tres años.
Meta
1.1.1 Disminuir en un 6% el consumo de fórmulas infantiles en niños menores de seis meses de edad al 2025.
Acciones
1.1.1 Socialización del Código Internacional de Comercialización de Sucedáneos de la leche materna (CICSLM) y la Ley de Fomento y Protección de la Lactancia Materna (LFPLM) en los diferentes niveles gubernamentales, ONG, Academia, medios de comunicación, sociedad civil y otros.
1.1.2 Introducción del CICSLM, LFPLM y otros temas relacionados, a la currícula de las escuelas formadoras de los recursos humanos en los diferentes niveles y áreas.
1.1.3 Diseño de una estrategia de información, comunicación y educación a nivel nacional sobre la implementación del CICSLM, la LFPLM y la Iniciativa de Hospitales y unidades de salud amigos de la lactancia materna (IHALM).
1.1.4 Socialización, aprobación y publicación del reglamento de la LFPLM a los diferentes sectores involucrados en su aplicación.
1.1.5 Diseño de una estrategia de monitoreo y vigilancia del CICSLM, la LFPLM y su reglamento, la IHALM, la estrategia de información, comunicación y educación sobre el tema de lactancia materna, así como otros temas relacionados a la lactancia en los diferentes niveles de formación de recursos humanos.
Objetivo específico 1.2: 1.2 Fortalecer una red nacional de hospitales, unidades de salud y clínicas materno infantiles “amigos de la lactancia materna”.
Indicador
1.2 Red de hospitales, clínicas y unidades de salud en el área de influencia de hospitales, con al menos el 70% de unidades reconocidas como “amigos de la lactancia materna”.
Metas
1.2.1 70% de las unidades de salud y clínicas materno infantiles del área de influencia de los hospitales reconocidos como “amigos de la lactancia materna”.
1.2.2 El 80% de los hospitales con maternidad están reconocidos como “amigos de la lactancia materna”.
Acciones
1.2.1 Revisión técnica basada en los lineamientos de normalización de la Iniciativa de Hospitales (y unidades) amigos de la lactancia materna.
1.2.2 Reactivación de la IHALM con la conformación de un equipo técnico conductor a nivel nacional (gestión de recursos, capacitación, etc.).
1.2.3 Elaboración del plan del proceso de reconocimiento de hospitales, clínica materno infantiles y unidades de salud como “amigos de la lactancia materna”.
1.2.4 Implementación de la IHALM a nivel nacional.
1.2.5 Seguimiento para la actualización de aquellos hospitales ya reconocidos con anterioridad como “amigos de la lactancia materna”.
1.2.6 Conformación de una red de hospitales, clínicas y unidades de salud como “amigos de la lactancia materna”.
1.2.7 Reconocimiento de nuevos hospitales, clínicas y unidades de salud “amigos de la lactancia”.
1.2.8 Monitoreo de implementación de la IHALM.
1.2.9 Introducción del tema en la estrategia de información, comunicación y educación a nivel nacional.
Objetivo específico 1.3: 1.3 Monitorear el crecimiento y desarrollo de los niños menores de dos años de edad para su control y tratamiento oportuno.
Indicador
1.3 Proporción de regiones departamentales que han implementado la vigilancia nutricional de los niños y niñas menores de cinco años de edad.
Meta
1.3 100% de las regiones departamentales de salud implementan la vigilancia nutricional de las niñas y niños menores de cinco años de edad.
Acciones
1.3.1 Revisión técnica basada en los lineamientos de normalización de la Secretaría de Salud (Norma para la vigilancia nutricional de los niños menores de cinco años).
1.3.2 Introducción y fortalecimiento del monitoreo y promoción del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años en la currícula de escuelas formadoras de recursos humanos en el área de salud.
1.3.3 Implementación del monitoreo y promoción del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años a nivel nacional en la red de servicios de salud garantizando presupuesto, equipo, material y capacitación).
1.3.4 Análisis de la información existente sobre la identificación y atención oportuna de niños y niñas menores de dos años con problemas de crecimiento y desarrollo (por deficiencia y por exceso).
1.3.5 Fortalecimiento del sistema de vigilancia y monitoreo del crecimiento y desarrollo de los niños y niñas con énfasis en menores de dos años (RENPI, sistema de información de la SESAL y otras iniciativas).
1.3.6 Fortalecimiento de capacidades de los voluntarios de la estrategia de Atención Integral a la niñez en la Comunidad (con base a estándares de la OMS).
Objetivo específico 1.4: 1.4 Establecer un programa nacional de educación en alimentación complementaria para los cuidadores de los niños/as de seis a doce meses de edad para prevenir la malnutrición.
Indicador
1.4 Proporción de cuidadores de los niños/as de seis a doce meses de edad que participan en el programa de alimentación complementaria.
Meta
1.4 100% de los cuidadores de los niños/as de seis a doce meses de edad son alcanzados con acciones educativas del programa de alimentación complementaria implementado.
Acciones
1.4.1 Definición técnica y normativa de la alimentación complementaria adecuada y oportuna para los niños/as de seis meses a doce meses de edad.
1.4.2 Conformación de equipo de apoyo y seguimiento para la gestión de recursos, capacitación y elaboración de plan de trabajo que promueva la alimentación complementaria adecuada y oportuna para los niños/as de seis meses a doce meses de edad.
1.4.3 Diseño de un programa educativo de alimentación complementaria adecuada y oportuna para los niños/as de seis a doce meses de edad.
1.4.4 Fomento de líneas de investigación de alimentos complementarios a partir de materia prima local y gestión para su implementación.
1.4.5 Revisión de estrategias, programas y proyectos de atención de niños/as con énfasis en menores de dos años de edad en situaciones de emergencia, para velar por su derecho a la alimentación óptima.
2. Aliméntate saludable y lleva una vida activa. Promoción de una alimentación saludable y vida activa en cualquier entorno (doméstico, educativo, laboral, recreativo).
Objetivo específico 2.1: 2.1 Mejorar nutricionalmente la oferta de la alimentación en los centros escolares.
Indicador
2.1 Proporción de escuelas que aplican el reglamento de venta de alimentos en los centros escolares.
Meta
2.1 Haber actualizado e implementado el reglamento de venta de alimentos en centros educativos al 2020 en el 80% a nivel nacional.
Acciones
2.1.1 Actualización y socialización del reglamento para los alimentos en los centros educativos (básicos, pre básicos, medio y superior) a nivel nacional.
2.1.2 Establecimiento de alianzas estratégicas, desarrollo de ferias de la salud nutricional.
2.1.3 Promoción del consumo de agua tratada y de filtros y otras fuentes de almacenamiento (juntas de agua) en los centros educativos a nivel nacional.
2.1.4 Establecimiento de requerimientos mínimos para la apertura de centros escolares que fomenten la actividad física y recreación (área verde, ventilación, espacio adecuado, etc.).
2.1.5 Reconocimiento de los centros educativos que cumplan con la aplicación del reglamento para la venta de alimentos en los centros educativos y la promoción de actividad física.
2.1.6 Capacitación en alimentación y nutrición en los diferentes niveles con alcance nacional y local en la atención nutricional con la inclusión de estudiantes de nutrición.
2.1.7 Fortalecimiento de alianzas estratégicas de las entidades de gobierno2 con las instancias deportivas gubernamentales: CONDEPAH, UNAH, UPNFM para fomentar la formación de personal y aprovechar los espacios.
Objetivo específico 2.2: 2.2 Revisar, actualizar y promover la currícula escolar sobre la importancia de una buena alimentación y vida activa, acompañada de una estrategia de comunicación que fomente la alimentación saludable y la vida activa.
Indicador
2.2.1 Proporción de escuelas que aplican la currícula con la importancia de una buena alimentación y de una vida activa.
2.2.2 Proporción de escuelas que realizan al menos 30 minutos de actividad física moderada a intensa.
Meta
2.2 Haber actualizado e implementado la currícula escolar incorporando temas sobre la importancia de una alimentación saludable y de una vida activa.
Acciones
2.2.1 Actualización y socialización de la curricula escolar con los temas relacionados a hábitos saludables, con énfasis en alimentación y actividad física.
2.2.2 Diseño de la estrategia de comunicación con los temas relacionados a hábitos saludables, con énfasis en alimentación y actividad física.
2.2.3 Establecimiento de alianzas estratégicas, desarrollo de ferias de la salud y nutrición, donde se brinde seguimiento a los escolares.
2.2.4 Fortalecimiento de las actividades lúdicas relacionadas a la enseñanza de llevar una alimentación saludable y una vida activa.
2.2.5 Fortalecimiento de los centros educativos con recursos humanos especializados con el fin de proveer una actividad física adecuada.
Objetivo específico 2.3: 2.3 Mejorar la oferta de alimentación saludable y de espacios para realizar actividad física en las instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares.
Indicador
2.3.1 Proporción de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares que ofrecen un menú de opciones de alimentación saludable.
2.3.2 Proporción de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares que facilitan la oportunidad y/o los espacios para realizar al menos 45 minutos diarios de actividad física moderada a intensa.
2.3.3 Proporción de instituciones académicas, puestos de trabajo y municipios que reciben un reconocimiento por el cumplimiento del desarrollo de actividad física en la población.
Meta
2.3.1 50% de instituciones académicas (escuelas, colegios y universidades, entre otros), puestos de trabajo y otros espacios similares ofrecen un menú de opciones de alimentación saludable y de espacios para contribuir a llevar una vida activa.
Acciones
2.3.1 Diseño e implementación de una campaña de concientización sobre la importancia para la salud de una alimentación saludable y de una vida activa.
2.3.2 Desarrollo de ferias de la salud y nutrición, donde se brinde seguimiento a los involucrados (alumnos, docentes, padres de familia, trabajadores, etc.)
2.3.3 Creación y difusión de criterios de reconocimiento a instituciones académicas, puestos de trabajo y municipios, por el desarrollo constante del fomento de actividad física en sus instalaciones.
2.3.4 Fortalecimiento de las actividades lúdicas relacionadas a mantener una alimentación saludable y una vida activa.
2.3.5 Promoción de ambientes con opciones saludables tanto de alimentación como de actividad física en los diferentes espacios escuelas, colegios, universidades, puestos de trabajo, municipios, etc.).
3. Por tu salud, elige mejor tus alimentos. Políticas fiscales (impuestos), reglamentación de la publicidad y promoción de los alimentos calóricos, y etiquetado nutricional frontal de los alimentos.
Indicador
3.1 Número de documentos normativos elaborados y/o actualizados cuyo cumplimiento contribuye a la reducción del consumo de bebidas azucaradas, comidas rápidas y de alto contenido calórico y bajo valor nutrimental en la población hondureña.
Meta
3.1.1 Incrementados los impuestos a los alimentos con alto contenido de sodio, grasa y azúcar, incluyendo bebidas azucaradas.
Acciones
3.1.1 Diagnóstico y priorización de los documentos normativos existentes relativos al tema para su actualización, incluyendo etiqueta frontal para la pronta identificación de productos saludables.
3.1.2 Vigilancia del cumplimiento de los documentos elaborados para regular la emisión de publicidad y promoción de alimentos con alto contenido calórico y bajo valor nutricional a nivel nacional.
3.1.3 Estudios sobre el impacto del consumo de bebidas azucaradas y alimentos ultra procesados en Honduras.
3.1.4 Creación de un portal electrónico de información al consumidor sobre los efectos dañinos de las bebidas azucaradas, alimentos ultra procesados y aplicación del reglamento para regular la publicidad y promoción de alimentos con alto contenido calórico y bajo valor nutricional a nivel nacional. 3.1.5 Políticas fiscales y programas que incentiven la producción de alimentos locales saludables, frutas y verduras (huertos escolares y familiares, alimentos biofortificados, etc.). 3.1.6 Promoción de consumo de alimentos locales saludables, frutas y verduras. 3.1.7 Promoción de un reconocimiento de alimentos saludables a través de un sello de calidad, promovido por la Escuela Agrícola Panamericana Zamorano EAPZ. Objetivo específico 3.2: 3.2 Fortalecer la vigilancia de la publicidad y promoción de bebidas, comidas rápidas y de alto contenido calórico y bajo valor nutricional a través del cumplimiento de la normativa existente.
Objetivo específico 3.3: 3.3 Promover las normas de etiquetado nutricional frontal con declaraciones saludables para su rápida identificación con el fin de facilitar la elección de los productos alimenticios que realizan los consumidores.
Indicador
3.3 Normas de etiquetado nutricional frontal implementadas.
Meta
3.3.1 Etiquetado frontal de alimentos implementado en el 100% de alimentos procesados.
Acciones
3.3.1 Diagnóstico y priorización de los documentos normativos existentes relativos al tema para su actualización, incluyendo la etiqueta frontal para la pronta identificación de productos saludables.
3.3.2 Estudios sobre el impacto del etiquetado frontal en los productos alimenticios.
3.3.3 Fortalecimiento en la formación al consumidor sobre el etiquetado nutricional y frontal, a través de diferentes medios.
4. Controla tu peso. Prevención, detección y control del sobrepeso y obesidad a nivel de atención primaria en salud.
4.1 Fortalecer la prevención, detección y control del sobrepeso y obesidad con la medición sistemática del peso y cintura en las personas que asistan a centros escolares, centros de salud y lugares de trabajo.
Indicador
4.1 Proporción de centros educativos, unidades de salud y centros de trabajo que facilitan la toma de medidas de peso y estatura en la población que acceden a estos centros, por sexo y edad.
Meta
4.1.1 50% de los centros educativos públicos cuentan con al menos una báscula, tallímetros, y disponen de un poster explicativo sobre el significado de los posibles resultados.
4.1.2 50% de los centros educativos púbicos se suman a las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.3 90% de los escolares que asisten a centros educativos con báscula, se realizan control de peso de manera periodica.
4.1.4 100% de los centros de salud facilitan la toma de medidas de peso, estatura y cintura, y brindan explicación a las personas sobre los resultados encontrados.
4.1.5 100% de los centros de salud realizan jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.6 90% de las personas que asisten por algún motivo a los centros de salud se realizan control de peso.
4.1.7 50% de los lugares de trabajo públicos cuentan con al menos una báscula, 20 cintas métricas (por cada 503 empleados) para medir el perímetro de abdomen, y disponen de un poster explicativo sobre el significado de los posibles resultados.
4.1.8 50% de los lugares de trabajo públicos se suman a las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
Acciones
4.1.1 Elaboración y difusión de posters auto explicativos sobre los posibles resultados encontrados al efectuar la medición (peso, estatura, cintura) de las personas.
4.1.2 Elaboración y difusión de protocolo de medición (peso, estatura, cintura) de las personas y de las jornadas periódicas de concientización sobre los factores de riesgo de las ENT.
4.1.3 Capacitación del personal de los centros escolares, centros de salud y lugares de trabajo sobre el protocolo de medición (peso, estatura, cintura) de las personas, su referencia o atención de acuerdo a los resultados y del desarrollo de las jornadas periódicas de concientización sobre los factores de riesgo de las ENT. 4.1.4 Distribución de balanzas, tallímetros y cintas métricas en los centros escolares, centros de salud y lugares de trabajo públicos, con la explicación respectiva de su cuidado y mantenimiento.
4.1.5 Elaboración y envío semestral de bases de datos sobre el peso, estatura y cintura a la Dirección de Vigilancia de la Salud de la SESAL.
4.1.6 Elaboración de informes semestrales sobre la situación de sobrepeso y obesidad y retroalimentación anual con grupos interesados (padres de familia, grupos de empleados, etc.).
4.1.7 Elaboración e implementación de un carnet de control periódico que incluya IMC, presión arterial, talla, cintura, glicemia y otros. 4.1.8 Control periódico de medidas (cada 6 meses).
Objetivo específico 4.2: 4.2 Fortalecer la prevención y control del sobrepeso y obesidad con la medición sistemática del peso en las embarazadas y mujeres en post parto que asistan a consulta.
Indicador
4.2 Proporción de mujeres embarazadas en control de peso durante su embarazo, antes del mismo y después del parto.
Meta
4.2.1 100% de las embarazadas se realizan control de peso durante sus visitas al centro de salud.
4.2.2 80% de las embarazadas continúan por un año más su control de peso después del parto.
Acciones
4.2.1 Elaboración y difusión de protocolo de medición (peso, estatura) de las embarazadas.
4.2.2 Capacitación del personal de las unidades de salud para brindar consejería a las embarazadas y mujeres en post parto sobre su estado nutricional y su relación con los factores de riesgo de las ENT.
4.2.3 Consejería y control del estado nutricional de las embarazadas y mujeres post parto.
","Seguimiento y Evaluación
Es necesario relevar la importancia de un eje transversal en cada una de las líneas estratégicas, monitoreo y evaluación, con el fin de disponer de información que permita realizar el monitoreo respectivo, y la evaluación en su momento. Es un eje transversal donde al igual que en las líneas estratégicas, es necesario el concurso de los diferentes sectores de gobierno principalmente, incluyendo la academia con su aporte en la investigación y acompañamiento en las diferentes líneas estratégicas, así como la empresa privada y ONG.
Objetivo específico A.1:
A.1 Fortalecer el sistema de información para identificar tendencias y los determinantes de la obesidad, estratificados por al menos dos aspectos de equidad.
Indicador
A.1 Proporción de personas (embarazadas, escolares, adolescentes, adultos, mujeres post parto, etc.) con sobrepeso y obesidad (sexo y edad).
Meta
A.1 Informes presentados sobre los patrones de consumo de alimentos, sobrepeso y obesidad (embarazadas, niños y adolescentes), cada cinco años.
Acciones
Objetivo específico
A.2 Vigilar el cumplimiento de las políticas y programas de atención a la persona afectada con obesidad y sobrepeso
Indicador
A.2Proporción de personas (sexo y edad) en atención con obesidad, anualmente.
Meta
A.2 Disminuida la proporción de atención de personas con obesidad, según sexo y edad.
Acciones
A.2.1 Elaboración de protocolos de atención de las personas afectadas con obesidad y verificación de su cumplimiento.
A.2.2 Conformación de equipos en los diferentes niveles de atención, para el cumplimiento de estos protocolos, con personal multidisciplinario.
","Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Physical activity and healthy lifestyle|Nutrition education|Vaccination|Water and sanitation","","http://www.fao.org/3/a-i7792s.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HND%202015%20Plan%20Estrat%C3%A9gico%20Nacional%20para%20la%20Prevenci%C3%B3n%20del%20Sobrepeso%20y%20Obesidad%20en%20Honduras-%20final.pdf" "39488","MYS","Malaysia","","Salt Reduction Strategy To Prevent and Control NCD for Malaysia 2015-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2020","Ministry of Health Malaysia","","2015","","","","","Health","Non-Communicable Disease Section, Disease Control Division, Ministry of Health","","","","","","","","","","","","","","","","","1. To raise the level of awareness on the issue of salt in the prevention of NCD and its cost effectiveness
2- To establish and strengthen national policies and plans for the prevention and control of NCDs through salt reduction initiatives
3- To implement intervention to reduce the shared modifiable risk factors for NCDs through salt reduction initiatives
4- To promote research for the prevention and control of NCDs especially salt intake research, salt content in food and product reformulation
5- promote partnership among different organizatios for the prevention and control of NCD especially reduction of salt and to prevent NCDs
6- To engage food manufacturers or industries to reduce salt in foods
7- To monitor and evaluate the progress of salt reduction initiavtives and its effectiveness
","3 M-A-P strategies for Malaysia
(i) Monitoring
(ii) Awareness
(ii) Product
During the early stages Malaysia adopyed the following five strategies:
1. Establish baseline data
2. Education and communication
3.Legislation
4. Research and new product development
5. Monitoring and evaluation
","Average salt intake of adult population
Morbidity and mortality in adults due to hypertension, cardiovascular disease and stroke
","Outcome indicators","","Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Reformulation of foods and beverages|Salt/sodium|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Salt reduction","","https://extranet.who.int/ncdccs/Data/MYS_B23_Salt_reduction_strategy_FA_2015_-2020.pdf","","WHO NCD Country Capacity Survey 2019","" "23607","MLT","Malta","","National Breastfeeding Policy and Action Plan 2015-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2020","Health Promotion and Disease Prevention Directorate","","2015","Adopted","","2015","Health Promotion and Disease Prevention Directorate, Parliamentary Secretariat for Health","Health|Other","Health Promotion and Disease Prevention Directorate","","","","","","","","","","","","","","","Other","Industry; Institutions caring for mothers, infants and young children; All hospitals, maternity units and primary health care facilities.","This policy aims to protect, support and promote exclusive breastfeeding for the first six months of life and thereafter for breastfeeding to continue with appropriate complementary feeding, taking into account the latest recommendations from WHO, UNICEF and the European Commission.
Objectives:
The objective of this policy is to create the necessary supportive environment and enhance the appropriate culture to facilitate the individual’s choice for breastfeeding in order to achieve optimal infant and young child feeding by supporting all mothers who decide to breastfeed in:
4.1. Legislation and policies regulating the marketing of breast milk substitutes
The indicators to be used to monitor this policy are based on the WHO established indicators for assessing infant and young child feeding practices:
The Whole School Approach to Healthy Lifestyle: Healthy Eating and Physical Activity Policy aims to:
The Ministry for Education and Employment has the lead responsibility for monitoring the implementation of this policy.
The package launched in October 2015, has three focus areas made up of 22 initiatives, which are either new or an expansion of existing initiatives:
The focus is on food, the environment and being active at each life stage, starting during pregnancy and early childhood.
The package brings together initiatives across government agencies, the private sector, communities, schools, families and whānau.
","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Front of pack labelling|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education","","https://extranet.who.int/ncdccs/Data/NZL_B11_New%20Zealand%20Childhood%20Obesity%20Plan.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NZL%202015%20New%20Zealand%20Childhood%20Obesity%20Plan.pdf" "38226","SYC","Seychelles","","Seychelles Hospital Infant Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","","ministry of health","","2015","Adopted","","2015","ministry of health","","ministry of health health","","","","","","","","","National NGOs","","","","","","","","i. Aim
To improve, through optimal feeding, the nutritional status, growth, development and health of infants in Seychelles.
ii. Objectives
1. To provide education on the health advantages of breastfeeding to all expectant mothers and their families as appropriate, so that they can make an informed choice about how they will feed their babies.
2. To implement best practice standards for breastfeeding. The UNICEF/ WHO Baby Friendly Hospital Initiative’s Ten Steps to Successful Breastfeeding for Maternity Services are recognized as standard statements. It aims to provide best practice in the promotion and support of breastfeeding.
3. To create a conducive environment to support mothers to breastfeed exclusively for six months, and then to continue to do so up to the age of two years and beyond if they wish.
4. To build the capacity of all health staff who care for mothers and their babies to provide accurate information about the benefits and management of breastfeeding; and to support women to breastfeed their children confidently and successfully.
5. To foster liaison with all health care professionals to ensure a seamless delivery of care.
6. To encourage and support a breastfeeding culture throughout the local community.
7. To increase the prevalence and duration of both exclusive and continued breastfeeding in Seychelles.
","STEP 1: Communicating the Policy
STEP 2: Training all Healthcare Staff in the Skills Necessary to Implement the Policy
STEP 3: Informing Pregnant Women of the Benefits & Management of Breastfeeding
STEP 4: Place babies in skin-to-skin contact with their mothers immediately following birth for at least an hour. Encourage mothers to recognize when their babies are ready to breastfeed and offer help if needed.
STEP 5: Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants
STEP 6: Give newborn infants no food or drink other than breast milk, unless medically indicated
STEP 7: Practice rooming-in, allow mothers and infants to remain together 24 hours a day
STEP 8: Encourage breastfeeding on demand.
STEP 9: Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants
STEP 10: Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Monitoring of the Code","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC%202015%20Infant%20Feeding%20Policy.pdf" "38197","ZAF","South Africa","","Strategy for the prevention and control of obesity in South Africa","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2020","Department of Health","","2015","","","","","Health","Department of Health","","","","","","","","","","","","","","","","","4.3 PURPOSE
To implement a multi-sectoral approach for the prevention and control of obesity in South Africa.
4.4 TARGET
To reduce the prevalence of obesity by adopting a multi-sectoral life course approach:
By 2016: no increase
By 2017: 3% decrease in all age groups
4.5 BROAD GOALS
GOAL 2: CREATE AN ENABLING ENVIRONMENT THAT SUPPORTS AVAILABILITY AND ACCESSIBILITY TO HEALTHY FOOD CHOICES IN VARIOUS SETTINGS
2.1 Promote the development and implementation of a relevant legislative framework
Influence fiscal policies related to sugar- sweetened beverages
2.2 Ensure that food and beverage products sold are aligned with optimal national and international nutritional standards
Develop norms and standards on sugar and fat content in ultra- processed foods to guide product reformulation
Ensure restaurants display nutrient content of menu items
Ensure that quick service restaurants (QSR)include healthy meal options on their menus at competitive prices
Engage with retailers to reduce exposure to unhealthy foods at point-of-purchase
2.3 Ensure responsible and ethical advertising and marketing of food by the food industry
Ensure that a code and pledge of advertising are developed and adhered to
2.4 Implement user-friendly food labelling education tool
Investigate, test and establish an appropriate educational tool for front of pack labels and meals in restaurants considering low literacy populations
2.5 Increase access and availability of vegetables and fruits
Expand household, local and community food gardens
Explore opportunities to establish local markets for improved access to vegetables and fruits
2.6 Promote healthy eating in different settings
Strengthen and ensure nutrition education component in the school curriculum is in line with national recommendations
Review and implement nutritional guidelines for all food and beverages sold or provided in schools (including foods sold by vendors around school premises
Incorporate healthy eating practices as part of obesity prevention and management in employee wellness programmes
Develop a national guide for healthy meal provisioning in the workplace
Develop dietary guidelines for prevention and control of obesity
Conduct orientation sessions on dietary guidelines for obesity
GOAL 3: INCREASE PERCENTAGE OF THE POPULATION ENGAGING IN PHYSICAL ACTIVITY (PA)
3.1. Ensure the provision of safe and accessible places for people to engage in recreational activities that promote physical activity
Increase equitable access to and maintenance of recreational and physical activity facilities in communities
Strengthen partnerships between communities and local schools to access school grounds for physical activities.
Ensure that all urban planning and new developments are required to consider strategies to optimise PA opportunities and create walkable communities (zoning laws, bicycle lanes, etc.)
Establish community- based physical activity groups
GOAL 4: SUPPORT OBESITY PREVENTION IN EARLY CHILDHOOD (IN-UTERO TO 12 YEARS)
4.1. Strengthen and support appropriate weight gain and healthy eating during pregnancy
4.2 Strengthen the protection, promotion and support of optimal breastfeeding to explicitly address obesity
4.3 Ensure appropriate complementary feeding practices to explicitly address obesity
4.4 Ensure explicit focus on obesity prevention in routine growth monitoring in children
4.5 Promote healthy eating and physical activity in early childhood development (ECD)
5.1. Develop a communication plan targeting various age groups on healthy eating, regular physical activity and risks associated with obesity
5.2 Create demand for healthy food and environments conducive to physical activity
4.6 IMPLEMENTING THE KEY ACTIONS
page 34-50
The aim of this strategy is to provide guidance to ensure a good foundation for all infants and young children by providing them with optimal nutrition.
Proposed objectives to be achieved by 2020;
4. Streamline and strengthen implementation of legislations relevant to IYCF
Major activities
5. Ensure maternity protection legislations to support six months of exclusive breastfeeding for employees in all sectors
Major activities
7. Strengthen implementation, monitoring and accreditation of BFHI in both state and private sectors
Major activities
12. Ensure equitable distribution of resources and services related to IYCF to all districts/ sectors and populations (giving priority to families with pregnant mothers, infants and young children)
Major activities
% of newborns with breastfeeding initiation within 1 hour of life (early initiation of breast feeding)
% of infants under six months who are exclusively breastfed
% of infants 4-5 months of age who are exclusively breastfed
% of children 12-15 months of age who are breastfed (continued breastfeeding at 1 year)
% of children 20-23 months of age who are breastfed (continued breastfeeding at 2 years)
% of children 0-23 months of age who are fed with a bottle
% of infants 6-8 months of age who receive solid, semisolid or soft foods
% of children 6-23 months of age who receive foods from 4 or more food groups (minimum dietary diversity)
% of children 6-23 months of age who receive the minimum meal frequency
% of children 6-23 months of age who receive a minimum acceptable diet
% of children 6-23 months of age who receive an iron rich food or iron fortified food or food that is fortified in the home
% whose growth is monitored regularly according to the age; Infants (1-2 years) and (2-5 years)
3. Цели и задачи улучшения школьного питания в Республике Таджикистан
15. Основными целями Концепции являются:
а) разработка Государственной и устойчивой национальной программы школьного питания с максимальным охватом в целях содействия достижению целей в следующих секторах: образование (качество образования, вовлеченность, посещаемость), социальная защита (особенно для наиболее уязвимых лиц), питание;
б) в условиях экономических и физических ограничений создание Программы школьного питания в соответствии с международными нормами по качеству, количеству и разнообразию питания, способствующего улучшению здоровья обучающихся в Республике Таджикистан;
в) вклад в устойчивое развитие, рост и конкурентоспособность агропромышленного сектора Республики Таджикистан посредством производства продуктов высокого качества и стимулирования продовольственных рынков;
г) вклад в страновой потенциал Республики Таджикистан и зашита от внутренних и внешних угроз продовольственной безопасности.
","16. Для достижения указанных целей необходимо решение следующих задач:
а) развитие соответствующей нормативной правовой базы для Национальной программы школьного питания по созданию эффективной системы управления и мониторинга Программы, а также сохранению качественных и количественных норм контроля за питанием, гигиеной и обслуживанием.
б) разработка рамочной программы бюджетирования, с учетом финансовой поддержки государства и частного сектора, включая местные, национальные и международные источники, способные обеспечивать финансовую устойчивость Программы школьного питания.
в) развитие потенциала местного пищевого производства, взаимосвязанного с Программой школьного питания, включая модернизацию производства и товаропроводящей инфраструктуры, основанной на современных технологиях.
г) поддержка и усиление взаимодействия партнеров на местном, национальном и международном уровнях с целью повысить уровень сотрудничества, диверсифицировать источники финансирования и увеличить возможности применения лучших практик для реализации и управления Программой.
д) продвижение Концепции здорового школьного питания на всех уровнях, включая гражданское общество.
","28. Первый этап (2015-2016 годы). На первом этапе осуществляется:
29. Второй этап (2017-2020 годы). На втором этапе осуществляется реализация Стратегии устойчивой национальной программы школьного питания путем:
30. Третий этап (после 2020 года). На третьем этапе осуществляется переход к самостоятельной реализации программ улучшения школьного питания в рамках ежегодно предусмотренных средств Государственного бюджета и за счёт других источников, не запрещённых законодательством Республики Таджикистан, завершается формирование современной отрасли школьного питания в соответствии с международными стандартами современных и эффективных программ школьного питания.
","Process indicators","","School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food security and agriculture|Food sovereignty","","http://moh.tj/wp-content/uploads/2017/08/pdf_4-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202015%20School%20Nutrition.pdf" "24689","BEN","Benin","","Directives nationales pour la surveillance de la croissance et du développement de l’enfant au Benin","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","6","2016","","","Ministère de la Santé/DIRECTION DE LA SANTE DE LA MERE ET DE L’ENFANT","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","Objectif général
Améliorer les pratiques de la surveillance de la croissance et du développement de l’enfant pendant et après la fenêtre d’opportunité des 1000 premiers jours de vie.
Objectifs Spécifiques
surveillance de l’état nutritionnel de la femme enceinte
surveillance de l’état nutritionnel chez la femme allaitante
surveillance de la croissance et le développement des enfants 0-24 mois
surveillance de la croissance et du développement de l’enfant après les 1000 premiers jours de vie
","
2.1. But
Contribuer à la réduction de la mortalité infantile à travers l’allaitement maternel.
2.2. Objectif général
Améliorer l’état nutritionnel des enfants de 0 à 24 mois, à travers la pratique adéquate de l’allaitement maternel d’ici fin 2020
2.3. Objectifs spécifiques
D’ici 2020 :
•Porter de 46,6 à 80% le taux de mise au sein dès la première heure de vie ;
•Porter de 41,4 à 60%, le taux d’allaitement maternel exclusif jusqu’à six mois ;
•Accroître de 45,5 à 70%, le taux d’allaitement maternel continu jusqu’à 24 mois en plus de la diversification alimentaire.
2.4. Objectifs intermédiaires
2.4.1. Chez les mères
D’ici 2020 :
1. Amener 90% des mères à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
2. Augmenter à 75% la proportion des mères qui adoptent un bon positionnement du nouveau-né au sein et une bonne prise de sein,
3. Porter à 75%, la proportion des mères qui pratiquent adéquatement la technique d’expression du lait maternel,
4. Augmenter à 60%, la proportion des mères qui jouissent de leurs droits relatifs à l’allaitement maternel au Bénin.
5. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
6. Amener 80% des mères à appliquer la Méthode Kangourou chez les enfants de faible poids de naissance (hypotrophe et prématuré) ;
7. Rendre disponible dans toutes les formations socio-sanitaires, les fiches techniques et les affiches sur l’allaitement maternel ;
2.4.2. Chez les membres de la communauté
8. Augmenter à 80%, la proportion des mères qui continuent l’allaitement maternel jusqu’à 24 mois en plus de la diversification alimentaire adéquate,
9. Amener 50% des membres de la communauté à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
10. Mettre en place au moins un groupe de soutien à l’allaitement dans chaque village ou quartier de ville.
2.4.3. Chez le personnel socio-sanitaire
11. Amener75% du personnel socio-sanitaire à avoir une bonne connaissance sur les avantages, les méthodes d’expression et de conservation du lait maternel ainsi que la durée de conservation,
12. Augmenter à 75%, la proportion du personnel socio-sanitaire qui donne des conseils adéquats sur l’AM lors des séances d’éducation individuelle et collective
13. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
2.4.4. Au plan administratif, politique et législatif
14. Renforcer les connaissances des différents acteurs (employeurs, agents socio-sanitaires, mères) sur les textes et les lois en faveur de l’AM.
15. Inciter à la révision et l’application des textes et lois en faveur de l’AM
","
I- STRATEGIES
Pour atteindre ces objectifs, les orientations stratégiques suivantes sont proposées :
process indicators: see pages 19-27
outcome indicators: see pages 30-34
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Regulation on marketing of complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20de%20Renforcement%20Alllaitement%20maternel.pdf" "39449","COG","Congo","","Strategie Nationale de Lutte Contre les Carences en Micronutriments 2016-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2020","Ministere de la Sante et de la Population","2","2016","Adopted","","2016","","Nutrition council|Health|Food and agriculture|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Other|The World Bank","Fonds Mondial","European Union","","National NGOs","","","","Private sector","la Minoterie du Congo (MINOCO)","","","BUT
Cette stratégie vise à contribuer à l’amélioration du statut nutritionnel des populations congolaises.
OBJECTIF GENERAL
Améliorer le statut en micronutriments des populations congolaises, en particulier, les femmes enceintes et allaitantes, les enfants et les adolescents.
OBJECTIFS STRATEGIQUES
2.5.1 Renforcement des cadres institutionnel, législatif, réglementaire et normatif de la lutte contre les carences en micronutriments
Actions prioritaires :
2.5.2 Supplémentation en micronutriments les enfants, les femmes enceintes et allaitantes
Actions prioritaires
2.5.3 Fortification des aliments de large consommation en micronutriments
Actions prioritaires :
2.5.4 Renforcement de la production des aliments riches en micronutriments
Actions prioritaires :
2.5.5 Mettre en œuvre des interventions de santé publique
Actions prioritaires :
2.5.6 Communication pour le développement
Actions prioritaires
2.5.7 Renforcer la Recherche appliquée en matière de lutte contre les carences en micronutriments
Actions prioritaires :
Renforcement des capacités des laboratoires de recherche
","See tables 5-8, pages 23-24
","","","Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|School gardens|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Staple foods|Refined sugar|Complementary foods|Biofortifcation|Nutrition & infectious disease|Food security and agriculture|Home, school or community gardens|Vaccination","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202016%20Strategie%20nationale%20en%20micronutriments.pdf" "8133","COG","Congo","","Plan d’action pour la fortification des aliments","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2013","MSASF","","2008","Adopted","","2008","MSASF","Health","MSASF","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","","","","","","Food fortification","","","","WHO Global Nutrition Policy Review 2009-2010","" "25717","HRV","Croatia","","Nacionalna Strategija za Provedbu Sheme Školskog Voca i Povrca [National Strategy for the Implementation of School Fruit and Vegetable Scheme]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","8","2016","7","2017","Ministry of Agriculture","4","2016","Adopted","4","2016","Government of Croatia","Health|Food and agriculture|Education and research|Sport","","","","","","","","Other","European Agricultural Guarantee Fund (EAGF)","","","Research/academia","Croatian Institute for Public Health","Private sector","Local Agriculture Industry","Other","Elementary and Secondary Schools; Fruit and Vegetable Suppliers","POLAZNA OSNOVA, CILJEVI I SVRHA
U cilju poboljšanja prehrambenih navika djece i podizanja svijesti u široj javnosti o značaju zdrave prehrane u njihovom razvoju u osnovnim i srednjim školama u Republici Hrvatskoj provodi se Shema školskog voća i povrća.
CILJNA SKUPINA
Procjenjujemo da će u školskoj godini 2016./2017. u Shemi školskog voća i povrća sudjelovati blizu 450.000 učenika, oko 290.000 učenika osnovne škole i oko 160.000 učenika srednje škole, u oko 1.200 škola u Republici Hrvatskoj.
PRIHVATLJIVI PROIZVODI
Preporučena dnevna količina voća i povrća koja će se raspodijeliti djeci iznosi od 100 do 150 g po djetetu.
Listu prihvatljivog voća i povrća potvrdilo je Ministarstvo zdravlja i preporučilo dnevnu količinu voća i povrća po djetetu.
Glavni kriteriji pri odabiru voća i povrća su:
PRATEĆE MJERE
Kako bi se osigurala učinkovitost Sheme školskog voća i povrća među djecom u osnovnoj i srednjoj školi provodit će se neke od sljedećih pratećih mjera:
Sustavnom edukacijom djece kroz prateće mjere pridonijet će se:
MODALITETI DISTRIBUCIJE I POSTUPAK SELEKCIJE
Isporuka prihvatljivog voća i povrća će se obavljati najmanje jednom tjedno tijekom 35 tjedana nastavne godine. Dobavljači će isporučivati prihvatljivo voće i povrće u dane održavanja nastave u skladu sa školskim kalendarom.
Voće i povrće isporučeno u okviru Sheme školskog voća i povrća, škole će raspodijeliti učenicima osnovnih i srednjih škola najmanje jednom tjedno, kao zaseban obrok neovisan od obroka školske prehrane.
Dobavljači voća i povrća u okviru Sheme školskog voća i povrća odabiru se putem javnog poziva na temelju propisanih uvjeta.
Škole koje je potvrdilo Ministarstvo znanosti, obrazovanja i sporta za koje je poznat broj učenika po školi mogu sudjelovati u Shemi školskog voća i povrća i odabiru dobavljača s popisa dobavljača koji su udovoljili uvjetima javnog poziva.
Rezultati učestalosti potrošnje voća i povrća tijekom radnog tjedna pokazuju da veći postotak učenika svakodnevno konzumira svježe voće 49% nego svježe povrće 35%.
U odnosu na prošlu školsku godinu došlo je do povećanja konzumiranja voća i povrća u školi od 2% što se može pripisati provedbi Sheme školskog voća i povrća u školama.
Propósito:
Incrementar la práctica de la lactancia materna exclusiva y prolongada hasta los dos años, en el ámbito familiar y comunitario, contribuyendo a la salud integral de la niñez de El Salvador.
Objetivo:
Establecer las estrategias, mecanismos y acciones que favorezcan la promoción, protección y apoyo a la lactancia materna durante el período del 2016 al 2019.
","Actividades
Indicadores
Línea estratégica 3: Monitoreo y evaluación
Objetivo Específico:
Establecer mecanismos y acciones que permitan monitorear y evaluar la promoción, protección y apoyo a la lactancia materna.
Actividades e Indicadores
Monitoreo y evaluación del cumplimiento del plan estratégico intersectorial de promoción protección y apoyo a la lactancia materna.
Evaluación del cumplimiento del Código internacional de comercialización de sucedáneos de la leche materna.
Vigilancia a travès de auditorias permanentes de trabajo sobre la implementaciòn de las salas de lactancia materna y del cumplimiento de la hora de permiso por patrono
Actualización de la Inciativa de Hospitales amigos de la niñez y las madres
Acreditación de 10 nuevos hospitales como amigos de la niñez y las madres
1.1. მოსახლეობის ინფორმირება სურსათში ინდუსტრიული ტრანსცხიმების ადამიანის ჯანმრთელობაზე მავნე ზეგავლენის და ჯანსაღი კვების პრინციპებთან დაკავშირებით
1.2. ბიზნესოპერატორების ინფორმირება დაგეგმილ ცვლილებებთან ან და მათ მიერ შესაბამისი აქტივობების (ახალი რეცეპტურის დანერგვა, მომწოდებლების მოძიება და ხც.)განხორციელებასთან დაკავშირებით
2.1. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის, როგორც უვნებლობის მაჩვენებლის, ნორმირება: სურსათში ინდუსტრიული ტრანსცხიმების ნორმად განისაზღვროს 2 გრ ტრანსიზომერი 100 გრ მცენარეულ ცხიმზე გადაანგარიშებით
2.2. ჩვილ ბავშვთა კვების პროდუქტებსა და ბავშვთა კვების პროდუქტებში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში (სკოლა, საბავშვო ბაღი, სანატორიუმი, ბანაკი, სპორტული სკოლა, ბავშვთა სახლი, ბავშვთა გასართობი ცენტრი სამედიცინო დაწესებულება და ა.შ.) გამოყენებულ სურსათში ინდუსტრიული ტრანსცხიმების არსებობის აკრძალვა
3.3. ბავშვთა კვების პროდუქტებისა და ბავშვთა ორგანიზებულ კვების დაწესებულებებში გამოყენებული სურსათის კონტროლის განხორციელება ინდუსტრიული ტრანსცხიმების შემცველობაზე (როგორც ბაზარზე (მათ შორის საზოგადოებრივი კვების ობიექტში) განთავსებულ, ისე იმპორტირებულ სურსათში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში გამოყენებულ ურსათში)
3.2 Εκπόνηση µελετών και ερευνητικών προγραµµάτων
Κάθε δράση που αφορά σε θέµατα ασφάλειας τροφίµων και δηµόσιας υγείας οφείλει να βασίζεται σε επιστηµονικά δεδοµένα όπως αυτά προκύπτουν από άρτια σχεδιασµένες και ορθά εκπονηµένες µελέτες. Σε αυτό το πλαίσιο υλοποιήθηκαν δύο µελέτες:
The objectives of the policy are to:
4.1.2.1 Conduct training in communities and day-care on age appropriate food preparation and food safety
4.1.1.1 Enforce legislative action against advertising and promoting breast milk substitutes in keeping with the International Code of Marketing Breast Milk Substitutes.4.1.1.3 Develop standards for acceptance of appropriate breast milk substitutes by assigned governmental entities ( MOH –Procurement, National Disaster Management Agency- NaDMA)
4.1.1.4 Monitor implementation of BFHI4.1.2.2 Monitor day cares and homes to ensure timely introduction and use of the multi-mix principle
4.1.2.3 Promote best feeding practices at households, childcare and health institutions
4.3.1.1 Conduct training on IYCF in keeping with the national standard
4.3.1.2 Facilitate training for staff locally, regionally and internationally. (Institutions shall be responsible for ensuring that all staff are adequately oriented to the policy and trained for the implementation)
4.3.1.3 Mandatory training and retraining on the policy and practice updates at specified intervals, for capacity building in skills and delivery of information for all health care staff.
4.3.1.5 Promote the inclusion of training and updates on infant and young child feeding as part of the continuing education requirements for health care associations
4.3.1.6 Review sponsorships for activities, training or otherwise by health care facilities or personnel, to ensure they are in keeping with the International Code of marketing of Breast-milk Substitutes and any subsequent relevant Health Assembly resolutions.
4.3.1.7 Train trainers on optimal feeding practices in keeping with support for breastfeeding or breast milk feeding exclusively, for the first six months of life and continuation up to twenty four months of age and beyond.
4.4.1.1 Develop public awareness campaign on breast feeding as nature’s choice of best practice, through round table community and televised discussions, testimonials on breast feeding experience including both sexes, highlighting benefits to women, cost benefit to the family and the risks of artificial feeding.
4.4.1.2 Re-establish a breastfeeding hotline
4.4.1.3 Establish peer support groups at health clinics and community centres.
4.4.1.4 Erect billboards at strategic points throughout the parishes
4.4.1.5 Create and disseminate brochures, pamphlets, leaflets to the general public.
4.4.1.6 Engage the Media in educational forums to ensure all information disseminated is correct and consistent.
4.4.1.7 Promote appropriate complementary feeding and physical activity practices throughout the first 2 years of life, to include continued breast feeding, through audio-visual media promotions, newspaper articles etc.
4.4.1.8 Promote breastfeeding at maternal and child health services.
4.4.1.9 Encourage support at health facilities for mothers during the first six months after giving birth to ensure exclusive breastfeeding is continued.
4.4.1.10 Plan and execute programmes geared toward obtaining paternal support for exclusive breastfeeding to six months and continued beyond, through engaging fathers at antenatal clinics and training sessions.
4.4.1.11 Engage tertiary level students in open forum/ discussions on maternal, infant and young child feeding
4.5.1.1 Identify and report infants and young children to the disaster management authority, to allow timely needs assessment and appropriate interventions.
4.5.1.2 Wherever possible mothers and infants shall be kept together to facilitate continued breastfeeding
4.5.1.3 Monitor home environment of infants who are not breastfed to support best feeding practices.
4.5.1.4 Promote and support continued breast feeding and ensure timely, safe and appropriate complementary foods
4.5.1.6 Promote and support early initiation, continued breast feeding and relactation when feasible
4.5.1.7 Ensure timely, safe and appropriate complementary foods
4.5.1.8 Ensure breast milk substitutes shall be used under safe, sanitary conditions when medically necessary
4.5.1.9 Promote the use of locally produced nutritious foods through training in safe preparation and ways to improve nutrient bioavailability and caloric density.
4.5.1.10 Monitor use of dietary supplements to ensure they are used as prescribed
4.5.1.11 Provide information on the effects of early feeding practices on childhood obesity
4.5.1.13 Provide unprejudiced individual counselling to pregnant women who are HIV /HTLVpositive on risks and benefits of breastfeeding vs. replacement feeding as an option.
4.5.1.14 Provide unprejudiced individual counselling on the importance of exclusive breast- feeding with emphasis on the risks involved in mixed feeding to all HIV/HTLV positive pregnant women
4.5.1.15 Provide support for HIV/ HTLV positive women who are not breastfeeding through assessment of their social, health, and economic situation, to ensure use of breast milk substitutes is deemed AFASS.
4.5.1.16 Provide support to women with identified need for economic support through the social assistance programme in order to support best feeding practices for the infant through age 2 years.
4.5.1.17 Provide individual training demonstrations on safe breast milk substitute preparation to women who choose replacement feeding
4.5.1.18 Develop guidelines on breastfeeding for HTLV positive mothers4.5.1.19 Provide support through needs based social assistance programme for provision of appropriate breast milk substitutes, and complementary foods.The following indicators shall be used for monitoring and evaluation:
Nutritional Indicators:
Objetivo general
Reducir el indicador de desnutrición crónica nacional en diez puntos porcentuales en cuatro años (2016-2020), a través de la intensificación de acciones basadas en evidencia, en siete departamentos, en los cuales, se registran altas prevalencias de desnutrición crónica en menores de dos años.
","Prioridade estratégicas
1. Diseñar y ejecutar una estrategia de cambio de comportamiento que, partiendo de una sensibilización y abogacía masiva, contemple consejería, empoderamiento, educación a todo nivel en prácticas de salud, alimentación, agua, higiene, saneamiento, disponibilidad y acceso a los alimentos, utilizando diversas metodologías con pertinencia cultural.
2. Reorganizar y fortalecer el Primer Nivel de Atención de salud -PNA- como plataforma de intervención con énfasis en la Ventana de los Mil Días, enfoque de prevención y promoción de salud y nutrición y fortalecimiento de la organización comunitaria.
3. Ampliar la cobertura y mejorar la calidad de agua y saneamiento, garantizando el agua potable, incluyendo piso firme y un entorno saludable, así como manejo de desechos, a través de sistemas socialmente sostenibles.
4. Mejorar la disponibilidad y acceso a alimentos de alta calidad nutricional para el grupo priorizado, basado en la diversificación de la alimentación y capacitación técnica agropecuaria, buscando la resiliencia.
5. Mejorar los ingresos y la economía familiar de los grupos priorizados a través de estrategias para la generación de ingreso a nivel familiar, empleo y productividad, y facilitando el acceso a medios productivos, con sostenibilidad en el año.
6. Implementar efectivamente la gobernanza y fortalecer la coordinación interinstitucional entre el nivel central y local: fortaleciendo la gobernanza local, orientando la conducción de intervenciones, promoviendo la auditoría social y la participación social comunitaria, con esquemas de rendición de cuentas, monitoreo y evaluación y sistemas de información; promoviendo la sostenibilidad en el tiempo, con sensibilización de la desnutrición y actores clave participando.
7. Sistematizar el monitoreo y evaluación para la toma de decisiones: interinstitucional, intersectorial, local y nacional, oportuno y en tiempo real, en base a indicadores de proceso y resultados, fortaleciendo el análisis y establecimiento de metas (KPIs), acompañado de auditoría social y mecanismos de gestión por resultados.
","","","","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 in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Total carbohydrate|Fibre|Sugar intake|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|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|School gardens|Dietary guidelines|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Maize flours|Refined sugar|Complementary foods|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.sesan.gob.gt/wordpress/wp-content/uploads/2017/07/Estrategia-para-la-Prevencion-de-la-Desnutricion-Cronica.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GTM%202016%20Estrategia%20de%20Reducci%C3%B3n%20de%20la%20Desnutrici%C3%B3n%20Cr%C3%B3nica%202016-2020.pdf" "39740","IRL","Ireland","","A Healthy Weight for Ireland-Obesity Policy and Action Plan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2016","","2025","Department of Health -An Roinn Sláinte","","2016","","","","","Health","","","","","","","","","","","","","","","","Other","consultations were carefully considered and reflected in the final Policy. In particular the Citizen Participation Unit, Department of Children and Youth Affairs, University College Cork and the children and younger people for their participation.","The Ten Steps Forward (detailed actions page 37-54)
1. Embed multi-sectoral actions on obesity prevention with the support of government departments and public sector agencies.
Priority actions to commence in first year:
2. Regulate for a healthier environment.
Priority actions to commence in first year:
3. Secure appropriate support from the commercial sector to play its part in obesity prevention.
Priority actions to commence in first year:
4. Implement a strategic and sustained communications strategy that empowers individuals, communities and service providers to become obesity aware and equipped to change, with a particular focus on families with children in the early years.
Priority actions to commence in first year:
5. The Department of Health, through Healthy Ireland, will provide leadership, engage and co-ordinate multi-sectoral action and implement best practice in the governance of the Obesity Policy and Action Plan.
Priority actions to commence in first year:
6. Mobilise the health services to better prevent and address overweight and obesity through effective community-based health promotion programmes, training and skills development and through enhanced systems for detection and referrals of overweight and obese patients at primary care level.
Priority actions to commence in first year:
7. Develop a service model for specialist care for children and adults.
Priority actions to commence in first year:
8. Acknowledge the key role of physical activity in the prevention of overweight and obesity
Priority actions to commence in first year:
9. Allocate resources according to need, in particular to those population groups most in need of support in the prevention and management of obesity, with particular emphasis on families and children during the first 1,000 days of life.
Priority actions to commence in first year:
• Assess the needs of vulnerable groups as the basis of allocation of resources for preventative and treatment services for children and adults.
10. Develop a multi-annual research programme that is closely allied to policy actions, invest in surveillance and evaluate progress on an annual basis.
Priority actions to commence in first year:
The short-term (five-year) targets for overweight and obesity are:
a sustained downward trend (averaging 0.5% per annum as measured by the HI Survey) in the level of excess weight averaged across all adults;
a sustained downward trend (averaging 0.5% per annum as measured by COSI) in the level of excess weight in children; and
a reduction in the gap in obesity levels between the highest and lowest socioeconomic groups by 10%, as measured by the Healthy Ireland and COSI surveys.
The plan includes these lines of action:
1. Obesity prevention and control in primary healthcare settings
2. Protection, promotion and support of breastfeeding
3. School-based interventions
4. Fiscal policies and regulation of food marketing and labelling
5. Physical activity and health promotion
6. Surveillance, research and evaluation
","Lead Indicators
Overall the accomplishment of these targets should result in a:
1. To increase intake and awareness of adequate, culturally appropriate nutritious meals amongst school age children;
2. To improve enrolment, attendance, retention, completion and learning of school age children;
3. To promote local economic, social and agricultural development;
4. To develop mechanisms for a nationally-owned and sustainable programme;
5. To promote partnerships for resources mobilization for school meals;
6. To strengthen governance and multi-sectoral coordination mechanisms for the school nutrition and meals programme.
","","
Rate of schools providing school meals every school day
Rate of schools purchasing or receiving nutritious foodstuff traditional to the region’s culture
Number of capacity building and sensitisation activities for teachers, students and communities on nutrition, sanitation and local supply of food
Rate of schools with food handlers with valid medical certificates
Rate of schools following food safety standards
Rate of schools with infrastructure Rate
Rate of schools implementing health and nutrition education activities
Rate of schools following food quality standards
Rate of schools implementing school health activities
Rate of coverage of school nutrition and meals programme
National annual net enrolment rate
National annual attendance rate
National annual dropout rate
National annual transition rate
National annual completion rate
National annual percent of children achieving KCPE pass mark
Number of smallholder farmers contracted, producing and supplying to the school meals programme
Rate of food for school meals sourced from smallholder farmers
Rate of schools providing school meals sourced directly from smallholder farmers
Number of training and sensitization workshops to school community held
Rate of schools adopting agricultural production technologies for sourcing food and supporting health and nutrition education
Number of smallholder farmers’ organizations, cooperatives and small and medium-sized enterprises (SMEs) able to produce, process, distribute and supply food for schools
Number of farmers accessing new or existing products and technologies
Reviewed procurement manuals in place
Amount of resources allocated
Amount of resources ring-fenced
Amount of resources disbursed
Proportion of school meals funding sourced from national sources
Proportion of food for school meals sourced from small holder farmers
Inter-ministerial committee instituted and functional at all levels
Policy documents guiding school meals programme
Number of institutions and organizations involved
Strategy for resource mobilization developed
Coverage of Committees for the SNM programmes created
No. of partnerships signed
Strategy development status
Number of events
Number of participants
Roles and responsibilities defined for each platform
Appointment letters issued for stakeholders to join the platforms Number of stakeholder forums held
Stakeholder attendance in forums
Appointment letters issued for stakeholders to join the platforms Number of stakeholder forums held
Stakeholder attendance in forums
Partnership Agreement signed by implementing partners for SNM
Rate of BOMs whose governance and management capacity for SNM has been built
Public feedback mechanism established
Public feedback mechanism monitored
Coverage of functional audit and oversight visits to implementation areas (from local to county level)
Local social accountability mechanisms: status of formalization, adequate composition, adequate regularity in activities
Number of BOMs implementing SNM as per schedule
Number of functional multi-sectoral platforms engaged in SNM
Number of Government staff trained on SNM
Rate of technical staff designated to support SNM programmes vis-à-vis the number required
","","","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 (general)|Food security and agriculture","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN_2016_SNMS.pdf" "39483","MYS","Malaysia","","Policy Options to Combat Obesity in Malaysia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2016","","","Ministry of Health Malaysia","","2016","","","","","Health|Education and research|Sport|Trade","Ministry of Health Malaysia has formed a Task Force to Combat Obesity in Malaysia chaired by Deputy Director General of Health (Public Health) with members are from several ministries, professional bodies and NGOs (Appendix I)1 Datuk Dr. Lokman Hakim Sulaiman Deputy Director General Of Health Malaysia (Public Health)2 Mrs Rokiah Don Director, Nutrition Division, Ministry of Health3 Dr. Chong Chee Kheong Director, Disease Control Division, Ministry of Health4 Mr Abdul Jabar Ahmad Director, Health Education Division, Ministry of Health5 Dr Fatanah bt Ismail Senior Principal Assistant Director, Family Health Development Division, Ministry of Health6 Mr Cyril Christopher Singham Principal Assistant Director, School Management Division, Ministry of Education7 Dr Abdul Halim Mohd Hussin Director, Psychology Division, Public Service Department8 Mrs Siti Farida Azhar Deputy Director General, Sports Development Division, Ministry of Youth and Sports9 Ms Masni Mustapa Kamarul Basah Principal Assistant Secretary, Family and Community Development Division, Ministry of Women, Family andCommunity Development10 Prof. Emeritus Dr. Mohd Ismail Noor President, Malaysian Association for the Study of Obesity (MASO)11 Dr Tee E. Siong President, Nutrition Society of Malaysia12 Mr Jong Koi Chong Chairman, Malaysia Council for Obesity Prevention (MCOM)13 Mr Ikmal Azam Thanaraj Abdullah Vice President, Malaysian Trade Union Congress (MTUC)14 Dr Mohd Zaidi Saleh EXCO, Malaysia Association of Sports Medicine15 Mrs Munirah Muhtar Secretary, Federation of Malaysia Manufacturers (FMM)16 Ms Rusidah Selamat Deputy Director, Nutrition Division, Ministry of Health17 Mrs Zaiton Daud Deputy Director, Nutrition Division, Ministry of Health18 Mrs Zalma Abdul Razak Senior Principal Assistant Director, Nutrition Division, Ministry of Health19 Mr Nazli Suhardi Ibrahim Senior Principal Assistant Director, Nutrition Division, Ministry of Health20 Dr Feisul Idzwan Mustapha Senior Principal Assistant Director, Disease Control Division, Ministry of Health21 Mr Mohamed Farouk Abdullah Senior Principal Assistant Director, Health Education Division, Ministry of Health22 Dr Saidatul Norbaya Buang Chief Senior Assistant Director, Family Health Development Division, Ministry of Health23 Mrs Norliza Zainal Abidin Principal Assistant Director, Food Safety and Quality Division, Ministry of Health24 Mrs Mahani Wahab Assistant Director, Division of Educational Planning and Research, Ministry of Education25 Prof Dr Norimah A. Karim Chairman, Technical Working Group (Research) Nutrition Division, Ministry of Health","","","","","","","","","","","Research/academia","10 Prof. Emeritus Dr. Mohd Ismail Noor President, Malaysian Association for the Study of Obesity (MASO)","","","","","General Objective
To prioritise policy options on food, physical activity and environment to combat obesity in Malaysia.
Specific Objectives
To prioritise hard policy options to combat obesity in Malaysia.
To prioritise soft policy programmes/ interventions to combat obesity in Malaysia
School Setting
Ban sales of food and beverages that are not encouraged to be sold in school canteen.
Ban marketing of unhealthy food/ beverages to children in print and fixed outdoor advertising within 50 metres of schools (media, bus stops, billboards)
Mandatory to provide free, clean and safe (water fountain/ dispenser) in schools, higher learning institutions and workplaces.
Improve provision of quality physical activity in educational settings (from preschool to tertiary level) including opportunities for physical activity before, during and after the formal school day.
Voucher for sport/physical activity equipment.
Mandatory employment of nutritionists in schools for each PPD employed by MOE.
Recognition shall be given to schools for organising physical activity
Institution of Higher Learning and Workplace Setting
Mandatory to sell/ provide fruits in food outlets in government agencies.
Encourage to sell/ provide fruits in food outlets in private sectors.
Mandatory for healthy food choices made available in workplace canteens and higher learning institutions.
Mandatory establishment of sports and welfare club at department and ministries in government agencies.
Encourage physical activity after working hours to government servants in government agencies.
Mandatory for every government servant to involve in physical activity.
Mandatory for government agencies to implement physical activity in every meeting/ seminar/ course that will set example to others.
Specific allocation for procurement of physical activity/ sport related materials, equipment and organising related events in every agency.
Healthy BMI as part of performance appraisal in the workplace.
Qualified physical activity instructor is placed in every agency to implement physical activity.
Promote work-life balance (work efficiently within working hours) in order to encourage employees to carry out physical activity.
General Population Setting
Increase consumption and access to affordable and fresh vegetables (including ulam) and fruits by increasing the number of Pasar Tani outlet.
Mandatory for cafeteria operators and caterers to be trained and certified on healthy food provisions and preparations (as a core module).
Banning television advertising of foods/ beverages high in fat and/ or high in sugar that is appealing to children.
Mandatory for vending machines to sell healthier food and beverages options in public places.
Mandatory to display nutrition information for all vending machines.
Mandatory to display prominently nutrition information on menus at food outlet (e.g.: fast food restaurants, franchise restaurants).
Excise and/ or GST on unhealthy foods (foods high in fats, salt and sugars) e.g.: sweetened creamer, condensed milk, sugar sweetened beverages (SSBs) carbonated drinks, juices, processed foods.
Impose extra charges for excess/ unfinished food taken in hotels/ restaurants (buffet).
Reduce import duty on fruits and vegetables.
Initiatives to reduce sitting time during working hours.
Increase availability of facilities in the community to promote physical activity and exercise in safe environment (e.g.: public parks, public sport complexes, jogging and cycling paths and public gymnasium).
Mandatory for local authority to provide cyclists and pedestrians safe and accessible sidewalks, walking path and cycling paths.
Implement public awareness activities to promote the benefits of physically active lifestyle.
To manage weight and health through skill building in parenting, meal planning and behavioural management through training courses.
Establish a weight management program for overweight and obese individuals in workplace settings.
Develop National Physical Activity Guidelines.
Every local authority has to organise Car Free Campaign once a month to create supportive environment for physical activity.
Provide parking space for bicycle in every station of public transportations.
Increase the limit of income tax deduction/ relief from RM300 to RM600 for procurement of on exercise equipment.
Tax deduction to employers (private sectors) on the expenses made for sports and physical activity equipment as defined in Sport Development Act to the employees.
Mandatory for local media to allocate more airtime/ advertisement space during appropriate time for promotion of physical activity.
Establish public-private partnership to promote healthy eating and physical activity
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Mandatory restriction of operating hours up to 12 midnight for all food outlets.
Mandatory to relocate street stalls to hawker centres for the purpose of ensuring opening time, food safety and healthier choices.
Reduce cooking oil subsidies.
Restrict the number of new food outlets including 24 hours food outlets within 400 metres radius of new resident areas.
Provide incentive (e.g.: provision of raw agricultural inputs, tax discounts for producers) for local production, processing and distribution or importation, and marketing of healthier food options.
Mandatory employment of nutritionists/ dietitians in major food outlets.
Every local authority to provide billboards, advertising space at Ministry of Youth and strategic sites for promotion of physical activity.
BUT :
Le but de la stratégie nationale de l’ANJE est de contribuer à la réduction de la morbidité et mortalité infanto juvénile liée aux pratiques sous optimales de l’Alimentation du Nourrisson et du Jeune Enfant.
OBJECTIF GENERAL :
L’objectif général est de contribuer à la réduction de la prévalence de la sous nutrition des enfants de 0 à 23 mois d’ici 2020.
OBJECTIFS SPECIFIQUES :
Ce cadre d’orientation va permettre d’atteindre les objectifs spécifiques de la stratégie nationale de prévention de la malnutrition chronique relatifs à l’ANJE qui sont les suivants :
Au niveau national :
Mise à jour du curriculum de formation initiale en intégrant l’ANJE dans les facultés de médecine et d’agronomie, les écoles et instituts de santé, les écoles de formation des paramédicaux et des autres secteurs (agriculture, protection sociale, éducation etc) ;
Au niveau du système de santé :
Au niveau communautaire :
ملخص عن آليات التنفيذ المقترحة للتقليل من استهلاك الدهون المشبعة و المتحولة ٢٠١٦- ٢٠٢٠
","Goal and objectives
The Pakistan IYCF Strategy builds on the existing achievements in Pakistan and provides a framework for actions to protect, promote and support the optimal infant and young child feeding.
The overall goal of the Pakistan Strategy is to improve the nutritional status, growth and development, health, and survival of infants and young children in Pakistan through optimal infant and young child feeding practices.
Main Objectives of IYCF Strategy include:
1. To standardize infant and young child feeding (IYCF) practices for improved child health.
2. To specify roles and responsibilities of partners in promoting appropriate IYCF practices
3. To outline technical directives for IYCF interventions.
4. To improve stunting and under nutrition, targeting the critical window of 1000 days.
The specific objectives of the IYCF Strategy, to be achieved by 2020, are to:
1. Increase the percentage of newborns who are breastfed within one hour of birth from 40% to 50 % (early initiation of breastfeeding)
2. Increase the percentage of infants aged less than 6 months of age who are exclusively breastfed from 38 % to 58% (exclusive breastfeeding)
3. Increase the percentage of children aged 6-8 months who are breastfed and receive complementary foods from 57 % to 67%
4. Increase the percentage of children aged 18-23 months who are still breastfed from 59% to 69% (continued breastfeeding)
5. Increase the percentage of children age 6-23 months are fed appropriately based on recommended infant and young child feeding (IYCF) practices (as per PDHS 2013) from 15% to 20%
","","Based on WHO guiding principles for feeding breastfed (2003) and non-breastfed (2005) children, the IYCF practices indicator is comprised of all of the following three components:
1. Continued breastfeeding or feeding with appropriate calcium-rich foods if not breastfed
2. Feeding (solid/semi-solid food) minimum number of times per day according to age and breastfeeding status
3. Feeding minimum number of food groups per day according to breastfeeding status
Other Indicators to monitor for determining the impact of this strategy would include:
Rate of early initiation of breastfeeding.
Rate of exclusive breastfeeding
Rate of continued breastfeeding to 24 months
Frequency of complementary feeding between 6 and 24 months
Diet diversity of children between 6 and 24 months of age
Rate of stunting
Rate of severe wasting
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Vitamin A|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Food security and agriculture|Family planning (including birth spacing)|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAK-Infant%20and%20Young%20Child%20Feeding%20Strategy_%202015%20Final.pdf" "23649","SWE","Sweden","","Så kan vi vända trenden - Handlingsprogram övervikt och fetma (2016-2020) [Action plan for overweight and obesity (2016-2020)]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Swedish","","2016","","2020","Hälso- och sjukvårdsförvaltningen","","2015","","","","","","","","","","","","","","","","","","","","","Other","Hälso- och sjukvårdsförvaltningen","I länets kommuner och stadsdelar ska i slutet av år 2020:
• Andelen i befolkningen som uppger att de äter frukt och grönt enligt Livsmedelsverkets rekommendationer ska vara minst 50 procent
• Antalet registrerade samtal med vuxna vid ohälsosamma matvanor, enligt rekommendationer i det regionala vårdprogrammet om hälsofrämjande levnadsvanor, ska under perioden 2016-2020 öka med 200 procent
• Andelen förskolor, skolor och särskolor som erbjuder näringsriktiga måltider ökar årligen
","","","Overweight in children 0-5 yrs|Overweight and obesity in adults|Fruit and vegetable intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets","","http://www.vardgivarguiden.se/global/05_omr%C3%A5den/h%C3%A4lsofr%C3%A4mjande%20arbete/handlingsprogram-%C3%B6vervikt-fetma-2016-2020%20low%20upplaga%202.pdf","","","" "40727","GBR","United Kingdom","England","Childhood Obesity: A Plan for Action (England)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2016","","","HM Government","8","2016","","","","","","","","","","","","","","","","","","","","","","","We aim to significantly reduce England’s rate of childhood obesity within the next ten years. We are confident that our approach will reduce childhood obesity while respecting consumer choice, economic realities and, ultimately, our need to eat. Although we are clear in our goals and firm in the action we will take, the launch of this plan represents the start of a conversation, rather than the final word.
Introducing a soft drinks industry levy
Taking out 20% of sugar in products
Supporting innovation to help businesses to make their products healthier
Developing a new framework by updating the nutrient profile model
Making healthy options available in the public sector
Continuing to provide support with the cost of healthy food for those who need it most
Helping all children to enjoy an hour of physical activity every day
Improving the co-ordination of quality sport and physical activity programmes for schools
Creating a new healthy rating scheme for primary schools
Making school food healthier
Clearer food labelling
Supporting early years settings
Harnessing the best new technology
Enabling health professionals to support families
All sectors of the food and drinks industry will be challenged to reduce overall sugar across a range of products that contribute to children’s sugar intakes by at least 20% by 2020, including a 5% reduction in year one.This can be achieved through reduction of sugar levels in products, reducing portion size or shifting purchasing towards lower sugar alternatives.
","","","Overweight and obesity in school age children and adolescents|Fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Front of pack labelling|Reformulation of foods and beverages|Sugars|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Portion size control|Physical activity and healthy lifestyle|Sugar reduction|Micronutrient supplementation|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/GBR_B11_Childhood_obesity_2016__2__acc.pdf","","WHO 2nd Global Nutrition Policy Review; WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GBR_%202016_%20Childhood_obesity_a%20plan%20for%20action.pdf" "40042","GAB","Gabon","","Plan Stratégique National d’Alimentation du Nourrisson et du Jeune Enfant (ANJE)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2017","","2014","Ministère de la Santé. Centre National de Nutrition","","2009","Adopted","","2009","Ministère de la Santé","","Ministère de la Santé. Centre National de Nutrition Ministère de la Santé","","OMS / UNICEF / FAO","","Association Gabonaisde Pour l'Alimentation Infantile (AGPAI)","","","","","National NGOs","","","","","","","","","","","","","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|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition","","https://platform.who.int/docs/default-source/mca-documents/policy-documents/plan-strategy/gab-cc-10-04-plan-strategy-2017-fra-strategic-plan-infant-child-nutrition-2017-2021.pdf?Status=Master&sfvrsn=457943b5_2","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "40028","GRC","Greece","","Greece’s National Action Plan on Food Reformulation","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2017","","","Greek Ministry of Health General Directorate of Public Health and Quality of Life Directorate of Public Health Department on NCDs and Nutrition","","2017","","","","","Health|Other","General Directorate of Public Health and Quality of Life Directorate of Public HealthDepartment on NCDs and Nutrition","","","","","","","","","","","","","","","","","Primary concern of the current Action Plan is to reduce the following nutrients of foods:
The first objective will be to lower the content of these nutrients in specific food categories, and then to set upper limits.
","Α. Food reformulation actions
Β. Actions to inform general or specific populations (public campaigns)
Possible actions for consumers:
C. Legislative Actions
D. Research Actions
","
Action Plan monitoring and evaluation results will be carried out by creating a food composition database. This database will be upgraded with data from:
- Food Analysis,
- Self-reported data from industry,
- Data from food labeling,
- Data collected from previous surveys,
- Statistics from other EU Member States or data available from the European Commission, - Results from research activities.
Goal
To contribute to a reduction in morbidity and mortality associated with acute malnutrition in children 0–15 years of age.
Objectives
The following five objectives will help maintain the rates of acute malnutrition in children at less than 5 percent throughout the 5-year period. Each of the objectives has a corresponding strategy and actions outlined in Section 3, and a monitoring and evaluation plan detailed in Section 4.1.
1. Improve availability and access to CMAM supplies and equipment.
2. Increase the competence of human resources involved in CMAM service delivery.
3. Increase effectiveness of CMAM coverage by improving access, acceptability, and utilization of services.
4. Strengthen the enabling environment for CMAM service delivery.
5. Improve monitoring and evaluation and promote the use of data and information to inform CMAM programming and planning.
","Prioritised Actions to Improve Availability and Access to CMAM Supplies and Equipment
1. Integrate CMAM supplies and equipment into the national health commodity logistics system
2. Advocate to Central Medical Stores (CMS) for increased allocation and long-term funding for RUTF as an essential drug and/or supply
3. Ensure manufacturers and suppliers register therapeutic and supplementary food supplies with the Pharmacy Medicines and Poisons Board (PMPB)
4. Adopt international technical specifications or reference ranges for quality control checks for locally produced therapeutic and supplementary food supplies
5. Perform quality control certification of therapeutic and supplementary food supplies at Malawi Bureau of Standards (MBS)
6. Conduct annual national quantification of CMAM supplies with all stakeholders
7. Procure essential CMAM supplies and equipment based on annual needs
8. Implement a national CMAM supplies real-time monitoring and reporting system at all levels
9. Train service providers and managers on CMAM supplies and logistics management
10. Establish sufficient warehouses and safe storage facilities at central, district, and facility levels
11. Improve efficiency of transport of SAM and MAM supplies to the health facility and beneficiary
Prioritised Actions to Increase the Competence of Human Resources Involved in CMAM Service Delivery
1. Establish a practitioners’ committee to ensure nutrition content in health professional pre-service training curricula remains current
2. Review the current pre-service training curricula for health professionals to understand gaps and recommend areas to be updated
3. Provide technical update to the pre-service training curricula for nurses, clinicians and HSAs to include CMAM theory and practice
4. Include management of acute malnutrition as part of the nurse and clinician internship program
5. Conduct CMAM training for pre-service tutors and lecturers teaching in the medical and nursing training institutions
6. Conduct CMAM in-service training for all providers in the NRU, OTP, and SFP sites
7. Conduct CMAM training for all district health management teams (DHMT)
8. Develop a computerized training tracking system for personnel trained in CMAM
9. Develop mentorship and supportive supervision guidelines and tools for facility-based CMAM service providers
10. Conduct mentorship and supportive supervision visits for facility-based CMAM service providers in NRU, OTP, and SFP sites
Prioritised Actions to Increase Coverage of CMAM Services
1. Conduct coverage surveys to determine coverage of CMAM services and barriers to access
2. Re-establish community outreach activities countrywide
3. Conduct training of community-based CMAM service providers, including volunteers
4. Harmonise community mobilization efforts across community groups
5. Institutionalise a harmonised system for incentivizing community volunteers
6. Conduct community sensitization and awareness campaigns on acute malnutrition causes, consequences, prevention, and treatment
7. Develop mentorship and supportive supervision guidelines and tools for community-based CMAM service providers and volunteers
8. Conduct integrated mentorship and supportive supervision visits for community-based CMAM service providers and volunteers
Prioritised Actions to Improve the Enabling Environment for CMAM
1. Update the national CMAM guidelines, ensuring integration with other health and nutrition interventions
2. Integrate implementation of CMAM with other health services, such as IMCI, HIV, WASH, and Scaling Up Nutrition (SUN) initiatives
3. Operationalise the Targeted Nutrition Programs (TNP) technical working group for improved coordination and monitoring of implementation of the operational plan
4. Integrate CMAM advocacy activities into the national nutrition advocacy plan
5. Develop quarterly CMAM policy and technical briefs to share data, best practices, and lessons learnt
6. Conduct advocacy campaigns for increased awareness of CMAM among national level policymakers
7. Advocate prioritisation and funding of CMAM by the government
8. Advocate increased CMAM funding from development partners
9. Increase financial and logistical support for the CMAM focal persons at national, regional, and district levels
10. Establish performance based incentives (PBI) with the CMAM focal persons with clear articulation of targets
Prioritised Actions to Improve CMAM Monitoring, Evaluation, and Information Management
1. Identify country-level CMAM operational research questions that address knowledge and implementation gaps
2. Hold annual CMAM dissemination conferences
3. Conduct annual national review of operational plan implementation
4. Conduct midterm and endline evaluations of operational plan implementation
5. Conduct quarterly DHMT review workshops of CMAM data and programme outcomes
6. Establish real-time data management system for CMAM alerts on preparedness and response
7. Conduct CMAM data management trainings, and use of District Health Information Software – Version 2 (DHIS-2) for all district HMIS officers
8. Provide logistical and technical support to districts and facilities in the use of DHIS-2
Prioritised Actions to Intensify CMAM Services to Respond to Emergency and Humanitarian Situations
1. Intensify case finding through community outreach and mobilization
2. Procure additional supplies and equipment to meet the increased SAM caseload
3. Procure additional supplies and equipment to meet the need for increased MAM caseload
4. Conduct refresher training of CMAM service providers on inpatient care, outpatient care, and SFP
5. Intensify the frequency of government and CMAM partner coordination meetings
6. Intensify real-time monitoring and reporting of CMAM service delivery
7. Conduct Standardised Monitoring and Assessment of Relief and Transitions (SMART) nutrition surveys during the emergency and post-emergency period
8. Conduct coverage survey during an identified emergency period
","see Table 4.1: National CMAM Monitoring and Evaluation Plan, pages 19-28
","","","Wasting in children 0-5 years|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","https://www.fantaproject.org/node/1483","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202016%20National%20CMAM%20Operational%20Plan%202017-2021.pdf" "66523","MMR","Myanmar","","Myanmar National Comprehensive School Health Strategic Framework","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2017","","2022","Ministry of Health and Sports","","2017","","","","","Health|Education and research","Ministry of Health and Sports (MOHS) and the Ministry of Education (MOE)","","","","","","","","","National NGOs","","","","","","","","1. Vision and missions
Vision: To promote physical, mental and social health of entire students
Mission: Developing Health Promoting Schools for learning and working environment for all education families
Purpose of this strategy is to provide systematic framework to promote physical, mental and social health of entire students and promote healthy behaviour to prevent communicable and non-communicable diseases as well as determinants of health and risk factors to prevent diseases through comprehensive health promoting school approach
","Strategic 2: Improve health and well-being through health literacy and Services
This strategy is the key toward prevention and promotion of health in school settings that include school students, teachers, parents and community participation in children’s health and well-being, as well as provide multiple effects on health and sustainable development.
Based on standard of health promoting school, basic health services and health education need to be in place. To strengthen current promotion of healthy lifestyles, health literacy is emphasis
Four level of services based on the situation in each school;
Basic health services (minimum package) (BHS): mostly feasible in all school
without financial support
Basic health education and literacy on healthy behaviour (physical activity, diet, personal hygiene, awareness of tobacco products and alcohol consumption, etc.)
Promote physical activity and active life-style to reduce NCD risk factors, and sustainable development
Prevention of infectious disease through improving hygiene include oral health and menstrual hygiene
Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
Prevent injury and develop the safety environment in/around school
Basic sanitation and waste management in school( Basic WASH facilities)
Basic life-skills education including reproductive health
Basic health promotion package plus (BHP+): including the “basic health services”
with additional items that are mostly feasible in all school with financial support
Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
Provide the school health service for improvement of overall health for students including parents, peer and community supports including address bullying and violence in schools
Prevent and control specific communicable diseases (HIV/AIDs, Dengue, TB, malaria, encephalitis, leprosy, etc.)
Intermediate package with advancement (IPA): including the implementation of all the
basic school health services, other health promotion package, and select these objectives based on the school/community situations and resources
Oral Health Check-up by dentist
Eye check-up byotolaryngologist
Reproductive health and gender equality
Prevent alcohol and substance abuse
Advance stage of school health services (ASH): depend on resource and needs in
each school the following activities can be integrated to response to specific needs.
As the country still have low capacity on counselling and psychosocial support for schools, mental health issue required more advance steps to advocate for human resources, training, research, and active participations of students to address mental health issue in schools.
Mental health including suicide prevention, screening and treatment of mental health related problems.
Strengthen school resilience for climate change and disaster preparation
Whole-school approach:
Based on the Myanmar students’ health concerns reported in recent surveys GYTS and GSHS, whole-school approach need to be adopted to address high priorities health issues namely tobacco and alcohol consumption, bullies, carbonated and sugary added drinks, and injuries.
Whole-school approach is proven to be most effective to change behaviour and address
factors hazardous to health. Strategically, comprehensive school health should address the
immediate health issues by:
…
Call for healthier schools
Make it school policy to control sale and distribution of carbonated sugary drinks in school
Remove sugar added drinks in canteen or school dispensers in all occasion (especially in school events)
Health education to students and parents on effects of carbonated sugary drinks
Conduct health literacy on healthy and nutritious food and beverages
…
Partnership with community to generate secure, safe, healthy environment for children inside and outside school boundary
Community plays crucial roles in protection and safe guard school environment both inside and outside the boundary. Major activities may include
Coordination with communities to create secure, safe, and healthy environment for students of all ages
Community leaders could be part of school health committee to share their view, learn and contribute to building safe, protective, and healthy environment for children. Community involvement in school food gardening or building safe playground is common in many countries. Positive impacts from community engagement also include child’s watch programme to prevent bully and violence; to stop selling of alcohol, cigarette, drugs and substances to students; to zone out selling of unhealthy products such as carbonated drinks, high sugar content beverages and snacks, as well as to introduce speed limit around the schools, street crossing regulation, and other preventions of traffic accident, injuries and disability prevention.
...
Major Activities
...
2.2.4 Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
2.3.1 Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
…
Recommendations for School Level Implementation
A. List of Facilities and Equipment in school
...
Activities and services: Facilities
Equipment and costing
Basic health promotion package plus (BHP+)
Promote healthy diet and nutrition (reduce obesity and address double burden of malnutrition)
School feeding:
- foodstuffs, kitchen, drinking water, cooking materials, cook
Health check-up (height and weight) and assessment and feedback of their nutritional condition
height and weight scale
Student medical examination
record cards recording sheet
Gardening / plant cultivation in school for nutritional improvement
farmland, farming material, seed, irrigation water, organic fertilizer
Calculation of energy intake and consumption.
information for the calculation
Healthy lunch box guide and demonstration
Healthy lunch box examples
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
text book/ charts
…
Objectives:
...
4. Promote healthy diet and nutrition (reduce obesity and address double burden of malnutrition)
Beneficial/target groups:
Kindergarten and primary school children
Recommended activities and services needed
- School feeding if possible, by the supports of donors
- Health check-up (height and weight) and assessment and feedback of their nutritional condition
- Student medical examination record cards
- Gardening / plant cultivation in school for nutritional improvement
Suggested Strategies for school level policy or administration:
Develop the school lunch/feeding program based on the socioeconomic analysis of school and community
Strengthen the Health check-up system including record sheet management.
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
Beneficial/target groups:
Secondary school students
Recommended activities and services needed:
- Health check-up (height and weight) and self-assessment their nutritional condition
- Calculation of energy intake and consumption.
Suggested Strategies for school level policy or administration:
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
Beneficial/target groups:
Teachers and parents
Recommended activities and services needed:
- Healthy lunch box
- School canteens programme
- regulation of school canteen about selling foodstuffs and food safety measures
Suggested Strategies for school level policy or administration:
Education on healthy lunch box and screening of food handlers at home and in school
","C. Recommended checklist for School implementation
HPS Activities implementation status in school
...
Nutrition and School feeding program
% of children who receive the school feeding program
How many days dose SFP conduct in school
note/scale
% of children times/y
…
I. Goal and Implementation index
General Indicator
General indicator of children's health improvement 2013-14 2017 2018 2019 2020 2011 2022
Health check up
Rate of overweight / obese children by age and gender: 2013-14 (3.4%); 2020 <3%; 2022 <2%
Rate of thin or malnutrition children by age and gender: 2020 <10%; 2022 <7%
","","","Overweight in school children|Dietary practice|Sugar intake|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens","","http://mohs.gov.mm/su/hzqTZG","","","" "39764","PRT","Portugal","","Estratégia Integrada para a Promoção da Alimentação Saudável (EIPAS) [Integrated Strategy for the Promotion of Healthy Eating]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Portuguese","","2017","","","Finanças, Administração Interna, Educação, Saúde, Economia, Agricultura, Florestas e Desenvolvimento Rural e Mar","12","2017","Adopted","12","2017","Despacho n.º 11418/2017, Diário da República, 2.ª série — N.º 249 — 29 de dezembro de 2017","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry","Finanças, Administração Interna, Educação, Saúde, Economia, Agricultura, Florestas e Desenvolvimento Rural e Mar","","","","","","","","","National NGOs","","","","","","","","","الهدف الرئيسي بعيد المدى:
• منع زيادة نسبة انتشار السمنة وزيادة الوزن الحالية خلال 10 سنوات .
الأهداف الإستراتيجية: تشتمل الخطة الوطنية على 6 أهداف لتحقيق الرؤية المذكورة أعلاه:
1: الوقاية الأولية من السمنة– خفض معدل الإصابة بالسمنة بمكافحة عوامل الخطورة المؤدية للسمنة.
2: الوقاية الثانوية من السمنة– الاكتشاف المبكر للحالات و مضاعفات المرض ومنعها من خلال التحكم الجيد به.
3: تحسين جودة الخدمات الصحية بمستوياتها الثلاث المقدمة لمرضى السمنة – بوجود دلائل إكلينيكية موحدة حديثة و مبنية على البارهين متبعة من قبل العاملين في رعاية مرضى السمنة في مستويات الرعاية الثلاث، إصدار دليل موحد لجودة إجارءات العمل والالتازم به و وضع دليل موحد لضوابط الإحالة بين مستويات الرعاية الثلاث.
4: تدعيم وسائل المارقبة والمتابعة والتقييم وتدعيم وسائل البحوث والدارسات الخاصة بداء السمنة
5: تمكين المصابين بالسمنة وأسرهم من المساهمة في التحكم في السمنة ومضاعفاتها و المشاركة في الخدمات المقدمة و مارقبة جودتها.
6: الشاركة المجتمعية لمكافحة السمنة.
","
تقليل نسبة انتشار عوامل الخطورة التي تؤدي إلى الإصابة بالسمنة في المجتمع السعودي خلال السنوات العشر القادمة وذلك بـ:
• رفع مستوى الوعي الصحي بمرض السمنة وزيادة الوزن وأسباب وطرق الوقاية منها بنسبة 50% {أي بمعدل 5% سنوياً}.
• زيادة نسبة الأشخاص الذين يتناولون ما لا يقل عن 3 حصص يومية من الخضروات والفاكهة الى 20% {أي بمعدل 2% سنوياً}.
• خفض معدل تناول الأطعمة الغنية بالسكريات الأحادية والدهون المشبعة والملح بنسبة 10% { أي بمعدل 1% سنوياً}.
• زيادة نسبة الممارسين للنشاط البدني بنسبة 20% كحد أدنى (أي بمعدل 2% سنويا).
مؤشر الغاية:
• معدل الوعي بالسمنة وزيادة الوزن {أسبابها وطرق الوقاية} والاتجاهات والسلوكيات من خلال دراسة {KAP} المعرفة-المواقف والاتجاهات-السلوكيات.
• معدل انتشار الوزن ال ازئد (مؤشر كتلة الجسم 25-29.9 كغم/م2) والسمنة (مؤشر كتلة الجسم ≥30 كغم/م2).
• معدل انتشار السمنة الوسطية (محيط الخصر إلى الورك) (Waist-to-hip ratio) (0.95 للرجال و 0.85 للنساء).
• معدل انتشار السمنة الوسطية (محيط الخصر) (Waist circumference) ( 94 سم للرجال و 80 سم للنساء).
• نسبة أفراد المجتمع (البالغون وأطفال المدارس) الذين يمارسون النشاط البدني حسب تعريف منظمة الصحة العالمية في منهجية الترصد الوبائي للأمراض المزمنة(StepwiseSurveillanceSystem).
• نسبة الأشخاص الذين يتناولون 3-5 حصص يومية من الخضروات والفاكهة
المسـاهمة في تحقيق رؤية المملكــة 2030م، من خــلال تعزيز الصحـة العـامة بنمط تغذوي صحي.
تخفيض محتوى المنتجات الغذائية من السكر.
تخفيض محتوى المنتجات الغذائية من الملح.
تخفيض محتوى المنتجات الغذائية من الدهون المشبعة.
تخفيض محتوى المنتجات الغذائية من الدهون المتحّولة.
مراجعة وتحديث سياسة تدعيم المنتجات الغذائية بالفيتامينات والمعادن.
رفع مستوى الوعي لدى أفراد المجتمع لتمكينهم من اختيار الغذاء الصحي.
تهيئة مصنعي ومستوردي المنتجات الغذائية لتخفيض محتوى منتجاتهم الغذائية من الملح، السكر والدهون المشبعة والمتحولة.
حث القطاع الخاص على القيام بمبادرات ،تهدف الى جعل منتجاتها الغذائية أكثر صحيًة، بما يسهم في تعزيز الصحة العامة
وضع السعرات الحرارية في المطاعم والمقاهي.
إجراء الدراسات وابحاث، وكذلك التوسع في مختبرات الهيئة والمختبرات الخاصة للقيام بالفحوصات والاختبارات المطلوبة لتحقيق أهداف الاستراتيجية.
تعزيز الشراكة مع الجهات الحكومية )وزارة الصحة، وزارة الشؤون البلدية والقروية، والجامعات...إلخ(، وذلك سعي لتكامل عناصر الاستراتيجية ونجاحها على كافة اصعدة.
","
وضع السكر الُمضاف (added sugar) ضمن البيانات التغذوية الزامية.
وضع البيانات التغذوية في صورة إشارات ضوئية.
تحديد اصناف الغذائية اكثر استهلاك واحتواء على السكر والبدء في الحث على التقليل التدريجي لمحتوى هذه الاغذية من السكر.
وضع حد اعلى للملح في الخبز ومنتجاته.
وضع البيانات التغذوية في صورة إشارات ضوئية.
تحديد اصناف الغذائية ا كثر استهلاك واحتواءً على الملح والبدء في الحث على التقليل التدريجي لمحتوى هذه الاغذية من الملح.
الحث على استبدال الدهون المشبعة بالدهون غير المشبعة في الصناعات الغذائية.
وضع البيانات التغذوية في صورة إشارات ضوئية.
المنع التدريجي لاستخدام الزيوت المهدرجة جزئي في الصناعات الغذائية.
مراجعة الدراسات الوطنية الحديثة والنتائج المخبرية في المدن الطبية الكبرى، لمعرفة الحالة التغذوية لدى المجتمع السعودي من الفيتامينات والمعادن.
تحديد ا غذية ا كثر استهلاك لتدعيمها بالفيتامينات والمعادن.
تحديد الوسائل المثلى للتدعيم.
إصدار أدلة إرشادية لاصحاب المطاعم والمقاهي والمستهلكين.
إصدار لائحة فنية ملزمة لوضع السعرات الحرارية في المطاعم والمقاهي.
إعداد دليل توعوي عن التغذية الصحية موجه للمستهلك لمختلف فئات المجتمع.
إعداد دليل توعوي موجه للمستهلك عن كيفية الاستفادة من وضع السعرات الحرارية في المطاعم والمقاهي.
تفعيل المشاركة المجتمعية في قياس الاستفادة من الادلة التوعوية.
إعداد أدلة توعوية لمصنعي ومستوردي المنتجات الغذائية لتخفيض محتوى منتجاتهم من السكر والملح والدهون المشبعة والمتحّولة.
إقامة ورش عمل لمصنعي ومستوردي المنتجات الغذائية لتخفيض محتوى منتجاتهم من السكر والملح والدهون المشبعة والمتحّولة.
(الحث على تقليل حجم الحصص في المنتجات الغذائية (طوعي
Reduce portion size (voluntary)
","","Outcome indicators","","Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Menu labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Ban or virtual elimination of industrial trans fatty acids|Portion size control|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food fortification","","","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SAU_2017_SFDA-HealthyFoodStrategy.pdf" "41889","TJK","Tajikistan","","ПОСТАНОВЛЕНИЕ О СТРАТЕГИИ УСТОЙЧИВОГО РАЗВИТИЯ ШКОЛЬНОГО ПИТАНИЯ В РЕСПУБЛИКЕ ТАДЖИКИСТАН НА ПЕРИОД ДО 2027 ГОДА / On Sustainable Development of School Nutrition in Tajikistan up to 2027","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","9","2017","","2027","Government of Tajikistan","9","2017","Adopted","9","2017","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Sub-national|Other","National Standards Agency","","","","","","","","","","","Research/academia","Agricultural Institutes; Nutrition Research Institutes","","","Other","Public Schools","6. Стратегия предусматривает поэтапное расширение охвата системой школьного питания общеобразовательных учреждений в зависимости от экономических возможностей, социального и демографического развития Республики Таджикистан и отдельных регионов.
7. Стратегия разработана с учетом возможности предоставления бесплатного питания детям из необеспеченных семей и частичного софинансирования стоимости школьного питания для семей с низким уровнем доходов.
28. Реализация стратегии будет осуществляться в соответствии с целями, задачами и основными направлениями развития системы школьного питания, определенными в концепции улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан.
29. Целью стратегии является обеспечение условий для сохранения и укрепления здоровья и совершенствования образовательных результатов учащихся через устойчивое развитие школьного питания в Республике Таджикистан.
30. Для обеспечения устойчивого развития школьного питания в Республики Таджикистане требуется решение следующих задач:
31. Решение предусмотренных настоящей стратегией задач осуществляется путем разработки и реализации краткосрочных, среднесрочных и долгосрочных программ, пилотных проектов и иных мероприятий по отдельным направлениям реализации настоящей стратегии
","32. Основными направлениями действий по совершенствованию государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
46. На первом этапе (2017 - 2018 годы) осуществляется формирование базовых условий, необходимых для развития системы школьного питания в Республике Таджикистан и решения задач, определяемых настоящей стратегией:
47. На втором этапе (2019 - 2020 годы) осуществляется:
49. На третьем этапе (2021 - 2026 годы) осуществляется:
38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
Objectives of the framework
To have a comprehensive approach that emphasizes the different evidence-based components to address childhood obesity in terms of policies, systems, and environmental changes.
To advocate and raise awareness about the burden and consequences of childhood obesity in the UAE.
To present obesity prevention strategies that serve as a guide for all sectors in the UAE.
To align the work on childhood obesity in the country in accordance with WHO guidance.
To monitor the implementation of the proposed intervention within the framework and evaluate the impact of these interventions on the burden of childhood obesity.
The Framework
5.a. Purpose of the national program to combat obesity
To create, support, and mobilize partnerships; provide leadership and vision; provide advocacy and education; coordinate and sustain country-wide efforts to prevent and reduce childhood obesity.
5.b. Specific Goals
1. Increase access to healthy food and beverages among target group
2. Increase opportunities for safe physical activity among target group
3. Create and improve policy and built environments that support healthy eating and active living.
5.c. Expected outcomes
Increaseconsumptionoffruitsandvegetables
Decreaseconsumptionofsugar-sweetenedbeverages
Decreaseconsumptionofhighenergydensefoods(foodsthatarehighincaloriesbut
have low nutritional value)
Increase level of physical activity
Decrease television/ screen viewing time
Pages 14-23
1) Implement a comprehensive programs that promote the intake of healthy foods and reduce the intake of unhealthy foods and sugar-sweetened beverages by children and adolescents
2) Implement comprehensive programs that promote physical activity and reduce sedentary behaviors in children and adolescents
3) Integrate and strengthen guidance for noncommunicable disease prevention with current guidance for preconception and antenatal care, to reduce the risk of childhood obesity
4) Provide guidance on, and support for, healthy diet, sleep and physical activity in early childhood to ensure children grow appropriately and develop healthy habits
5)Implement comprehensive programs that promote healthy school environments, health and nutrition literacy and physical activity among school-age children and adolescents
6)provide family-based, multicomponent services on lifestyle weight management for children and young people who are obese
page 24 Figure2. Logic model for childhood obesity prevention interventions
The logic model presented in Figure 2 provides guidance in identifying short- and medium-term outcomes in order to define specific indicators to measure determinants in a standardized manner.
In het Nationaal Preventieakkoord staan maatregelen tegen overgewicht en obesitas. Enkele maatregelen die in het preventieakkoord staan:
Schijf van Vijf en de gezonde keuze Het eten van producten uit de Schijf van Vijf is de basis van een gezond voedingspatroon. Het eten van groenten, fruit, volkoren producten en het drinken van water maakt hier in belangrijke mate onderdeel van uit.
We spreken gezamenlijk de volgende ambities uit:
Om bovenstaande ambities te bereiken dragen we allen bij aan het behalen van de volgende doelen in 2040:
BÖLÜM 3. BESLENME DOSTU OKULLAR PROGRAMI DENETİM ESASLARI
...
1. Beslenme Dostu Okul Planı hazırlamak için “Okul Sağlığı Yönetim Ekibi” bulunmaktadır
...
5. Okul çağı çocuklarının gereksinimlerine ve kültürel yapıya uygun bir beslenme eğitimi öğretim programları doğrultusunda etkin bir şekilde verilmektedir
...
B) EĞİTİM FAALİYETLERİ VE FARKINDALIĞIN ARTIRILMASI ( 20 PUAN )
1. Sağlıklı beslenme ve hareketli yaşam konularında sınıf içinde münazara ortamı yaratılmakta, akran eğitiminden yararlanılarak öğrencilerin birbirlerini eğitmelerine ve beslenme konularını birlikte tartışmalarına zemin hazırlanmaktadır
...
4. Velilere yönelik sağlık, sağlıklı beslenme, hareketli yaşam vb. konularda bilgilendirme çalışmaları yapılmaktadır
...
5. Okul çalışanlarına sağlık, sağlıklı beslenme, hareketli yaşam vb. konularda eğitim verilmektedir
...
C) OKUL SAĞLIĞI HİZMETLERİ
1. Öğrencilerin boy/kilo ölçümleri yılda en az bir kere yapılmakta ve sonuçlar öğrenci ve velilerle paylaşılmaktadır
...
2. Risk grubundaki (zayıf, fazla kilolu, şişman) öğrenciler velileri ile görüşmeler/bilgilendirme faaliyetleri yapılarak sağlık kuruluşlarına yönlendirilmektedir
...
D) DESTEKLEYİCİ OKUL ÇEVRESİ OLUŞTURMA VE FİZİKİ KOŞULLAR ( 44 PUAN )
1. Sağlıklı beslenme ve hareketli yaşam konularında doğru mesajlar var ve bu mesajlar okul içi uygun yerlerde (sınıf panoları, koridor panoları vb.) sergilenmektedir
...
7. Öğrencilerin ara öğün yapmaları teşvik edilmekte ve ara öğün içerikleri öğretmenlerce/ilgili uzmanlarca kontrol edilmektedir
...
8. Okul çevresinde hizmet veren yiyecek/içecek satışı yapan yerlerin denetlenmesi ve kontrolü için rutin aralıklarla ilgili kurumlardan destek alınmaktadır
...
9. Güvenli hijyen ve sanitasyon davranışı desteklenmektedir
...
11. Okulun yemekhane/taşımalı yemek hizmeti yoksa 12. maddeye geçilir, varsa a,b,c,d maddeleri puanlanır
...
b. Menüler Sağlık Bakanlığı’nın yayımladığı menü modelleri örnek alınarak hazırlanmaktadır
...
d. Okuldaki yemekhane ortamları, yiyecek-içecekler ve yiyecek-içecek hizmeti sunanların faaliyetleri ilgili mevzuatlara uygundur
...
12. Okulun kantini/kooperatifi varsa a,b,c,d,e maddeleri puanlanır
a. Okul kantin/kooperatifinde; süt ve/veya ayran ve/veya yoğurt satışı yapılmaktadır
b. Okul kantin/kooperatifinde; tane ile meyve/sebze ve/veya taze sıkılmış meyve/sebze suyu satışı yapılmaktadır
c. Yetersiz ve dengesiz beslenmeye neden olabilecek yiyecek ve içeceklerin tüketimini özendirici reklam, promosyon, tanıtım amaçlı afiş, poster, broşür bulunmamaktadır ve bu ürünlerin satışı yapılmamaktadır
...
d. Okuldaki kantin/kooperatif ortamları, yiyecek-içecekler ve kantin/kooperatif hizmeti sunanların faaliyetleri ilgili mevzuatlara uygundur ( 2 puan )
...
","","","","","Overweight in school children|Fat intake|Sugar intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|School meal standard|Monitoring of children’s growth in school|Promotion of fruit and vegetable intake|Creation of healthy food environment|Physical activity and healthy lifestyle|Food safety|Improved hygiene / handwashing","","https://hsgm.saglik.gov.tr/tr/okul-sagligi/beslenme-dostu-okullar-program%C4%B1.html ","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUR%202018%20Beslenme%20Dostu%20Okullar%20Programi.pdf" "40728","GBR","United Kingdom","England","Childhood Obesity: A Plan for Action (England)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2018","","","HM Government","6","2018","","","","","","","","","","","","","","","","","","","","","","","Therefore we are setting a national ambition to halve childhood obesity and significantly reduce the gap in obesity between children from the most and least deprived areas by 2030.
Sugar reduction
To ensure we continue to drive progress on sugar reduction:
HM Treasury will consider the sugar reduction progress achieved in sugary milk drinks as part of its 2020 review of the milk drinks exemption from SDIL. Sugary milk drinks may be included in the SDIL if insufficient progress on reduction has been made.
We will consult before the end of 2018 on our intention to introduce legislation ending the sale of energy drinks to children.
We may also consider further use of the tax system to promote healthy food if the voluntary sugar reduction programme does not deliver sufficient progress
Advertising and promotions
Local areas
Schools
General Objectives
To develop a support environment, to raise awareness and make behaviour changes for each citizen so that they would reduce salt intake in their daily diet to prevent and control hypertension, stroke and cardiovascular diseases and other non-communicable diseases, contributing to people’s health protection, care and promotion.
Specific Objectives
Objective 1. Raise awareness and make behaviour changes in the population to reduce salt intake in the daily diet
Objective 2. Strengthen the responsibility of the authorities of all levels, agencies and sectors, and mass unions in developing and implementing policies and mechanisms to generate sustainable resources for interventions to reduce salt in the people’s diet.
Objective 3. Raise the responsibility of organizations and individuals that produce and trade foods and catering service providers to implement interventions to reduce salt in the people’s diet.
Objective 4. Raise capacity and efficiency of surveillance, counseling and guidance on low-salt diets in health facilities and the community
","
KEY ACTIVITIES AND SOLUTIONS
1. Solution groups of legal policies
a) Enhance enforcement, supplementation and finalization of relevant polices and legal regulations on salt reduction in the people’s diet:
- Study and propose supplementation to regulations on food labeling such as: disclosure of the salt content in products, warning about high-salt foods, warning about the harm to health of excessive salt consumption and recommendations on the maximum salt consumption level per day.
- Study and propose supplementation to regulations on restricting advertisement and marketing of high-salt products, especially to children and high risk groups.
- Propose, supplement and finalize policies and regulations on serving school meals and providing low-salt foods that are good for health of children, school-children and students.
- Propose and supplement policies to encourage production, supply and consumption of safe, low-salt and healthy foods.
- Embrace and implement Decree No. 09/2016/ND-CP providing for fortification of food with micronutrients, especially iodine fortified salt.
b) Establish a mechanism of inter-sectoral collaboration from the central to local levels and promote involvement of organizations, individuals and the community in conducting activities to reduce salt consumption in people’s diet.
2. Solutions of communication and social mobilization
a) Efficiently use the information and communication system from the central to local levels to perform information, education and communication activities on low-salt consumption for prevention and control of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
b) Compile and provide communication messages and materials on salt reduction appropriate to communication modes and target groups, including: (1) mass media communication, (2) advocacy communication, (3) community communication, (4) communication and guidance in catering service providers, (5) school communication, (6) communication with food producers and traders.
c) Promote communication programs and activities to raise awareness and responsibility of the authorities of all levels, ministries, agencies, sectors, mass media and food producers and traders:
- Organize conferences and seminars to provide information and scientific evidence on the harm of excessive salt consumption and salt reduction measures to managers, policy-makers and related enterprises.
- Conduct study tours and share domestic and international experience on enforcement of dietary salt reduction policies and interventions.
- Conduct advocacy communications on mass media, develop a column in newspapers, and hold television talks on the topic of salt consumption reduction for prevention and control of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
d) Implement behaviour change communication programs and campaigns:
- Conduct a national communication campaign annually on the topic of universal salt consumption reduction for prevention of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
- Conduct salt consumption reduction communication programs and campaigns integrated into annual health days or events such as the World Cancer Day, World Health Day, World Stroke Day, Nutrition and Development Week, etc.
- Continue to enhance behaviour change communication on salt consumption reduction via face-to-face communicators in the community.
- Develop and broadcast communication messages on salt reduction on Vietnam Television and the Voice of Vietnam; post communication articles on online newspapers and traditional newspapers; periodically broadcast communication messages on salt reduction on the provincial/city radio and television and on commune/ward public address systems nationwide.
- Apply new communication forms such as the Internet, SMS, and social websites by posting articles and messages, constructing a portal on universal health with a salt reduction guidance column, creating fanpages on salt consumption reduction on social websites.
- Design and disseminate salt reduction communication materials: billboards for provinces/cities, picture folders and communication manual for commune health stations, posters for commune health stations, enterprises, agencies and schools.
- Display posters and messages, distribute leaflets on salt consumption reduction in markets, supermarkets and catering service providers.
3. Professional and technical solutions
a) Salt consumption reduction intervention in schools
- Develop guidance on knowledge and skills for communication on salt consumption reduction in schools; organize seminars/trainings for awareness raising and communication guidance for education managers, teachers, school health staff; training for cooking and waiting staff on salt reduction measures in selecting and processing foods and serving meals to school-children.
- Develop communication materials and conduct communication activities for school-children and students on low-salt diets, minimize fast foods, processed foods and snacks.
- Serve low-salt school meals with proper nutrition to semi-boarding and boarding school-children including: selecting low-salt foods; reducing salt in preparing meals; reducing salt, spices and sauce on the dining table; provide and disseminate messages, warnings, and instructions on salt reduction at kitchens, dining tables, restaurants and canteens in schools.
- Manage the operation of school canteens and catering services to limit school-children’s access to high-salt foods; enforce regulations on banning sales of unhealthy foods at school gates.
- Perform counseling on health, nutrition and salt consumption reduction with school-children, their parents; periodically monitor the nutrition and growth status and perform health checks for school-children for early detection of health risks and diseases.
b) Salt consumption reduction interventions for high-risk people and patients
- Develop knowledge dissemination materials, use electronic portals to provide information and guidance on low-salt diets for patients of hypertension, cardiovascular diseases and other non-communicable diseases.
- Develop professional guidance documents, provide training to enhance capacity for health workers of different levels on nutrition counseling, salt reduction in treatment, care and management of patients, especially for grass-root health workers.
- Provide counsels and guidance on low-salt diets in treatment of hypertension, cardiovascular diseases and other related diseases in medical care facilities.
- Commune health workers shall provide counsels and guidance on salt consumption reduction to patients of hypertension and cardiovascular diseases receiving outpatient treatment at health stations; hamlet health staff shall visit families to measure blood pressure and monitor and encourage hypertension patients to apply low-salt diets and adhere to treatment at home.
c) Salt consumption reduction interventions in households and the community
- Develop the guidance document set on salt reduction communication in the community; provide training on salt reduction communication and counseling to hamlet health staff, collaborators and commune health worker; organize seminars to raise awareness and seek support and involvement of local authorities and mass unions in the community salt reduction programs.
- Broadcast communication messages and articles on commune/ward public address systems.
- Arrange hamlet health staff’s and collaborators’ visits to households to distribute communication materials, give counsel and guidance on salt reduction practice to the people focusing on the following aspects: (1) the harm of excessive salt consumption to health and recommendations on salt reduction, (2) how to identify high-salt foods, (3) how to reduce salt in cooking and preparing foods, (4) reduction of salt, fish sauce and salty spices on the dining room. Visit households to measure blood pressure, give counsel to suspected hypertension patients and persuade them to visit health stations for diagnosis and treatment.
- Commune health staff shall collaborate with hamlet health staff and collaborators to organize community social meetings, talks to provide salt reduction messages, integrated into hamlet meetings, women meetings, elderly meetings, authorities meetings and other community meetings.
- Implement and roll out clubs and social meetings of women’s unions to share knowledge and experience on low-salt cooking in households.
- Consolidate and maintain clubs of diabetes patients, hypertension patients, cardiovascular disease patients, etc. at the commune/ward level.
d) Salt consumption reduction interventions in catering service providers (restaurants, food shops and canteens, etc.)
- Collaborate with catering service providers to perform salt reduction measures for menus.
- Provide materials, guidance and training to chefs, cooks and restaurant staff on salt reduction techniques and measures for menu foods.
- Apply salt reduction measures in restaurants including: selecting low-salt foods; reduce salt in preparing and cooking foods; reduce the types and quantities of spices, fish sauce and salt available on dining tables.
- Provide warning messages on the harm of excessive salt consumption to health and recommendations on salt reduction measures for customers: (1) display posters in restaurant precincts, (2) display messages and instructions in kitchens, (3) display warning messages and advice on customers’ dining tables, (4) mark and note high-salt foods in the restaurant menu.
d) Salt consumption reduction interventions in food production and trading establishments
Food producers and traders shall implement measures to reduce salt in packaged foods; and for the immediate future, select certain common high-salt foods:
- Supplement details of food on labels including: (1) disclose the added salt content of foods, (2) give warning about high-salt foods, (3) give warning about the harm of excessive salt consumption to health and recommendations on the maximum salt amount consumed per day.
- Reduce the salt content in foods for certain types of packaged foods.
- Apply scientific and technology measures to produce low-sodium salt or sodium replacements ensuring proper nutrition and food safety.
4. Resource solutions
a) Human resource development
- Strengthen and enhance the capacity of nutrition staff and grass-root health workers, especially hamlet health staff and nutrition collaborators on communication and counseling for community dietary salt reduction.
- Enhance the capacity of nutrition and dietetics staff and clinical physicians in medical care facilities to develop menus and give guidance on nutrition and low-salt diets for treatment and management of patients of hypertension, cardiovascular diseases and other related diseases.
b) Ensure financial resources
- Provide adequate finance for salt reduction intervention activities from various sources: central and local state budget, health insurance, socialization and other legal sources, while the state budget is used with priority for communication, surveillance and interventions for community salt reduction.
- Mobilize and seek contribution from enterprises, organizations and individuals to provide resources for application of technology solutions, development of community salt reduction models and enabling people to practice healthy behaviours.
","- More than 90% of adults know the harm of excessive salt consumption, identify high-salt foods and know measures to reduce salt intake.
- More than 60% of adults implement at least one measure to reduce salt intake in their daily diet.
- The average salt consumption of an adult is reduced to 7 gram per day.
- More than 90% of primary and secondary school-children understand the harm of excessive salt consumption and identify high-salt foods; more than 70% of school-children implement at least one measure to reduce salt as recommended.
- 100% of boarding schools and semi-boarding schools that serve school lunch adopt the low-salt diets for school children.
- More than 90% of people detected of contracting hypertension, cardiovascular diseases and other related diseases are counseled and instructed on adopting the low-salt diet.
- 90% of relevant ministries, agencies, sectors and mass unions collaborate with the Ministry of Health to promulgate policies and implement communication intervention plans for reducing salt intake in the people’s diet.
- 90% of centrally-run provinces and cities allocate funding and implement the health sector’s plan for dietary salt reduction communication and interventions in the localities.
- More than 30% of food and catering service providers implement at least one salt reduction measure in cooking, processing and provision of foods.
- More than 30% of processed food producers have at least one low-salt product and label products to disclose the salt content, indicate high-salt foods and make warning about health problems due to excessive salt consumption.
Objetivo General
Lograr que las políticas y planes para la prevención y control del sobrepeso, obesidad y las enfermedades no transmisibles de los países de la región (Centroamérica y República Dominicana) incluyan acciones para el tema específico de la reducción del consumo de sal/sodio en la población.
Objetivos específicos
1. Establecer un sistema de monitoreo y vigilancia que permita evaluar el logro de las metas establecidas, para cada uno de los componentes propuestos.
2. Lograr la reformulación voluntaria u obligatoria para la reducción del contenido de sal/sodio en los productos alimenticios a través del trabajo en conjunto con el sector privado, la concientización del problema y emisión de regulaciones, entre otras.
3. Establecer una campaña de información, educación y comunicación para la población en general, así como para grupos específicos sobre la importancia de la salud preventiva en el contexto de las enfermedades no transmisibles y la reducción del consumo de sal/sodio.
4. Promover acciones para la reducción del consumo de sal/sodio en entornos específicos tales como escuelas e instituciones del Estado, entre otras.
","Vigilancia. Medir y monitorear el consumo de sal.
1. Establecer un sistema de vigilancia efectivo para medir, monitorear y evaluar el patrón de consumo de sal de la población y las principales fuentes de sal en la dieta.
1.1 Estimar la línea base de consumo promedio de sal de la población utilizando encuestas de consumo o estudios específicos disponibles que hayan determinado sodio urinario, aunque no sean representativos de todo el país, para contar con una referencia.
1.2 Establecer una línea base sobre el contenido de sodio de los alimentos que más aportan sodio a la dieta y comparar con la meta establecida en 2015 por el Grupo Técnico Consultivo (GTC) para la reducción del consumo de sodio/sal para las diferentes categorías de alimentos.
","Monitoreo y Evaluación
El logro de las metas y objetivos propuestos requiere de un monitoreo periódico del cumplimiento de los planes de trabajo, a través del establecimiento de indicadores de proceso que permitan tomar acciones oportunas y re direccionar las mismas según sea requerido. Por otro lado, se debe evaluar el cumplimiento de las metas para que al cumplirse las mismas, se establezcan nuevas que al largo plazo permitan el logro de la reducción de la ingesta de sal en un 30%.
","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood pressure|Sodium/salt intake|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Reformulation of foods and beverages|Salt/sodium|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Iodine|Food grade salt","","http://www.incap.int/index.php/es/noticias/145-estrategia-regional-para-la-reduccion-del-consumo-de-sal-y-sodio-en-centroamerica-y-republica-dominicana","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GTM_B23_Estrategia%20sodio%202019%20-COMISCA%20con%20ajustes%20del%20COMISCA_0.pdf" "39760","PYF","French Polynesia","","Programme d’actions Polynésien sur l’alimentation équilibrée et la pratique d’activité physique 2019-2023","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2019","","2023","Ministère de la santé et de la prévention en charge de la protection sociale généralisée-Direction de la santé","","2019","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Trade|Industry|Information|Labour|Other","Communes","","","","","","","","","National NGOs","Associations","","","Private sector","","","","Objectif général :
- Lutter contre le développement des MNT sur l’ensemble de la population en Polynésie française
Objectifs spécifiques :
- Développer des modes alimentaires sains pour la santé
Objectifs opérationnels :
- Agir sur la réglementation pour développer un environnement alimentaire sain
- Promouvoir la qualité nutritionnelle des produits locaux
- Réglementer la distribution et commercialisation des produits dont la surconsommation est néfaste pour la santé
- Poursuivre les campagnes d’informations concernant l’alimentation équilibrée
","
II.2. AXE 2 : Actions spécifiques sur l’alimentation équilibrée
- Le progrès nutritionnel
- L’alimentation de base
- La réglementation
Detailed indicators by action area can be found in tables p61-97
","Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Household food security|Home, school or community gardens|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B23_2019-02-12-Programme AEAP.pdf","","WHO 2019 NCD Country Capacity Survey","" "82178","TTO","Trinidad and Tobago","","National Breastfeeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","8","2020","","","Ministry of Health","8","2020","","","","","Health|Education and research|Women, children, families","Ministry of Health; the Breastfeeding Committees; Regional Health Authorities; the Breastfeeding Association of Trinidad and Tobago; the Directorate of Women’s Health; the Directorate of Health Policy, Research and Planning","","","","","","","","","National NGOs","","","","","","","","3.4 Goal of the Policy
The goal of the policy is to reinvigorate and reinforce a breastfeeding culture aimed at promoting breastfeeding from birth and improving infant and young child feeding practices for the attainment of a target of at least 50% of babies exclusively breastfed in Trinidad and Tobago by 2025.
3.5 Objectives of the Policy
3.6 Policy Scope and Coverage
This Policy applies to all stakeholders in the private and public sectors of Trinidad and Tobago offering services and products related to breastfeeding. This includes relevant health care staff and family support, the community and NGOs, civil society and other support groups, and manufacturers and marketing personnel employed in the sale and promotion of breast-milk substitutes and complementary foods using international standards.
The scope of this policy is as follows: -
Aims:
1. This policy protects, promotes and supports breast-feeding in the Ministry of Health maternity services. The policy is to be adhered to by all staff who provide care to mothers and babies and to be visibly posted in all areas of the ministry that provide health care to mothers, infants, and young children. In addition, this policy will be displayed in both Palauan and English and to establish the fact that the Belau National Hospital and the Bureau of Public Health are ""baby friendly"" in status. Copies of this policy will be provided to the quality assurance committee within the Ministry of Health.
2. Staff training will include protection, promotion, and support of breastfeeding
3. All ante-natal clients will be informed about the benefits of breast-feeding and will be encouraged to do so after delivery. They will also be informed that breastfeeding is enforced after delivery and will be discouraged to bring in artificial formulas on admission
4. Initiation of breastfeeding:
Objetivo General
Incrementar el número de niñas y niños que son alimentados al seno materno desde su nacimiento y hasta los dos años de edad.
Objetivos Específicos
Metas
Ejes estratégicos
Fortalecer las competencias institucionales para la promoción, protección y apoyo de la lactancia materna
Ejes estratégicos
Impulsar la participación de la iniciativa privada en la promoción y apoyo a la lactancia materna
Ejes estratégicos
Vigilar el cumplimiento del Código Internacional de Comercialización de Sucedáneos de la Leche Materna
Eje estratégico
Fomentar la práctica del amamantamiento natural en los municipios de la Cruzada Nacional contra el Hambre
Ejes estratégicos
Eje transversal: Capacitación al personal de salud, estudiantes universitarios de áreas médicas y afines, así como a la población en general
Actividades
Seguimiento y Evaluación
Realizar la evaluación periódica de las acciones tanto de la estrategia como de su impacto. Gestionar la inclusión de los indicadores de práctica de lactancia materna en sus diversas modalidades de práctica en la Encuesta Nacional de Nutrición 2018. Desarrollar indicadores que midan el proceso y el impacto de la Estrategia Nacional. Gestionar la inclusión de estos indicadores en los diversos sistemas de información del Sistema Nacional de Salud.
Indicadores
1.5 Goal:
The IYCF Strategy‟s main goal is to improve through optimal feeding; the nutritional status, growth and development, health, and thus the survival of infants and young children.
1.6 Specific objectives:
The above IYCF strategic objectives are in line with the National Nutrition Policy “Objective 2: Reduce nutritional risk for individuals throughout their life-cycle through implementation of integrated health, nutrition, and food security interventions and Objective 2: Strategy (2b) Improve infant and young child nutrition status.”
1.7 IYCF strategic targets for 2024:
The following targets are in line with the National Nutrition Strategy targets the baseline of each target will be detailed in section 6.1:-
1. Enact imaginative legislations protecting breast feeding as well as working women rights on breastfeeding and establish means for its enforcement.
2. Increase exclusive breastfeeding rates in the first 6 months up to at least 70%.
3. Increase introduction of good complementary food rates for children between 6 months and 24 months of age up to at least 70%.
4. 70% of health services facilities provide IYCF services.
5. 80% of pregnant women and lactating mothers participate in IYCF counselling forums.
6. 4% reduction of stunting among children under five years.
7. 20% reduction of low birth weight
8. Reducing and maintaining childhood wasting to less than 10%
","Strategy 1: National policies and plans
Strategy 2: Code of marketing of breast-milk substitutes
Strategy 3: Maternity protection in the workplace
Strategy 4: Codex standards for IYCF products
Strategy 5: Baby-friendly Hospital Initiative
Strategy 6: Knowledge and skills of health service providers
Strategy 7: Community-based support for IYCF
Strategy 8: IYCF in exceptionally difficult circumstances
1. Enact imaginative legislations protecting breast feeding as well as working women rights on breastfeeding and establish means for its enforcement.
2. Increase exclusive breastfeeding rates in the first 6 months up to at least 70%.
3. Increase timely introduction of good complementary food rates for children between 6 months and 24 months of age up to at least 70%.
4. 70% of health services facilities provide IYCF services within the integrated PHC services.
5. 80% of pregnant women and lactating mothers participate in IYCF counselling forums.
6.1 Monitoring and Evaluation frame work:-
Number of strategies, laws and articles supporting IYCF.
% of increase in government budget for IYCF
Number of sectors/partners engaged in nutrition prevention especially IYCF.
Number of conducted IYCF related studies out of priority ones.
Progress in incorporation of IYCF indicators in the nutrition information system
Number of PHC facilities providing IYCF services
Number of Hospitals certified as baby friendly hospitals.
% of mother start breast feeding in the 1st hour from delivery
% of women introduce good complementary food after 6 month
% of women exclusively breast feed up to 6 month
% of women continue breast feeding up to 2 year
% of health facilities that provide IYCF as part of the complete nutrition services package
% of health facilities that provide E-IYCF as part of the complete nutrition services package in emergency settings
% of health workers who are trained on IYCF including E- IYCF
% of population covered by emergency IYCF services
% of state develop its annual plan according to National IYCF strategy
% 0f villages covered with nutrition behavioral change practices
% of villages who has adequate mother support groups
No of sector/communities actively supporting nutrition sensitive interventions
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection","","","","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/SDN%202015%20IYCF%20Strategy%202015-2024.pdf" "41512","SLE","Sierra Leone","","Sierra Leone National Strategy for Infant and Young Child Feeding ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","","Ministry of Health and Sanitation ","10","2015","Not adopted","","","","Health","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","To provide the framework for ensuring the survival of, and enhancing the nutrition, health, growth and de- velopment of infants and young children, as well as strengthening the care and support services required to achieve optimal IYCF.
2.2 Objectives
Promote, protect, and support exclusive breastfeeding for the first months of life, with continued breastfeeding up to 2 years and beyond.
Ensure nutritionally adequate and safe complementary feeding from 6 months of life while breastfeed- ing continues.
Support PMTCT services while promoting optimal IYCF in HIV-exposed children.
Strengthen the care, support, and follow-up services for pregnant women, mothers and caretakers in order to practice optimal IYCF.
Enhance optimal IYCF in other exceptionally difficult circumstances.
Advocate for appropriate interventions that promote and support the practice of optimal IYCF for all women, including employed mothers.
Contribute to the prevention and reduction of childhood and maternal malnutrition, illness and death.
Foster coordination and identify institutional arrangements among government, local and international organisations and other stakeholders in promotion of optimal infant and young child feeding practices
The priority strategies for infant and young child feeding in Sierra Leone fall into four categories:
1. Legislation
2. Skilled support by the health system
3. Community-based support, communication and
4. Support in exceptionally difficult circumstances
Strategy 1: Code of marketing of breast-milk substitutes:
Strategy 2: Maternity protection in the workplace
Strategy 3: Codex Alimentarius
Strategy 4: National policies and plans
Strategy 5: Baby-Friendly Hospital Initiative
Strategy 6: Mainstreaming and prioritization of IYCF activities
Strategy 7: Knowledge and skills of health service providers
Strategy 8: Community-based support
Strategy 9: Communication for behaviour and social change
Strategy 10: Improved quality of complementary foods
Strategy 11a: HIV and IYCF
Strategy 11b: Emergencies/Outbreaks and IYCF
Strategy 11c: Malnutrition and IYCF
5.1 IYCF Programmatic or Systems Indicators:
5.2 IYCF Core Indicators:
5.3 IYCF Optional Indicators
السياسة
١.١ تلتزم المستشفيات والمراكز الصحية التابعة لوزارة الصحة بتطبيق الخطوات العشر التي من شأنها تحقيق الرضاعة الناجحة والانضمام الى برنامج المبادرة الصديقة للأطفال وتشمل هذه الخطوات:
١.١ تعميم سياسة الرضاعة الطبيعية مكتوبة لجميع العاملين في المجال الصحي
١.٢ تدريب جميع العاملين الصحيين على تنفيذ هذه السياسة
١.٣ تبليغ الحوامل كافة بفوائد الرضاعة الطبيعية
١.٤ مساعدة الامهات في البدء بعملية الرضاعة الطبيعية في غضون ساعة او نصف ساعة بعد الولادة
١.٥ شرح الطريقة الافضل للرضاعة الطبيعية
١.٦ عدم اعطاء المولود حديثا اي غذاء او شراب عدا حليب الام، ما لم يكن ذلك ضروريا من الناحية الطبية
١.٧ فسح المجال للام ووليدها للبقاء معا مدة ٢٤ ساعة يوميا.
١.٨ التشديد على ممارسة الرضاعة الطبيعية عند الطلب
١.٩ الامتناع عن اعطاء الحلمات الصناعية او اللهايات (التي تعطى لتهدئة الطفل ويقوم برضاعتها الوهمية)
١.١٠ المساعدة على تشكيل مجموعات دعم الرضاعة الطبيعية واحالة الامهات المعنيات اليها
٢.١ تلتزم المستشفيات والمراكز الصحية بالمدونة الدولية لتسويق بدائل حليب.
الهدف من السياسة:
٣.١ تعزيز الرضاعة الطبيعية
٣.٢ المحافظة على صحة الام والطفل
","٥.١ الاجراءات
٥.٢ على جميع العاملين في المجال الصحي اطباء النسائية والتوليد واطباء الاطفال والكادر التمريضي والمثقفين الصحيين واخصائيي التغذية العلاجية اتباع سياسة الرضاعة الطبيعية وتقديم الدعم والمشورة للأمهات الحوامل والمرضعات
٥.٣ يتم تدريب الاطباء خاصة اختصاصي النسائية والاطفال والقابلات والممرضات ومن له علاقة بالأم الحامل والطفل الرضيع على المهارات اللازمة لتطبيق سياسة الرضاعة الطبيعية من خلال برامج تدريبية معتمدة من قبل مديرية الامومة والطفولة
٥.٥ تعريف الام الحامل من خلال المراجعات الدورية لعيادات الحوامل بفوائد ارضاع طفلها رضاعة طبيعية فقط دون اعطاء اية اغذية تكميلية ودلك من الساعة الاولى من ولادته وطيلة الاشهر الستة الاولى من عمره بضرورة عدم اعطائه اي حليب صناعي الا في الحالات الطبية الخاصة وحسب ارشادات وتعليمات الطبيب
......
٥.١٥ الالتزام بالمدونة الدولية لتسويق بدائل حليب الام وتتمثل فيما يلي:
٥.١٥.١ منع توزيع العينات المجانية على الامهات
٥.١٥.٢ منع الدعاية وتوزيع العينات المجانية في المستشفيات والمراكز الصحية
٥.١٥.٣ لا يسمح لمندوبي المبيعات بتقديم ايه نصائح للأمهات
٥.١٥.٤ منع توزيع الهدايا او العينات على الموارد الصحية
٥.١٥.٥ منع نشر العبارات او الصور التي تحث على الرضاعة الصناعية
","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Regulation on marketing of complementary foods","","","","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/JOR_2015_Breastfeeding%20Policy.pdf" "41521","SDN","Sudan","","National Micronutrients Strategy, 2018-2025","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2018","","2025","Federal Ministry of Health","","2017","Not adopted","","","","Health","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","
In line with the Eastern Mediterranean regional strategy on nutrition 2010-2019, this Strategy Goal is to reduce the prevalence of Micronutrient deficiency disorders (in particular iron, iodine, vitamin A and zinc) and enhance consumption of diverse nutritious and fortified food throughout the country.
Building on a detailed situation analysis, literature search and other countries experiences, the following four objectives were developed to achieve the goal and reach the required outcomes.
1.6: Strategic Objectives
Building on a detailed situation analysis, literature search and other countries experiences, the following four objectives were developed to achieve the goal and reach the required outcomes.
1. To create enabling political environment with strong in-country leadership and a shared multi- stakeholder platform and partnership to take a joint responsibility to enhance micronutrients legislations, effective policies, information monitoring and evaluation systems
a) Develop and approve related laws and legislations
b) Strengthen technical and managerial capacity for nutrition programme at all levels in the health sector
c) Engage all national and international stake holders keeping a strong public health leadership
d) Strengthen micronutrient information system, data base and monitoring and evaluation systems
e) Allocate adequate funding for the prevention and control of micronutrients deficiencies
2. To scale up proven effective nutrition interventions to improve micronutrient malnutrition status of the population through food fortification
a) Enforce and implement national food fortification programmes to improve their nutritional content
b) Implement home fortification of food
3. To Implement micronutrients sensitive sectoral strategies by improving coverage of micronutrients supplementation to the targeted population and promote the consumption of micronutrient-rich foods and food diversification.
a) Vitamin A supplementation for lactating women and under five children through national health days and routine services
b) Iron and folic acid supplementation for targeted groups
c) Zinc supplementation for diarrhoea management.
d) Strengthen active community initiatives and school nutrition programmes
e) Nutrition education programme and demand creation (provide information on food preparation, nutritional value and other factors that affect micronutrient status).
4. To build capacity for emergency preparedness in nutrition and micronutrients deficiencies
a) Improve access and quality of nutrition services and appropriate micronutrients interventions in emergency settings
","1.7: Targets and outcomes (outputs/ outcome Indicators)
Prevalence of iron deficiency anaemia among children less than 5 years, school –aged children, and pregnant women reduced by 26%.
Prevalence of vitamin A deficiency among less than five years of age children is reduced by 50%.
STRATEGIC OBJECTIVE (2) :To scale up proven effective nutrition interventions to improve micronutrient malnutrition status of the population
TRATEGIC OBJECTIVE (3): To Implement micronutrients sensitive sectoral strategies by improving coverage of micronutrients supplementation to the targeted population and promote consumption of micronutrient-rich foods and food diversification.
STRATEGIC OBJECTIVE (4) :To build capacity for emergency preparedness in nutrition and micronutrients deficiencies
","","","Anaemia|Iodine deficiency disorders|Vitamin A deficiency|School-based health and nutrition programmes|Vitamin A|Iodine|Iron|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food grade salt|Deworming|Home, school or community gardens|Diarrhoea or ORS|Conditional cash transfer programmes","","","","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/SDN%202018%20National%20Micronutrients%20Strategy%202018-2025.pdf" "41466","LBN","Lebanon","","National Policy on Infant and Young Child Feeding in Lebanon","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2018","","","Ministry of Public Health","3","2018","Not adopted","","","","Health","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","
Objectives
The aim will be achieved through the following objectives:
Policy statement 1
1.1 Early and uninterrupted skin-to-skin contact should be facilitated and mothers should be supported to initiate breastfeeding as soon as possible (within one hour) after birth. Breastfed newborns should not be provided any food or fluids other than breast milk, unless medically indicated (WHO/UNICEF 2008).
1.2 Exclusive breastfeeding is recommended from birth to 6 months (180 days) of age. Thereafter, breastfeeding should continue for up to two years of age or beyond, while providing safe and nutritionally adequate complementary foods (see policy statement 2)
Policy statement 2
Adequate, safe and appropriately fed complementary foods should be introduced at 6 months of age with continued breastfeeding for two years or beyond.
Special attention should be given to the feeding of the non-breastfed child.
Policy statement 3
Pregnant women and lactating mothers should be encouraged to consume adequate quantities of nutritious foods and get the supplements needed as recommended.
Feeding Infant/Child under special circumstances (4 - 7)
Policy statement 4
4.1 Appropriate feeding practices are recommended amongst children under 5 years of age to prevent all types of malnutrition (both under and over nutrition),
4.2 Appropriate medical care and nutrition support are recommended for children with acute malnutrition as per national guidelines.
Policy statement 5
Infants with low birth weight should be provided with breastmilk. Mothers should be counselled and supported to be able to express and feed their breastmilk to their babies.
Policy statement 6
Appropriate infant and young child feeding should be supported during emergencies in line with the Operational Guidance on Infant and Young Child Feeding in Emergencies.
Policy statement 7
Mothers and health workers should be well prepared and informed about mother-to-child transmission of HIV. Promoting and supporting exclusive breastfeeding and providing lifelong antiretroviral treatment (as per national guidelines) should be the strategy to optimise HIV-free survival among HIV- exposed, uninfected infants and children.
Supportive Initiatives for a comprehensive policy (8 – 10)
Policy statement 8
The Baby-friendly Hospital Initiative (BFHI) should be implemented and sustained. Monitoring should be an integral part of the initiative.
Policy statement 9.1 and 9.2
9.1 Law 47/2008: Organizing the Marketing of Infant and Young Child Feeding Products and Tools should be implemented, monitored and enforced.
9.2 Compliance with Codex Standards on available products for infants and young children should be enforced together with the implementation of the Lebanese “Guidelines for Use of Nutrition Claims”
Policy statement 10
Maternity protection measures for working mothers should be strengthened and fully implemented
","4.1 Implementation Strategies
Indicators
Lebanon has already integrated the BFHI into the hospital accreditation system and this is a commended way of monitoring. Other ways in which monitoring and evaluation could be built into the system are:
- Use of a mother and child health card that can be kept by caregivers and includes essential information on nutritional status and IYCF practices
","","","Low birth weight|Stunting in children 0-5 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Baby-friendly Hospital Initiative (BFHI)|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Maternity protection|Regulation on marketing of complementary foods|Micronutrient supplementation","","","","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/LBN%202018%20National%20Policy%20Infant%20and%20Young%20Child%20Feeding_0.pdf" "40793","ZMB","Zambia","","Zambian National Strategy and Plan of Action for the Prevention and Control of Vitamin A Deficiency and Anemia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","1999","","2004","National Food and Nutrition Commission","","1999","Not adopted","","","","Other","Developed by the National Food and Nutrition Commission with Key Partner Agencies andTechnical Assistance from MOST/USAIDMOST is managed by the International Science and Technology Institute, Inc. (ISTI) under the terms of Cooperative Agreement No. HRN-A-00-98-0047-00. Partners are the Academy for Educational Development (AED), Helen Keller International (HKI), the International Food Policy Research Institute (IFPRI), and Johns Hopkins University (JHU). Resource institutions are CARE, the International Executive Service Corps (IESC), Population Services International (PSI), Program for Appropriate Technology in Health (PATH), and Save the Children.","International Food Policy Research Institute (IFPRI)","","CARE|Helen Keller International (HKI)|Population Services International|Program for Appropriate Technology in Health (PATH)|Save the Children","","US Agency for International Development (USAID)","","","","","","","","","","","","
Vitamin A Supplementation
Objectives
Sugar Fortification
Objectives
Maize-Meal Fortification
Objectives
IFA Supplementation
Objectives
Parasite Prevention and Control
Objectives
For individuals with severe anemia:
Dietary Diversification
Dietary Modification
Objectives
Food Prodution
Objectives
The Strategy
The key strategies are:
Appendix 2: Monitoring and Evaluation Framework
Page 19-22
Objetivo General
Promover comportamientos alimentarios adecuados y actividad física en la población salvadoreña, que contribuya a disminuir los problemas de malnutrición y las Enfermedades No Transmisibles (ENT), a través de acciones multisectoriales de educación, comunicación e incidencia social. A. Objetivos específicos: 1. Fortalecer la adopción de patrones alimentarios adecuados, para la prevención de la malnutrición y las ENT.
2. Promover la práctica de lactancia materna exclusiva y alimentación complementaria adecuada.
3. Fomentar la corresponsabilidad social, a través de acciones de incidencia y abogacía.
4. Fomentar la práctica de actividad física como un factor protector de la salud y de prevención de las ENT.
","Componente de la Estrategia Educativa
Plan de Implementación
La estrategia se realizará en dos fases: una preparatoria en la cual se elaborarán materiales, instrumentos, gestión de recursos y otros elementos necesarios para una adecuada gestión y la fase de implementación propiamente dicha.
1. Fase preparatoria
Se desarrollarán las siguientes acciones:
a) Consensuar con las instituciones participantes el Plan de implementación y los aportes y compromisos de cada una de ellas.
b) Definición de grupos de población a priorizar, áreas geográficas, alcance para la implementación de la Estrategia y el período de ejecución.
c) Gestión de recursos humanos y financieros para la implementación.
d) Socialización de la estrategia a tomadores de decisiones del Gobierno, titulares de las poblaciones meta terciarias, sector privado, parlamentarios, gobernadores y alcaldes.
e) Elaboración de módulos de contenidos educativos y materiales de apoyo para las acciones a realizar con las poblaciones meta primarias y secundarias.
f) Diseño de la Campaña de comunicación social con medios de comunicación:
2. Fase de Implementación de la Estrategia
Durante esta fase de desarrollarán las siguientes acciones:
a) Socialización de la estrategia a ejecutores.
b) Socialización de la estrategia a medios de comunicación.
c) Fortalecimiento de capacidades de los funcionarios participantes.
d) Capacitación de las poblaciones meta secundarias.
e) Implementación de las campañas en los medios de comunicación.
f) Desarrollo de acciones con las poblaciones meta primarias.
g) Movilización social.
","Monitoreo y Evaluación
La estrategia contará con un sistema de monitoreo y evaluación, el cual considerará los Planes de monitoreo específicos por cada componente de la estrategia, desagregándose todas las actividades planificadas a realizar para cada uno de ellos, definiéndose indicadores de proceso y/o impacto según corresponda. Las acciones a realizar para evaluar el desarrollo de la estrategia educativa se detallan a continuación: a) Línea de Base al inicio de la Estrategia b) Visitas de campo para evaluación de acciones a nivel territorial por parte de funcionarios de las instituciones ejecutoras c) Reuniones de coordinación y seguimiento al avance de la estrategia d) Evaluación de la situación nutricional de las audiencias primarias a través de la información generada en el Sistema de Información en Salud y del Sistema de Vigilancia Nutricional. e) Evaluación de resultados CAP como efecto de las campañas y acciones territoriales en el cambio de comportamientos al final del 3er año de implementación. f) Desarrollo de jornadas de evaluación y retroalimentación con el primer nivel de atención. g) Evaluación CAP al final de los 4 años de implementación de la Estrategia.
","Process indicators","","Anaemia|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Folic acid|Calcium|Micronutrient supplementation|Nutrition education","","http://asp.salud.gob.sv/regulacion/pdf/estrategias/Estrategia_multisectorial_educativa_comunicacion_social_promover_comportamientos_alimentarios_poblacion-salvadorena-CONASAN.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV%202019%20Estrategia_multisectorial_educativa_comunicacion_social_promover_comportamientos_alimentarios_poblacion-salvadorena-CONASAN.pdf" "40698","DOM","Dominican Republic","","Plan intersectorial para la prevención y control del sobrepeso y la obesidad en la niñez y adolescencia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2017","","2021","","","2017","Not adopted","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Sport|Environment","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","OBJETIVO GENERAL
Detener el aumento de la epidemia de la obesidad en la niñez y la adolescencia, en el país, a través de un enfoque multisectorial que abarque la totalidad del ciclo de vida, y con ello reducir sustancialmente la morbilidad y mortalidad atribuible a las enfermedades crónicas.
OBJETIVOS ESPECIFICOS
1. Promover las guias alimentarias nacionales basadas en los alimentos, asi como otras actividades relacionadas con la prevención del sobrepeso y la obesidad. 2. Fortalecer los esfuerzos para aplicar la Estrategia mundial de la alimentación del lactante y del niño pequeño. 3. Promover y fortalecer las políticas y los programas escolares y de educación temprana que aumenten la actividad física y promuevan el consumo de alimentos saludables y de agua, y restrinjan la disponibilidad de bebidas azucaradas y productos de alto contenido calórico y bajo valor nutricional. 4. Elaborar y establecer normas para el etiquetado frontal del envase que promuevan las elecciones saludables al permitir identificar los alimentos de alto contenido calórico y bajo valor nutricional de manera rápida y sencilla. 5. Mejorar el acceso a los espacios recreativos urbanos como los programas de ciclovías recreativas. 6. Sensibilizar a los profesionales del Sistema Nacional de Salud para impulsar la detección sistemática de la obesidad y el sobrepeso en la población. 7. Fortalecer el sistema de información del país para que los datos sobre las tendencias y los determinantes de la obesidad, estén disponibles para la adopción de decisiones de políticas.
","LÍNEAS DE ACCIÓN
1: Atención primaria de salud y promoción de lactancia materna y la alimentación saludable.
2: Mejoramiento del entorno escolar con respecto a la nutrición y la actividad física.
3: Políticas fiscales y reglamentación de la publicidad y etiquetado de alimentos.
4: Disponibilidad, acceso y consumo de alimentos frescos, nutritivos e inocuos.
5: Promoción de la actividad física.
6: Vigilancia epidemiológica, monitoreo y evaluación de programas.
","Monitoreo y evaluación
El Plan de prevención de obesidad 2017-2021, establece como soporte en la toma de decisiones un sistema de indicadores que permitirá conocer la repercusión que su implementación tendría sobre la población, así como en los resultados en coberturas de servicios, aplicación de medidas de protección y promoción de la salud, de los resultados en términos de salud y en las aportaciones que los órganos de decisión y participación intersectorial puedan realizar. Dichos indicadores han de facilitar una evaluación periódica de la efectividad del plan por provincias y en los centros de salud en particular que implementen acciones. Cada línea de acción dentro de cada área de impacto cuenta con actividades a desarrollar se detallan las características de los indicadores y las metas específicas a cada unidad o donde la segregación de la información lo permita, han de ser analizados al menos por cada línea de acción, para identificar condiciones de salud o de riesgo para la salud específicas que puedan apoyar la toma de decisiones diferenciada
Indicadores
Objetivo general
Mejorar, a través de una alimentación óptima, el estado de nutrición, el crecimiento y el desarrollo, la salud y, de este modo, la supervivencia de los lactantes y los niños pequeños, lo que contribuye a elevar la calidad de vida del adulto.
Objetivos Específicos
Actividades Específicas
Para cumplir el objetivo 1:
Para cumplir el objetivo 2:
Para cumplir el objetivo 3:
Para cumplir el objetivo 4:
Para cumplir el objetivo 5:
Evaluación
El cumplimiento de las actividades del Programa se analizará una vez al año en las Reuniones Nacionales Territoriales del PAMI, semestralmente en las Provinciales y trimestralmente en las Municipales.
Evaluación parcial
Evaluación final
a. But
Améliorer la santé des enfants et des mères par la promotion des bonnes pratiques nutritionnelles
b. Objectif général
Contribuer à accroître le taux d’allaitement maternel exclusif de 12% à 50 % d’ici 2020
c. Objectifs spécifiques
4- Renforcer l’application du code international de commercialisation des substituts du lait maternel par la mise en place d’un système de surveillance.
5- Renforcer la qualité et la couverture des interventions communautaires de promotion des pratiques optimales d’allaitement
","4.2.3. Nourrissons et enfants de moins de 5 ans y compris la nutrition :
D’ici fin 2021, le présent plan vise à :
- Réduire la prévalence de la malnutrition aigüe globale de 15,3 % à 5,5% ;
- Réduire la prévalence de la malnutrition chronique (retard de croissance) de 45,5% à 40%.
- Réduire l’insuffisance pondérale de 35% à 25%
-Augmenter le taux d’allaitement maternel exclusif (AME) de 23% a 50% en 2021
","","","","","Underweight in children 0-5 years|Breastfeeding|Breastfeeding - Exclusive 6 months|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition","","","","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/NER%202017%20Plan%20Strategique%20Integre%20Sante%20Reproductive%20Maternelle%20Neonatale%20Infantile%20Adolescent%20et%20Jeune%2BNutrition%202017-2021.pdf" "41553","SMR","San Marino","","Per la Protezione, la Promozione ed il Sostegno dell'Allattamento Materno [Protection, Promotion and Support for Breastfeeding]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Italian","","","","","L'Istituto per la Sicurezza Sociale ","","2016","Not adopted","","","","Other","L'Istituto per la Sicurezza Sociale (I.S.S.)","","","","","","","","","","","","","","","","","A tal fine s'impegna:
Per qunto riguarda gli operatori sanitari dell'I.S.S.:
Eventuali contributi finanziari per la formazione, la ricerca, l'acquisto di attrezzature possono essere versati dalle compagnie produttrici di prodotti coperti dal Codice, ciucci e paracapezzoli, nei fondi istituzionali e saranno gestiti dal Comitato Esecutivo (C.E.) in base alle priorità del Piano delle Azioni, mentre la compagnia dovrà impegnarsi per iscritto a rinunciare all'uso del contributo per iniziative pubblicitarie.
","","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes","","","","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/SMR%202016%20Protection_Promotion_Breastfeeding.pdf" "40023","CYP","Cyprus","","Στρατηγική Προστασίας, Προαγωγής και Υποστήριξης του Μητρικού Θηλασμού στην Κύπρο [Strategy for the Protection, Promotion and Support of Breastfeeding in Cyprus]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Greek","","2011","","","Υπουργειο Υγειασ","","2011","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","Η αποστολή της Στρατηγικής όπως αυτή αναφύεται από το στρατηγικό σχεδιασμό περιλαμβάνει:
1. Τη δημιουργία Εθνικής Επιτροπής για την ανάπτυξη Σχεδίου Δράσης για την υλοποίηση της Στρατηγικής ώστε ο μητρικός θηλασμός να φτάσει σε κάθε δυάδα Μητέρας-Βρέφους στη Κύπρο.VI. Actividades
Objetivo 1
Vincular el trabajo del médico de familia a las actividades del Programa de Atención Materno Infantil.
...
Objetivo 2
Incrementar la educación para la salud dirigida a la mujer y a la comunidad.
...
Objetivo 3
Elevar la calidad de la atención ginecobstetricia.
...
Objetivo 4
Promover un adecuando estado nutricional en la mujer en edad fértil y de mondo especial en las gestantes
...
Objetivo 5
Elevar la calidad de la atención medica en especial a los grupos de riesgo
...
Objetivo 6
Mejorar la atención medica de las pacientes con afecciones ginecológicas e impulsar el desarrollo de la ginecológica infantil y del adolescente.
...
Objetivo 7
Reducir la mortalidad materna.
...
Objetivo 8
Incrementar las salas de Cuidados Especiales Perinatales (CEP).
...
Objetivo 9
Mejorar la atención del trabajo de parto y del parto.
...
Objetivo 10
Mejorar la calidad de la atención durante el puerperio.
...
Objetivo 11
Reducir la mortalidad perinatal.
...
Objetivo 12
Incrementar la lactancia materna.
...
Objetivo 13
Disminuir la morbi-mortalidad por cáncer ginecológico.
...
Objetivo 14
Mejorar el diagnóstico, tratamiento y control de las enfermedades de transmisión sexual
...
Objetivo 15
Contribuir a la promoción de la educación sexual
...
Objetivo 16
Incrementar el estudio y tratamiento de la pareja infértil.
...
Objetivo 17
Proporcionar e incrementar en la población medios para la regulación de la fecundidad y conocimientos adecuados sobre estos.
...
Objetivo 18
Mejorar la atención al aborto
...
Objetivo 19
Elevar la calidad de la atención medica del niño y adolescente.
...
Objetivo 20
Promover un adecuado estado nutricional en el niño y adolescente.
...
Objetivo 21
Incrementar la Educación para la Salud a la población infantil, adolescentes, familia y comunidad.
...
Objetivo 22
Lograr niveles adecuados de vacunación.
...
Objetivo 23
Elevar la calidad de la atención medica en Instituciones Infantiles, Escuelas Primarias y Enseñanza Media
...
Objetivo 24
Brindar atención medica integral a los impendidos físicos y mentales
...
Objetivo 25
Desarrollar la rehabilitación del paciente pediátrico
...
Objetivo 26
Reducir las principales causas de muerte pediátrica y del adolescente.
...
Objetivo 27
...
Objetivo 28
...
Objetivo 29
Promover el perfeccionamiento de médicos, enfermeras, técnicos y demás trabajadores de la salud en relación con el programa.
...
Objetivo 30
Generalizar y ampliar el Programa de Tecnología Avanzada en el diagnóstico precoz, pre y post-notal de las anomalías congénitas y enfermedades genéticas, y del metabolismo.
...
Objetivo 31
Mejorar la calidad de la información estadística.
...
Objetivo 32
Implantar el Registro Nacional de anomalías congénitas.
...
33
Contribuir al desarrollo de investigaciones en Salud materno infantil.
...
","","","","","Low birth weight|Wasting in children 0-5 years|Anaemia|Breastfeeding|Overweight and obesity in adults|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Iron and folic acid|Vitamin D|Micronutrient supplementation|Nutrition education|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination","","","","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/CUB%201989%20Programa%20Nacional%20Materno%20Infantil%20page%209-16.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/CUB%201989%20Programa%20Nacional%20Materno%20Infantil%20page%209-16.pdf" "40022","HRV","Croatia","","Nacionalni Program Za Zaštitu 1 Promicanje Dojenja 2018-2020 [National Breastfeeding Protection and Promotion Program 2018-2020]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","","2018","","2020","Ministarstvo Zdravstva","8","2018","Not adopted","","","","Cabinet/Presidency|Health|Education and research","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","4.1. Osigurati nastavak programa ""Rodilište-prijatelj djece” provodeći sustav ocjenjivanja/reocjenivanja u četverogodišnjem razdoblju u skladu s revizijom programa SZO/UNICEF-a ""Rodilište-prijatelj djece"" iz 2018. i uvrštavanje kriterija u standarde kvalitete.
4.2. Primjena Medunarodnog pravilnika o reklamiranju nadomjestaka za majčino mlijeko u Republici Hrvatskoj i pratećih Rezolucija Svjetske zdravstvene skupštine
4.3. Usvojiti i primijeniti smjernice o prehrani dojenčadi i male djece prema Globalnoj strategiji za prehranu dojenčadi i male djece, a posebno za dojenčad i djecu u kriznim situacijama i HIV pozitivnih majki
4.4. Veću zastupljenost sadržaja o dojenju uvesti u kurikulum srednjoškolskog obrazovanja
4.5. Unaprijediti sustav praćenja i evaluacije dojenja
4.6. Pokrenuti inicijativu „Rodilište-prijatelj majki”
4.7. Provesti Pilot projekt „10-koraka do uspješnog dojenja” na dječjim bolničkim odjelima
4.8. Provoditi promicanje dojenja u jedinicama intenzivnog neonatalnog liječenja i njege
4.9. Poticati djelovanje i rad zajednica koje štite i promiču dojenje
4.10. Poticati preventivne mjere u zaštiti i promicanju dojenja
","5.1. Indikatori dojenja za godišnje praćenje na nacionalnoj razini
1. Udio isključivo dojene djece u Republici Hrvatskoj :
- isključivo dojenje s 0-1 mjesec: 85%
- isključivo dojenje s 2-3 mjeseca: 70%
- isključivo dojenje s 4-5 mjeseci: 50%
- isključivo dojenje s navršena 3 mjeseca: 70 % dojenčadi
- isključivo dojenje s navršenih 6 mjeseci: 20% dojenčadi.
2. Udio dojene djece u Republici Hrvatskoj:
- ukupno dojenje s navršena 3 mjeseca: 85%
- ukupno dojenje sa 6 mjeseci: 70%
- ukupno dojenje s navršenih 12 mjeseci: 50%
- ukupno dojenje s navršenih 24 mjeseci: 20%
5.2. Indikatori dojenja Inicijative svjetskih trendova o dojenju
POLICY GOAL
To provide a national framework that promotes and facilitates healthy eating habits and a physically active lifestyle among students in Jamaica in keeping with the Sustainable Development Goals (SDGs 2030).
POLICY OBJECTIVES
The policy aims to: -
1. provide and implement nutritional standards and guidelines.
3. create an environment in schools in which a variety of healthy food options from the six food groups are available and promoted.
2. optimise the nutritional status of children in order to improve and sustain the physical, social and mental well-being of children in Jamaica.
4. increase to 85 per cent by 2030, the number of schools that provide dietary choices to complement meals in order to meet the nutritional needs of students.
5. increase to 85 per cent by 2025, the number of schools which provide mandatory opportunities for physical activity to students at all grade levels.
The policy focuses on five overarching priority areas, which together cover the key aspects of nutrition and wellness in the school environment.
These areas are:
The Food Services Environment and Education
Provision of Meals to meet Nutrition Standards
The Physical Activity Environment
Health Promotion and Lifestyle Habits Development
Curriculum Development
FOOD SERVICES ENVIRONMENT Policy statement:
Food Service Environment Descriptors: -
The food services environment consists of canteens, tuck shops, canteen concessionaires and vendors at the school gate, or within 200 metres of the school gate (premises). This environment will be governed by the standards, regulations and policy guidelines of the feeding programme.
Food establishments and community shops outside of the immediate vicinity of the school do not fall within the scope of this Policy.
This will be accomplished using the following strategies:
The development of regulations to guide the operations of school vendors in the vicinity of the school.
The provision and utilization of an appropriate institutional framework including training to support the implementation of the nutrition standards.
PROVISION OF MEALS
Policy statement:
The Government of Jamaica shall ensure the provision/availability, and accessibility of healthy and nutritious meals to all students.
This will be accomplished using the following strategies:
i. The promulgation of Food Based Dietary Guidelines and the National School Nutrition Standards for Jamaica to regulate the provision and consumption of food by students in schools.
PHYSICAL ACTIVITY ENVIRONMENT
Policy Statement:
The Government of Jamaica through the Ministry of Education and Youth shall provide a school environment with safe age-appropriate facilities and equipment and provide opportunities for sufficient physical activity that will contribute to the growth and development of the students.
This will be accomplished using the following strategies:
i. physical activities for children from early childhood to Grade 13.
HEALTH PROMOTION
Policy Statement:
The Government of Jamaica through the MoEY and the MOHW shall promote the benefits of good nutrition, physical activity and their relationship to the growth and development of children in educational facilities.
This will be accomplished using the following strategies:
1. Encourage and promote food and drink appropriate to the target group in order to enhance and sustain their physical, social and mental well-being.
o Nutrition, health and education manuals and practices standardized at all levels of the school system.
o Providing services to assess Recommended Dietary Allowance (RDA) for students.
o Promote the consumption of local agricultural produce.
o Promote intake of water and fresh fruit days.
2. Promote food safety principles to ensure the provision of food that has been stored, prepared and served in a safe and hygienic manner.
Ensure:
o Adequate supply of clean and safe water is available at all schools.
o Appropriate and sanitary health facilities are available.
o Promote proper handwashing principles and encourage proper hygiene before handling food or eating.
o Ensure food handling staff are adequately trained and possess the requisite certification.
Vision, Mission and Objective
The MoPHP in Yemen vision is to ensure good nutrition status for all Yemenis in 2030 through its mission of strengthening nutrition actions to assure accessibility to good nutrition and enhance nutrition care to improve community's health by 2023.To reach its vision and mission,the MoPHP define strategic priority areas in the National Strategy Framework of Nutrition Intervention. The goal of the strategy is to enhance universal access to nutrition services and ensure the sustainability of interventions to reduce morbidity and mortality among community members.
Targeted achievements
The country aims at achieving the global targets for exclusive breastfeeding and overweight, reduce stunting by 10 %, wasting below 10 %, and low birth weight below 16 %. 100 % of less than five years will be supplemented with vitamin A and all households will consume iodized salt.
To achieve the nutrition targets the following specific objectives aim at inducing of the strategic framework to accelerate efforts and improve nutrition through:
Maintaining the political commitment and assuring good nutrition practice throughout the life course, for the most vulnerable population;
Sustaining good feeding practice among care givers to control undernutrition in children less than 5 Years in addition to pregnant and lactating women
Integrating nutrition-related activities in all relevant government policies strategic documents; and plans;
Building the capacity of health care providers at all level of the national health system on nutrition specific interventions;
Enhancing the inter-sectoral coordination mechanisms through a common accountability framework for nutrition sensitive activities; Engaging communities in nutrition interventions through enhanced health education programs to reduce all forms of malnutrition
Strengthening nutrition interventions in emergency situations and applying the risk communication approach; and Enhancing nutrition knowledge and data management to inform the decision-making process and encourage the investment in health and nutrition interventions.
Expected targets
To assure progress toward achieving national, regional, and global nutrition targets, the Yemen strategy works towards achieving the following:
- reducing the number of children under 5 who are stunted by 10%;1 Maintain a conducive environment through assuring the sustainability of the political commitment
2 Ensure community engagement for increased awareness of nutrition and improved uptake of appropriate nutrition practices and behaviors
3 Improve the multi-sectoral coordination and engagement involving all sectors and levels of government, as well as other stakeholders in prevention and management of malnutrition (specific and sensitive nutrition interventions),
4. Strengthen the access and provision of nutrition services to address all forms of malnutrition and scale up preventive services in the context of universal health coverage.
5. Support nutrition in emergencies, preparedness and response.
6. Support capacity building of institutions and health workers to improve the quality of nutrition services.
7 Enhance nutrition information systems, monitoring, and evaluation.
","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Vitamin A deficiency|Breastfeeding|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Overweight in adolescents|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|Nutrition in the school curriculum|Creation of healthy food environment|Vitamin A|Folic acid|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Food grade salt|Food safety|Food security and agriculture|Vulnerable groups","","https://faolex.fao.org/docs/pdf/yem221840E.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%202022%20National%20Strategy%20Framework%20of%20Nutrition%20Interventions%20in%20Yemen%202022%202030%20.pdf" "129344","ETH","Ethiopia","","National Food and Nutrition Strategy ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2021","","","National Food and Nutrition Council members","5","2021","Not adopted","","","","Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","
In order to create an enabling policy environment and align with the strategic directions in FNP, FNS will have the following strategic objectives:
Page 66 - Page 175
Page 66 - Page 175
The current strategy prioritizes optimal nutritional outcomes across the lifecycle amongst all persons residing in Lebanon to contribute to improving overall health and wellbeing.
Five key strategy areas
Page 50- 57
","","","Stunting in children 0-5 yrs|Anaemia|Breastfeeding|Complementary feeding|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Iodine|Iron|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food safety|Food security and agriculture|Home, school or community gardens|Vulnerable groups","","https://faolex.fao.org/docs/pdf/leb216967E.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%202021%20National%20Nutrition%20Strategy%20and%20Action%20Plan%202021%20-%202026.pdf" "129104","NGA","Nigeria","","National Strategic Plan of Action for Nutrition (2021 - 2025)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2021","","2025","Minister of Health","9","2021","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","3.3 Vision A nation with optimal nutrition for all her citizens along the life-course contributing to their well- being and human, cognitive, and economic development
3.7 NSPAN focus on eight priority areas:
- Percentage of children born in the last 24 months whowere ever breastfed
- Percentage of children born in the last 24 months who were put to the breast within one hour of birth
- Percentage of children born in the last 24 months who were fed exclusively with breast milk for the first two days months after birth
- Percentage of infants 0–5 months of age who were fed formula and/or animal milk in addition to breast milk during the previous day
- Percentage of children 12–23 months of age who were fed breast milk during the previous day
- Percentage of infants 6–8 months of age who consumed solid,semi-solid orsoft foods during the previous day
- Percentage of children 6–23 months of age who consumed 6–23 months months of age foods and beverages from at least five out of eight defined food groups during the previous day
- Percentage of children 6–23 months of age who consumed 6–23 months months of age solid, semi-solid or soft foods (but also including milk feeds for non-breastfed children) the minimum number of times or more during the previous day
- Percentage of non-breastfed children 6–23 months of age who consumed at least two milk feeds during the previous day
- Percentage of children 6–23 months of age who consumed a minimum acceptable diet during the previous day
- Percentage of children 6–23 months of age who consumed egg and/or flesh food during the previous day
- Percentage of children 6–23 months of age who consumed a sweet beverage during the previous day
- Percentage of children 6–23 months of age who consumed selected sentinel unhealthy foods during the previous day
- Percentage of children 6–23 months of age who did not consume any vegetables or fruits during the previous day
- Proportion of children 6-59 months who had MUAC screening
- Proportion of children 6- 59months who defaulted from IMAM site
- Proportion of children 6- 59months discharged as recovered from treatment for SAM (Cured Rate)
- Percentage of children 6 – 11months that received vitamin A supplements in the last 6months
- Percentage children 6 – 59months who received vitamin A supplements twice in the last 12months
- Percentage of children 12 – 59months that received vitamin A supplements in the last 6months
- Percentage of children 6 – 23months who received 90 sachets of micronutrient powders for enriching their diets in the last 6 months
- Percentage of children 6 – 23 months that are defaulters of MNP
- Percentage of children 12 – 59 months that are defaulters of MNP
- Percentage of children 24 – 59months who received 90 sachets of micronutrient powders for enriching their diets in the last 6months
- Percentage of under-five children with anaemia
- Percentage of children 6 – 23months that consumed foods rich in vitamin A in the last 24 hours
- Percentage of children 6 – 23months that consumed foods rich in iron in at last 24 hours
- Percentage of sampled adolescent girls who received weekly iron folic acid (WIFA)/MMS supplement in the last 3 months
- Percentage of WRA with anaemia
- Percentage of women at the reproductive age (15 – 49 years) who receive weekly iron folic supplements or MMS in the last 3 months
- Percentage of pregnant women that received daily dose of iron folic acid supplement for 6 months during pregnancy
- Percentage of children under – five with diarrhoea that received zinc tablets with Lo ORS for management of diarrhoea
- Percentage of households with iodized salt
- Percentage of household that have access to bundled zinc supplements with low osmolarity ORS in the management of childhood diarrhoea
- Percentage of health facilities that have stock of bundled zinc + ORS for the management of diarrhoea of under – five children
- Percentage of health facilities that treated children under five diarrhoea using zinc supplements and ORS
- Percentage of healthcare facility that receive Vitamin A capsule Selected Indicators for Quality of care of children under 5 (MNDC)
- Percentage of children (6 – 11months) that received vitamin A supplements in the last 6months
- Percentage children (6 – 59months who received vitamin A supplements twice in the last 12months
- Percentage of children (6-59 months) with measles treated using vitamin A
- Proportion of persons that were screened for blood pressure
- Proportion of persons that were screened for blood glucose
- Proportion of persons that received nutrition assessment and dietary counselling
- Proportion of persons that adhered to treatment/lifestyle changes and have their blood pressure and blood glucose under control
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in adults|Overweight in adolescents|Raised blood glucose/diabetes|Raised blood pressure|Sugar intake|Fruit and vegetable intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Infant feeding in emergencies|Counselling on infant feeding in the context HIV|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Vitamin A|Calcium|Iodine|Iron and folic acid|Vitamin D|Zinc|Micronutrient supplementation|Multiple micronutrients supplementation|Micronutrient powder for home fortification|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Diarrhoea or ORS|Nutrition and malaria|Conditional cash transfer programmes|Vulnerable groups","","https://faolex.fao.org/docs/pdf/nig219195.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202021%20National%20Strategic%20Plan%20of%20Action%20for%20Nutrition%20%282021%20-%202025%29.pdf" "127906","MMR","Myanmar","","Myanmar National Comprehensive School Health Strategic Plan (2017-2022)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2017","","2022","Ministry of Health and Sports","","2017","Not adopted","","","","Health|Sport","","World Health Organization (WHO)","","","","","","","","","","","","","","","","Vision: To promote physical, mental and social health of entire students
Mission: Developing Health Promoting Schools for learning and working environment for all education families
This Comprehensive School Health Framework 2017-2022 is crafted to improve quality of education and health of students through holistic health promoting school approach, along with factors influencing health of students especially from families and communities. National Consultation to consider the strategies was conducted in December 2016 participated by approximately 70 participants from MOHS and MOE.
Tentative targets are:
","
Major Comprehensive School Health (CSH) strategies are:
Strategic 1: Strengthen and develop health promoting school structure and system,
Strategic 2: Improve health and well-being through health literacy and services,
....
- Call for healthier schools
o Make it school policy to control sale and distribution of carbonated sugary drinks in school
o Remove sugar added drinks in canteen or school dispensers in all occasion (especially in school events)
o Health education to students and parents on effects of carbonated sugary drinks
o Conduct health literacy on healthy and nutritious food and beverages
2.2.1 Basic health education and literacy on healthy behaviour (physical activity, diet, personal hygiene, awareness of tobacco products and alcohol consumption, etc.)
2.2.2 Promote physical activity and active life-style to reduce NCD risk factors, and sustainable development
2.2.3 Prevention of infectious disease through improve hygiene include oral health and menstrual hygiene
2.2.4 Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
2.3.1 Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
Strategic 3: Harmonize health and education through health promoting schools
3.3 Support education enrolment by improving school infrastructures and facilities
3.3.4 Gardening in School including the plant cultivation
Strategic 4: Strengthen community partnership in Health Promoting Schools
","","","","Added sugars|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Physical activity and healthy lifestyle|Food safety|Home, school or community gardens|Improved hygiene / handwashing|Water and sanitation","","https://www.mohs.gov.mm/ckfinder/connector?command=Proxy&lang=en&type=Main¤tFolder=/Publications/DPH/School+Health/&hash=a6a1c319429b7abc0a8e21dc137ab33930842cf5&fileName=Myanmar+National+Comprehensive+School+Health+Strategic+Plan+(2017-2022).pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202017%20Myanmar%20National%20Comprehensive%20School%20Health%20Strategic%20Plan.pdf" "25747","CZE","Czechia","","Zdraví 2020 Národní strategie ochrany a podpory zdraví a prevence nemocí. Akční plán č. 2: Správná výživa a stravovací návyky populace na období 2015–2020 b) Prevence obezity [Health 2020 Action Plan 2b: Obesity Prevention]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Czech","","2015","","2020","Ministry of Health","9","2015","Adopted","3","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Labour","","","","","","","","","","","","","","","","Other","Food producers and retailers","4. Předpokládané benefity APSV a jejich indikátory
Ad 1.1: Počet legislativních změn a celostátních opatření podporujících správnou výživu; Funkční systém mezirezortní odpovědnosti za správnou výživu; existence státem garantované, pro obyvatele volně přístupné databáze nutričního složení potravin.
Ad 1.2. Pokles obsahu soli v komoditách (chléb a pečivo, masné výrobky a dalších nejvíce obsahem soli a spotřebou zatěžujících komodit) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let; posílení domácí produkce vhodných potravin.
Ad.1.3. Plnění ukazatelů spotřebního koše a pestrosti v 80 % školních jídelen; pokles nabídky nevhodných potravin v doplňkovém prodeji škol a školských zařízení o 100 %; zavedení nutričních doporučení pro školní stravování, proškolení pracovníků ve školním stravování; zvýšení nabídky zeleniny ve školních obědech o 30 %.
Ad 1.4. Pokles marketingu (reklamy) nevhodných potravin v čase od 7 do 19 hod o 50 %
V. Երեխաների սնուցման բարելավմանն ուղղված ազգային ռազմավարության նպատակները և իրականացման հիմնական ուղղությունները
71.Սույն ռազմավարության հիմնարար նպատակը երեխաների սնուցման կազմակերպման պատշաճ գործելակերպի ներդրումն է, ուղղված նրանց առողջ աճի և զարգացման ապահովմանը, հիվանդացության և մահացության կրճատմանը, այդ թվում` վաղ հասակի երեխաների սնուցման գործելակերպի բարելավման, կրծքով կերակրման աջակցության և խրախուսման ճանապարհով:
72. Ռազմավարության հիմնարար նպատակի հասանելիությունը հնարավոր է ապահովել ստորև ներկայացված կոնկրետ թիրախային խմբերին ուղղված նպատակների հաղթահարման պարագայում(2020թ. սահմանային ժամկետում): Այն է.
","","1) Վաղ տարիքի երեխաների համար.
ա. մինչև 6 ամսական երեխաների շրջանում բացառապես կրծքով սնուցման ցուցանիշի աճ 1/4-ով: 2020թ. կապահովվի ցուցանիշի 45 % և ավելի մակարդակ` 2010թ.-ի 35%-ի փոխարեն:
բ. Կրծքով կերակրման վաղ նախաձեռնման ցուցանիշի բարելավում 30%-ով: : 2020թ այս ցուցանիշը կկազմի 47 % ` 2010թ.-ի 36%-ի փոխարեն:
գ. Բացառապես կրծքով կերակրման «մեդիան» ցուցանիշի բարելավում 1/2-ով: 2020թ. այն կկազմի նվազագույնը 3 ամիս` 2010թ.-ի մեկ ամսվա փոխարեն:
դ. Մինչև մեկ տարեկան երեխաների ընդհանուր թվի մեջ ժամանակին և համարժեք հավելյալ սնուցում ստացած երեխաների թվի բարելավվում նվազագույնը 20 %-ով: 2020թ այս ցուցանիշը կկազմի 40% և ավելի` 2010թ.-ի 34%-ի փոխարեն:
ե. Մինչև 6 ամսական երեխաների մոտ շշերի և ծծակների գործածության կրճատում 1/3-ով: 2020թ. այս ցուցանիշը չի գերազանցի 36 %` 2010թ.-ի 51%-ի փոխարեն:
զ. Վաղ հասակի երեխաների թերաճի/քրոնիկական թերսնուցման տարածվածության նվազեցում 1/4-ով, խորքային պատճառների ուսումնասիրում: 2020թ. մինչև 5 տարեկան երեխաների շրջանում տարիք-հասակային հարաբերակցության գործակցի ստանդարտ շեղումը` թերաճի ցուցանիշը, չի գերազանցի 15%-ը` 2010թ.-ի 19%-ի փոխարեն:
է. «Մանկանը բարեկամ» նախաձեռնության ծավալների և այդ կոչումն ունեցող բուժհաստատությունների թվի ավելացում 25-%-ով:
ը. Մինչև 5 տ. երեխաների շրջանում սակավարյունության տարածվածության կրճատում նվազագույնը 1/4-ով: 2020թ. այն չպետք է գերազանցի 25%-ը:` 2005թ.-ի 37 % համեմատ:
թ. Ցածր քաշով նորածինների ցուցանիշի կրճատում նվազագույնը 1/3-ով: 2020թ. այն չպետք է գերազանցի 6%-ը` 2010թ.-ի 7.6%-ի համեմատ:
ժ. Հիվանդ երեխաների սնուցման վերաբերյալ մայրերի գիտելիքները բարելավում 15%-ով: 2020թ. ճիշտ գործելակերպ ցուցաբերած մայրերի ցուցանիշը կկազմի` 90%` 2010թ.-ի 77 %-ի փոխարեն:
ժա. 0-5տ. երեխաներ ունեցող տնային տնտեսություններում համարժեք յոդացված աղի օգտագործման 95% և ավելի ցուցանիշի շարունակական ապահովում:
2) Դպրոցահասակ երեխաների համար
ա. Դպրոցներում առողջ սնուցմանը և ապրելակերպին նպաստող պայմանների բարելավում` «Առողջ դպրոցներ» ծրագրի ներդրման ճանապարհով: Արդյունքում առողջ սնուցման կազմակերպման սկզբունքների ներառմամբ առողջության դպրոցական քաղաքականություն ունեցող դպրոցների թիվը 2020թ. կլինի ոչ պակաս 30-ից:
բ. Երեխաների և դեռահասների համար առողջ սնուցման 12 քայլերի և ֆիզիկական ակտիվության առավելությունների վերաբերյալ գիտելիքների հասանելիության ապահովում, որի արդյունքում դպրոցահասակ երեխաների մոտ կարձանագրվի սննդային վարքագիծը և ֆիզիկական ակտիվությունը բնորոշող` բացասական միտում ունեցող առանձին ցուցանիշների աճի կանգ, իսկ որպես առավելագույն ակնկալվող արդյունք` դպրոցահասակ երեխաների շրջանում սննդային անառողջ սովորությունների տարածվածության կրճատում 5 տոկոսով և ֆիզիկական ակտիվության ավելացում նվազագույնը 10 տոկոսով:
գ. Երեխաներին ծառայություններ մատուցող մասնագետների սնուցման ճիշտ կազմակերպման և առողջ սննդակարգի վերաբերյալ գիտելիքների բարելավում, այդ թվում բուժաշխատողների 20-%-ը և ուսուցիչների 10-%-ը կունենան համապատասխան գիտելիքներ և հմտություններ:
","","","Low birth weight|Stunting in children 0-5 yrs|Anaemia|Breastfeeding|Breastfeeding - Exclusive 6 months|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|School meal standard|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Iodine|Food grade salt|Household food security","","https://www.e-gov.am/protocols/item/398/","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202014%20Child%20Nutrition%20Improvement%20Concept%20Plan.pdf" "40366","ARM","Armenia","","Ազգային ծրագիր մանուկներին եվ վաղ տարիքի երեխաներին անվտանգ եվ համապատասխան (համարժեք) սնուցում ապահովելու նպատակով կրծքով կերակրման խրախուսման [National Program to Promote Breastfeeding to Provide Safe & Adequate Nutrition to Infants and Young Children]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Armenian","","2016","","2020","Հայաստանի Հանրապետության Կառավարություն","11","2015","Adopted","11","2015","ՀԱՅԱՍՏԱՆԻ ՀԱՆՐԱՊԵՏՈՒԹՅԱՆ ԿԱՌԱՎԱՐՈՒԹՅՈՒՆ ՈՐՈՇՈՒՄ 19 նոյեմբերի 2015 թվականի N 1353 - Ն ","Cabinet/Presidency|Health","","","","","","","","","","","","","","","","","","III. ԾՐԱԳՐԻ ՆՊԱՏԱԿԸ
5. Ծրագրի նպատակն է`
1) երեխաներին կրծքով սնուցման կազմակերպման պատշաճ գործելակերպի ներդրման, կրծքով կերակրման աջակցության և խրախուսման ճանապարհով երեխաների կրծքով կերակրման իրավիճակի բարելավում` ուղղված նրանց առողջ աճի և զարգացման ապա-հովմանը, հիվանդացության և մահացության կրճատմանը: Հիմնական նպատակի հասա-նելիությունը հնարավոր է ապահովել ստորև ներկայացված ենթանպատակների/ակնկալվող արդյունքների հաղթահարման պարագայում (2020 թվականի սահմանային ժամկետում): Այն է`
ա. մինչև 6 ամսական երեխաների շրջանում բացառապես կրծքով սնուցման ցուցա-նիշի աճ 1/4-ով: 2020 թվականին կապահովվի ցուցանիշի 45% և ավելի մակարդակ` 2010 թվականի 35%-ի փոխարեն,
բ. բացառապես կրծքով կերակրման «մեդիան» ցուցանիշի բարելավում 1/2-ով: 2020 թվականին այն կկազմի նվազագույնը 3 ամիս` 2010 թվականի 1.8 ամսվա փոխարեն,
գ. «Մանկանը բարեկամ» նախաձեռնության ծավալների և այդ կոչումն ունեցող բուժհաստատությունների թվի ավելացում 25%-ով:
IV. ԾՐԱԳՐԻ ԽՆԴԻՐՆԵՐԸ
6. Ծրագրի նպատակների իրականացման համար ծրագրային միջոցառումներն ուղղված են հետևյալ խնդիրների լուծմանը`
1) խթանել կրծքով կերակրման քարոզչությանն ուղղված միջոցառումները.
2) բարելավել կրծքով կերակրման և օրենքի դրույթների կատարման վերաբերյալ տեղեկատվության հավաքումը և վերլուծությունը.
3) ապահովել կրծքով կերակրման խրախուսման վերաբերյալ բուժաշխատողների կրթելուն ուղղված միջոցառումները.
4) ընդլայնել առողջապահական կազմակերպություններում նորածիններին բարյա-ցակամ ծառայությունների տրամադրումը.
5) նպաստել կերակրող մայրերի և նրանց երեխաների համար նախատեսված նպաստավոր պայմանների ստեղծմանը.
6) բարձրացնել հանրային իրազեկվածությունը.
7) ապահովել միջգերատեսչական համագործակցությունը:
","","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Media campaigns on healthy diets and nutrition","","https://www.e-gov.am/gov-decrees/item/26579/","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202015%20National%20Breastfeeding%20Promotion%20Program%202016-2020.pdf" "39463","GRD","Grenada","","National School Nutrition Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","","Food and Nutrition council","12","2015","Adopted","","","","Nutrition council|Health|Food and agriculture|Education and research","Food and Nutrition council","World Health Organization (WHO)","The Pan American Health Organization (PAHO/WHO);","","","","","","","","","","","Private sector","Vendors","","","Policy Area 1: Food Preparation and Services Environment
...
Policy Statement: An environment will be created that will encourage healthy eating by students through: the implementation of standards and regulations applicable to all food service and; through developing capacity of providers.
Strategies
1.1. Regulate foods offered to students by parents, school canteen, tuck shops and vendors.
1.2. Ensure that all foods offered in schools, including sponsorships, adhere to the Grenada FBDGs and the nutrition standards.
1.3. Encourage the utilization of locally produced foods including fruits, vegetables and animal products.
1.4. Enhance the knowledge and skills of parents and cooks through practical and theoretical training.
1.5 Ensure foods are stored, prepared and served in a clean and safe environment.
1.6 Ensure that the children have a safe, adequate, clean eating environment.
Activities
1.1.1 Develop nutrition standards for foods offered in schools.
1.1.2 Conduct sensitization sessions with students, parents, school canteens, tuck shop operators, and vendors.
1.1.3 Enforce food badge regulation.
1.1.4 Train vendors in healthy options and food preparation techniques.
1.1.5 Establish linkages to increase healthier food options eg. MNIB, 4-H etc.
1.2.1 Educate teachers and students on the Grenada FBDGs by including it in the teachers training collage and school curricula.
1.2.2 Sensitize the general public through mass media on the National School Nutrition Policy and the Grenada FBDGs.
1.2.3 Develop and implement guidelines for sponsorships.
1.3.1 Prepare easy to read materials, in the form of pamphlets and brochures with recipes
1.3.2 Hold discussions with MNIB, Farmers and 4-H Clubs to supply the school feeding programme, tuckshops and vendors with local products.
1.4.1 Conduct training and food demonstration sessions with cooks, tuck shop operators, parents and teachers.
1.5.1 Prepare guidelines for:
1.5.2 Establish a monitoring team to ensure that food safety and hygiene guidelines are implemented and maintained.
1.5.3 Provide standardized
1.6.1 Provide a clean physical space for children to have their meals
1.6.2 Have safe drinking water in all schools
1.6.3 Make available hand-washing sinks and liquid soaps at schools.
...
Policy Area 3: School Curriculum
...
Policy Statement: Support will be given to schools to empower students with knowledge and skills to make healthy lifestyle choices.
Strategies:
3.1. Influence positive behavioural lifestyle changes within children of all ages by exposing them to age appropriate nutrition education in the curriculum.
3.2 Build capacity in schools for the delivery of the behavioral curriculum on healthy eating and physical activity.
Activities
3.1.1 Infuse nutrition and physical education concepts into other subject areas
3.1.2 Enforce the delivery of the all aspects of the HLFE
3.1.3 Review the curriculum for appropriate opportunities to include mass movement activities.
3.1.4 Create a linkage between school gardening and nutrition education and increased physical activity
3.1.5 Collect baseline data on health and nutrition status
3.1.6 Reassess annually
3.1.7 Develop a meal consumption log to measure food consumption patterns among preschool to grade 6
3.1.8 Conduct dietary assessment for students in grades 7 to 10 to measure food consumption patterns
3.1.9 Train the trainers for nutrition education implementation in the school
3.2.1 Train teachers to enhance the delivery of nutrition and physical education (e.g. UWI HFLE diploma)
3. 2.2 Include HFLE in the teachers college curriculum
3.2.3 Conduct periodic in-service training for principals
3.2.4 Employ qualified Physical Education teachers
3.2.5 Implement more Physical Education competitions among schools
...
Policy Area 5: School Health Services
...
Policy Statement: Primary Health Care services will be extended to all schools.
Strategies
5.1 Foster collaboration among Ministries of Health, Education and Agriculture (GFNC) to incorporate nutrition assessment in the regular school health services and to improve monitoring of students’ nutrition growth and development.
5.2 Strengthen the nutrition and health data management system to analyze the nutrition component for further development.
5.3 Ensure that food and nutrition education is included in the Ministry of Health, school health manual and policy
Activities
5.1.1 Implement the conditions outlined in the MOU (Health, Agriculture and Education).
5.1.2 Conduct assessments of children
5.1.3 Collect baseline and annual data on physical health indicators for all students in which schools?
5.2.1 Revise and implement data management system.
5.2.2 Collect weight, height and blood pressure of children at least upon entry to primary and secondary school.
5.2.3 Organize the collation, analysis, monitoring and reporting of school health data
5.2.4 Utilize school health information in developing evidence- based nutrition intervention
5.2.5 Develop an index for school nutrition
5.2.6 Collaborate with the Statistical Division of the Epidemiology/ Statistics division of the Ministry of Finance for data collection and analysis
5.3.1 Develop/Revise the Ministry of Health School Health policy
5.3.2 Conduct health education sessions with students
5.3.3 Conduct periodic nutrition training with health care professionals
Policy Area 6: School Recognition
...
Policy Statement: A system will be established to recognize schools’ progress and achievement in the implementation of the nutrition and physical activity policy.
Strategies
6.1. Establish an award programme to recognise schools that participate and do well.
Activities
6.1.1 Set up a team of persons to develop the award programme
6.1.2 Determine what resources will be needed and offer adequate training and ongoing technical assistance
6.1.3 Identify a team of persons who will visit schools with an aim of recognising and commending schools that have succeeded in creating healthier school environments
6.1.4 Develop a set of criteria to award schools.
61.5 Seek sponsorship for recognition awards
...
","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Total carbohydrate|Fibre|Sugar intake|Added sugars|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School fruit and vegetable scheme|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GRD%202015%20National%20School%20Nutrition%20Policy.pdf" "130078","FRA","France","","Programme National de L’alimentation et de La Nutrition ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2019","","2023","le gouvernement","","2019","Not adopted","","","","","","","","","","","","","","National NGOs","","","","","","","","Les objectifs quantifiés du PNNS 4, définis par le HCSP, ont été regroupés en sept classes :
Objectifs se rapportant au statut nutritionnel (surpoids et obésité, dénutrition)
Objectifs se rapportant aux consommations alimentaires (fruits et légumes, viandes, poisson, légumineuses, etc.)
Objectifs se rapportant aux apports nutritionnels (sel, sucre)
Objectifs se rapportant à des repères transversaux (aliments ultra transformés, Bio)
Objectifs se rapportant à l’activité physique et à la sédentarité
Objectifs se rapportant à la dénutrition
Objectifs se rapportant à l’allaitement maternel
Les Actions Phares
1. Promouvoir les nouvelles recommandations nutritionnelles :
2. Augmenter les fibres, réduire les quantités de sel, sucres, gras dans les aliments de consommation courante par un engagement ferme des acteurs économiques dès 2020 et promouvoir le Nutri-Score, en visant à le rendre obligatoire au niveau européen
3. Réduire la consommation de sel de 30 % d’ici 2025
4. Protéger les enfants et les adolescents d’une exposition à la publicité pour des aliments et boissons non recommandés
5. Permettre à tous de bénéficier d’une restauration collective de qualité en toute transparence :
6. Organiser dès 2020 la journée nationale « Les Coulisses de l’alimentation »
7. Étendre l’éducation à l’alimentation de la maternelle au lycée
8. Veiller à l’alimentation de nos ainés :
9. Promouvoir et partager au niveau national les actions locales innovantes, sources de créativité
10. Étendre à la restauration collective et aux industriels l’obligation d’engager des démarches auprès des associations d’aide alimentaire pour favoriser le don et favoriser les dons pour les filières agricoles
11. S’assurer de la qualité et de la fiabilité des appli- cations numériques informant le consommateur dans ses choix alimentaires
","
1. To increase access to breastfeeding support in communities and the workplace.
2. To achieve BFHI status in all institutions providing maternity and child health services.
3. To establish a sustainable mechanism for accurate, timely and comprehensive collection and dissemination of data on infant and young child feeding and related indicators to influence policy and programme development.
4. To build capacity within all relevant agencies and at different levels of the health system and community, for the promotion, protection and support of infant and young child feeding.
5. To develop and implement sustainable public education initiatives for the promotion and support of optimal infant and young child feeding practices.
","To ensure that all Jamaican children benefit, a multi-foci strategy will be employed to strengthen the infant and young child feeding programme in Jamaica. The areas of emphasis will be in five priority areas :
3.4.1 Advocacy/Legislation
3.4.2 Training
3.4.3 Health Care Delivery
3.4.4 Public Information, Education and Communication
3.4.5 Monitoring, Evaluation and Research
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Micronutrient supplementation","","http://jis.gov.jm/media/NIYCF-Policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202014%20NIYCF%20Policy.pdf" "23598","AUS","Australia","","Australian National Breastfeeding Strategy 2010-2015","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","2015","Australian Health Ministers' Conference","","2009","Adopted","","2009","Commonwealth of Australia","Health|Sub-national","Australian Health Ministers' Conference","","","","","","","","","National NGOs","","","","","","","","Objective: To increase the percentage of babies who are fully breastfed from birth to six months of age, with continued breastfeeding and complementary foods to twelve months and beyond.
The aim of the Australian National Breastfeeding Strategy is to contribute to improving the health, nutrition and wellbeing of infants and young children, and the health and wellbeing of mothers, by protecting, promoting, supporting and monitoring breastfeeding.
The goal is to enable mothers to understand the value of breastfeeding and to breastfeed successfully by equipping them with knowledge and establishing or consolidating their support networks.
Efforts to extend breastfeeding during the long postnatal stage include the continuation of health professional and peer support, and the creation of enabling breastfeeding friendly environments in a range of settings including workplaces, child care and public spaces, and the broader community.
","","Monitoring encompasses data collection on breastfeeding rates and duration. Also relates to monitoring and evaluation of specific programs or interventions.
6. STRATÉGIE DE MISE EN ŒUVRE
ANNEXE I – CIBLES ET INDICATEURS D’IMPACT
Tableau 4. Cibles et indicateurs au niveau de la Vision, des Axes (objectifs généraux) et des Piliers (objectifs spécifiques) page 29-30
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Breastfeeding|Food security and agriculture|Food sovereignty|Family planning (including birth spacing)|Water and sanitation|Vulnerable groups","","https://faolex.fao.org/docs/pdf/hai209018.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HTI%202018%20Politique%20Et%20Strat%C3%A9gie%20Nationales%20De%20Souverainet%C3%A9%20Et%20S%C3%A9curit%C3%A9%20Alimentaires%20Et%20De%20Nutrition%20En%20Ha%C3%AFti%20%28PSNSSANH%29_0.pdf" "25823","NOR","Norway","","Nasjonal handlingsplan for bedre kosthold (2017-2021). Sunt kosthold, måltidsglede og god helse for alle! [Norwegian National Action Plan for a Healthier Diet]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Norwegian","","2017","","2023","Departementene","3","2017","Adopted","3","2017","Regjeringen","Health|Food and agriculture|Education and research|Women, children, families|Environment|Justice","HOD – Helse- og omsorgsdepartementet, KD – Kunnskapsdepartementet, NFD – Nærings- og fiskeridepartementet, LMD – Landbruks- og matdepartementet, BLD – Barne- og likestillingsdepartementet, KLD – Klima- og miljødepartementet, JD – Justis- og beredskapsdepartementet.","","","","","","","","","","","","","","","","","Overordnet mål
Et sunt og variert kosthold i hele befolkningen uavhengig av kjønn, alder, geografi, sosioøkonomisk status, kulturell bakgrunn, funksjonsevne, religion og livssyn.
Delmål
1. Legge til rette for å endre kostholdet i tråd med helsemyndighetenes råd
2. Redusere sosiale forskjeller i kosthold
3. Styrke kunnskap om og synliggjøre sammenhenger mellom kosthold og fysisk og psykisk helse
4. Fremme utvikling av sunne og trygge matvarer og tilstrebe en helse- og miljøvennlig praksis i produksjon og forbruk av mat 5. Styrke og kvalitetssikre mat-, måltids- og ernæringsarbeid i helse-, omsorgs- og sosialtjenesten.
","1 Måltidsglede og sunt kosthold
1.1 Fremme gode mat- og måltidsvaner i barnehagen
1.2 Fremme gode måltider og matordninger i skole og skolefritidsordning
1.3 Bidra til at helsemyndighetenes anbefaling om 20 minutters spisetid følges opp i skolen
1.4 Mobilisere barn for matglede og et sunt og bærekraftig kosthold
1.5 Tiltak for å styrke praktiske ferdigheter
1.6 Motivere til matglede og bedre matomsorg for eldre
1.7 Inkludere mat og måltider i tiltak for å fremme sosialt fellesskap og forebygge ensomhet
1.8 Sunne tilbud på arbeidsplassen og andre serveringssteder
2 Gode og enkle valg
2.1 En helhetlig og langsiktig intensjonsavtale med matvarebransjen
2.2 Videreføre og videreutvikle saltpartnerskapet
2.3 Redusere inntaket av mettet fett og sukker
2.4 Videreføre og videreutvikle Nøkkelhullet som merkeordning
2.5 Følge opp arbeidet relatert til markedsføring av mat og drikke til barn
2.6 Fremme forbruk av grønnsaker og andre plantebaserte matvarer
2.7 Fremme forbruk av fisk og sjømat i kostholdet
2.8 Sikre at befolkningen har et tilfredsstillende inntak av jod og vitamin D
2.9 Ernæringshensyn i anbud i helseforetakene og andre offentlige instanser
2.10 Matproduksjon, produktutvikling og innovasjon
2.11 Bærekraftig og miljøvennlig praksis
3 Kommunikasjon og kunnskap
3.1 Utvikle verktøy og ressurser til faget mat og helse i grunnskolen og bidra til bedre kompetanse hos dem som underviser i faget
3.2 Videreføre og videreutvikle Små grep, stor forskjell
3.3 Kommunikasjon som understøtter arbeid med å gjøre sunne valg enkle
3.4 Opplæringsprogram for ansatte i barneverninstitusjoner, omsorgssentre og eventuelt fosterforeldre
3.5 Innføre selvforpleining og utarbeide kokebok som støtte til sunnere mat i fengsler
3.6 Informasjonsmateriell som asylmottak og kommuner kan bruke i sitt arbeid med flyktninger og innvandrere
4 Mat, måltider og ernæring i helse- omsorgstjenesten
4.1 Kompetanse om mat, måltider og ernæring i helse- og omsorgstjenesten
4.2 Følge opp arbeidet med gode verktøy, faglige retningslinjer og kvalitets-indikatorer
4.3 Implementere Nasjonal faglig retningslinje for spedbarnsernæring
4.4 Fremme, støtte og beskytte amming
4.5 Helhetlig ernæringsstrategi i helseforetakene
4.6 Fremme godt arbeid med kosthold og ernæring i den kommunale helse-og omsorgstjenesten
4.7 Følge opp ernæringsarbeidet i tjenesten rettet mot mennesker med utviklingshemming
4.8 Ivareta ernæringshensyn i helse- og omsorgstjenester innen rus og psykisk helse
4.9 Tannhelsetjenestens bidrag i kostholds- og ernæringsarbeidet
5 Forskning, utvikling og innovasjon
5.1 Følge og beskrive utviklingen i norsk kosthold
5.2 Utvikle og følge opp kostholds-, måltids- og helseindikatorer
5.3 Fremme forskning om mat, ernæring og helse
5.4 Følge opp mat- og helseområdet i regjeringens handlingsplan for oppfølging av HelseOmsorg21 (HO21)
5.5 Skaffe økt kunnskap og synliggjøre sammenheng mellom psykisk helse og kosthold
5.6 Bygge opp kompetanse om effekter av tiltak og atferdsøkonomi
5.7 Videreutvikle matvaretabellen og tilpasse til nøkkelgruppers behov
5.8 System for å følge endringer i næringsinnhold, volum og omsetning over tid
","