"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" "24179","NER","Niger","","Ordinance No. 96-039 Establishing a Labour Code","Legislation relevant to nutrition","","English","","1996","","","","","1996","","","","","","","","","","","","","","","","","","","","","","","","","","","This section shows data from the TRAVAIL Database of Conditions of Work and Employment Laws with analyses of national legislation for maternity protection in the areas of: maternity leave, maternity leave benefits. Further data (e.g. on paternity leave) are available at http://www.ilo.org/dyn/travail","Maternity protection|14 weeks or more|100%|Partial social security|Unpaid breastfeeding breaks|Breastfeeding facilities","","","","Maternity protection at work is an essential element in equality of opportunity, treatment and health protection. It seeks to enable women to combine their reproductive and productive roles successfully, and to prevent unequal treatment in employment due to women’s reproductive role. Maternity protection is important for nutrition in terms of achieving good birth outcomes and enabling breastfeeding. Since the ILO was founded in 1919, international labour standards have been established to provide maternity protection for women workers. The ILO Maternity Protection Convention No. 183 represents the minimum standards, whereas the accompanying ILO Maternity Protection Recommendation No. 191 proposes additional measures.ILO maintains the TRAVAIL Database of Conditions of Work and Employment Laws, which provides a picture of the regulatory environment of working time, minimum wages and maternity protection in more than 100 countries around the world. It contains comprehensive legal information, which allows customized research on a specific country, comparison of the legislation of several countries or regions on a particular subject, and searches by text. ILO also periodically publishes reviews of national legislation related to maternity protection at work. Read more about the work of ILO related to maternity protection at","" "8656","NER","Niger","","Arrêté No 00215/msp/ portant Réglementation","Legislation relevant to nutrition","","French","","1998","","","Ministère de la santé publique","","1998","Adopted","","1998","","","","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented|Sanctions exist","","","Scope of the Code: 0-60 months of age","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)","" "14740","SEN","Senegal","","Décret N°2000/1154 du 29 décembre 2000 sur l’iodation obligatoire du sel","Legislation relevant to nutrition","","French","","2000","","","","12","2000","","","","","","","","","","","","","","","","","","","","","","","","","","","ARTICLE 1 : L'iodation du sel est obligatoire. Elle s'applique à tout sel, quelle que soit sa destination ou son origine.","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established","","","","","" "82240","SEN","Senegal","","LOI n° 2001-07 du 18 septembre 2001 abrogeant et remplaçant certaines dispositions du livre II du Code général des Impôts","Legislation relevant to nutrition","","French","","2001","","","J.O. N° 6007 du mardi 18 septembre 2001","9","2001","Adopted","9","2001","Le Président de la République,Le Premier Ministre","Cabinet/Presidency|Finance, budget and planning","","","","","","","","","","National NGOs","","","","","","","","","","","","
Art. 4. - Les dispositions des chapitres I et II du titre II du livre II du Code général des Impôts sont abrogées et remplacées par les dispositions suivantes :
Chapitre premier.- Taxe sur les boissons
Section 1.- Champ d’application
…
Article 329. - La taxe sur les boissons frappe aussi les boissons gazeuses. Par boissons gazeuses, il faut entendre :
1° les eaux contenant naturellement ou artificiellement du gaz en dissolution sous pression, qu’elles aient ou non la dénomination d’eaux minérales ;
2° les limonades, sodas et autres boissons gazéifiées sans alcool ou dont la richesse alcoolique n’excède pas un degré d’alcool pur.
…
Section 3. - Taux
Article 333. - Le taux de la taxe est fixé à :
…
2,75 %, pour les boissons gazeuses.
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Beverages (taxes)|All carbonated non-alcoholic beverages (taxes)","","http://www.jo.gouv.sn/spip.php?article1695","","","" "25393","SEN","Senegal","","DECRET n° 2005-913 du 12 octobre 2005","Legislation relevant to nutrition","","French","","2005","","","","","2005","","","","","Health|Food and agriculture|Finance, budget and planning|Trade|Industry|Justice","","","","","","","","","","","","","","","","","","","","","","Article premier. - Les normes CODEX pour les graisses et les huiles comestibles non visées par des normes individuelles (CODEX STAN 19-1981), pour les huiles d’olive vierges et raffinées et pour l’huile de grignons d’olive raffinée (CODEX STAN 33-1981), pour l’étiquetage des denrées alimentaires préemballées (CODEX STAN 1-1985) et pour les huiles végétales portant un nom spécifique (CODEX STAN 210-1999) sont rendues obligatoires, ainsi que leurs adaptations et/ou transpositions ultérieures.
","Food labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim","","http://www.jo.gouv.sn/spip.php?article2662","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202005%20Decret%20n%C2%B0%202005-913.pdf" "25394","SEN","Senegal","","Norme générale pour l’étiquetage de denrées alimentaires préemballées au Sénégal","Legislation relevant to nutrition","","French","","2005","","","","","2005","","","","","","","","","","","","","","","","","","","","","","","","","","","Le décret n° 2005-913 du 12 octobre 2005, rend obligatoire l'application de la norme codex sur l’étiquetage des denrées alimentaires préemballées (CODEX STAN 1-1985). Cette note présente est une synthèse de la norme, qui est applicable aux produits laitiers emballés
","Food labelling","","http://www.agroalimentaire.sn/wp-content/uploads/2015/09/Norme-etiquetage_et_emballage_.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202005%20Norme%20etiquetage%20et%20emballage.pdf" "26176","NER","Niger","","Loi 2015-38 modifiant la Code Général des Impôts","Legislation relevant to nutrition","","French","","2015","","","République de Niger","","2015","Adopted","5","2015","Le conseil des ministres","Finance, budget and planning","","","","","","","","","","","","","","","","","","","","","","I - AFFAIRES IMPOSABLES ET TAUX D’IMPOSITION :
Art 260- Les cessions à titre onéreux, gratuit ou de fait, des produits suivants, aux conditions de livraison dans le territoire du Niger, sont soumises aux droits d’accises aux taux ci-après :
NTS/CEDEAO : 22.02.10.00.00; 22.02.90.10.00 et 22.02.90.90.00
Désignation : Boissons non alcoolisées à l’exclusion de l’eau
Taux : 15%
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Beverages (taxes)|Undefined non-alcoholic or aerated beverages (taxes)","","http://www.stat-niger.org/statistique/file/MF/LF2015R.pdf","http://www.impots.gouv.ne/reglementation/code-general-des-impots-a-jour","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202015%20Loi%202015-38.pdf" "8592","SEN","Senegal","","Politique de Développement de la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2025","","","2015","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","https://cndn.sn/wp-content/uploads/2018/01/pndn.pdf","","","" "8595","SEN","Senegal","","Stratégie nationale de sécurité alimentaire et de résilience","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2035","","","2015","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","https://www.dapsa.gouv.sn/sites/default/files/publications/SNSAR%20VALIDEE%20AVEC%20PAP%20Version%20Finale-1.pdf","","","" "40746","NER","Niger","","Plan du Développement Economique et Social (PDES)","Multisectoral development plan with nutrition components","","English","","2017","","2021","","9","2017","","","","","","","","","","","","","","","National NGOs","","","","","","","","","","","","","","","https://www.nigerrenaissant.org/fr/plan-de-developpement-economique-et-social","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "8505","SEN","Senegal","","Plan National d'Action pour la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1997","","2002","Ministère de l'Agriculture et Ministère de la Santé Publique et de l'Action Sociale","10","1996","Adopted","","1996","","Health|Food and agriculture|Finance, budget and planning|Trade|Other","Ministère de l'Economie des Finances et du Plan, Direction de l'Elevage, Direction de l'Horticulture, Ministère de la Santé et de l'Action Sociale, Service de l'Alimentation et de la Nutrition Appliquées, Direction de l'Océanographie et de la Pêche Maritime, Institut Sénégalais de Normalisation, Ministère de la Justice, Direction du Commerce Intérieur, Ministère du Commerce de l'Artisanat et de l'Industrialisation","","","","","","","","","","","Research/academia","Ecole Inter-Etats de Sciences et de Médecine Vétérinaire, Institut de Technologie Alimentaire","","","","","V- Stratégies et Actions Spécifiques
51 - Amélioration de la sécurité alimentaire des ménages.
52 - Amélioration de la qualité et l’innocuité des produits alimentaires
53 - Elimination de la malnutrition protéino-énergétique des groupes vulnérables
54 - Promotion des régimes alimentaires appropriés et des modes de vie sains
- l'elimination virtuelle de I' A vitaminose A.
-la reduction d'au moins 25 % des taux de MPE severe chez les enfants de 0 a 5 ans couverts par le système de surveillance de l’état nutritionnel dans un délai de 5 ans ;
-la reduction de 50 % de la prevalence de l’anémie par carence en fer chez les femmes enceintes et allaitantes et les enfants de 0 a 5 ans dans un délai de 5 ans ;
55-Promotion de l’allaitement maternel et des bonnes pratique de sevrage
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Wasting in children 0-5 years|Anaemia in pregnant women|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Food grade salt|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN_1996_Plan%20National%20D%27Action%20Pour%20La%20Nutrition%201997-2002%28October%2C1996%29.PDF" "24209","SEN","Senegal","","Social Security Code","Legislation relevant to nutrition","","French","","1997","","","","","1997","","","","","","","","","","","","","","","","","","","","","","","","","","","This section shows data from the TRAVAIL Database of Conditions of Work and Employment Laws with analyses of national legislation for maternity protection in the areas of: maternity leave, maternity leave benefits. Further data (e.g. on paternity leave) are available at http://www.ilo.org/dyn/travail","Maternity protection|100%|Full social security","","http://www.ilo.org/dyn/natlex/natlex4.detail?p_lang=en&p_isn=47301&p_country=SEN&p_count=576&p_classification=15&p_classcount=23","","Maternity protection at work is an essential element in equality of opportunity, treatment and health protection. It seeks to enable women to combine their reproductive and productive roles successfully, and to prevent unequal treatment in employment due to women’s reproductive role. Maternity protection is important for nutrition in terms of achieving good birth outcomes and enabling breastfeeding. Since the ILO was founded in 1919, international labour standards have been established to provide maternity protection for women workers. The ILO Maternity Protection Convention No. 183 represents the minimum standards, whereas the accompanying ILO Maternity Protection Recommendation No. 191 proposes additional measures.ILO maintains the TRAVAIL Database of Conditions of Work and Employment Laws, which provides a picture of the regulatory environment of working time, minimum wages and maternity protection in more than 100 countries around the world. It contains comprehensive legal information, which allows customized research on a specific country, comparison of the legislation of several countries or regions on a particular subject, and searches by text. ILO also periodically publishes reviews of national legislation related to maternity protection at work. Read more about the work of ILO related to maternity protection at","" "24210","SEN","Senegal","","Labour Code","Legislation relevant to nutrition","","French","","1997","","","","","1997","","","","","","","","","","","","","","","","","","","","","","","","","","","This section shows data from the TRAVAIL Database of Conditions of Work and Employment Laws with analyses of national legislation for maternity protection in the areas of: maternity leave, maternity leave benefits. Further data (e.g. on paternity leave) are available at http://www.ilo.org/dyn/travail","Maternity protection|14 weeks or more|Paid breastfeeding breaks","","http://www.ilo.org/dyn/natlex/natlex4.detail?p_lang=en&p_isn=49603&p_country=SEN&p_count=576&p_classification=01.02&p_classcount=4","","Maternity protection at work is an essential element in equality of opportunity, treatment and health protection. It seeks to enable women to combine their reproductive and productive roles successfully, and to prevent unequal treatment in employment due to women’s reproductive role. Maternity protection is important for nutrition in terms of achieving good birth outcomes and enabling breastfeeding. Since the ILO was founded in 1919, international labour standards have been established to provide maternity protection for women workers. The ILO Maternity Protection Convention No. 183 represents the minimum standards, whereas the accompanying ILO Maternity Protection Recommendation No. 191 proposes additional measures.ILO maintains the TRAVAIL Database of Conditions of Work and Employment Laws, which provides a picture of the regulatory environment of working time, minimum wages and maternity protection in more than 100 countries around the world. It contains comprehensive legal information, which allows customized research on a specific country, comparison of the legislation of several countries or regions on a particular subject, and searches by text. ILO also periodically publishes reviews of national legislation related to maternity protection at work. Read more about the work of ILO related to maternity protection at","" "8365","SEN","Senegal","","Stratégie Nationale et Programmes prioritaires de sécurité alimentaire","Food security or agriculture sector national policy, strategy or plan with nutrition components","","French","","2002","","","Ministère de l'Agriculture, CILSS","1","2002","","","","","","","","","","","","","","","","","","","","","","","Objectif spécifique n° 3: l'amélioration durable des conditions d'accès des groupes et zones vulnérables à l'alimentation et aux services sociaux
Activité 4: distribuer des aliments aux populations des zones défavorisées.
LIGNES D'INTERVENTION PRIORITAIRES.
-fournir un apport alimentaire sous forme de goûter aux enfants des quartiers populaires dans les garderies attenantes aux CNC;
-former les organisations féminines à la technique de fabrication d'un aliment de supplément adapté;
-appuyer les cantines scolaires localisées dans les zones vulnérables;
","","","","","","","https://www.bameinfopol.info/IMG/pdf/STRATE_1.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-Strategie%20National.pdf" "24713","SEN","Senegal","","Plan Stratégique pour la Fortification des Aliments en Micronutriments au Sénégal (PSFAMS)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2006","","2011","","6","2006","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Industry|Information","Institut de Technologie Alimentaire (ITA), Association Sénégalaise de Normalisation (ASN)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Global Alliance for Improved Nutrition (GAIN)|Helen Keller International (HKI)|Other|World Vision International","ABT ASSOCIATES","US Agency for International Development (USAID)","","","","National NGOs","OSDIL, CONGAD, UNAFA.","Research/academia","Université Cheikh Anta Diop de Dakar : Faculté de Médecine et Pharmacie etEquipe de Nutrition de la Faculté des Sciences et Techniques.","Private sector","Conseil National des Employeurs du Senegal, Syndicat Patronal des Industries Alimentaires (SPIDS), Société Nationale des Oléagineux du Sénégal (SONACOS), Grands Moulins de Dakar (GMD),Nouvelles Minoteries de l’Afrique (NMA), Nestlé Sénégal, Sosagrin, Oasis International, Mamelles Jaboot, Sonia, SelSine, Sedima, Eurogerm","Other","l’Association Nationale des Consommateurs du Sénégal (ASCOSEN), l’Union Nationale des Consommateurs du Sénégal (UNCS), SOS-consommateurs","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" "23861","SEN","Senegal","","Poverty Reduction Strategy Paper","Health sector policy, strategy or plan with nutrition components","","French","","2006","","","Republic of Senegal","9","2006","","","","","","","","","","","","","","","","","","","","","","","This policy aims at: (i) reducing by half the prevalence of malnutrition in children aged 0-5; (ii) eliminating decisively problems linked to insufficient dietary iodine and vitamin A; (iii) reducing by one-third the prevalence of anemia, especially iron deficiency anemia; and (iv) ensuring availability and long-term access to sufficient quantities and quality of food for the entire population.
","","","","","Anaemia|Iodine deficiency disorders|Vitamin A deficiency","","http://www.imf.org/external/pubs/ft/scr/2007/cr07316.pdf","","","" "8504","NER","Niger","","Plan National D'Action Pour La Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2007","","2015","Republique du Niger","11","2006","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Helen Keller International (HKI)","","","","","","","","","","Private sector","","","","Assurer à tous les ménages une disponibilité alimentaire effective et durable;
- Réduire la malnutrition aiguë chez les enfants de 0 à 5 ans de 30% au moins;
- Réduire le retard de croissance chez les enfants de 0 à 5 ans de 30% au moins;
- Réduire le taux de petit poids de naissance de 30% au moins;
- Réduire la déficience chronique en énergie chez les adultes de 18 à 60 ans et chez
les personnes âgées;
- Eliminer la carence iodée (à 100%);
- Eliminer l'hypovitaminose A et ses conséquences notamment la cécité chez les
enfants de moins de 5 ans (à 100%);
- Réduire la prévalence de l'anémie ferriprive chez les femmes en âge de procréer et
les enfants de moins de 5 ans de 25% au moins;
- Réduire les carences nutritionnelles spécifiques émergentes ( ?) (zinc) ;
- Réduire le taux de mortalité infantile de 25% au moins ;
- Réduire le taux de mortalité des enfants de moins de 5 ans de 25% au moins ;
- Offrir à tous l'accès à une alimentation équilibrée, saine et conforme aux normes en
matière d'hygiène et de contamination chimique;
- Réduire le taux d'analphabétisme avec un effort particulier en direction de la femme;
- Assurer à tous l'accès à l'information, l'éducation et la communication en matière
d'alimentation et de nutrition;
- Réduire le taux de mortalité maternel de 50% ;
- Réduire le temps de travail des femmes.
Diversification de la production alimentaire et amélioration de la valeur
nutritionnelle ;
2. Lutte contre la malnutrition et les carences spécifiques;
3. Prise en charge des personnes défavorisées sur le plan socio-économiques et
vulnérables sur le plan nutritionnel ;
4. Promotion des régimes alimentaires et des modes de vie sains ;
5. Promotion de l’alimentation du nourrisson et du jeune enfant ;
6. Promotion de la qualité et de l’innocuité des aliments ;
7. Évaluation, analyse et surveillance de la situation alimentaire et nutritionnelle et
renforcement des capacités et suivi évaluation.
8. Coordination, formation et Recherche
Indicators can be found in tables pp: 58; 69-72; 79; 83; 88; 101.
","Outcome indicators|Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Edible oils and margarine|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","http://www.iycn.org/files/Plan-National-d%E2%80%99Action-Pour-la-Nutrition.pdf","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202006%20Plan%20National%20d%E2%80%99Action%20Nutrition.pdf" "8773","SEN","Senegal","","Plan National Stratégique pour La Survie De L’enfant","Health sector policy, strategy or plan with nutrition components","","French","","2007","","2015","Ministère de la santé et de la Prévention","","2007","Adopted","","2007","Ministère de la santé et de l'action sociale","Health","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Helen Keller International (HKI)|Other, please specify under further details","GAVI","Asian Development Bank (ADB)|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","","","","","","","","","","","","4.1.2 But
Contribuer à l’amélioration de l’état de santé des enfants de moins de cinq ans en vue d’accélérer l’atteinte des objectifs 4 et 5 du millénaire pour le développement (OMD)
4.1.3 Objectifs généraux
AXE 1 : DOMAINE 4 : Soins du NRS et de l’enfant
Trois axes stratégiques ont été déterminés :
1. Amélioration de la disponibilité et de l’accessibilité du paquet intégré d’interventions de qualité pour la santé de la mère, du nouveau-né et de l’enfant,
2. Augmentation de la demande et de l’utilisation des services par les populations notamment les groupes vulnérables ,
3. Création d’environnements institutionnel, réglementaire et économique favorables au passage à l’échelle du paquet d’interventions
","Indicators are listed in document, Tables p 63-89
","","","Underweight in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Vitamin A|Micronutrient supplementation|Nutrition education|Management of severe acute malnutrition|Vaccination","","www.who.int/pmnch/events/2008/plannationalstrategique.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202007%20Plan%20National%20Strat%C3%A9gique%20Survie%20Enfant.pdf" "40744","SEN","Senegal","","Politique Nationale de Développement Intégré de la Petite Enfance au Sénégal","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","French","","2007","","","Agence Nationale de la case des tous petits","","2007","Adopted","","2007","Agence Nationale de la case des tous petits","","Agence Nationale de la case des tous petits éducation, santé, famille, développement social, justice, collectivités locales, environnement, jeunesse","Food and Agriculture Organisation (FAO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNICEF, UNESCO","","","The World Bank","","","","National NGOs","","","","","","","Association pour le Développement de l’Education de l’Afrique","3.3.1 But
Le but de la politique nationale de développement de la petite enfance au Sénégal est, dans le cadre d’un changement intergénérationnel réussi, d’assurer une bonne base de départ au citoyen de type nouveau du troisième millénaire dont le Sénégal et, plus généralement, l’Afrique a besoin pour affronter avec le maximum de chances, les défis de la mondialisation et du sous-développement
3.3.2. Objectif global
Assurer à tous les enfants sénégalais, de la conception à 8 ans, issus en priorité de milieux défavorisés, l’accès à des services adéquats et intégrés au sein des familles et des structures, selon une approche participative la plus large, pour que chacun d’entre eux bénéficie d’un appui de nature à lui garantir la survie, le développement, la protection, l’insertion sociale harmonieuse et la réalisation personnelle.
Objectifs stratégiques :
3.4.2.1. Programme de Renforcement des Structures de Développement Intégré de la Petite Enfance (PNRS/DIPE)
2. Procéder à un appui systématique aux cases communautaires en particulier en matière d’infrastructures, de formation des personnels et de soins en santé, nutrition, protection, et assainissement.
3. Mettre en place un dispositif spécifique d’appui aux écoles maternelles, publiques et privées en particulier pour la formation continuée et l’intégration des volets santé, nutrition, protection et assainissement.
10. Renforcer l’accès aux soins de santé/nutrition dans les centres DIPE.
12. Procéder à la généralisation des cantines scolaires dans les structures DIPE des zones défavorisées.
3.4.2.2. Programme de Renforcement des Capacités des Parents et des Familles (PRCPF)
8. Renforcer les connaissances et aptitudes des familles en hygiène et en assainissement.
9. Renforcer les interventions en matière de santé et de nutrition des femmes enceintes et des mères allaitantes.
10. Renforcer la qualité des soins physiques et de la nutrition du nouveau-né.
14. Renforcer les capacités des grandes soeurs, et des travailleuses domestiques en matière de stimulation, éducation, santé/nutrition et hygiène du jeune enfant.
15. Assurer la supplémentation en micronutriments des jeunes enfants (vitamine A, fer, iode et autres)
","3.5.2. Objectifs, stratégies, pour la tranche d’âge 0-2 ans révolus
3.5.2.2. Stratégies
1. Renforcement de l’intégration efficace et efficiente des différentes interventions en matière de santé et nutrition pour les enfants de 0 à 3 ans (vaccination, prévention contre le paludisme et les autres maladies de l’enfance, supplémentation en micronutriments, promotion de l'allaitement maternel, etc.).
4. Généralisation des activités nutritionnelles, de la surveillance de la croissance dans les centres DPE.
6. Supplémentation / Fortification précoce en micro-nutriments (fer, iode et autres) des enfants 0-3 ans.
3.5.3. Objectif, stratégies, pour la tranche d'age 3 a 5 ans révolus
3.5.3.2. Stratégies
1. Renforcement de la couverture sanitaire des enfants fréquentant les structures DIPE
2. Amélioration de l’état nutritionnel des jeunes enfants fréquentant les structures DIPE
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Provision of school meals / School feeding programme|Vitamin A|Micronutrient supplementation|Vaccination","","http://case-toupetit.sn/documents/Document%20PNDIPE_version_integrale.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%20Politique%20Nationale%20de%20D%C3%A9veloppement%20Int%C3%A9gr%C3%A9%20de%20la%20Petite%20Enfance.pdf" "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" "23859","NER","Niger","","Accelerated Development and Poverty Reduction Strategy","Multisectoral development plan with nutrition components","","English","","2008","","2012","PRIME MINISTER’S OFFICE","8","2007","","","","","","","","","","","","","","","","","","","","","","","reduction of malnutrition
Promoting the practice of sport
","preventive strategies, namely:
(i) fight against food and nutrition insecurity in households (pregnant and breastfeeding women),
(ii) promotion of suitable nutrition education, in particular for vulnerable groups, including children below five years and pregnant women,
(iii) encouraging exclusive breastfeeding of babies for the first six months of their lives, then breastfeeding supplemented by appropriate and adapted infant feeding up to the age of two or above,
(iv) promotion of the production of food rich in micronutrients, community nutrition surveillance, meals for youths in schools,
(v) promotion of development and use of adequate food supplements, and
(vi) fortification and diversification of foods;
curative strategies such as :
(i) improvement of access to treatment and dietetic and medical recovery ;
(ii) control of interaction between nutrition and HIV;
(iii) treatment of emerging diseases related to overfeeding, diabetes, obesity, hypertension and cardio-vascular diseases;
- cross-cutting strategies including development of an overall approach to nutrition problems (under nutrition and over nutrition) through:
(i) development of effective nutrition communication;
(ii) increase in incomes and improvement of the status of women ;
(iv) search for operational integration between the services responsible for nutritional issues in MSP, dissemination structures of MDA, MRA and MEN and the communication and education services; ¨
(v) coordination of nutrition and development activities; (v) strengthening of human resources;
(vi) national capacity building for the management and prevention of malnutrition ;
(vii) involvement and participation of community structures;
(viii) creation of industrial plants to manufacture micronutrients-enriched flour. The national Nutrition Action Plan (PNAN) will be updated to include these new strategies.
","","","","Counselling on healthy diets and nutrition during pregnancy|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Micronutrient supplementation|HIV/AIDS and nutrition|Food security and agriculture","","http://www.imf.org/external/pubs/ft/scr/2008/cr08149.pdf","","","" "14736","SEN","Senegal","","Nutrition Policy Brief (Lettre de Politique de Nutrition)","Comprehensive national nutrition policy, strategy or plan","","French","","2008","","2012","Fight against Malnutrition Unit","","2008","","","","","Health","Fight against Malnutrition Unit","","","","","","","","","","","","","","","","","","","","","","","","","","http://scalingupnutrition.org/sun-countries/senegal","" "8598","SEN","Senegal","","Plan National de Développement Sanitaire","Health sector policy, strategy or plan with nutrition components","","French","","2009","","2018","Ministère de la Santé et de l'action sociale","1","2009","","","2009","Gouvernement","","Ministère de la Santé et de l'action socialeles autres départements ministériels","","","","","","","","","","","","","","","","","Taux de mortalité infantile
Taux de mortalité juvénile
Taux de mortalité infanto-juvénile
Prévalence de l’insuffisance pondérale chez les moins de 5 ans
Prévalence du diabète
","","","Low birth weight|Underweight in children 0-5 years|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Vaccination","","www.sante.gouv.sn/images/stories/pdf/pndsdixhuit.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202009%20PNDS.pdf" "26012","SEN","Senegal","","Décret nº 2009-872 rendant obligatoire l’application des normes sur les huiles comestibles raffinées enrichies en vitamine A et la farine de blé tendre, enrichie en fer et acide folique","Legislation relevant to nutrition","","French","","2009","","","Ministère du Commerce","9","2009","Adopted","9","2009","le Président de la République : Le Premier Ministre","Cabinet/Presidency|Health|Food and agriculture|Finance, budget and planning|Trade|Industry","Le Ministre d’Etat, Ministre de l’Economie et des Finances, le Ministre d’Etat, Ministre des Mines, del’Industrie, de la Transformation alimentaire des Produits agricoles et des P.M.E., le Ministre de la Santé, de la Prévention et de l’Hygiène publique et le Ministre du Commerce sont chargés, chacun en ce qui le concerne, de l’application du présent décret","","","","","","","","","","","","","","","","","","","","","5.2.1. OBJECTIFS
L’objectif global de l’i3N est de : « contribuer à mettre durablement les populations Nigériennes à l’abri de la faim et de la malnutrition et leur garantir les conditions d’une pleine participation à la production nationale et à l’amélioration de leurs revenus ».
L’objectif spécifique est de : « Renforcer les capacités nationales de productions alimentaires, d`approvisionnement et de résilience face aux crises alimentaires et aux catastrophes naturelles».
","5.3. AXES STRATÉGIQUES
Note: details for each strategy are given in document
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Food security and agriculture|Household food security|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202012%20La%20strat%C3%A9gie%203N.pdf" "22846","NER","Niger","","Poverty Reduction Strategy Paper. Economic and Social Development Plan (PDES)","Multisectoral development plan with nutrition components","","English","","2012","","2015","Ministry of Planning, Land Management, and Community Development","","2012","","","","","","","","","","","","","","","","","","","","","","","","Pillar 3: Food security and sustainable agricultural development
3.4.4. Improved nutritional status of Nigeriens
a. General guidelines:
To improve nutritional status, measures and investments are aimed at: i) promoting balanced food consumption models and models for good hygiene in rural and urban areas, for households as well as schools; ii) reducing the prevalence of different forms of malnutrition; iii) effectively responding to acute malnutrition in crisis situations; iv) strengthening the mechanism for sanitary control of foodstuffs; and v) strengthening the national system for monitoring nutrition and evaluating nutrition interventions.
b. Priority programs and activities:
Program to prevent the different forms of malnutrition
The nutritional situation of vulnerable groups (children less than five years of age and pregnant and breast-feeding women) is of great concern, especially since population growth rates remain much too high. The objective of the program is to reduce the vulnerability of Nigeriens to malnutrition.
The program gives priority to: i) promoting good family practices and behavior, and appropriate eating practices; ii) creating school farms and gardens; iii) improving the nutritional quality of school cafeterias; iv) strengthening the mechanism for sanitary control of foodstuffs; v) ensuring widespread coverage of health and sanitation measures; vi) improving the capacity for treatment of malnutrition; and vii) strengthening the institutional framework for management of malnutrition in Niger.
Pillar 5: Promotion of social Development
Program for protection of mothers and children
Protection of mothers and children focuses on development of reproductive health services. Five priorities have been identified:... iii) improving health management of infants and children by strengthening the capacity of health operators and volunteer community health workers in five key fields of competence (prevention of mother-to-child HIV transmission (PTME), integrated child disease management (PCIME), management of the expanded vaccination program (to extend vaccination coverage), exclusive maternal breastfeeding, and management of malnutrition) and promotion of these activities in a community setting;...
","Prevalence of acute and chronic malnutrition in infants of 0-5 years
Prevalence of malnutrition in pregnant or lactating women
Prevalence of micronutrient deficiencies
Percentage of persons suffering from malnutrition receiving preventive and curative Care
% of Nigeriens with a varied, healthy, and balanced diet (by category)
Rate of prevalence of micronutrient deficiencies (%)
% of households with access to drinking water and appropriate conditions of hygiene
Number of legal, political, and strategic texts coordinated under 3N Initiative
A food and nutrition security investment fund
Volume of financing mobilized for food security and sustainable agricultural development
Number of beneficiaries
An information and mobilization system is set up
A communication strategy document is approved
The number of decisions made and implemented.
% of stakeholder organizations where capacity has been strengthened
Number of actors or groups of actors mobilized
Level of participation of actors or groups of actors (qualitative)
Percentage of newborns with low birth weight
Prevalence of underweight and stunted children less than 5 years of age.
Percentage of community networks having the critical skills (The community support networks have the key skills (PTME, PCIME, management of the Expanded Vaccination Program, breast-feeding, treatment of malnutrition))
Number of school cafeterias
","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Food safety|Food security and agriculture|Household food security|Nutrition and malaria|Vaccination|Water and sanitation","","","http://www.imf.org/external/np/prsp/prsp.aspx","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202012%20PRSP.pdf" "26089","NER","Niger","","Arrêté conjoint n°89-MMDI-MSP-MF du 31 mai 2012 portant application obligatoire des normes nigériennes relatives à la farine de blé tendre enrichie en fer et acide folique","Legislation relevant to nutrition","","French","","2012","","","","","2012","","","","","","","","","","","","","","","","","","","","","","","","","","","Article premier: La Norme Nigérienne """"NN01-010-01 relative à la farine de blé tendre enrichie en fer et acide folique spécifications"""" destinée a la consommation humaine, homologuée par l'arrêté No. 034/MCI/PJE/DGIN/DNPQ du 28 juin 2010 portant homologation des normes nigériennes, est rendue d'application obligatoire sur toute l'étendue du territoire de la République du Niger.
Article 3: Caractéristiques spécifiques
Les farines de blé tendre enrichies en fer et acide folique visées par le présent arrêté doivent répondre aux caractéristiques indiquées dans les tableaux ci-après:
Voir le Tableau 1
","Folic acid|Iron|Wheat flours|Mandatory fortification|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Local products|Imported products","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER-2012-Wheat%20flour%20.pdf" "26091","NER","Niger","","Arrêté conjoint n °65/MMDI/MSP/MF du 25 avril 2012, portant application obligatoire des normes nigériennes relatives aux huiles comestibles raffinées de palme, palmistes et d'arachides enrichies en vitamine A","Legislation relevant to nutrition","","French","","2012","","","","","2012","","","","","Health|Finance, budget and planning|Industry","","","","","","","","","","","","","","","","","","","","","","Article premier: Les Normes Nigériennes NN-01-03-01 ; NN-01-03-02 et NN-01-03-03 relatives aux huiles comestibles raffinées d'arachie, de palme et de palmiste enrichies en Vitamine A. sont rendues d'application obligatoire sur toute l'étendue du territoire de la République du Niger.
Article 8: Toute huile de palme, palmiste ou d'arachide importée ou fabriquée localement ne présentant pas les caractéristiques de qualité telles que définies dans le présent arrêté, est considérée comme non conforme et sanctionnée conformément a la réglementation en la matière.
","Vitamin A|Food fortification|Edible oils and margarine|Mandatory fortification|Mandatory fortification of margarine or edible oils with vitamin A|Local products|Imported products","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER-2012-oil%20fortification%20.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","","","","","" "23006","SEN","Senegal","","National Strategy for Economic and Social Development (NSESD) 2013-2017","Multisectoral development plan with nutrition components","","French","","2013","","2017","Republic of Senegal","11","2012","","","","","","","","","","","","","","","","","","","","","","","2.3 Strategic Objectives
2.3.1.5.5. Food security
i. Strengthen the food crises prevention and management system
ii. Improve access to healthy and nutritious food
2.3.2.3. Improved healthcare and nutritional status
i. Improve the supply and quality of health services
ii. Enhance performances in the area of disease prevention and control
iii. Improve maternal and child health
iv. Improve the nutritional status of mothers and children
v. Improve health system governance
2.3.2.4. Increased access to safe drinking water and sanitation
i. Increased access to safe drinking water for populations in urban and rural areas
ii. Develop sanitation services in urban and rural areas
iii. Support the integrated and sustained management of water resources
iv. Foster good governance in the safe-drinking water and sanitation sub-sector
Targets
34. Percentage of children 0 ‐ 5 years old benefiting from nutrition service. 2012: 55%, 2013: 60%, 2014: 65%, 2015: 70%, 2016: 75%, 2017: 80%.
","2.3.1.5.5. Food security
i. strengthen the food crises prevention and management system, through enhanced food security, strengthening the early warning system and the agricultural market information system, including the use of the Improved Harmonized Framework.
ii. improve access to healthy and nutritious food by promoting food diversity and strengthening resilience among the vulnerable segments.
2.3.2.3. Improved healthcare and nutritional status
i. Improve the supply and quality of health services by developing a community approach to promoting healthcare, increasing evacuation means, constructing and rehabilitating health facilities, strengthening garrison medical centres, recruiting skilled health workers equitably stationed throughout the country and promoting generic drugs.
ii. Enhance performances in the area of disease prevention and control through prevention of HIV transmission and other communicable diseases, increased access to anti‐retroviral drugs for people living with HIV, strengthening capacities of staff to diagnose and properly monitor TB cases and prevention and management of chronic illnesses.
iii. Improve maternal and child health by promoting deliveries in accredited health facilities and particularly skilled attendance at delivery, improving access to healthcare for women in rural areas, providing neonatal care, promoting family planning and improving immunization coverage for children.
iv. Improve the nutritional status of mothers and children by promoting dietary diversity, increasing the proportion of children that have access to nutrition programmes and promoting efforts to meet the nutritional needs of vulnerable groups (children under 5 years, pregnant women and nursing mothers).
v. Improve health system governance by enhancing the efficiency and effectiveness of public spending on healthcare and of the monitoring/evaluation system of sectoral policies as well as strengthening the health surveillance system.
","34. Percentage of children 0 ‐ 5 years old benefiting from nutrition service
","Outcome indicators","","Underweight in women|Physical activity and healthy lifestyle|Food security and agriculture|Household food security|Family planning (including birth spacing)|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.imf.org/external/pubs/ft/scr/2013/cr13194.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202012%20National%20Strategy%20for%20Economic%20and%20Social%20Development%20%28NSESD%29%202013-2017.pdf" "24716","SEN","Senegal","","Programme d’Amélioration de la Qualité, de l’Équité et de la Transparence (PAQUET)","Multisectoral development plan with nutrition components","","French","","2013","","2025","","7","2013","","","","","Education and research","Ministère de la Femme, de l’Enfant et de l’Entrepreneuriat fémininMinistère de l’Éducation nationaleMinistère de l’Enseignement supérieur et de la RechercheMinistère de la Formation professionnelle, de l’Apprentissage et de l’Artisanat","World Food Programme (WFP)","","","","","","","","National NGOs","","","","","","","","","Pour le résultat intermédiaire « Offre d’éducation et de Formation suffisante et adaptée à la demande »
(i) Capter les enfants les plus vulnérables et les plus défavorisés en renforçant la protection sociale des enfants et en mettant en place des programmes de nutrition et d’uniformes scolaires notamment dans les zones caractérisées par la pauvreté et une insécurité alimentaire chronique ;
","% de CPE bénéficiant de cantine scolaire
","","Process indicators","Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202013%20Paquet.pdf" "24482","NER","Niger","","Plan cadre des Nations Unies Pour l’assistance au développement (UNDAF)","Non-national nutrition policy document","","French","","2014","","2018","UN Country Team of Niger","","2014","","","","","Health|Education and research|Women, children, families|Development|Justice|Other","Intérieur","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, CEA, IOM, UN Women, UNCDF, PNUD, UNEP, UNOPS, UN Habitat, ONUD","Other","","Other|Japan International Co-operation Agency (JICA)","USA, Belgique, France","European Union","","National NGOs","","","","Private sector","","","","Effet 1. D’ici à 2018, les ménages vulnérables et les communautés ciblés augmentent leur résilience en matière de sécurité alimentaire et nutritionnelle, d’environnement, de catastrophes et d’inclusion socio-économique
Produit 1-2 : Les ménages vulnérables ciblés utilisent les services de prévention et de soins et les bonnes pratiques en vue d’améliorer leur nutrition
Produit 1-3 : Les ménages vulnérables dans les zones d’intervention ont accès à des filets sociaux et des programmes de relèvement adaptés
Effet 2. D'ici à 2018, les institutions nationales, régionales et locales appuyées utilisent des systèmes et mécanismes adaptés pour la prévention/gestion des risques/ catastrophes, la gestion durable de l’environnement et de la sécurité alimentaire
Produit 2-3 : Les institutions de vulgarisation nationales, régionales et locales soutenues disposent de capacités renforcées de transfert de compétences pour améliorer la production agro-pastorale et l’état nutritionnel des populations
","24. La stratégie du SNU consistera à apporter un appui-conseil au Gouvernement, à renforcer les capacités des acteurs, à développer un plaidoyer en faveur de la mobilisation des ressources et à inciter les pouvoirs publics à formuler et à mettre en oeuvre des politiques et programmes appropriés dans ses secteurs d'intervention.
25. Dans cette perspective, le SNU contribuera à l’amélioration de la sécurité alimentaire et nutritionnelle, de l'accès aux moyens de subsistance et de la gestion des ressources naturelles. Le SNU propose de faciliter aux ménages vulnérables un meilleur accès aux intrants (services financiers, eau, engrais, semences améliorées, équipements, appui-conseil/vulgarisation/encadrement, intrants zootechniques, etc.), aux marchés et aux infrastructures de stockage et transformation ainsi qu'à l'énergie, dans une approche de sauvegarde d'un environnement sain et d’atténuation des impacts du changement climatique. Le SNU veillera également à renforcer l’implication des acteurs des chaînes alimentaires et des institutions pour permettre l’adoption des bonnes pratiques limitant les pertes post-récoltes (infrastructures qualité).
26. L’amélioration de l’état nutritionnel des enfants et des femmes implique nécessairement : i) le renforcement et l’extension de couverture des services de prévention, de soins et de prise en charge de la malnutrition aiguë et chronique ; ii) la diversification de leur alimentation et la correction des carences nutritionnelles spécifiques (micronutriments) ; iii) l'application des pratiques familiales essentielles pour la survie et le développement de l’enfant (lavage des mains, allaitement maternel, espacement des naissances, utilisation des moustiquaires imprégnées, etc.) ; iv) l’amélioration de l’accès à l’eau potable et l’assainissement.
27. Le SNU facilitera également l'accès des ménages vulnérables, y compris les ménages non agricoles, à des filets sociaux de sécurité adaptés (transferts conditionnels et inconditionnels d’espèces, etc.), à des programmes de relèvement et de restauration des moyens d’existence diversifiés (AGR, etc.), à des opportunités économiques, à des emplois décents et à des connaissances utiles et pratiques pour promouvoir le changement social et de comportement et rehausser le niveau de leur résilience. Le SNU renforcera aussi les capacités du Dispositif National de Prévention et de Gestion des Catastrophes et des Crises Alimentaires (DNPGCCA) et des institutions nationales compétentes pour assurer une meilleure efficacité dans le domaine de la prévention et de la gestion des crises alimentaires et des catastrophes.
","1.1 Taux de prévalence de l’insécurité alimentaire sévère et modérée pour les ménages (désagrégé par sexe)
1.2 Taux de prévalence de la malnutrition aiguë et chronique
1.5 Pourcentage des ménages des zones vulnérables à l’insécurité alimentaire bénéficiaires de filets sociaux
1.1.1 Pourcentage de ménages vulnérables à l’insécurité alimentaire utilisant les intrants agricoles (désagrégé par sexe)
1.2.1 Taux de guérison des enfants malnutris par sexe pris en charge dans les centres de récupération nutritionnelle
1.2.2 Taux de couverture des enfants en vitamine A
1.2.3 Pourcentage de ménages assurant la diversification de l’alimentation des enfants (désagrégé par milieu de vie)
1.2.4 Pourcentage de mères pratiquant l’allaitement maternel exclusif pendant les 6 premiers mois dans les localités ciblées
1.3.2 Pourcentage des ménages vulnérables bénéficiant de programmes de restauration et de développement de moyens d'existence
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Vitamin A deficiency|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Conditional cash transfer programmes","","http://www.uncclearn.org/sites/default/files/niger_undaf.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202014%20UNDAF.pdf" "40745","SEN","Senegal","","Plan Sénégal Emergent","Multisectoral development plan with nutrition components","","French","","2014","","2035","","2","2014","Adopted","","2014","Gouvernement","","Etat et Ministère de la Santé, Ministère de l'éducation, Ministère de l'agriculture, Ministère de la famille et la petitte enfance, Ministère de la pêche, Ministère de l'environnement et l'assainissement, Ministère du Commerce, Ministère de l'élévage, Dé","","OMS, PAM, UNICEF, FAO","","","","USAID, BM, Coopération espagnole, coopération canadienne","","UE","National NGOs","","","","","","","Collectivités locales","","
258. Le développement de l’agriculture, de l’élevage, de la pêche, de l’aquaculture et de l’industrie agroalimentaire répond à une triple aspiration : i) renforcer la sécurité alimentaire du Sénégal et rééquilibrer une balance commerciale dégradée par les importations de produits alimentaires; ii) développer des filières intégrées compétitives, à haute valeur ajoutée ; et iii) préserver les équilibres socio-économiques et dynamiser l’économie rurale.
267. La satisfaction des besoins sociaux de base constitue un facteur essentiel à la promotion du développement humain durable. De manière spécifique, le Sénégal veut concrétiser l’éducation de qualité pour tous, la prise en charge de la santé de la mère et de l’enfant, l’accès à un cadre de vie amélioré et la réduction de la dégradation de l’environnement.
269. La vulnérabilité de certains segments de la population justifie la mise en place de filets sociaux et de mécanismes permettant d’accroître leurs capacités à faire face aux chocs. Les dispositifs de protection sociale visent à renforcer la capacité de résilience des ménages et à les soustraire de la précarité.
270. L’approfondissement et l’élargissement de la protection sociale contribuent à une plus forte inclusion en permettant l’accès des populations aux services essentiels et la prise en charge des groupes les plus vulnérables.
361. L’amélioration de la santé et de la nutrition passera par la mise en œuvre adéquate du Plan National de Développement Sanitaire (PNDS) pour : (i) atteindre 80% d’enfants âgés de 0-11 mois, complètement vaccinés en 2017 (ii) réduire la morbidité et la mortalité maternelle et infanto-juvénile (iii) maintenir la prévalence du VIH/SIDA dans la population en dessous de 1% (iv) améliorer la gouvernance du secteur (v) avoir au moins 62% de la population inscrite à une mutuelle de santé en 2017 grâce à la Couverture Maladie universelle.
362. Les objectifs suivants sont visés afin d’assurer des services performants de santé publique :
iv.améliorer l'état nutritionnel de la mère et de l'enfant, à travers la promotion de la diversité du régime alimentaire, l’augmentation de la couverture des enfants bénéficiant des services de nutrition et la promotion de la nutrition des couches vulnérables (enfants moins de 05 ans, femmes enceintes et femmes allaitantes) ;
","Pourcentage d’enfant 0 – 5 ans bénéficiant de service de nutrition
Taux (en %) d’accès à l’eau potable
4.1 Objectif Général
Assurer à tous un état nutritionnel satisfaisant particulièrement les enfants de moins de cinq ans, les femmes en âge de procréer et les adolescent(e)s.
4.2 Objectifs Intermédiaires
- Assurer une couverture adéquate en services essentiels de nutrition pour les enfants de moins de 5 ans, les femmes en âge de procréer et les adolescentes ;
- Améliorer l’accès et l’utilisation des services de santé de qualité ;
- Améliorer les connaissances nutritionnelles des populations pour l’adoption de comportements favorables à une bonne nutrition ;
- Promouvoir la recherche et la production des aliments à haute valeur nutritive ;
- Obtenir un financement suffisant et pérenne des interventions de nutrition ;
- Renforcer la coordination, le suivi et l’évaluation des interventions de nutrition dans le cadre de l’approche multisectorielle.
","6.1 Orientation stratégique 1 : l’intégration de la nutrition
6.2 Orientation stratégique 2 : décentralisation des interventions
6.3 Orientation stratégique 3: approche communautaire
","","","","","","http://intomorrowetrust.com/pndn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2015-2025-Polique%20nationale%20nutrition.pdf" "40740","NER","Niger","","Strategie nationale pour l'alimentation du nourrisson et du jeune enfant (ANJE)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2020","Ministère de la Santé Publique","","2016","","","","","Health|Food and agriculture|Other","les élus locaux","","","","ONGs","","","","","National NGOs","","Research/academia","universités","Private sector","hommes de lois, employeurs","Other","sociéte civile, médias","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 :
But de la Politique
La présente politique vise à permettre au Niger d’atteindre les Objectifs de Développement Durable (ODD), particulièrement l’ODD2: éliminer la faim, assurer la sécurité alimentaire, améliorer la nutrition et promouvoir une agriculture durable.
Objectif général
La politique nationale sur la sécurité nutritionnelle, qui exprime l'engagement pris par le Gouvernement de la République du Niger, vise à éliminer toutes les formes de malnutrition au travers d’une large mobilisation multisectorielle de ressources institutionnelles, humaines, et financières.
Objectifs spécifiques
Engagement 1: Le Niger s’engage à assurer que les politiques et instruments qui protègent et améliorent la sécurité nutritionnelle et le cadre de vie des Nigériennes et des Nigériens, particulièrement au niveau des groupes vulnérables, soient formulés et guident les décisions et actions du Gouvernement et de ses partenaires.
Engagement 2: Le Niger s’engage à assurer une nutrition et un développement optimal pour chaque enfant, une nutrition adéquate durant l’adolescence en particulier pour les jeunes filles, et un apport nutritionnel approprié pendant la grossesse et l’allaitement.
Engagement 3: Le Niger s’engage à créer les conditions d’une disponibilité accrue de l’approvisionnement et de la consommation d’aliments diversifiés, pour garantir une alimentation quantitativement et qualitativement adéquate aux enfants de moins de cinq ans, aux adolescentes et adolescents, aux femmes enceintes et allaitantes et ceci durant les différentes périodes de l’année y compris la période de soudure.
Engagement 4: Le Niger s’engage à assurer le développement et la mise à l’échelle de stratégies permettant un accès à l’eau potable, et aux infrastructures d’hygiène et d’assainissement pour les enfants, les femmes et les hommes.
Engagement 5: Le Niger s’engage à ce qu’un socle de protection sociale ou des programmes de protection sociale contribuent directement ou indirectement à la promotion de la sécurité nutritionnelle en particulier pour les catégories les plus vulnérables.
Engagement 6: Le Niger s’engage pour une éducation formelle et non formelle qui promeut la sécurité nutritionnelle.
Engagement 7: Le Niger s’engage à lutter contre le surpoids et l’obésité, y compris la surnutrition des enfants, et à réduire l’incidence des maladies non transmissibles (prévenir et contrôler les maladies liées à la mauvaise alimentation et ses conséquences).
Engagement 8: Le Niger s’engage à développer et mettre à l’échelle des stratégies de communication cohérentes et multisectorielles assurant un support politique, des changements sociaux et de comportements favorisant une meilleure nutrition.
Note: for each commitment, stratgies are listed in document pages 15-21
","","","","Maternity protection|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202016%20PNSN_0.pdf" "40332","SEN","Senegal","","Plan stratégique lutte contre les maladies non transmissibles 2017-2020","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2020","Ministère de la Santé et de l’Action sociale","7","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Transport|Trade|Environment|Other","Douanes","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Objectifs strategiques 3
Améliorer les compétences individuelles en matière de santé et de lutte contre les MNT
Objectifs Spécifiques
3.1. Amener au moins à 80% le nombre de personnes qui connaissent les 4 principaux facteurs de risque associés aux MNT (alimentation trop grasse, trop huilée, trop sucrée, trop salée, insuffisance de la consommation de légumes et fruits, obésité et manque d’activités physiques, tabagisme et alcoolisme);
3.2. Amener au moins à 80% le nombre de personnes qui sont au courant de l’existence de lois protégeant contre certains facteurs de risque des MNT (tabac, alcool, composition des aliments, produits de dépigmentation, environnement…);
3.3. Amener au moins à 50% le nombre de personnes qui affirment avoir réduit leur consommation de sel;
","
Ainsi, en plus des programmes de sensibilisation et d’éducation des populations sur les facteurs de risques, la mise en place de législations et de politiques fiscales (telles que l’application des sanctions (verbalisation), la taxation sur le tabac, l’alcool, les boissons sucrées, la lutte contre la publicité du tabac et des produits de dépigmentation) de même que la subvention pour soutenir l’accès à des aliments sains (fruit, légumes…) seront encouragés.
D’autres actions seront aussi encouragées notamment en organisant des lieux de vie propices à la santé (pistes cyclables, installations sportives et de loisirs attrayants, préservation des espaces naturels et de détente, préparation de repas sains dans les cantines au travail, à l’école ou dans les niches socio-économiques défavorisées (gares routières), etc.…).
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Salt reduction|Nutrition education|Food safety","","https://extranet.who.int/ncdccs/Data/SEN_B3_Plan Stratégique MNT VF Juillet 2017.pdf","","WHO NCD Document Repository","" "25923","SEN","Senegal","","Plan Stratégique Multisectoriel de la Nutrition du Sénégal","Comprehensive national nutrition policy, strategy or plan","","French","","2018","","2022","Cellule de Lutte Contre la Malnutrition","8","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Environment|Industry","","","","","","","","","","","","","","","","","","Objectif Stratégique (OS) n°1 : Réduire d’au moins 20% la prévalence du retard de croissance d’ici 2021 au niveau national
OS.1.1. Réduire d’au moins 40% la prévalence du retard de croissance dans les régions de Sédhiou, Tambacounda, Kédougou, Kolda, Louga Kaffrine, Fatick, Matam, Diourbel ;
OS.1.2. Réduire d’au moins 15% la prévalence du retard de croissance dans les autres régions (Dakar, Thiès, Kaolack, Saint-Louis, Ziguinchor) ;
OS.1.4.Augmenter d’au moins 30% la proportion de femmes enceintes et allaitantes qui ont un régime alimentaire varié, diversifié, de quantité suffisante et équilibrée ;
OS.1.5. Augmenter à 20% au moins la proportion d'enfants 6-23mois qui bénéficient d'un apport alimentaire minimum acceptable.
Objectif Stratégique (OS) n°2 : Réduire de 15% la proportion d’enfants ayant un faible poids de naissance, d’ici 2021
OS.2.1. Réduire d'au moins 40% la prévalence du faible poids de naissance dans les régions Centre et Nord ;
Objectif Stratégique (OS) n°3 : Réduire à moins de 5% la prévalence de la malnutrition aigüe des enfants de 0 à 5 ans
OS.3.1. Réduire à moins de 10% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les régions de Saint Louis, Matam, Louga, Tambacounda et Diourbel ;
OS.3.2. Réduire à moins de 5% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les autres régions.
OS.2.2. Réduire d'au moins 20% la prévalence du faible poids de naissance dans les régions Sud, Sud-Est et Ouest.
Objectif Stratégique (OS) n°4 : Porter à 43% au moins le taux de l’Allaitement Maternel Exclusif durant les 6 premiers mois
OS.4.1. Réduire de 50% le pourcentage de femmes qui donne de l’eau en plus de l’allaitement maternel pendant les six (06) premiers mois ;
OS.4.2. Porter la mise au sein précoce (dans l’heure qui suit la naissance) à 50% au moins.
Objectif Stratégique (OS) n°5 : Réduire de 25% la prévalence de l’anémie chez les groupes vulnérables
OS.5.1. Réduire de 25% la prévalence de l’anémie chez les enfants de 6 - 59 mois ;
OS.5.2. Réduire de 25% la prévalence de l’anémie chez les adolescentes (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.5.3. Réduire de 25% la prévalence de l’anémie chez les femmes en âge de reproduction.
Objectif Stratégique (OS) n°6 : Réduire d’au moins 20% la prévalence des carences pour les autres micronutriments (iode, zinc et vitamine A)
OS.6.1. Réduire de 20% la carence en zinc chez les enfants de moins de 5 ans ;
OS.6.2. Réduire d’au moins 20% la prévalence de la carence en iode chez les FAR ;
OS.6.3. Réduire d’au moins 20% la prévalence de la carence en iode chez les FE ;
OS.6.4. Réduire d’au moins 20% la prévalence de la carence en Vitamine A chez les enfants de moins 5 ans ;
OS.6.5. Porter à 80% le taux de consommation de sel adéquatement iodé dans les ménages.
Objectif Stratégique (OS) n°7 : Réduire de 10% la prévalence de l’obésité chez les groupes vulnérables
OS.7.1. Réduire la prévalence de l’obésité d’au moins 5% chez les enfants de moins de 5 ans ;
OS.7.2. Réduire la prévalence de l’obésité de 5% chez les adolescents (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.7.3. Réduire la prévalence de l’obésité de 5% chez les FAR.
","","*Voir le Tableau 1 sur la page 70
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Vitamin A|Other B-vitamins|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","http://intomorrowetrust.com/psmn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2017-2021-Plan%20Strategique%20multisectorel%20de%20la%20Nutrition.pdf" "82242","SEN","Senegal","","Loi n° 2018-10 du 30 mars 2018 modifiant certaines dispositions du Code général des Impôts","Legislation relevant to nutrition","","French","","2018","","","JOURNAL OFFICIEL DE LA REPUBLIQUE DU SENEGAL. 163e ANNEE - N° 7082 NUMERO SPECIAL VENDREDI 30 MARS 2018","3","2018","Adopted","3","2018","Le Président de la République,Le Premier Ministre","Cabinet/Presidency|Finance, budget and planning","","","","","","","","","","National NGOs","","","","","","","","","","","","EXPOSÉ DES MOTIFS
…
En matière de santé publique, le droit d'accises sur les boissons gazeuses non alcoolisées est étendu aux jus de fruits et son taux d'imposition ainsi que celui applicable aux corps gras alimentaires revus à la hausse. Dans cette même optique, il est également proposé une modification du taux de la taxe sur le tabac de 45% à 50%.
…
Art. 50.- Les dispositions de l'article 413.b du Code susvisé sont modifiées comme suit :
« Article 413.b.
- 5% pour les autres boissons et liquides ».
…
Art. 59.- Les dispositions des articles 225, 294, 314, 346, 361, 430, 431, 556, 559 570, 638, 639, 704 et 706 du Code susvisé sont remplacées par les dispositions suivantes :
…
« Article 431.- Les taux de la taxe sont de :
- 15 % pour les beurres, crèmes de lait et les succédanés ou mélanges contenant du beurre ou de la crème, quelles que soient les proportions du mélange ;
- 10 % pour les autres corps gras ».
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Beverages (taxes)|All carbonated non-alcoholic beverages (taxes)|Fats and oils (taxes)","","http://www.impotsetdomaines.gouv.sn/sites/default/files/loi_ndeg2018-10_du_30_mars_2018_modifiant_le_cgi_journal_officiel_numero_special_du_vendredi_30_mars_2018_1.pdf","","","" "40328","NER","Niger",""," Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles 2019-2021","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","","","2019","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Labour","Assemblée nationaleMinistère en charge de la Renaissance Culturelle","World Health Organization (WHO)","","","","","","","","National NGOs","Société Civile (ONG, Associations et Fondations)","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
E- CIBLES
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" "82243","SEN","Senegal","","Loi n° 2021-29 du 05 juillet 2021 portant loi de finances rectificative pour l'année 2021","Legislation relevant to nutrition","","French","","2021","","","JOURNAL OFFICIEL DE LA REPUBLIQUE DU SENEGAL. 166e ANNEE - N° 7437 NUMERO SPECIAL VENDREDI 09 JUILLET 2021","7","2021","Adopted","7","2021","Le Président de la République,Le Premier Ministre","Cabinet/Presidency|Finance, budget and planning","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 49. -
Il est inséré après article 442 du Code susvisé un « Chapitre IX » intitulé « Taxe sur les Bouillons alimentaires. »
Article 50. -
Il est inséré après le « Chapitre IX intitulé » Taxe sur les Bouillons alimentaires », les articles 442 bis- 442 ter et 442 quater ainsi rédigés :
« Article 442 bis. - Il est institué au profit du Budget de l'Etat une Taxe sur les Bouillons alimentaires. »
Section première. - Champ d'application
« Article 442 ter.- La taxe s'applique aux bouillons alimentaires produits ou importés au Sénégal, pour une utilisation directe en cuisson ou assaisonnement.
Les bouillons alimentaires sont des préparations obtenues à partir de chlorure de sodium, de substances riches en protéines ou leurs extraits ou hydrolysats, ou de substances å base de végétaux avec ou addition d'exhausteurs de goûts, de substances aromatisants, de matières grasses comestibles, d'épices de leurs extraits naturels ou distillats et de toute autre denrée alimentaire visant å améliorer la sapidité. »
Section Il. - Taux
Article 442 quater. - Le taux de la Taxe sur les Bouillons alimentaires est de 15%.
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Foods and snacks (taxes)","","http://www.droit-afrique.com/uploads/Senegal-LF-2021-rectificative.pdf","PROJET DE LOI DE FINANCES RECTIFICATIVE POUR L’ANNEE 2021 https://budget.sec.gouv.sn/telecharger-le-document/5ff6d332-5bb0-44e3-8a70-43180a2a028a/telechargementARTICLES 45,46,47,48,49,50,51,52,53,54,55,56 et 57 : Modification de certaines dispositions du Code général des Impôts Exposé des motifs La mise en oeuvre de la deuxième phase du PSE et du programme de relance de l’économie à travers la stratégie de mobilisation des recettes (SRMT) nécessite la révision de certaines dispositions du Code général des Impôts dans le but d’améliorer le niveau des ressources publiques et de renforcer la cohérence du système fiscal. A ce titre, il est institué au profit de l’Etat une taxe spécifique sur les Bouillons alimentaires. Son taux est de 25%, applicable aux bouillons alimentaires produits ou importés au Sénégal. En plus de son rendement budgétaire, cette taxe est appelée à jouer un rôle significatif dans la lutte contre les externalités négatives induites par la consommation de ce type de produits.","","" "82241","SEN","Senegal","","LOI n° 2002-07 du 22 février 2002 abrogeant et remplaçant certaines dispositions du livre II du Code général des Impôts ","Legislation relevant to nutrition","","French","","2002","","","J.O. N° 6038 du samedi 23 mars 2002","3","2002","Adopted","2","2002","Le Président de la République,Le Premier Ministre","Cabinet/Presidency|Finance, budget and planning","","","","","","","","","","National NGOs","","","","","","","","","","","","Article premier. - Les dispositions des articles 360, 363 et 368 de la loi 92-40 du 9 juillet 1992, modifiée, sont abrogées et remplacées par les dispositions suivantes :
Article 360. - La taxe sur les corps gras alimentaires frappe tous les corps gras alimentaires, à l’exclusion des huiles d’arachide, fluides ou concrètes, brutes, épurées ou raffinées, ainsi que les huiles alimentaires contenant au moins 60 % d’huile d’arachide ;
Article 363. - Le taux de la taxe est de :
15 % pour les huiles raffinées ;
12 % pour les beurres, crèmes de lait et les succédanés ou mélanges contenant du beurre ou de la crème, quelles que soient les proportions du mélange ;
5% pour les autres corps gras.
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Fats and oils (taxes)","","http://www.jo.gouv.sn/spip.php?article2014","","",""