"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"
"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"
"8261","GTM","Guatemala","","Programa para la Reducción de la Desnutrición Crónica","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2006","","2016","SESAN","","2005","Adopted","","2005","Gobierno de la República de Guatemala","Education and research|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare","MINEDUC, MINECO, VISAN-MAGA, MOH, Ministry of Labor, Consejo de cohesión social SESAN","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Complementary feeding|Vitamin A|Iron and folic acid|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture","","http://www.sesan.gob.gt/","","WHO Global Nutrition Policy Review 2009-2010",""
"36114","MNE","Montenegro","","Food Safety Strategy 2006","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","","Ministry of Health","3","2006","","","","","Health|Food and agriculture|Finance, budget and planning|Industry","","","","","","","","","","National NGOs","","","","","","Other","Food producers and retailers","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
- The basic objective of nutrition policy is prevention of chronic non-communicable diseases, in the first place cardiovascular diseases, whose risk factor is improper nutrition.
- Promotion of healthy lifestyles
- Carrying out of special Programs in order to prevent the appearance of health consequences related to micronutrients deficiency.
","Strategic activities
For achievement of basic objective as well as specific aspirations, following strategic principles are proposed:
- Information and education of population in the area of nutrition
- Promotion of breast–feeding and healthy way of nutrition of infants and little children
- Continuous monitoring of nutrition in preschoolers institutions in order to prevent deficiency and develop proper habits in nutrition
- Perform special programs for prevention of obesity and chronic non- communicable diseases
- Draft of information system for special programs with data base
- Carrying out of special programs: prevention and control of deficiency of micronutrients; sustainable elimination of disorders caused by iodine deficiency; Prevention of nutritive anaemia of vulnerable population groups; Prevention of calcium and phosphorous deficiency of vulnerable population groups;
","","","","Anaemia|Iodine deficiency disorders|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition education|Food safety","","http://www.mzdravlja.gov.me/en/library/strategije","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MNE%202006%20Food%20Safety%20Strategy.pdf"
"8131","NPL","Nepal","","National School Health and Nutrition Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2006","","","MoHP and Ministry of Education","","2006","Adopted","","2006","MoHP and Ministry of Education","Education and research|Finance, budget and planning|Health","MoHP and Ministry of Education","","","","","","","","","National NGOs","","","","","","","","","","","","","Anaemia|Anaemia in adolescent girls|Iodine deficiency disorders|Vitamin A deficiency|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|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Creation of healthy food environment|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Nutrition and infectious disease|Nutrition sensitive actions|Health related","","","","WHO Global Nutrition Policy Review 2009-2010",""
"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 :
- Réduire de 30% les prévalences de la carence en fer chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
- Eliminer la carence en vitamine A chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
- Eliminer les troubles dus à la carence en iode chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
","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"
"8388","ITA","Italy","","Guadagnare salute (Gaining health)","NCD policy, strategy or plan with healthy diet components","","Italian","","2007","","","Ministero della Salute","","2007","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Industry|Sub-national","Ministero Salute, Ministero Pubblica Istruzione Scuole, Ministero Sviluppo Economico, Ministero Politiche Agri- cole Alimenta- re e Forestali - INRAN, Ministero per le Politiche Giovanili e le Attività Sportive, ministero della Famiglia, Azienda, Sanitaria Ospedale, Regioni - Enti Locali, Produttori, Privati, Datori di Lavoro, Esercenti, Altri (Associazioni, Gruppi sportivi)","","","","","","","","","","","Research/academia","Società Scientifiche e Associazioni","Private sector","Privati (produttori, distributori, gestori, ecc.)","","","","Guadagnare salute rendendo più facile una dieta più salubre
1 PROMUOVERE COMPORTAMENTI SALUTARI
1.A Promuovere lʼallattamento al seno
Lʼallattamento esclusivo al seno, come alimentazione normale dei neonati e dei bambini fino ai sei mesi di età dovrebbe essere sostenuto, ampliando le iniziative che già sono in funzione in Italia, come gli Ospedali amici dei bambini. Assicurare il costante controllo del rispetto delle disposizioni legislative relative alla produzione e commercializzazione dei sostituti del latte materno, con particolare attenzione ai contenuti derivanti dal codice OMS
1.B Sostenere la dieta tradizionale
Le Linee Guida per una Sana Alimentazione Italiana, elaborate dallʼINRAN, dovrebbero essere aggiornate; la composizione della dieta media dovrebbe essere ulteriormente studiata.
1.C Sorvegliare e monitorare i comportamenti alimentary
La sorveglianza dovrebbe monitorare i comportamenti alimentari
1.D Prevenire i disturbi del comportamento alimentare
- La prevenzione dei disturbi del comportamento alimentare dovrebbe essere favorita attraverso la sensibilizzazione e formazione specifica rivolta ai medici e ai pediatri di base, agli operatori dei consultori, ai medici ospedalieri, ai ginecologi.
- I professionisti della salute nellʼambito delle cure primarie, dovrebbero fornire counselling e indicazioni su corretti stili di vita, sana alimentazione ed importanza dellʼattività fisica e contribuire anche alla diagnosi precoce dei Disturbi del Comportamento alimentare, spesso nascosto dai pazienti stessi e sconosciuto ai genitori e altri familiari
2 FAVORIRE UNA ALIMENTAZIONE SANA NELLA RISTORAZIONE
2.A Consolidare una cultura alimentare fondata sui principi del vivere sano, del rispetto ambientale, della qualità, della scoperta della propria identità individuale e collettiva.
- Nelle scuole e negli asili la fornitura di cibi dovrebbe essere adeguata sulla base di linee guida per la ristorazione scolastica, con spuntini a base di frutta e vegetali e acqua naturale,latte, yogurt e cereali ampliando lʼopportunità di scelta. Il monitoraggio degli scarti dovrebbe essere effettuato sistematicamente per comprendere quali sono i piatti meno graditi e poter fornire alle ASL utili indicazioni per la composizione dei menù e attivare interventi atti ad invogliare i bambini a consumare tutti gli alimenti programmati (progetti di educazione alimentare)
- Nel mondo del lavoro, nelle mense aziendali, dovrebbe essere resa disponibile una varietà di scelte di cibi compatibile con le Linee Guida per una Sana Alimentazione
- Negli ospedali dovrebbe essere evitata la diffusione di distributori automatici di cibi ad alto contenuto energetico e scarso valore nutrizionale e di fast food.
2.B Favorire il consumo di cibi salubri nella ristorazione collettiva (scuole, ospedali, mense aziendali)
- Nella ristorazione collettiva il settore privato dovrebbe essere incoraggiato ad offrire scelte alimentari compatibili con le Linee Guida per una Sana Alimentazione Italiana. Dovrebbe essere favorita una corretta politica di “educazione alimentare” del consumatore, affinché esso sia in grado, al di là del richiamo di offerte “accattivanti”, di operare scelte responsabili e consapevoli.
- Per favorire scelte alimentari corrette dovrebbe essere incoraggiata lʼaggiudicazione delle gare dʼappalto secondo il sistema dellʼofferta economica più vantaggiosa, allo scopo di premiare gli elementi qualitativi e non solo o prevalentemente il fattore prezzo
2.C Sensibilizzare i luoghi di ristoro
- Tavole calde, pizzerie, bar ed altri negozi che producono cibi pronti dovrebbero essere sensibilizzati sullʼimportanza dellʼofferta di soluzioni compatibili al consumo veloce di frutta e verdura e, ove possibile, scoraggiati dal fornire alimenti altamente energetici o porzioni troppo grandi.
3 PROMUOVERE PRODOTTI SANI PER SCELTE SANE
3.A Migliorare la composizione degli alimenti
- I produttori primari, come gli allevatori, e lʼindustria di trasformazione dovrebbero essere incoraggiati, con accordi da raggiungere anche tramite incentivi, a ridurre progressivamente i contenuti di grasso totale, grassi saturi, zucchero e sale aggiunti nei prodotti.
3.B Sviluppare politiche agricole adeguate
- Lʼattuale politica di incentivi alla produzione di zucchero e grassi dovrebbe essere ampliata in favore di un sostegno anche alla produzione e commercializzazione di frutta e verdure. Le tariffe che limitano il commercio di frutta e verdure dovrebbero essere riconsiderate. La produzione locale sostenibile dovrebbe essere incoraggiata.
- Difesa della dieta tradizionale e dei cibi tipici. La dieta tradizionale italiana, ricca di vegetali, dovrebbe essere valorizzata anche per i suoi effetti positivi per la salute. I produttori di alimenti tipici dovrebbero essere incoraggiati a mantenere standard di qualità elevati.
3.C Adeguare le priorità dʼintervento nei Piani Regionali di Sviluppo Rurale
- Adeguamento delle priorità di intervento e degli obiettivi specifici dei Piani Regionali di Sviluppo Rurale, previsti dal Piano Strategico Nazionale elaborato dal Ministero delle Politiche Agricole Alimentari e Forestali ed approvato dalla Conferenza Stato Regioni il 31 ottobre 2006, alle finalità del piano GUADAGNARE SALUTE, in particolare in riferimento alla sicurezza alimentare nellʼambito delle azioni per il rilancio della competitività delle filiere agro-alimentari, alla valorizzazione delle produzioni tipiche e delle filiere corte che favoriscono il pronto accesso di prodotti alimentari freschi (ortofrutticoli in particolare) sui mercati urbani, agli interventi sulla logistica che possono agevolare la movimentazione dei prodotti agroalimentari particolarmente deperibili, allo sviluppo di attività salutari per la popolazione attraverso la valorizzazione della multifunzionalità delle aziende agricole (fattorie sociali, ecoturismo, agriturismo).
3.D Assicurare la tutela dei prodotti salubri
- Sensibilizzare, attraverso una specifica azione delle amministrazioni statali competenti, i diversi livelli di governo regionale affinché, nella definizione ed implementazione dei Piani Operativi Regionali relativi alle politiche regionali e di coesione, vengano privilegiati quegli interventi e quelle misure in linea con gli obiettivi di GUADAGNARE SALUTE, in particolare con riferimento alla definizione di modelli di produzione e consumo in grado di assicurare la tutela della salute pubblica, alla inclusione sociale, alle reti e collegamenti per la mobilità con particolare riferimento alla filiera agroalimentare , alla attrattività delle città e dei sistemi urbani per lʼurban welfare.
4 PROMUOVERE I CONSUMI SALUTARI
4.A Educare al consumo consapevole
- Dovrebbe essere ulteriormente promossa la corretta informazione al consumatore sulla importanza delle varietà della dieta tradizionale che deve essere ricca di vegetali, anche di agricoltura biologica) e che può contenere altri alimenti del nostro patrimonio agroalimentare, da consumare in maniera consapevole.
4.B Promuovere acquisti responsabili
- Dovrebbe essere favorita la formazione di volontari per la diffusione di gruppi familiari di acquisto responsabile, volti ad ottenere maggiore qualità nutrizionale e risparmio nella spesa, promozione della salute, presa di coscienza ed “empowerment” dei membri.
- Prezzi e fiscalità. Le attuali politiche fiscali e dei prezzi dovrebbero essere sviluppate in modo da assicurare la coerenza con le indicazioni nutrizionali della “piramide alimentare”, strumento di riferimento per il rilancio della dieta mediterranea nel nostro Paese.
4.C Favorire la moltiplicazione di punti vendita di frutta
- Gli enti locali dovrebbero favorire la moltiplicazione dei punti vendita di frutta, nelle zone delle città maggiormente frequentate, come le uscite delle stazioni ferroviarie, della metropolitana o di altri sistemi di trasporto pubblico.
4.D Favorire la distribuzione ed il marketing
- I mercati locali e rionali dovrebbero essere supportati, come pure i negozi che assicurino lʼofferta di differenti tipi di alimenti. La localizzazione dei punti vendita alimentari dovrebbe essere studiata dalle amministrazioni locali, favorendo la diffusione dei prodotti ortofrutticoli freschi negli spazi della grande distribuzione. Dovrebbero essere prese in considerazione attività di promozione che facilitino la scelta di alimenti più sani. La riduzione del prezzo di frutta e verdura, per esempio, potrebbe essere attuata con accordi e sinergie con la grande e la piccola distribuzione, anche attraverso “settimane promozionali di vendita”, collegate al programma.
5 INFORMARE I CONSUMATORI E TUTELARE I MINORI
5.A Facilitare la lettura delle etichette
Le etichette nutrizionali dovrebbero consentire di individuare il contenuto in grassi, zucchero, calorie e sale. Lʼetichetta dovrebbe essere completa, facilmente comprensibile e standardizzata
5.B Monitorare e regolare il ruolo della pubblicità
- Pubblicità degli alimenti. Il volume della promozione pubblicitaria di alimenti e bevande rivolta ai bambini dovrebbe essere monitorato e tendenzialmente ridotto, attraverso lʼautoregolazione dellʼindustria e lʼazione regolatrice.
5.C Regolamentare il mercato di prodotti cosiddetti dimagranti
- Dovrebbe essere garantita la diffusione di informazioni scientificamente corrette sullʼuso e le indicazioni di integratori alimentari e prodotti cosiddetti dimagranti favorendo anche azioni di controllo e interventi normativi sulla pubblicità
5.D Interpretare e decodificare i modelli di efficentismo
- Aiutare le giovani generazioni ad interpretare e decodificare modelli di efficentismo esasperato proposto dai mass media: “essere magri oggi. Bulimia e anoressia”
","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Fats|Salt/sodium|Sugars|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","","http://www.ministerosalute.it/imgs/C_17_pubblicazioni_605_allegato.pdf","","WHO Global Nutrition Policy Review 2009-2010; 2nd Global Nutrition Policy Review 2016-2017.","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ITA%202007%20Guadagnare%20salute.pdf"
"36126","SRB","Serbia","","Strategy on Prevention and Control of Chronic Noncommunicable Diseases","NCD policy, strategy or plan with healthy diet components","","Serbian","","2009","","","Official Gazette of the Republic of Serbia","","2009","Adopted","","2009","Government of Republic of Serbia","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Other","Official Gazette of the Republic of Serbia; National Statistical Office","","","","","","","","","National NGOs","","Research/academia","'Republički zavod za statistiku Institut za javno zdravlje Srbije'; Schools of medical and health related sciences.","Private sector","Food Producers","","Health Institutions; Health Insurance Fund; Professional Associations.","Strateški pristup
Strategija je usmerena i na prevenciju i na kontrolu HNB. Njen cilj je da uravnoteži akciju usmerenu na uzroke bolesti koje je moguće izbeći, invaliditet i prevremeno umiranje, sa akcijom usmerenom na poboljšanje ishoda i kvaliteta života obolelih od HNB. Strategija teži da prevenira ili modifikuje delovanje faktora rizika, da prevenira početak ili progresiju bolesti, invaliditet i prevremeno umiranje. Strategija obuhvata sve one HNB koje imaju zajedničke faktore rizika, socijalnoekonomske determinante, kao i mogućnosti za prevenciju, što se smatra efektivnim i efikasnim pristupom imajući u vidu multifaktorsku etiologiju HNB i čestu udruženost faktora rizika i bolesti (komorbiditeta) kod pojedinaca, posebno pripadnika vulnerabilnih grupa.
- Prevencija gojaznosti i smanjenje njene učestalosti u opštoj populaciji
- Prevencija gojaznosti i smanjenje njene učestalosti kod dece
- Smanjiti učestalost arterijske hipertenzije preduzimanjem integrisanih aktivnosti – nacionalni program
- Smanjiti značajno opterećenje dijabetesom i smrtnost od dijabetesa na osnovu preduzimanja specifičnih i integrisanih akcija kroz Nacionalni program integrisane zdravstvene zaštite od dijabetesa
","- Prikupljanje podataka o navikama u ishrani, stanju uhranjenosti i fizičkoj aktivnosti stanovništva Srbije
- Izrada preporuka za ishranu stanovništva Republike Srbije
- Izrada Vodiča za pravilnu ishranu stanovništva Srbije Primena i ocena preporuka za pravilnu ishranu
- Promocija zdravih stilova života koji se odnose na pravilnu ishranu i redovnu fizičku aktivnost
- Kampanje Predavanja, tribine, kvizovi znanja Savetovališni rad Medijska promocija
- Edukacija (dodiplomska, poslediplomska i kontinuirana) zdravstvenih radnika i saradnika u pogledu prevencije nutritivnih faktora rizika za nastanak gojaznosti
- Едукачија становништва о здравственим установама koristima pravilne ishrane i fizičke aktivnosti
- Unapređenje ishrane u zdravstvenim ustanovama
- Unapređenje ishrane zaposlenih na radnim mestima
- Saradnja sa proizvođačima hrane u pogledu smanjenja soli, šećera i masnoća u industrijski proizvedenim namirnicama
- Unapređenje ishrane dece u predškolskim ustanovama i školama
- Unapređenje zakonske regulative u pogledu preciznijeg označavanja sastava gotovih proizvoda (deklaracija sa detaljnim informacijama o nutritivnom sastavu proizvoda)
- Edukacija prehrambenih tehnologa o značaju pravilne ishrane u cilju smanjenja sadržaja soli, šećera i masnoće u industrijski proizvedenim namirnicama
- Unapređenje zakonskih propisa u pogledu reklamiranja takozvane brze hrane i zabrana reklamiranja u mas medijima
- Razvijanje i jačanje partnerstava za sprovođenje preporuka za pravilnu ishranu i fizičku aktivnost između vladinog i nevladinog, državnog i civilnog sektora.
- Praćenje rasta i razvoja dece
- Izrada preporuka za ishranu dece
- Unapređenje ishrane dece u predškolskim ustanovama i školama
- Saradnja sa proizvođačima hrane u pogledu smanjenja soli, šećera i masnoća u industrijski proizvedenim namirnicama, posebno onim namenjenim za ishranu dece
","- Baze podataka dobijenih istraživanjem Izveštaji
- Broj vodiča za pravilnu ishranu za različite populacione grupe
- Godišnji izveštaji Broj predavanja, tribina, kvizova; broj učesnika
- Broj pacijenata u savetovalištu
- Broj nastupa u radio i TV emisijama, broj članaka u novinama i časopisima
- Ishrana kao sastavni deo nastavnih programa dodiplomske, poslediplomske i kontinuirane edukacije zdravstvenih radnika i saradnika
- Ishrana kao sastavni deo različitih kurseva i obuka
- Zastupljenost dijetetičaranutricionista u stacionarnim zdravstvenim ustanovama
- Izveštaji Odluka o obezbeđenju finansijskih sredstava
- Zakonska akta i pravilnici u pogledu obaveze deklarisanja industrijski proizvedene hrane
- Zakonska akta i pravilnici u pogledu reklamiranja takozvane brze hrane
- Izveštaji Ishrana kao sastavni deo nastavnih programa, kampanja, predavanja, tribina
- Preporuke za pravilnu ishranu dece
","Process indicators","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|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|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|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|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)|Salt reduction|Nutrition education|Vulnerable groups","","http://www.zdravlje.gov.rs/downloads/Zakoni/Strategije/Strategija%20Za%20Prevenciju%20I%20Kontrolu%20Hronicnih%20Nezaraznih%20Bolesti.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SRB%202009%20NCD%20prevention%20and%20control%20strategy.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) :
- augmenter les quantités et favoriser un régime plus équilibré (I.1.1) ;
- favoriser les initiatives alliant lutte contre le gaspillage alimentaire et aide aux personnes démunies (I.1.2).
- Prendre de bonnes habitudes alimentaires dans le cadre scolaire ou périscolaire (I.2) :
- généraliser la distribution de fruits à l’école en plus de ceux consommés à la cantine (I.2.1) ;
- donner un repas équilibré et du plaisir aux jeunes en restauration collective (I.2.2).
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) :
- acquérir, durant le temps scolaire, des connaissances et sensibiliser les plus jeunes au patrimoine alimentaire et culinaire (III.1.1) ;
- acquérir, hors temps scolaire, un socle de connaissances et sensibiliser les plus jeunes au patrimoine alimentaire et culinaire (III.1.2).
- Éduquer les consommateurs (III.2) :
- créer un nouvel espace d’information sur l’alimentation (III.2.1) ;
- labelliser les maisons de l’alimentation (III.2.2) ;
- réaliser un centre de ressource des jeux éducatifs (III.2.3) ;
- développer des programmes éducatifs (III.2.4).
- Informer les consommateurs (III.3) :
- améliorer l’étiquetage et l’information sur les produits (III.3.1) ;
- renforcer l’information des consommateurs sur la composition nutritionnelle des denrées pré-emballées (III.3.3).
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) :
- Développer une communication actualisée sur les repères nutritionnels du PNNS et des outils adaptés à des publics spécifiques ; informer sur les relations entre nutrition et pathologies (action 11) ;
- Renforcer les messages de santé publique et réduire les effets de la pression publicitaire (action 12).
- 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"
"14838","MLT","Malta","","A Healthy Weight for Life: A National Strategy for Malta","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2020","Superintendence of Public Health (MOH)","","2012","Adopted","","2012","Superintendance of Public Health (MOH)","Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Environment|Labour","","","","","","","","","","","","","","","","Other","Representatives of Catering Industry; Representatives of Media","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
- To strengthen intersectoral collaboration (as initiated through ICCO), through the appointment of focal points in key sectors so as to facilitate the implementation and monitoring of this strategy.
Economic Evaluation of Overweight and Obesity
- To commission research to explore possible variations, by locality, in the availability of shops selling fast foods and vendors selling fresh fruit and vegetables.
- To analyze the impacts of subsidies on certain healthy foods and taxes on specific unhealthy food and drinks, particularly their effects on people’s behavior and income redistribution in order to determine their overall feasibility in Malta. This analysis will seek to ascertain whether such subsidies and taxes should be implemented and if this should be the case, which products should be affected and by how much.
- To carry out feasibility studies on incentives to increase the availability of healthy food outlets (eg. smoothie bars, fresh fruit and vegetable salad bars), and restrictions related to outlets selling fast foods.
- To examine further employer tax incentives to motivate employees to adopt healthier choices (eg. tax credits/ subsidies for gym membership, sport equipment etc.)
Promoting Healthy Eating
- To complete the revision of the Malta Food and Nutrition Policy and to formulate an Action Plan.
- To promote exclusive breastfeeding and ensure that more babies are breastfed for at least six months (exclusively) and continued in the first years of life together with appropriate complementary foods.
- To provide educational programmers on maternal and infant nutrition (including breastfeeding) for health professionals (family doctors, midwives, nurses and community pharmacists) so that they may transmit optimum information and support to all mothers.
- To provide more education and support to pregnant women through augmented parent craft courses on breastfeeding techniques and infant weaning as well as on the development of healthier lifestyles for themselves and their families.
- To establish Mater Dei Hospital as a recognized baby-friendly hospital, that promotes exclusive breast feeding.
- To review the Breastfeeding Policy for Malta, followed by implementation and monitoring.
- To update existing legislation to bring it in line with the International Code of Breast Milk Substitutes (WHO, 1981) and subsequent WHO resolutions.
- To include knowledge on breastfeeding in the health/nutrition education program within Personal and Social Development (PSD) curriculum in primary and secondary schools.
- To promote the establishment of a breast-feeding friendly environment within our society.
- To enhance healthy eating among school children with parent/guardian involvement through the development of clear guidelines for parents and criers on the age-appropriate content of lunchboxes for school-age children.
- To strengthen the HELP document by adopting it as national policy and to ensure the implementation and monitoring of the HELP guidelines within all schools, with particular reference to the choice of food products in school tuck shops and the creation of an overall environment that encourages the uptake of healthy balanced school-lunches and discourages the consumption of inappropriate and no nutritious food.
- To set up a healthy lifestyle program targeting students by the provision of keep fit sessions, talks on healthy foods and weigh in sessions so that students are monitored and provided with support within the school environment.
- To assess the feasibility of providing a regular healthy breakfast to all kindergarten children on the same lines as the School Fruit Scheme so as to educate the family about healthy breakfast options and expose the child to a regular, varied and nutritious diet.
- To roll out the Nutrition Friendly School Initiative with all state, church and private schools being eligible to participate.
- To establish a competition and award on an annual basis rewarding schools for helping children to adopt healthy lifestyles on school premises.
- To include more emphasis on the food chain in the PSD, Physical Education and Home Economics curriculum with particular attention to the importance of a healthy balanced diet as opposed to the consumption of energy-dense foods.
- To promote healthy meals/snacks during extracurricular school activities such as fund-raising activities, school bazaars, sports days, etc.
- To assess the feasibility of regulatory measures to restrict access by children to nutritionally inappropriate meals and energy-dense snack foods from retail outlets located in the vicinity of schools.
- To encourage media service providers to develop codes of conduct regarding inappropriate audiovisual communications on foods and beverages, accompanying or included in children’s programs.
- To set up a Task Force led by the Ministry responsible for Health to develop action plans on the introduction of agreed mechanisms to reduce salt and sugar, limit saturated fat and eliminate trans-fat content in local food products.
- To set up a Healthy Food Scheme using color coding so that healthy food is easily identifiable to the population. The aim will be to increase the visibility, appeal and pricing of healthy foods in food stores whilst reducing the supply of energy dense food and drinks.
- To use social marketing techniques to promote moderation in food consumption and to work with stakeholders to establish protocols to standardize portion sizes in ready meals and snacks and in food outlets.
- To work with all stakeholders in the hospitality industry to enhance the preparation and increase the availability of nutrient-dense healthy meals as attractive and tasty options within their outlets, and increase the options available on children’s menus.
- To establish partnerships with the wider community and in association with local councils and NGOs for the provision of more nutrient-dense food and beverage options in the community.
- To work towards the clarity of labeling on food and drink products such that the content of products is clear and easily understood by consumers.
- To increase the complement of registered nutritionists and dieticians and recruit food community workers, to act as a resource within healthcare and community settings.
- To tighten legislation on alcohol advertising and improve the enforcement of restrictions on the sale of alcohol to children and adolescents.
- To set up a Healthy Workplace Scheme, that provides support and incentives for employers to promote healthy eating in the workplace and support weight management programs. To introduce national guidelines on food provision within canteen/cafeteria facilities at workplaces which will promote less high-energy dense foods and more healthy options that are low in fat, sugar and salt.
- To update and monitor the implementation of healthy dietary guidelines for use in homes for older people to ensure that the range of products and food portion sizes offered in meals and snacks provide an adequate amount and balance of nutrients.
- To introduce regulations to ensure that all canteens and cafeterias within institutions, hospitals and homes for older people are in line with healthy dietary guidelines, with the majority of food sold favoring healthy eating principles.
- To plan and implement training programs on healthy eating and physical activity amongst care professionals, thus re-enforcing and supporting patients and residents towards adopting healthier eating habits.
Promoting Physical Activity
- To enhance Physical Activity through national policies that target changes in a number of sectors thereby promoting physical activity both for relaxation as well as for everyday activities.
- To develop a National Physical Activity Action
- To revise the national curriculum to include at least 30 minutes of daily Physical Activity during official school hours to be increased to 3 hours per week by 2015.
- To transform school yards and recreational areas to facilitate the uptake of physical activity during breaks.
- To support the proposed National Physical Activity Guidelines for school children and young people through initial and in-service teacher training.
- To increase knowledge of children, parents, criers and teachers on the benefits of Health Enhancing Physical Activity (HEPA).
- To encourage children and parents to use a screen time log, reduce the number of hours of watching TV, use of computer/video games to not more than 2 hours per day and to encourage sit down meals as family time as opposed to TV dinners.
- To review the use of public spaces so that they can be utilized to maximize the encouragement of physical activity uptake.
- To support Local Councils and other stakeholders in developing opportunities to complement the national infrastructure for physical activity by providing better walkways built to proper standards, parks, more pedestrianized areas and creatively utilizing spaces for physical activity within their locality.
- To enhance awareness of shared spaces on our roads so that different road users such as car and bicycle users and pedestrians show more respect for each other in order to allow safe use by all.
- To work with stakeholders to widen the existent opportunities of afterschool sports and dance programs.
- To provide opportunities and incentives to encourage NGOs, local councils, schools, workplaces, sports clubs, gyms and the private sector to provide physical activity classes, active play and sports which are both accessible and affordable to the general population.
- To work with stakeholders to ensure the inclusion of persons living with disability in physical activity opportunities.
- To work towards the improvement of the existing cycle lanes and creation of further networks wherever possible and providing the necessary regulatory structures to ensure their safety.
- To explore the possibility of introducing incentives to promote the uptake of physical activity.
- To raise awareness on the importance of physical activity on the health status of the individual among health professionals.
- To strengthen and expand workplace health promotion initiatives which specially target both nutrition and physical activity.
- To establish partnerships with organizations to increase awareness on the role of nutrition and physical activity on healthy lifestyles and provide sessions of enjoyable physical activity which are available to the general population.
Healthcare Services
- To increase the inclusion of knowledge on healthy choices and behavior change strategies in the initial training and continuing education for all health professionals.
- To increase the provision by the Health Promotion and Disease Prevention Directorate of regular and accessible weight management programs for adults with BMI > 25 in different settings, with a particular emphasis on communities with a higher risk.
- To issue guidelines on messages to be delivered in weight management courses carried out in both the private as well as the public sector.
- To strengthen and diversify the provision of up to date advice by the Health Promotion and Disease Prevention Directorate in order to ensure that it is a reputable and easily available resource for the population.
- To enhance Health Promotion and Disease Prevention Directorate – organize regular and accessible physical activity programs and walking schemes especially for adults with BMI >25 for all ages and in different settings.
- To work with stakeholders to encourage active transport action groups e.g. walking bus, cycle to work.
- To set up cookery clubs at community level in schools or local councils, workplaces, mother and- baby clubs, day care centers etc.
- To set up after-school cookery clubs for adolescent children in order to provide practical education on nutrition and healthy eating.
- To work with stakeholders to include health promotion and prevention in undergraduate curricula for all health professionals.
- To work with stakeholders to provide continuing professional development training in effective health promotion to all health professionals.
- To work with stakeholders to supply health care workers with the necessary resources to encourage weight loss and healthy living.
- To set up post-secondary training courses for care professionals in order to increase the human resource pool in the sector.
- To work with stakeholders to develop a national curriculum and certification in relation to the training of professionals, facilitators and advisors in the field of weight management in the field of nutrition, weight management and physical activity.
- To ensure that only persons certified as having received the relevant training in their field of activity provide such a service to the people.
- To provide health professionals with guidelines on healthy choices i.e. nutrition, exercise and alcohol, so that a uniform and coherent message is communicated.
- To provide regular CPD events specifically dealing with overweight and obesity prevention and management issues, specific training on diet and nutrition, physical activity and health behavior change.
- To provide health professionals with the necessary resources to advise people on healthy choices.
- To ensure that health professionals proactively screen for and manage risk factors associated with overweight and obesity such as hypertension, hyperlipidemia and diabetes.
- To ensure that all primary and secondary students are measured at the beginning of each scholastic year and to ensure monitoring and appropriate referral for overweight and obese children, and regular communication and lifestyle advice and help for the family.
- To set up specialized Obesity Clinics run by a multidisciplinary team of health professionals in the Primary Health Care sector which will provide initial medical assessment of the referred patients and the necessary follow-up including specialist referral if necessary, dietetics and exercise capacity assessment and prescription, psychological support and behavioral interventions as required and evaluation of the need for and referral for more invasive therapy as may be deemed necessary. Specialized staff required will include doctors, dieticians, psychologists, behavioral therapists, and physiotherapists.
- To carry out a health technology assessment and assess the feasibility of including bariatric surgery on the list of services available from the public health care sector.
- To set up a multidisciplinary pediatric weight clinics aimed at creating a supportive environment that helps overweight or obese children (above percentile 85) and their families make lifestyle changes.
","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"
"23744","BLZ","Belize","","National Plan of Action for the Prevention and Control of non-Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2023","Ministry of Health","","2013","","","","","Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Trade","Ministry of Health","Other|World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","Private sector","","","","To reduce premature mortality from NCDs the chronic disease burden by 25% by 2023. This will be achieved by combining integrated action on NCD risk factors and their underlying determinants and strengthen health systems so as to reduce NCD morbidity & mortality.
","Risk factor reduction, health promotion and communications:
Objectives
- To stimulate inter-sectoral action that promotes the availability, accessibility and consumption of healthy foods by the Belizean public.
- To develop and implement policies and strategies that promote physical activity.
Activities
- Review Food & Nutrition Security policy ensuring the inclusion of salt reduction, saturated fats, trans fats & sugar
- Continue the efforts with the Bureau of Standards in food labelling
- Develop/revise school physical education and nutrition policies
- Implement and monitor policies related to alcohol, tobacco, physical education, nutrition and healthy eating
- Devise and implement a comprehensive health communication strategy
- Vendor education, industry dialogue and support for the voluntary reduction of salt, fat and sugar in locally produced food
- Support population-based,community and work-based initiatives for physical activity and health living
- Maintain social mobilization activities such as Wellness Week, Caribbean Nutrition Day to engage more people in healthier living
- Engage media in the promotion of NCD agenda e.g.increasing public awareness on diet and physical activity; voluntary regulation of alcohol advertising and promotion, especially ads aimed at young people, particularly during primetime
- Operational Food & Nutrition Security policy by end 2015
- Operational policies to support healthy eating and physical education in schools by end 2015
- Policies to reduce the impact on children of marketing of foods &non-alcoholic beverages high in saturated fats, trans fatty acids, free sugars, or salt by end 2023
","- 10% relative reduction in the prevalence of insufficiently physically active adolescents, defined as less than 60 minutes of moderate to vigorous intensity activity daily b by end 2030 (baseline: tbd)
- Age-standardised prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruit & vegetables per day(baseline total/males/females: <2/day)
- Age-standardised prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol Q5.0 mmol/l or 190 mg/dl); and mean total cholesterol concentration(baseline (%) total/males/females: 5.1/4.1/6.0)
- 10% reduction in sedentarism by end 2023 (baseline adults (%) total/males/females:
77.7/75.4/80.4)
- 0% increase in adult and/or overweight, obesity and Type II diabetes by end 2023 (baseline diabetes (%) total/males/females:13.1/8.3/17.6); baseline overweight/obesity (%): 66.3/59.2/80.4)
- 25% relative reduction in the prevalence of raised blood pressure by 2023 (baseline (%) total/males/females: 28.7/28.6/24.4)
- 0% increase in the prevalence of overweight and obesity in adolescents by end 2023
","","","Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Food labelling|Regulating marketing of unhealthy foods and beverages to children","","http://www.iccp-portal.org/sites/default/files/plans/Belize%20NCD%20Strategic%20Plan%20-2013-2023.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLZ_2013_NPAPCNCDs.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","1. Tillögur að forgangsaðgerðum
Forgangsverkefni stjórnvalda er að kalla eftir samstarfi allra ráðuneyta til að samhæfa aðgerðir til þess að draga úr óheilbrigðum lifnaðarháttum og vaxandi þyngd þjóðarinnar.
- Skattur á óhollustu – ívilnun á hollustu
- Rannsóknir á lifnaðarháttum – regluleg vöktun – mat á árangri aðgerða
- Efling þjónustu heilsugæslunnar
- Ávísun á hreyfingu
- Næringarráðgjöf innan heilsugæslunnar
- Samnorrænt hollustumerki
- Klínískar leiðbeiningar um offitu fyrir börn (endurskoðaðar) og fyrir fullorðna
- Mat á heilsufarsáhrifum (health impact assessment)
- Kortleggja fitufordóma og vinna gegn þeim
","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt 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)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes 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)|Salt reduction|Nutrition education","","https://www.velferdarraduneyti.is/media/Rit_2013/Adgerdaraaetlun-til-ad-draga-ur-tidni-offitu.pdf","Link only available for download trough Internet Explorer (Google Chrome does not work with this link)","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISL%202013%20Action%20Plan%20for%20Obesity%20Reduction.pdf"
"23816","KGZ","Kyrgyzstan","","Программa по профилактике и контролю неинфекционных заболеваний в Кыргызской Республике на 2013-2020 годы [Program for prevention and control of noncommunicable diseases in Kyrgyzstan 2013-2020 with action plan]","NCD policy, strategy or plan with healthy diet components","","Russian","","2013","","2020","Ministry of Justice of Republic Kyrgyzstan","11","2013","Adopted","11","2013","Prime Minister and the Government of Kyrgyzstan","Health|Education and research|Finance, budget and planning|Information|Justice|Sub-national|Other","Ministry of Internal Affairs; Ministry of Rural Organization","","","","","","","","","","","","","","","Other","Media","Задача № 1. Формирование национальной политики профилактики и контроля неинфекционных заболеваний на основе межсекторального подхода и партнерства
1.6: Внедрение политики контроля употребления поваренной соли
1.7: Внедрение политики по повышению физической активности населения
Задача № 2. Изучение и проведение оценки распространенности основных НИЗ и их факторов риска на уровне первичного звена здравоохранения
Задача № 3. Регулирование и контроль основных факторов риска НИЗ на индивидуальном и популяционном уровнях
Задача № 4. Повышение качества оказания медицинской помощи при НИЗ на всех уровнях здравоохранения
Задача N 5. Снижение неравенства в доступности населения к медицинской помощи независимо от географических условий проживания, транспортной доступности и уровня доходов
","1.1.3: Проведение выпусков теле- и радиопрограмм по факторам риска НИЗ
Внедрение политики контроля употребления поваренной соли
1.6.1: Проведение информационных кампаний, ""круглых столов"" с предпринимателями о вреде чрезмерного употребления поваренной соли
1.6.2:. Внесение предложений по пересмотру рациона питания в школьных и дошкольных учреждениях
1.6.3: Приведение документов в соответствие с положениями Закона Кыргызской Республики ""Технический регламент ""О маркировке пищевых продуктов""
2.1.1: Проведение ""STEPS""-исследования факторов риска НИЗ
2.1.2: Проведение ежегодной акции ""Узнай свое давление!""
2.1.3: Обеспечение функционирования государственного регистра больных сахарным диабетом и внедрение регистра раковых больных
3.1.1: Подписание меморандума со СМИ, разработка медиа-плана и тиражирование
3.1.2: Проведение обучающего семинара для журналистов, сотрудников кабинетов укрепления здоровья, проведение ""Дня открытых дверей"", пресс-туров, фотовыставки по профилактике факторов риска НИЗ
3.2.1: Проведение семинаров для преподавателей школ и вузов
3.2.2: Повышение информированности специалистов и население по вопросам здоровья и о ""вредных"" продуктах""
3.2.3: Поддержка программы ""Грудного вскармливания""
4.1.1: Внедрение программ по борьбе с сердечно-сосудистыми заболеваниями, сахарным диабетом, хроническими обструктивными заболеваниями легких на уровне первичной медико-санитарной помощи
4.1.2: Создание и укрепление потенциала ""Школ диабета"", ""Астма-кабинетов"" на уровне первичной медико-санитарной помощи
","Process
- Уменьшение содержания соли в продуктах и снижение уровня заболеваемости артериальными гипертензиями
- Рациональное и сбалансированное питание и привитие навыков здорового поведения детям
- Информирование населения о содержании в продуктах сахаров, соли, жиров и др.
- Раннее выявление и лечение артериальных гипертензий
- Наличие информации о зарегистрированных больных сахарным диабетом и раком
- Раннее выявление больных артериальной гипертензией, сахарным диабетом, хроническими обструктивными заболеваниями легких и раком
- Бесперебойное обеспечение противодиабетическими препаратами больных сахарным диабетом
- Улучшение обучения школьников, студентов по вопросам НИЗ
- Улучшение здоровья населения путем информированности о НИЗ
Outcome
2) относительное снижение распространенности недостаточной физической активности - на 10%;
4) предотвращение перехода преддиабета в диабет;
5) стабилизация показателя общей смертности от сердечно-сосудистых заболеваний, рака, диабета, хронических респираторных заболеваний;
6) относительное снижение среднепопуляционного потребления соли/натрия на 30%;
7) увеличение показателя системы эффективного контроля гипертонической болезни с 2,4% до 4,3%;
","","","Fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|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)|Food labelling|Salt/sodium|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|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)|Salt reduction|Nutrition education","","http://cbd.minjust.gov.kg/act/view/ru-ru/94879","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202013%20-%20Decree%20on%20Programme%20for%20prevention%20of%20NCDs%202013-2020.pdf"
"25933","KNA","Saint Kitts and Nevis","","National Policy & Plan for Non-Communicable Diseases (NCDs) Prevention and Control ","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","","","2015","","","","","Health|Education and research|Finance, budget and planning|Development|Trade","","","","","","","","","","","","","","","","","","Food, nutrition and physical activity are cornerstones in the prevention, treatment and control of specific NCDs.
6.1 The Ministry shall provide national dietary guidelines which shall be disseminated throughout the Federation.
6.2 The national dietary guidelines shall be utilized in institutional settings such as school meals and hospital dietetics as well as restaurants and food vendors in order to promote balanced eating and restrict transfats.
6.4 Health promotion programs shall be planned in collaboration with various health and non-health entities to promote appropriate diets and healthy lifestyles at all levels of the society e.g. schools, health institutions, restaurants and other eating establishments.
","2. HEALTHY EATING (INCLUDING REDUCTION OF SALT, FAT, SUGAR)
Objective: To stimulate inter-sectoral action that promotes the availability, accessibility and consumption of safe, healthy, tasty foods available to the people of St Kitts and Nevis.
2.1.1) The Federation has legislation and regulations, multisectoral policies, incentives, plans, protocols and programmes that aim to improve dietary and lifestyle behaviour by 2015 supported by Food and Agricultural agencies.
2.1.3) All imported foods have required nutritional labeling by 2015 and locally produced foods by 2017
2.2.1) Model nutritional standards for schools, workplaces and health institutions are developed by 2015.
2.2.2) National foodbased dietary guidelines is adopted and implemented in at least 2 sectors by 2015.
2.3.1) Comprehensive public education campaign to promote healthy eating conducted locally by 2013
3.1.1) At least 80% of large food manufacturers following the CAIC pledge to reduce salt and fat content of processed and prepared foods (including in schools, workplaces and fast-food outlets) by 2015
3.2.1) ) Country using baseline and ongoing spot urine sampling for tracking salt consumption in population by 2014.
3.2.2) Salt consumption declines by 10% in the Federation by 2015
","","","","Fat intake|Trans fat intake|Sodium/salt intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Healthy food environment in workplaces|Healthy food environment in hospitals","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KNA-2013-2017-NCD%20Action%20Plan.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
- Créer un environnement favorable à l’adoption par les mères, les familles et autres personnes ayant à charge des enfants, des pratiques d’alimentation optimales pour le nourrisson, le jeune enfant ;
- Mettre en place un cadre d’interventions essentielles pour le développement des pratiques d’alimentation optimales pour le nourrisson et le jeune enfant.
- Renforcer la communication sur les principaux problèmes touchant l’alimentation du nourrisson et du jeune enfant ;
","Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
- Mettre le nouveau-né au sein dans l’heure qui suit l’accouchement
- Donner le colostrum
- Pratiquer l’allaitement maternel exclusif de 0 à 6 mois
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
- apportés au bon moment, c’est-à-dire introduits quand les besoins en énergie et en éléments nutritifs ne sont plus totalement couverts par le lait maternel ;
- adéquats, c’est-à-dire qu’ils apportent l’énergie, les protéines et les micronutriments suffisants pour satisfaire les besoins nutritionnels liés à la croissance de l’enfant ;
- sûrs, c’est à dire préparés et conservés dans de bonnes conditions d’hygiène et donnés avec des mains propres dans des ustensiles propres, et non au moyen de biberons et de tétines ;
- correctement administrés, c’est-à-dire donnés en suivant les signes d’appétit et de satiété émis par l’enfant, la fréquence des repas et la méthode utilisée pour alimenter l’enfant étant adaptées à son âge.
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
- Donner des conseils sur les types d’aliments à consommer pour garder un niveau de santé optimale ;
- Encourager la consommation quotidienne de fruits et légumes variés, de produits d’origine animale et d’aliments enrichis (farine, sel, huile alimentaire) ;
- Conseiller des collations si nécessaires ;
- Inciter à boire suffisamment d’eau ;
- Conseiller la consommation du sel iodé ;
- Donner des comprimés de fer /acide folique en cas d’anémie ;
- Conseiller la mère à éviter le stress au cours de la période d’allaitement ;
","","","","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|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Minimum acceptable diet|Fruit and vegetable intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Complementary food provision|Vitamin A|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Food grade salt|Edible oils and margarine|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202015%20National_Strategy_Infant_Child_Nutrition1.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202015%20National_Strategy_Infant_Child_Nutrition1.pdf"
"25905","BGR","Bulgaria","","Национална Програма За Превенция На Хроничните Незаразни Болести [National NCD Prevention Programme]","NCD policy, strategy or plan with healthy diet components","","Bulgarian","","2014","","2020","","","2014","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Information|Labour","Министерство на здравеопазването, Министерство на образованието и науката, Министерство на младежта и спорта, Министерство на вътрешните работи, Министерство на земеделието и храните, Министерство на финансите, Министерство на икономиката и енергетиката, Министерство на труда и социалната политика, Министерство на транспорта, информационните технологии и съобщенията","","","","","","","","","National NGOs","","Research/academia","","Private sector","","","","2. ЦЕЛИ НА ПРОГРАМАТА
2.1. Стратегическа цел
Да се подобри здравето на населението и да се повиши качеството на живота чрез намаляване на преждевременната смъртност, заболеваемост и последствията за здравето (инвалидизация) от основните ХНБ (сърдечно-съдови заболявания, злокачествени новообразувания, хронични белодробни болести, диабет), свързани с рисковите фактори - ютюнопушене, злоупотреба
с алкохол, нездравословен модел на хранене и ниска физическа активност.
2.2. Основна цел
Осъществяване на системна национална политика за:
a) редуциране на нивото на общите за ХНБ, най-често срещани рискови фактори: поведенчески, биологични, психосоциални, чрез намаляване на разпространението на тютюнопушенето, злоупотребата с алкохол, подобряване на храненето и увеличаване на физическата активност и за
б) ранна диагностика на основните ХНБ.
2.3. Основни подцели
… в) Затвърждаване на постигнатите положителни промени в националния хранителен модел и постигане на нови за намаляване риска от хранителни дефицити и хронични заболявания, свързани с храненето, и подобряване осигуряването на храни, допринасящи за здравословен модел на хранене, както и осигуряването на широк достъп до тях от цялото население. …
","РЕАЛИЗИРАНЕ НА ДЕЙНОСТИ, НАСОЧЕНИ КЪМ НАМАЛЯВАНЕ НА ФАКТОРИТЕ НА РИСКА, ВОДЕЩИ ДО ХНБ
1. Повишаване на нивото на информираност, обучение и включване на населението в дейности по програмата
1.3. Хранене
1.3.1. Разработване на образователни програми за здравословно хранене за ученици и прилагането им в рамките на извънкласни и извънучилищни дейности.
1.3.2. Провеждане на здравно-образователни мероприятия (радио и телевизионни програми, публикации, пресконференции, срещи, форуми, конкурси, фестивали, изложби и други) насочени към повишаване информираността по въпросите на рискове за здравето при хранителни дефицити, ползите от здравословно хранене, диетично хранене при различни популационни целеви групи (жени в детеродна възраст, бременни и кърмещи жени, родители, лица с ХНБ и др.).
1.3.3. Ежегодно организиране и провеждане на обществени кампании за информиране на населението по въпросите на здравословното хранене: за подкрепа на кърменето, за борба със затлъстяването, при ХНБ и др.
1.3.4. Разработване на информационни материали относно здравословното хранене на населението предназначени за рискови популационни групи (бременни жени, кърмачета и деца до 3-год. възраст, лица над 65-год. възраст и др.)
1.3.5. Отпечатване, разпространение и промоция на информационни материали относно здравословното хранене на населението в различни популационни и възрастови групи.
2. Изграждане на капацитет и умения за консултиране и подкрепа у медицинските и немедицински специалисти
2.3 Хранене
2.3.1. Провеждане на обучения за медицински и немедицински специалисти за въвеждане на образователни програми по здравословно хранене на децата в детските градини и училищата.
2.3.2. Препоръки за висшите училища за създаване на специално насочено университетско обучение по храни, хранене и диететика – бакалавърска и магистърска програми, утвърждаване на свободно избираеми модули по здравословно хранене за студенти и др.
2.3.3. бучение на медицински и немедицински специалисти, имащи отношение към храните и храненето чрез организиране на курсове, семинари, конференции и др. за повишаване нивото на знания и умения по въпросите на здравословно хранене, рискове за здравето при нездравословен модел на хранене, диетично хранене и др.
2.3.4. Разработване на нови и и актуализиране на наличните Сборници и Ръководства за хранене на различни популационни групи (деца, стари хора), както и за хранене при хронични незаразни болести. 2.3.5. Поддържане и развиване на дейността на консултативни центрове по кърмене, на „Болници – приятели на бебето”.
2.3.6. Включване на храненето като приоритет в дейността на здравния сектор - разкриване на консултативни кабинети за здравословно хранене във всяка РЗИ, провеждане на консултации по здравословно и диетично хранене.
2.3.7. Унифициране и осъвременяване на национално ниво на индикатори и стандарти за честота и продължителност на кърменето, хранене на кърмачетата, оценка на антропометричния статус на децата от 0 до 18-годишна възраст – разработване и разпространение на методически указания .
3. Включване на обществените структури и общности
3.3 Хранене
3.3.1. Прилагане на училищни политики за здравословно хранене - инициативата на СЗО „Училища - приятели на здравословното хранене”, програма „Училищен плод” и др.
3.3.2. Повишаване информираността за здравословните храни и хранене на производителите на храни, търговците на хранителни продукти и професионалистите, заети в общественото хранене, чрез провеждане на срещи, дискусии, обучителни семинари и др. форуми.
3.3.3. Промоция реформулирането на храните с цел намаляване съдържанието на сол, мазнини, наситени мастни киселини, транс-мастни киселини, добавена захар и повишаване наличността им на пазара, както и адекватно етикетиране на храните относно хранителна информация, здравни претенции и др. чрез провеждане на срещи, дискусии, обучителни семинарии др. форуми. Участие на България в Европейската мрежа за намаляване на консумацията на сол.
3.3.4. Осигуряване на подходящи практики за маркетинг и реклама на храните, въвеждане препоръки на СЗО, поддържане участие в Европейска мрежа на СЗО за намаляване натиска на маркетинга на храни и напитки при деца чрез провеждане на срещи, дискусии, обучителни семинарии др. форуми. 3.3.5. Насочени дейности за подкрепа на раненето на уязвими групи и лица с нисък социално-икономически статус, поддържане участие в Европейската мрежа на
4. Законодателство
4.3 Хранене Актуализиране на нормативната уредба за изисквания за здравословно хранене на различни възрастови групи от населението в съотвествие със съвременните научни данни и развитието на науката по хранене и диететика. Въвеждане на европейско законодателство и изисквания.
","5. ЦЕЛИ В ОБЛАСТТА НА ПРЕВЕНЦИЯТА НА ХНБ ДО 2020 Г.
В средносрочен план целите са свързани със задържане на нивата за показателите (в
сравнение с базовите данни от 2012 г.) за заболеваемост, инвалидизация, смъртност, честота
на разпространение на рисковите фактори.
5.1. Сърдечносъдови заболявания:
… в) Намаляване честотата на артериалната хипертонията във възрастовата група 25-64 г. с 10%.
5.4. Диабет
а) Относително намаляване на болестността/разпространението на диабет (определен като
повишена глюкоза в кръвта ≥ 7.0 mmol/L или лица на лечение за диабет) сред лицата на възраст над 25 години с 10%
6. ЦЕЛИ В ОБЛАСТТА НА ОСНОВНИТЕ ФАКТОРИ НА РИСКА ЗА ХНБ ДО 2020 Г.
6.4. Хранене
а) Преустановяване на тенденцията за увеличаване честотата на затлъстяването при възрастното население
б) Запазване без увеличение на относителния дял на децата със затлъстяване;
в) Намаляване използването на индустриално произведените транс-мастни киселини (хидрогенирани растителни масла) при осигуряване с храни; г) Намаляване на консумацията на готварска сол с дългосрочна цел достигане до 5 г среднодневно на лице;
","","","Baby-friendly Hospital Initiative (BFHI)|Trans fat intake|Sodium/salt intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition","","","","WHO Noncommunicable Disease Document Repository https://extranet.who.int/ncdccs/Data/BGR_B3_Program_chronic%20disease.pdf ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGR%202014%20Program_chronic%20disease.pdf"
"36183","MDV","Maldives","","Multi-sectoral Action Plan For The Prevention And Control of Noncommunicable Diseases in Maldives (2014-2020)","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","Health Protection Agency","","2014","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Information","","","","","","","","","","National NGOs","","","","","","","","Targets For 2025
(i) A 25% relative reduction in overall mortality from cardiovascular diseases, cancers, diabetes, or chronic respiratory diseases ...
(v) A 30% relative reduction in mean population intake of salt/sodium
(vi) A 25% relative reduction in prevalence of raised blood pressure
(vii) Halt the rise in obesity and diabetes
...
","Strategic action area 2: Health promotion and risk reduction.
Actions under this area aim to promote the development of population-wide interventions to reduce exposure to key risk factors. Effective implementation of these actions will lead to reduction in tobacco use; increased intake of fruits and vegetables; reduced consumption of saturated fat, salt and sugar; reduction in harmful use of alcohol; increase in physical activity; and reduction in second hand exposure to tobacco smoke.
Key milestones:
…
- · Implement BCC and mass media national campaigns on healthy lifestyle promotion using national recommendations of physical activity and diet
- · Develop progressive policy measures to minimize consumption of saturated fatty acids and banning of hydrogenated vegetable oils
- · Implement healthy lifestyle promotion for school children of all age groups in school settings
…
","Table 4 : Indicators for promotion of healthy diet and means of verification (Mov)
Process:
Adoption of national dietary recommendation for all age groups and for different conditions and information integrated into national BCC & mass media campaign (Mov: Published mass media and BCC strategy)
Adoption of policies to reduce of food products high in saturated fatty acids and eliminate hydrogenated vegetables oils in food supply(Mov: Published policy documents)
Introduce policies to reduce food marketing to children for nonalcoholic beverages and food high in saturated fatty acids , transfat, high sugar or salt (Mov: Published policy documents of HPA)
Short term:
Increase airtime for healthy lifestyle events on mass media channels such as in social media,( facebook, tweeter), TV, radio and print media (Mov: Air time contract award document and activity reports of the media organizations)
Increase public educational programs on risk of transfat and hydrogenated vegetables oils in integrated BCC campaign (Mov: Activity reports, Contract award documents for mass media of HPA)
Increase monitoring of food contents of salt and saturated fatty acids and transfat levels( (Mov:Annual published market inspection reports of MFDA/HPA)
Decrease in advertisement of non-alcoholic beverages and food high in saturated fatty acids, transfat, high sugar or salt decreased (Mov: Annual media assessment reports by HPA/NGOs)
Medium term:
Increase awareness of dietary recommendations in population (Mov: STEPS and GSHS and midterm and end line evaluation reports)
Decrease market availability of food products with high content of transfat and hydrogenated oils (Mov: Annual published market inspection reports of HPA/MFDA)
Decreased accessibility and availability of non-alcoholic beverages and food high in saturated fatty acids , transfat, high sugar or salt in the market (Mov: Annual market assessment reports by HPA/NGOs)
Long term:
Age standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ year Population achieving recommended level of servings of fruits and vegetables
Reduction in consumption of food containing transfat and hydrogenated vegetable oil
Assumptions: Legal measures in place for banning food with high contents of hydrogenated vegetable oils and transfat and funds are available to advocate healthy diet
","","","Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Dietary guidelines|Ban or virtual elimination of industrial trans fatty acids|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","","http://www.health.gov.mv/Uploads/Downloads//Informations/Informations(48).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDV%202014%20Multisectoral%20plan%20for%20NCDs_0.pdf"
"39460","MAR","Morocco","","Plan d’action multisectoriel de promotion du mode de vie sain 2014-2020","NCD policy, strategy or plan with healthy diet components","","French","","2014","","2020","Ministry of Health","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Other","Ministère des Habous et des Affaires Islamiques","","","","","","","","","","o Fondation LALLA SALMA de Prévention et de Traitement des Cancers,o Association Marocaine de la Prévention et de l’Education pour la Santé,o Association ANFAS,o Association de lutte contre le tabagisme et les drogues.","","","","","","","Objectif général
La promotion d’un mode de vie sain vise à améliorer la qualité de vie de la
population marocaine en réduisant les facteurs de risque qui contribuent aux
maladies chroniques et à diminuer à long terme la prévalence de ces maladies.
Objectifs spécifiques
- Réduire l’usage du tabac et protéger les non-fumeurs ;
- Améliorer les habitudes alimentaires ;
- Réduire la sédentarité ;
- Enrichir la capacité de promotion de la santé ;
- Ralentir la progression des maladies chroniques.
","Domaine d’intervention 1 : Prestation de prévention primaire
Action1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
Mesure 1 : Elaboration d’une stratégie de communication sur le mode de vie sain (méfaits du tabagisme, alimentation saine et équilibrée, activité physique
Mesure 2 : Sensibilisation de la population sur le mode de vie sain VS
Mesure 3 : Sensibilisation du milieu préscolaire, scolaire et universitaire et des jeunes non scolarisé sur le MVS
Mesure 4 : Sensibilisation dans les lieux de travail sur le MVS
Mesure 5 : Elargissement de l’initiative « milieu de travail sans Tabac » à d’autres secteurs
Mesure 6 : Célébration de la journée mondiale sans tabac, de l’alimentation saine, équilibrée et de l’activité physique.
Mesure 7 : Sensibilisation des laboratoires pharmaceutiques pour introduire les substituts nicotiniques dans la liste des médicaments remboursable
Mesure 8 : Organisation de manifestations événementielles pour la promotion du mode de vie sain
Mesure 9 : Elaborer un plan d’action de réduction du sel, gras trans et sucre
Mesure 10 : Sensibilisation des industriels de l’agroalimentaire, sur l’intérêt de promouvoir une alimentation saine et équilibrée
Mesure11 : Renforcement des espaces propices à l’activité physique
Domaine d’intervention 2 : Développement des compétences et des ressources humaines
Action 2 : Développement des compétences en matière de mode de vie sain
Mesure 12: Formation des professionnels de la santé, de l’éducation nationale et les cadres du ministère des affaires islamiques sur le MVS
Mesure 13 : Développement de la composante mode vie sain dans la formation de base scolaire universitaire et des instituts de formations des professionnels de santé et programme d’analphabétisme
Domaine d’intervention 3: Gouvernance générale et coordination
Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
Mesure 14 : Déclinaison du plan d’action multisectoriel pour la promotion du mode de vie sain au niveau des régions
Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
Mesure 15 : Officialisation du comité interministériel de promotion du mode de vie sain
Action 5: Développement du partenariat en matière du mode de vie sain
Mesure 16 : Développement des partenariats internationaux pour la promotion du MVS
Mesure 17 : Développement des Partenariat public-ONG pour la promotion du MVS
Action 6 : Mise en Place une réglementation relative à la promotion du mode de vie sain
Mesure 18 : Mettre en Place une réglementation anti-Tabac
Mesure 19 : Renforcer le cadre réglementaire et législatif concernant la production et la consommation d’aliments sains et équilibré
Mesure 20 : Renforcement de la disponibilité et de l’accessibilité aux aliments sûrs et sains
Domaine d’intervention 4 : Marketing et communication
Action 7 : Diffusion du plan d’action multisectoriel de promotion de mode vie sain
Mesure 21 : Organisation d’une journée de diffusion du PA multisectoriel
Domaine d’intervention 5 : Surveillance épidémiologique
Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
Mesure 22 : Réalisation des études sur les facteurs de risques des MNT
Domaine d’intervention 6 : Monitoring, évaluation
Action 9 : Assurer le suivi, évaluation des actions multisectorielles de promotion du mode de vie sain
Mesure 23 : Mettre en place un système de monitoring et d’évaluation du PA multisectoriel au niveau national et régional
","- Nombre de secteurs pour lesquels la stratégie a été diffusée.
- Nombre de plans d’actions élaborés
- Nombre de supports didactiques élaborés
- Nombre de messages produits et diffusés
- Nombre d’établissements préscolaire et scolaire sensibilisés
- Nombre de journalistes ayant adhéré au réseau de communication autour du mode de vie sain auprès des jeunes
- Nombre d’espaces omnisport crées
- Nombre d’espaces cyclables crées
- Nombre de piétonnes crées
- Nombre d’Espaces de jeux et aires de jeux aménagés et sécurisés
- Nombre d’heures consacrées au MVS dans les programmes scolaires, universitaires et instituts de formation des PS
- Nombre de conventions de partenariat élaborées dans le domaine de prévention des FR des MNT
","Outcome indicators|Process indicators","","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|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|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|Reformulation of foods and beverages|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/MAR_B11_MAR_B12_PAM MVS.pdf","More details on activities and indicators pages 15-39","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202014%20Plan%20d%E2%80%99action%20mode%20de%20vie%20sain.pdf"
"25730","TKM","Turkmenistan","","The national strategy for the implementation in 2014-2020 of tasks defined in the Ashgabat Declaration prevention and control of non-communicable diseases in Turkmenistan and ACTION PLAN for implementation of the National Strategy","NCD policy, strategy or plan with healthy diet components","","English","5","2014","","2020","Turkmen State Publishing Service","","2016","Adopted","5","2014","President of Turkmenistan","Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Sub-national|Other","State Television, Radio and Cinema Committee of Turkmenistan; Ministry of culture of Turkmenistan; State Food Industry Association of Turkmenistan","World Health Organization (WHO)","","","","","","","","","","Research/academia","","","","Other","Industry of Turkmenistan","The main objectives of the National Strategy for the following:
- Ensure priority prevention and control of non-communicable diseases at the national level to increase the possibilities of prevention of these diseases, as well as at the state level to improve the efficiency of the intersectional Council for the prevention and control of non-communicable diseases and increase intersectional coordination of activities of the Council;
- By creating the conditions that promote health, reduce the influence of risk factors leading to the emergence of non-communicable diseases, form the basis of social indicators;
- In order to create motivation among the population of a healthy lifestyle, strengthen the promotion of healthy lifestyles, raise awareness of the population about this;
- To strengthen the health system and send it to the prevention and control of noncommunicable diseases, as well as to strengthen primary health care, which is the basis of the delivery of health services and meet their needs in that at the level of primary health care;
- Provide the opportunities for public participation in the ongoing activities devoted to healthy lifestyles and promote its educational level of this;
- To improve the quality of research devoted to the prevention and control of noncommunicable diseases, to assist and encourage the work to expand the capacity of the national health research in this direction;
- To evaluate the effectiveness of the work on the prevention and control of noncommunicable diseases, to monitor indicators of infectious diseases and of work done in this direction;
- To support the development and expansion of specialized centers and centers with the best practices for the prevention and control of non-communicable diseases.
","ACTION PLAN
Objective 3: Create the conditions for establishment the interest among the population to a healthy life habits, for promotion a healthy lifestyle, for implementation of informative works and for increasing the literacy about health
20. Support the breast feeding and continue to do that, inform parents about additional feeding which should be given in time and correctly, develop ecology clean areas to supply the baby food factories by the raw materials. Raise the producing of the special products for the babies and small children
21. Follow and monitor the rules of World Health Organization on the sale of baby food and alcohol free beverages. Develop the methods of food preparation according the scientific basis for all level of population and begin to produce them
22. Develop special educational materials for achievement the below goals and for support different producers with technology instructions for new products and sale recommendations. Introduce on the label of products the information about the value of product and amount of its protein, carbohydrate and oil
23. Achieve the supply all the setting of our country including the schools and institutions with high quality and healthy food
24. Grow the producing of the agricultural products which are fully safe for producing main food products. Improve the methods of growing the vegetables and fruits with purpose to decrease the amount of harmful substances of the products (poison substances, pesticides, herbicides, nitrate, etc). Develop an action program for the agricultural, food processing, food marketing institutions and for any companies which are connected with food, state establishments on usage of healthy agricultural products and products which are produced in our country.
25. With the purpose to inform about healthy food in different ways and to reach the users held social publicities and events (actions, companies). Work closely with population and with specialized establishments until getting positive results.
26. At schools, kindergardens, hospitals, state and private establishments conduct the information works connected with healthy food, also strengthen the health, and organize the conditions for having healthy food.
27. Develop the quality and healthy indicators for the food products according World Health Organization, UN Food and Agriculture Department also according the recommendations of Alimentarius International Codex. Achieve the recordings on the labels of food products which are going for sale, the indications about product ingredients, the value of product or its effect to the health.
28. Held works on expanding and raising up the commerce of products which supply the healthy food.
29. Ensure the implementation of the ""The National Program on healthy eating of Turkmen population in years 2013-2017"". valuate the implementation and the results of the actions which were indicated in that program, also organize the work on development of the National program for the next five years
37. Prepare interviews and articles about the risks that lead to non-communicable diseases and their prevention on television and in the press
Objective 5: Widely promote and introduce a healthy lifestyle to the society, also support and continue to increase the literacy rate of citizens about health.
95. To prevent second step of diabetes conduct educational works to increase the literacy rate of citizens about health food and using healthy habits in life
117. Explore from a scientific point of view the relationship between the use of tobacco and alcohol products, poor nutrition, lack of physical activity, planned and preventive vaccination for the prevention of NCDs and communicable and non-communicable diseases
126. Add prevention measures to the epidemiological observation activities at the primary health care points. Doing this, collect data about people's behavior, about their bag habits (like alcoholism, less physical activities, smoking, poor nutrition, getting weight and fatness, high blood pressure, raising sugar in blood, and hyperglycemia), control a sale of products, alcohol, tobacco products which can be dangerous for a health
","Improving the quality and accessibility of health care are the major public health challenges in the delivery of medical health care. In order to provide basic and necessary drugs, as well as the effective management of health to provide public health care is provided to attract financial investments. This will reduce the smoking population to 30%, the use of alcoholic beverages by 10%, the use of salt / sodium in an average of 30%, hypertension 25%, lack of physical activity by 10%. Provision of essential drugs will increase to 80%, other drugs to 50%. The incidence of non-communicable diseases will decrease by 25%. As an alternative against the bad habits will develop physical culture and mass sport.
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|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 (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Food safety","","https://extranet.who.int/ncdccs/Data/TKM_B3_NCD%20Plan%20of%20actions%20-%20english%20translation%20from%20TKM.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf"
"26104","DZA","Algeria","","Plan Stratégique National Multisectoriel de Lutte Intégrée Contre les Facteur de Risque des Maladies Non Transmissibles 2015-2019 et Plan de Suivi et Evaluation","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2019","REPUBLIQUE ALGERIENNE DEMOCRATIQUE ET POPULAIRE","","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Industry|Justice","","","","","","","","","","","","","","","","","","2.1. Objectif général
Développer une action coordonnée et intersectorielle de lutte contre les facteurs de risque, leurs déterminants et renforcer la prévention des Maladies Non Transmissibles
...
3.1. AXE STRATEGIQUE 1 - PROMOTION DE L'ALIMENTATION SAINE
...
Objectif 1 – Promouvoir l’alimentation appropriée à l’état de grossesse, ainsi que l'allaitement maternel exclusif jusqu'à 6 mois
Action 1.1.1 : Soutenir et généraliser l'Initiative Hôpitaux Amis des Bébés (IHAB)
MESURE 1 : Renforcer la promotion de l'Allaitement Maternel Exclusif (AME) et fournir toutes les renseignements sur les avantages de l'AME.
MESURE 2 : Former le personnel des maternités pour l’accompagnement de la parturiente dans la mise en route de l’allaitement.
MESURE 3 : Apporter un soutien aux mères allaitantes pour la mise en route précoce de l’allaitement maternel dans la demi-heure qui suit l'accouchement.
MESURE 4 : Mettre en œuvre un programme de soutien aux maternités et aux hôpitaux afin qu'ils puissent répondre aux dix conditions pour l'obtention du label "" Ami(e) des bébés"".
MESURE 5 : Sensibiliser sur la révision de la durée du congé de maternité pour permettre l’allaitement exclusif pendant 6 mois.
Action 1.1.2 : Promouvoir les règles de la diversification correcte de la nutrition des nourrissons
MESURE 6 : Etablir des directives sur les différentes étapes de la diversification des aliments des bébés.
MESURE 7 : Favoriser l’équilibre des micronutriments dans la prévention des maladies métaboliques.
MESURE 8 : Réglementer les substituts de laits selon le code international de commercialisation des substituts de lait maternel.
Action 1.1.3 : Promouvoir l’alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
MESURE 9 : Veiller à assurer l’équilibre des micronutriments chez la femme enceinte dans la prévention des maladies métaboliques et prévenir les malformations chez le nouveau-né.
MESURE 10 : Améliorer la nutrition maternelle par le biais de suppléments adaptés afin d’éviter la sous- ou surnutrition et la «programmation fœtale» des maladies chez l’enfant.
...
Objectif 2 : Promouvoir une alimentation saine chez les enfants, les jeunes et les adolescents dans les établissements éducatifs, scolaires et préscolaires
Action 1.2.1 : Promouvoir une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs.
MESURE 11 : Elaborer un Guide pour une alimentation saine à l'usage des enseignants et des encadreurs pédagogiques.
MESURE 12 : Mettre en place un mécanisme intersectoriel pour mettre en œuvre les recommandations pour une alimentation saine en milieux éducatifs.
MESURE 13 : Améliorer les compétences des médecins des Unités de Dépistage Scolaire (UDS) sur l'alimentation saine.
MESURE 14 : Promouvoir les bonnes pratiques en matière d'animation d'ateliers pédagogiques relatives à une alimentation saine en milieux éducatifs, comme la création de potagers et de jardins scolaires.
MESURE 15 : Concevoir des valises pédagogiques pour l’apprentissage de l’alimentation saine à l'usage des enseignants et des encadreurs pédagogiques.
MESURE 16 : Promouvoir les initiatives locales pour la distribution gratuite de fruits pendant la récréation et l'installation de fontaines d'eau dans les écoles
Action 1.2.2 : Développer un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
MESURE 17 : Elaborer un programme de communication sur la relation «Alimentation et Santé» en ciblant les professionnels travaillant avec les enfants.
MESURE 18 : Elaborer un programme d'éducation pour un changement de comportement alimentaire dans les écoles en associant les parents d'élèves.
MESURE 19 : Elaborer les outils d'information et de formation destinés aux enfants, adolescents et les parents ainsi qu’à tous les professionnels travaillant avec les enfants et adolescents.
MESURE 20 : Intégrer les concepts de l'alimentation saine dans les programmes pédagogiques.
MESURE 21 : Elaborer un référentiel national pour la communication sur l'alimentation saine en direction des enfants, des parents d'élèves, des enseignants et du personnel d'encadrement en définissant des objectifs à atteindre.
MESURE 22 : Impliquer les médias à travers la formation dans leur rôle de relais des informations relatives à «l'alimentation et la santé en milieux éducatifs».
MESURE 23: Inclure des messages de santé dans les publicités sur les aliments.
Action 1.2.3 : Renforcer les capacités des professionnels et leurs actions auprès des enfants
MESURE 24 : Développer une formation des praticiens des unités de santé de proximité sur la nutrition et l'alimentation saine.
MESURE 25 : Développer une formation du personnel des cantines en milieux éducatifs sur les principes d'une alimentation saine et équilibrée.
MESURE 26 : Promouvoir l'éducation nutritionnelle à tous les niveaux de la formation médicale (graduée et post graduée) et paramédicale
MESURE 27 : Concevoir et diffuser des fiches techniques pour le personnel de santé sur le thème «MNT et alimentation».
Action 1.2. 4 : Renforcer les textes réglementaires régissant la commercialisation des denrées alimentaires destinés aux enfants (étiquetage, publicité)
MESURE 28 : Elaborer un texte juridique régulant l'offre de produits alimentaires à proximité des écoles (aliments gras, hypercaloriques trop salés et trop sucrés, ainsi que boissons sucrées).
MESURE 29 : Faire appliquer les normes codex pour l'étiquetage des produits alimentaires.
MESURE 30 : Contrôler la publicité sur les aliments salés et gras, ainsi que sur les aliments sucrés (boissons sucrées) destinés aux enfants qui doit comporter des messages de santé.
...
Objectif 3 - Promouvoir une alimentation saine au sein de la population générale
Action 1.3.1 : Renforcer les capacités des professionnels de santé en charge des soins de santé de proximité
MESURE 31 : Mettre en œuvre un programme de sensibilisation et de formation des professionnels de santé au service de la population sur la relation «Alimentation et santé».
MESURE 32 : Intégrer le concept de lutte contre les MNT et les FR dans les curricula de formation initiale et les offres de formations continues des professionnels de santé.
Action 1.3.2: Mettre en œuvre un programme de communication sur une alimentation saine en direction du grand public
MESURE 33 : Elaborer une stratégie nationale de communication.
MESURE 34 : Mettre en œuvre la stratégie de communication en direction du grand public (média – journaux, mosquées et lieux publics) en mettant l'accent sur des thèmes spécifiques (maladies cardiovasculaires, HTA, diabète et la relation avec l'alimentation).
Action 1.3.3 : Renforcer les capacités techniques (capacity building) des autres intervenants (associations, secteurs autre que la santé)
MESURE 35 : Mettre en œuvre un programme de formation sur la relation «Alimentation et santé». pour les associations de consommateurs et des industriels de l’alimentation.
...
Objectif 4 - Réduire la consommation journalière : de sel, de sucre, de graisses au sein de la population générale
Action 1.4.1 : Renforcer la réglementation et la législation MESURE 36 : Formuler des lignes directrices nationales concernant la consommation de sel, de sucre et de graisses.
MESURE 37 : Actualiser les textes réglementaires régissant la teneur en sel, en sucre et en graisse dans les aliments.
MESURE 38 : Formuler et/ou renforcer des mesures réglementaires et législatives strictes quant à la publicité, le marketing et la commercialisation d'aliments riches en sel, sucre et gras.
MESURE 39 : Remplacer les acides gras trans par des matières grasses polyinsaturées dans les produits quotidiens de consommation.
Action 1.4.2 : Sensibiliser la population générale sur les méfaits d'une alimentation riche en sel, en sucre et en graisses
MESURE 40 : Elaborer une stratégie nationale de sensibilisation de la population sur les méfaits d'une alimentation riche en sel, en sucre et en graisses.
MESURE 41 : Mettre en œuvre la stratégie nationale de sensibilisation de la population sur les méfaits d'une alimentation riche en sel, en sucre et en graisses.
...
Objectif 5 - Prévenir l'obésité dans la population générale
Action 1.5.1 : Mettre en œuvre un programme d'information et de communication sur le surpoids et l'obésité
MESURE 42 : Elaborer un programme d'Education pour un Changement de Comportement alimentaire en direction du grand public sur les liens entre l'alimentation, le surpoids et l'obésité.
MESURE 43 : Elaborer un programme d'Education pour un Changement de Comportement sur les lieux de travail pour les employeurs et les employés.
MESURE 44 : Développer des Directives nationales avec des normes pour une alimentation saine dans la restauration collective.
Action 1.5.2 : Développer les offres de prévention et de soins du surpoids et de l'obésité
MESURE 45 : Développer une stratégie d'accompagnement et de prise en charge du surpoids et de l'obésité dans les structures de santé.
MESURE 46 : Renforcer les compétences des professionnels de santé dans le cadre de la prise en charge intégrée du surpoids et de l'obésité.
MESURE 47 : Développer un programme de dépistage et de prise en charge précoce du surpoids et de l'obésité en milieu scolaire et auprès des structures de proximité pour la population générale.
MESURE 48 : Généraliser la disponibilité des outils de mesure auprès de toutes les structures de santé.Cadre et Manuel de S&E du Plan stratégique national
...
Tableau 3 – Cibles et principaux indicateurs de produit et de processus
Résultat (cible en 2019)
- Indicateurs
Arrêter la recrudescence du diabète
- Incidence du diabète
- Prévalence du diabète
Baisse relative de 30 % de l’apport moyen de sel dans la population adulte (de 18 ans et plus) en vue d’atteindre le niveau recommandé (OMS) d’un apport inférieur à 5 g par jour
- Apport moyen quotidien de sel, normalisé selon l’âge, dans la population adulte (de 18 ans et plus)
Baisse relative de 25 % de la prévalence de l’hypertension
- Prévalence normalisée selon l’âge de l’hypertension chez les personnes de 18 ans et plus
Arrêt de la recrudescence de l'obésité
- Prévalence standardisée selon l’âge de l’obésité chez les personnes de 18 ans et plus (IMC > 30 Kg/m2)
Réduction relative de 20 % de la prévalence de l’hypercholestérolémie totale
- Prévalence standardisée selon l’âge de l’hypercholestérolémie chez les personnes de 18 ans et plus
Réduction relative de 15 % de la proportion moyenne de l’apport énergétique total en acides gras saturés
- Proportion moyenne standardisée selon l’âge de l’apport énergétique total en acides gras saturés chez les personnes de18 ans et plus
Le pays dispose d’une politique nationale sur l’alimentation et la nutrition
- Existence de directives nationales concernant la consommation de sel, de sucre et de graisses
- Existence d’un mécanisme intersectoriel fonctionnel pour la mise en œuvre des recommandations pour une alimentation saine en milieu scolaire
...
Tableau 4 – Indicateurs complémentaires de processus et de produit pour le suivi de la promotion de l’alimentation saine
Objectif stratégique
Principales actions
Code Indicateur de performance
Objectif 1 : Promouvoir l’alimentation de la femme enceinte, ainsi que l'allaitement maternel exclusif jusqu'à 6 mois et maintenu jusqu'à 24 mois
Action 1.1 Soutenir et généraliser l'Initiative Hôpitaux Amis des Bébés (IHAB)
CL1.1 Existence d’une politique sur l’allaitement maternel
CL1.2 % de mères allaitantes ayant mis au sein leurs enfants dans la demi-heure après l’accouchement
CL1.3 Nombre (%) d’hôpitaux ayant le label « Hôpital Amis des bébés »
CL1.4 Taux d’allaitement exclusif au sein
Action 1.2 : Promouvoir les règles de la diversification correcte de la nutrition des bébés
CL1.5 % d’enfants de 06 à 23 mois bénéficiant d’une diversification selon les normes et les directives sur l’alimentation
Objectif 2 : Promouvoir une alimentation saine chez les enfants, les jeunes et les adolescents dans les établissements scolaires et préscolaires
Action 2.1 Promouvoir une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieu éducatif.
CL1.6 Nombre (%) d’écoles dont les enseignants et les encadreurs pédagogiques disposent de guide scolaire pour une alimentation saine
CL1.7 Existence d’un mécanisme intersectoriel fonctionnel pour la mise en œuvre des recommandations pour une alimentation saine en milieu scolaire
CL1.8 Nombre (%) de médecins des Unités de Dépistage Scolaire (UDS) formés sur l'alimentation saine
CL1.9 Nombre (%) d’établissements scolaires disposant de potagers et de jardins scolaires selon les normes
CL1.10 Nombre (%) d’écoles utilisant les valises pédagogiques pour l’apprentissage de l’alimentation saine
CL1.11 Nombre (%) d’écoles dont les élèves bénéficient de la distribution gratuite de fruits pendant la récréation
CL1.12 Existence d’un programme de communication fonctionnel sur la relation «Alimentation et Santé» selon les normes requis
CL1.13 Existence d’un programme d'éducation pour un changement de comportement alimentaire fonctionnel dans les écoles en associant les parents d'élèves selon les normes
CL1.14 Disponibilité d’outils d'information et de formation destinés aux enfants, adolescents et les parents ainsi que pour tous les professionnels travaillant avec les enfants et adolescents, élaborés selon les normes
CL1.15 Nombre d’écoles (%) utilisant des programmes pédagogiques dont les concepts de l'alimentation saine sont intégrés selon les normes et directives
CL1.16 Existence d’un référentiel national pour la communication sur l'alimentation saine en direction des enfants, des parents d'élèves, des enseignants et du personnel d'encadrement en définissant des objectifs à atteindre
CL1.17 Nombre de structures de communication (médias) dont le personnel est formé à «l'alimentation et la santé en milieu scolaire».
CL1.18 Nombre de publicités sur les aliments prenant en compte des messages sur la santé
Action 2.3 : Renforcer les capacités des professionnels et leurs actions auprès des enfants
CL1.19 Nombre de praticiens de première ligne formés sur la nutrition et l’alimentation saine
CL1.20 Nombre de personnel des cantines formés sur les principes de l’alimentation saine et équilibrée
CL1.21 Nombre de curricula de formations initiales et continues prenant en compte l’éducation nutritionnelle dans le contexte de la lutte contre les MNT et les FR
CL1.22 Disponibilité d’outils (fiches techniques) sur le thème « MNT et alimentation » auprès du personnel de santé
Action 2.4 : Renforcer les textes réglementaires régissant la commercialisation des denrées alimentaires destinés aux enfants (étiquetage, publicité..) en impliquant le Ministère de la santé
CL1.23 Existence de textes régulant l’offre de produits alimentaires (aliments gras, hypercaloriques, trop salés et trop sucrés, boissons sucres) à proximité des écoles
CL1.24 % et nature des produits alimentaires avec un étiquetage avec les normes codex
CL1.25 Nombre (%) du publicité sur les aliments sucrés (boissons sucrées), salés et gras comportant des messages de santé
Objectif 3 : Promouvoir une alimentation saine au sein de la population générale Action 3.1 : Renforcer les capacités des professionnels de santé en charge des soins de santé de proximité
CL1.26 Nombre (%) de professionnels de santé formés/sensibilisés sur la relation « alimentation et santé » selon les directives du programme
CL1.27 Nombre de curricula de formations initiales et continue prenant en compte le concept de lutte contre les MNT et les FR
Action 3.2 : Mettre en œuvre un programme de communication sur une alimentation saine en direction du grand public
CL1.28 Existence d’une stratégie de communication sur l’alimentation saine
CL1.29 % de la population connaissant les problèmes de santé ou maladies liées à la mauvaise alimentation et leurs sources d’information (média – journaux, mosquée et lieux publics)
Action 3.3 : Renforcer les capacités techniques (capacity building) des autres intervenants (associations, secteurs autres que la santé)
CL1.30 Nombre (%) de personnels de santé formés sur la relation ""Alimentation et Santé""
CL1.31 Nombre (%) de prestataires communautaires formés
Objectif 4 : Réduire la consommation journalière : de sel, de sucre et de graisses au sein de la population générale
Action 4.1 : Renforcer la réglementation et la législation
CL1.32 Existence de Directives nationales concernant la consommation de sel, de sucre et de graisses
CL1.33 Existence de textes réglementaires régissant la teneur en sel, en sucre et en graisse dans les aliments conformes aux directives établies
CL1.34 Existence de mesures réglementaires et législatives strictes quant à la publicité, le marketing et la commercialisation d'aliments riches en sel, sucre et gras
CL1.35 Nombre (%) d’industries qui ont remplacé les acides gras par des matières grasses polyinsaturées conformément à la réglementation en vigueur
Action 4.2 : Sensibiliser la population générale sur les méfaits d'une alimentation riche en sel, en sucre et en graisses
CL1.36 % de la population connaissant les méfaits d'une alimentation riche en sel, en sucre et en graisses
Objectif 5 : Prévenir l'obésité dans la population générale
Action 5.1 : Mettre en œuvre un programme d'information et de communication sur le surpoids et l'obésité
CL1.37 Existence d’un programme d'Education pour un Changement de Comportement alimentaire en direction du grand public sur les liens entre l'alimentation, le surpoids et l'obésité
CL1.38 Existence d’un programme d'Education pour un Changement de Comportementsur les lieux de travail pour les employeurs et les employés
CL1.39 % des acteurs de la restauration collective connaissant les directives nationales sur les normes pour une alimentation saine
Action 5.2 : Développer les offres de prévention et de soins du surpoids et de l'obésité
CL1.40 Existence d’une stratégie d'accompagnement et de prise en charge du surpoids et de 'obésité dans les structures de santé CL1.41 Nombre (%) de professionnels de santé qui prend en charge correctement le surpoids et de l'obésité selon les directives établies Rapport d'enquête de service CL1.42 Nombre (%) de structures scolaires bénéficiant d’un programme de dépistage et de prise en charge précoce du surpoids et de l'obésité
CL1.43 Nombre (%) de structures de proximité bénéficiant d’un programme de dépistage et de prise en charge précoce du surpoids et de l'obésité pour la population générale r
CL1.44 Nombre (%) de structures de santé disposant des outils de mesures anthropométriques dans les normes
CL1.45 Nombre (%) de structures de santé disposant du guide de prévention du surpoids et de l’obésité pour les visites médicales systématiques
CL1.46 Disponibilité d’un «Guide standard de prévention et de prise en charge du surpoids et de l'obésité» à l'usage des médecins des Unités de Dépistage et de Suivi (UDS)
MESURE 49 : Concevoir un «Guide Standard de prévention du surpoids et de l'obésité» pour la conduite des visites médicales systématiques.
MESURE 50 : Concevoir un «Guide standard de prévention et de prise en charge du surpoids et de l'obésité» à l'usage des médecins des Unités de Dépistage et de Suivi (UDS).
...
","","","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Sodium/salt intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Monitoring of 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 fruit and vegetable scheme|School gardens|Dietary guidelines|Food labelling|Fats|Trans fat|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/DZA_B3_plan%20strat%C3%A9gique_MNT2015-2019.pdf https://extranet.who.int/ncdccs/Data/DZA_B2_s21_Plan%20Suivi%20%20Evaluation%20plan%20MNT.pdf","","WHO NCD Document Repository ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA-2015-2019-NCD%20strategique%20plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA-2015-2019-NCD%20strategique%20plan.pdf"
"39777","ATG","Antigua and Barbuda","","National Policy and Multisectoral Action Plan for the Prevention and Control of Non-Communicable Diseases in Antigua and Barbuda","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","Ministry of of Health and the Environment","4","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Industry","","","","","","","","","","National NGOs","","","","","","","","Strategy 3: Expected Results
NCD risk factors reduced and protective factors strengthened
…
· Policies/cost-effective interventions to reduce the impact on children of marketing of foods and nonalcohol beverages high in saturated fats, trans-fatty acid, sugars and salt implemented
· Baseline survey conducted for mean salt intake (sodium chloride) in grams per day in persons aged 18 +
· A 5% relative reduction of salt intake from baseline by 2019
…
Strategy 4: Expected Results
Health system response to NCDs and risk factors strengthened at all levels of health services and accessibility and quality improved
…
· A 15% relative reduction in age standardized prevalence of raised blood pressure
· A 15% relative reduction in age - standardized prevalence of raised blood glucose/diabetes
· A 5% relative reduction of age - standardized prevalence of overweight/obesity in persons aged 18+ by 2019
· A 5% relative reduction in age - standardized prevalence of overweight/obesity in school -aged children and adolescents by 2019
","Strategic Line of Action 1: Strengthening coordination and management of NCD prevention and control
…
1.3 Strengthen resource mobilization
1.3.1 Establish an earmarked tax for prevention and control of NCD programmes
- Approved Cabinet paper
1.3.2 Establish diversion of existing taxes (sales tax from tobacco, snacks high in salt, trans fat, sugar etc.)
- Approved Cabinet paper
Strategic Line of Action 3: NCD risk factors and protective factors
3.1 Strengthen legislative framework and support
…
3.1.5 Develop Legislation on increased tax on foods in high fat, salt and sugar and utilize tax revenue for strengthening school health promotion (healthy diets, PA)
- Legislation developed, enacted
3.2 Advocacy
…
3.2.2 Conduct national campaign for prevention and control of obesity (particularly focused on childhood obesity)
- # of educational campaigns conducted and assessed
3.2.3 Conduct national campaign, sensitization and education on healthy diets and physical activity
- # of educational campaigns conducted and assessed
3.3 Reduce risk factors and strengthen protective factors via cost-effective interventions
3.3.1 Analyze available data on breast feeding, identify the gaps and develop action plan for strengthening exclusive breast feeding
- Report prepared and at least 70% of mothers exclusive breast feeding
3.3.2 Incorporate recommendations for strengthening school feeding programs for prevention and control of diet-related diseases
- Monitoring and evaluation conducted on school feeding programs
3.3.3 Implement Child Friendly School Initiative to prevent and reduce obesity to protect children from marketing of foods and non-alcoholic beverages high in saturated fats, trans fatty acids, free sugars
- At least 70% of schools joined and implemented the initiative
3.3.4 Develop and implement cost-effective interventions on salt reduction at population level by using WHO Tool Kit for salt reduction
- # of public and school education and training conducted on understanding food labeling and
FBDG
- National salt targets for each food category identified
- Use of salt, saturated fat and sugars reduced
- # of School Cafeteria Meals reviewed and reformed for reduction of salt intake
- A 5 % relative reduction of salt consumption in population by 2019
…
ANNEX 1: Policy links for NCD prevention and control with various sectors
The table below connects the response to NCDs with the priorities of other sectors, making these links explicit and preparing for harmonization of policies across sectors.
Finance and Trade
• Approving dedicated staff and budget for NCD’s.
• Granting concessions on monitoring equipment to persons with NCD’s
• Endorsing Trade treaties supporting ban of trans fat
Social Policy
• Ensuring the equity of access to prevention and care for services related to NCDs
• Reducing the disparities in burden of NCDs among people of different social class (defined by age, sex, income, occupation, education, and geographic location
Education
• Enhancing the academic performance of school children through promotion of healthy behaviours
• Strengthening the work on health promoting schools and related activities to improve the health of students, teachers using the Food Based Dietary Guidelines
• Finalizing the Draft Health and Family Life Education Policy
Agriculture, Lands & the Environment
• Ensuring food availability and security as outlined in the Food and Nutrition Security Policy. (e.g. introduction of new fruits and vegetables for agriculture, promotion of local products)
• Promoting the messages of the Food Based Dietary Guidelines
Civil society
• Work with civil society and women’s groups to enhance the social norms to adopt behaviours that reduce the risk of NCDs
• Empower individuals and communities to manage and cope with existing burdens of NCDs through education, self-management to enjoy improved health and wellness.
Private sector
• Seeking opportunities for work place health promotion extending the concept of occupational health to cover the prevention of NCDs
• Seeking opportunities for consultation and cooperation where appropriate (e.g. physical activity promotion, salt reduction, food product reformulation)
• Seeking opportunities for resource mobilization (financing)
• Setting standards and enforcing these as and where appropriate
Health
• Developing the capacity for health policy makers and civil society to understand the policy concerns of other sectors and to engage in meaningful and lasting dialogue
• Health in All Policies takes into account health implications of decisions, seeks synergies, and avoids harmful health impacts, in order to improve population health and health equity. It ensures that the health implications of all policies are considered in the policymaking process, regardless of the sector in which the policies are being developed. It recognizes that public policies and decisions made in policy areas other than health have a significant impact on population health and health equity.
","","","","Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Sodium/salt intake|Sugar intake|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Reformulation of foods and beverages|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/ATG_B3_ncd%20policy%20pdf.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ATG%202015%20NCD%20policy.pdf"
"25899","AZE","Azerbaijan","","Azerbaijan National Strategy for the Prevention and Control of Non-Communicable Diseases 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","","2015","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Industry|Labour","The Ministry of Health, The Ministry of Finance, The Ministry of Taxes, The Ministry of Education, The Ministry of Youth and Sport, The Ministry of Labour and Social Protection, The Ministry of Economy and Industry, The Ministry of Agriculture, State Committee of Family, Women and Children Affairs","","","","","","","","","National NGOs","","","","","","","","SECTION 6: TARGETS
1. A 10% relative reduction in tobacco use
2. Reducing salt intake to less than 5 grams per day for adults
3. A 10% relative reduction in prevalence of insufficient physical activity
4. Halt the rise in obesity
5. Halt the rise in diabetes
6. Halt the prevalence of raised blood pressure and achieve the reduction
7. A 90% availability of the affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities
","OBJECTIVE TWO: IMPLEMENTING EFFICIENT AND EQUITY-BASED INTERVENTIONS IN ORDER TO REDUCE THE MAIN MODIFIABLE RISK FACTORS FOR NONCOMMUNICABLE DISEASES: tobacco use, harmful use of alcohol, unhealthy diet, physical inactivity
3. Promoting healthy diet:
Implementing national Action Plan, which reflects the main nutrition issues of the country and priority areas of activities
Development of Physiological Nutrition Norms
Defining a strategy in order extracting partially the hydrogenated vegetable oils from food products and replacing saturated fatty acids with polyunsaturated fats
Defining a strategy in order to reduce the marketing impact of food products (containing saturated, trans-fatty acids, high sugar or salt) on children
Improvement of the normative documents concerning the following: Reducing salt in manufactured food products
Compulsory marking the food products containing trans-fats and saturated fats (initial stage)
Prohibiting the sale of food products containing trans-fats (second stage)
Promoting healthy eating in early childhood, including breastfeeding
Promoting healthy eating behaviors, including the enrichment of the food products among population;
Providing students with healthy nutrition in educational institutions
Promoting people to give preference to polyunsaturated fats than saturated fatty acids.
","The sale proportion of food products containing trans fats;
Age-standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ years;
Age-standardized mean proportion of total energy intake from saturated fatty acids in persons aged 18+ years;
Age-standardized mean proportion of total energy intake from trans fats in persons aged 18+ years;
The proportion of children exclusively breastfed for the first six months of life;
The proportion of children breastfed for the first 24 months of life.
","","","Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|School-based health and nutrition programmes|Dietary guidelines|Food labelling|Front of pack labelling|Fats|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Food fortification","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/AZE_B3_NCD%20AZERBAIJAN%202015-2020.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AZE%202015%20NCD%20AZERBAIJAN.pdf"
"36189","BRB","Barbados","","Barbados Strategic Plan for the Prevention and Control of Non-communicable Diseases 2015-2019","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","National NCD Commission - Barbados Ministry of Health","","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Urban planning|Trade|Other","Ministries of Health, Agriculture, Finance, Trade, Tourism, Transport, Culture and Youth, Education, Urban Development, Attorney-General, Legal Affairs","World Health Organization (WHO)","WHO","Other, please specify under further details","National and international NGOs, Civil Society Organizations, Faith based organizations","","","","","National NGOs","","","","Private sector","food importers, manufacturers and retailers","","media, academia, training institutons, national NCD comission, CARPHA, CARICOM, UWI, medical officers, Heart and Stroke Foundation (HSFB), Diabetes Foundation","To reduce the preventable and avoidable burden of morbidity, mortality and disability due to non-communicable diseases through inter-sectoral collaboration and cooperation
To promote supportive environments to encourage healthy lifestyles and reduce risk factorsfor NCDs
To establish, implement, monitor and evaluate standards for NCD treatment and care so that patients living with NCDs have their risk factors controlled to target and receive evidenced based
","
The four strategies are:
Strategy 1: Strengthening Strategic Management
Strategy 2: Surveillance and Research
Strategy 3: Risk Factor Reduction
Strategy 4: Integrated Disease Management and Patient Education
","Policies to reduce the impact on children of marketing of foods and nonalcoholic, beverages high in saturated fats, trans-fatty acids, free sugars, or salt.
Promote exclusive breast-feeding for first 6 months and continuing along with complementary feeding
Healthy products provided and promoted by food manufacturers, retailers and providers
Support for population based salt reduction increased
Trans-fat in the food supply eliminated High fat content foods reduced
Daily consumption of fruits and vegetables increased
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.iccp-portal.org/sites/default/files/plans/BRB_B3_Barbados%20NCD%20Strategic%20Plan_2015-2019_final.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB_2015_SPNCDs_0.pdf"
"36191","BTN","Bhutan","","Multi-sectoral Action Plan for the Prevention and Control of Non-communicable Diseases in Bhutan ","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","Royal Government of Bhutan","","2015","Adopted","7","2015","80th Lhengye Zhungtshog session","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Trade|Labour","Royal Government of Bhutan","","WHO","","","","","","","National NGOs","","","","","","","","Target areas - 2020 - 2025
Relative reduction in risk of premature mortality from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases - ..... - 25%
Relative reduction in mean population intake of salt/sodium - 15% - 30%
Relative reduction in prevalence of raised blood pressure - 10% - 25%
Halt the rise in obesity and diabetes - ..... - 0 % rise
","Action 2.3, Promote a healthy diet
Action area: 2.3 Promote a healthy diet.
Activities
2.3.1
Develop and implement a national salt reduction strategy by adapting WHO templates
2.3.1.1
Develop national salt reduction strategy and advocate recommended salt consumption
2.3.2
Obligate appropriate industries/food processors to reduce amount of salt and sugar in their products through appropriate guidelines (based on the national salt reduction strategy)
2.3.2.1
Conduct salt content analysis and identify a list of top 10 priority imported products with high salt and trans fat content
2.3.2.2
Promote the industries/food processors to reduce salt, saturated fat and sugars in processed products through awareness activities
2.3.2.3
Restrict import/retail of identified top unhealthy products with high salt and trans fats
2.3.3
Develop regulations and fiscal policies such as taxes and subsidies to promote consumption of fruits and vegetables and discourage consumption of unhealthy food options.
2.3.3.1
Encourage growth of fruits in local farms and increase the supply of fruits for year round through agricultural policy reforms.
2.3.3.2
Develop incentive measures to influence local community groups to produce more fruits and vegetables.
2.3.3.3
Monitoring of local vegetable and fruit consumption by Department of agricultural marketing division
2.3.4
Carry out public campaigns through mass media and social media to inform consumers about a healthy diet high in fruit and vegetables and low in saturated fat, sugar and salt
2.3.4.1
Advocacy and awareness on nutrition including promotion of healthy diet
2.3.5
Establish and promote guidelines that support exclusive breastfeeding for the first six months of life, continued breast feeding until two years and beyond, and timely complementary feeding.
2.3.5.1
Liaise with relevant MoH departments and other stakeholders (women’s groups) to ensure that breast feeding guidelines are promoted.
2.3.5.2
Breast feeding promotion inter-sectorial forums.
2.3.5.3
Growth monitoring for children under 5 years of age
2.3.6
Establish guidelines for nutritional labeling for all pre-packaged foods with the input from relevant stakeholders.
2.3.6.1
Develop nutritional labeling guidelines and include requirement for trans fats and other unhealthy ingredients in the food products
2.3.6.2
Strengthen monitoring and enforcement of mandatory food labeling, contents and safety practices through registration and licensing of food business
2.3.7
Strengthen collaboration between BAFRA and Public Health Laboratory of the MoH in food safety promotion and evidence building
2.3.7.1
Institute a coordination team of PHL and BAFRA and identify priority areas of collaboration for strengthening food safety
2.3.7.2
Publish joint food safety reports for public dissemination ( Refer to 4.3.2.4)
2.3.8
Develop national guidelines for school feeding based on the Bhutan 2011 Food Based Dietary Guidelines aimed at improving the diet of school-aged children.
2.3.8.1
Develop recommendations and guidelines for school feeding.
2.3.8.2
Promote school based organic farming in schools
2.3.8.3
BMI monitoring in school and equipment for measuring BMI in schools
","Annexure 1: Indicator Lists (Tentative)
...
Fruits, vegetables and salt consumption:
7. Age-standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruits and vegetables.
8. Age-standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ years.
...
Metabolic :
11. Age-standardized prevalence of raised blood glucose/diabetes among persons aged 18+ years (fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for diabetes
12. Age-standardized prevalence of raised blood pressure among persons aged 18+ years (defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg); and mean systolic blood pressure.
13. Prevalence of overweight and obesity in adolescents (defined according to the WHO growth reference for school-aged children and adolescents, overweight – one standard deviation body mass index for age and sex, and obese – 2 SD BMI for age and sex).
14. Age-standardized prevalence of overweight and obesity in persons aged 18+ years (defined as body mass index ≥25 kg/m2 for overweight and body mass index ≥ 30 kg/m2 for obesity).
15. Age-standardized prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol ≥5.0 mmol/L or 190 mg/dl); and mean total cholesterol.
...
System response
...
21. National policies that virtually eliminate partially hydrogenated vegetable oils (PHVO) in the food supply and replace with polyunsaturated fatty acids (PUFA).
","","","Overweight in adolescents|Overweight in school children|Trans 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|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|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","","http://www.health.gov.bt/wp-content/uploads/moh-files/2015/12/The-Multisectoral-National-Action-Plan-for-the-Prevention-and-Control-of-NCDs-2015-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BTN%202015%20NCD%20Action%20Plan_1.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
- Réduire la carence en vitamine A au Burkina Faso d’ici fin 2020 :
- Réduire la prévalence de l’anémie de 30% chez les enfants de 6 à 59 mois et chez les femmes en âge procréer d’ici fin 2020 au Burkina Faso ;
- Eliminer les troubles dus aux carences en iode au Burkina Faso d’ici 2020 ;
- Renforcer les capacités des structures de contrôle, d’inspection et des unités de production d’aliments fortifiés au Burkina Faso d’ici 2020
- Renforcer les activités de communication en faveur de la lutte contre les carences en micronutriments au Burkina Faso d’ici fin 2020 ;
- Rendre disponibles à 100% les données statistiques dans le domaine de la lutte contre les carences en micronutriments au Burkina Faso d’ici fin 2020 ;
- Mobiliser au moins 95% des besoins de micronutriments au Burkina Faso d’ici fin 2020.
","Supplémentation médicamenteuse
- La supplémentation en vitamine A
- La supplémentation en fer/acide folique
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"
"25908","CIV","Côte d'Ivoire","","Plan stratégique intégré de prévention et de prise en charge des maladies non transmissibles en Côte d’Ivoire 2015-2019","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2019","République de Côte d’Ivoire, Ministère de la Santé et de la Lutte contre le Sida","","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Urban planning|Environment|Information|Justice|Labour","La prévention et le contrôle efficaces des maladies non transmissibles exigent un leadership, l'engagement multipartite coordonné pour la santé, tant au niveau du gouvernement qu’au niveau d'un large éventail d'acteurs avec de tels engagement et action incluant, le cas échéant, les approches de « la santé dans toutes les politiques » et de « l'ensemble du Gouvernement » à travers des secteurs tels que la santé, l'agriculture, la communication, l'éducation, l'emploi, l'énergie, l'environnement, la finance, l’alimentation, des affaires étrangères, du logement, de la justice et de la sécurité, de la législature, la protection sociale, développement social et économique, les sports, recettes fiscales, le commerce et l'industrie, les transports, l'urbanisme, les affaires de la jeunesse et le partenariat avec la société civile et les entités du secteur privé.","","","","","","","","","","","","","","","","","Evolution nationale attendue des indicateurs aux échéances 2019 et 2025 conformément aux cibles mondiales et nationales de réduction
Apport journalier moyen en sel (chlorure de sodium) en grammes dans la population, standardisé selon l’âge chez les personnes âgées de 18 ans ou plus
2019 : Baisse de 15%, 2025 : Baisse de 30%
Prévalence standardisée selon l’âge de la pression sanguine élevée chez les personnes âgées de 18 ans ou plus (tension systolique ≥140 mmHg et/ou une tension diastolique ≥90 mmHg)
2019 : 27,8%, 2025: 23,2%
Prévalence standardisée selon l’âge de l’hyperglycémie modérée à jeun chez les personnes âgées de 18 ans ou plus 10’ Prévalence standardisée selon l’âge du diabète chez les personnes âgées de 18 ans ou plus (définie comme glycémie plasmatique à jeun ≥7,0 mmol/l (126 mg/dl) ou sous traitement pour élévation de la glycémie)
2019: 9.6%, 2025: 9.6%
Prévalence de l’excès pondéral et de l’obésité chez l’adolescent (définis de la manière suivante selon les normes OMS de croissance pour l’enfant d’âge scolaire et l’adolescent : un écart type de l’IMC en fonction de l’âge et du sexe pour l’excès pondéral et deux écarts types de l’IMC en fonction de l’âge et du sexe pour l’obésité)
2019: 0% d’augmentation, 2025: 0% d’augmentation
Prévalence standardisée selon l’âge du surpoids chez les personne âgées de 18 ans ou plus (défini comme un IMC ≥25 kg/m² et 12’) Prévalence standardisée selon l’âge de l’obésité chez les personne âgées de 18 ans ou plus (défini comme un IMC> ou =30 kg/m²)
2019: 26.9%, 2025: 26.9%
Prévalence standardisée selon l’âge des personnes (âgé de 18 ans ou plus) qui consomment moins de cinq portions (400 grammes) de fruits et de légumes par jour
2019: 52.3%, 2025: 49.6%
Prévalence standardisée selon l’âge de l’hyper-cholestérolémie totale chez les personnes âgées de 18 ans ou plus (taux de cholestérol total ≥5,0 mmol/l ou 190 mg/dl)?
2019: 18.9%, 2025: 17.9%
","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
ACTIONS PRIORITAIRES
Remplacer les acides gras trans par des matières grasses polyinsaturées
Faire la promotion de la consommation d’au moins 5 portions de fruits et légumes combinés par jour
Promouvoir l'éducation Nutritionnelle
Promouvoir la production locale de fruits et legumes
Améliorer l’accessibilité des fruits et légumes
","","","","Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|Promotion of fruit and vegetable intake|Trans fat|Salt/sodium|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/CIV_B3_PLAN-STRATEGIQUE-Int%C3%A9gr%C3%A9-2015-2019-MNT-CIV-final.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202014%20PLAN-STRATEGIQUE-Int%C3%A9gr%C3%A9-2015-2019-MNT-CIV-final.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","- Podrška i opredjeljenje za promjene
- Utvrđivanje stanja (unos i glavni izvori kuhinjske soli u prehrani)
- Ciljani programi za smanjenje unosa kuhinjske soli
- Osmišljavanje kampanje i uključivanje partnera
- Podizanje svijesti potrošača
- Jasno i jednostavno deklariranje proizvoda
- Partnerstvo i dogovori s prehrambenom industrijom 8. Nadzor napretka i stalna evaluacija
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:
- Razvoj novih receptura za proizvodnju gotove i polugotove hrane
- Smanjenje udjela kuhinjske soli u kruhu i pekarskim proizvodima te ostaloj gotovoj i polugotovoj hrani
- Osiguranje dostupnosti hrane s poželjnim udjelom kuhinjske soli i omogućavanje informiranog te poželjnog odabira hrane od strane potrošača
- Kontinuirana edukacija i informiranje svih dionika (stanovništvo, zdravstveni sektor, cjelokupna prehrambena industrija te ostali dijelovi društva).
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
- Aktivnost 1. Izrada plana po vrstama hrane. Izradit će se Nacionalni plan za smanjenje konzumacije kuhinjske soli po vrstama hrane za razdoblje 2015. – 2019.
Mjera 2. Praćenje troškova kroz istraživanje vezano za bolesti povezane s prekomjernim unosom kuhinjske soli
- Aktivnost 1. Nacionalno istraživanje o troškovima. Provest će se Nacionalno istraživanje o ukupnim troškovima bolesti povezanih s prekomjernim unosom soli, ekonomske projekcije i ekonomski modeli za razdoblje 2015. – 2019.
Mjera 3. Istraživanje o konzumaciji soli u Republici Hrvatskoj
- Aktivnost 1. Nacionalno istraživanje o konzumaciji kuhinjske soli. Provest će se Nacionalno istraživanje o smanjivanju konzumacije kuhinjske soli kojim će se pratiti uspješnost provođenja Strategije u Republici Hrvatskoj o unosu i glavnim izvorima soli u prehrani kroz projekt EHIS - European Health Interview Survey.
4.2 Djelovanje prema proizvođačima i distributerima hrane
Mjera 1. Poticanje proizvodnje hrane s manjim udjelom kuhinjske soli u prehrambenoj industriji
- Aktivnost 1. Projekt poticanja proizvodnje hrane s manjim udjelom kuhinjske soli. Izradit će se projekt poticanja proizvodnje hrane s manjim udjelom kuhinjske soli i promicanja društvene odgovornosti i socijalnog marketinga 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
- Aktivnost 1. Analiza propisa i izrada i donošenje propisa. Zakonskom i podzakonskom regulativom, uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i u institucionalnim kuhinjama za 20% u razdoblju od 2015. do 2019. godine.
Mjera 3. Uvođenje zakonske i podzakonske regulative sustava jasnog, jednostavnog, obveznog i dodatnog navođenja udjela kuhinjske soli na svim prehrambenim proizvodima.
- Aktivnost 1. Izrada i donošenje propisa . Razviti poseban sustav i kriterije obveznog i dodatnog deklariranja proizvoda u pogledu sadržaja soli i potencijalnih rizika po zdravlje te sustava inspekcije i nadzora kao i kontrolirati provođenje istog i donijeti mjere kojima se propisuju dodatni obvezni podaci za određene vrste hrane ili kategorije hrane u cilju, između ostalog, zaštite javnog zdravlja i zaštite potrošača.
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
- Aktivnost 1. Izrada i donošenje propisa. Zakonskom i podzakonskom regulativom, izradom vodiča te uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja za 20% u razdoblju od 2015. do 2019. godine.
Mjera 2. Promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli
- Aktivnost 1. Izrada i provedba plana promocije. Utvrđivanje kriterija i promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli uključivanjem svih javnozdravstvenih djelatnika, šire društvene zajednice, odgojno-obrazovnih ustanova, institucija u sustavu sigurnosti hrane, proizvođača hrane, medija, te akademske zajednice, roditelja i djece. Provođenje sustavnih trajnih informativnih kampanja koje moraju uključivati sve značajne institucije u području sigurnosti hrane i zaštite zdravlja potrošača
4.4 Monitoring i evaluacija
Mjera 1. Stalni nadzor i vrednovanje postignutih rezultata
- Aktivnost 1. Praćenje provedbe. Izrada i provedba plana vrednovanja Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015. – 2019.
","- 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.
- Zakonskom i podzakonskom regulativom, uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i u institucionalnim kuhinjama za 20% u razdoblju od 2015. do 2019. godine.
","Outcome indicators|Process indicators","","Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Salt/sodium|Media campaigns on healthy diets and nutrition|Salt reduction","","https://zdravlje.gov.hr/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202014%20Strategic%20Plan%20on%20Salt%20Reduction.pdf"
"36218","GTM","Guatemala","","Plan Estratégico Nacional para la Prevención de Enfermedades no Transmisibles","NCD policy, strategy or plan with healthy diet components","","Spanish","","2015","","2020","Ministerio de Salud Pública y Asistencia Social; Programa Nacional para la Prevención de Enfermedades Crónicas no Transmisibles y Cáncer; Comisión Nacional para la Prevención de Enfermedades Crónicas no Transmisibles y Cáncer","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport","","World Health Organization (WHO)","","","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","","Research/academia","","","","","","Objetivos estratégicos y Metas
1.4- Elaborar otras propuestas de Políticas, Leyes y Reglamentos para regular los factores de riesgo de ENTs
Para el 2017 se emite iniciativa de ley de prohibición de grasas trans en comidas procesadas, restaurantes y similares
Para el 2018 se emite ley de incentivos para producción y comercialización de frutas y verduras
Para el 2018 se emite ley de regulación de la publicidad dirigida a los niños
2.3- Promover la alimentación sana a fin de propiciar la salud y el bienestar.
Para el año 2019 se cuenta con propuestas de políticas, leyes y reglamentos para el control de la manufactura, comercialización, promoción y publicidad de alimentos procesados, ricos en grasas saturadas y trans, azúcares simples o sal y bebidas no alcohólicas, en cumplimiento de la Ley marco de prevención y control de las ENT.
Para el 2019 se cuenta con propuestas de legislación para limitar las grasas saturadas y eliminar los aceites vegetales parcialmente hidrogenados en los alimentos, gravando con impuestos los alimentos y bebidas de alto contenido calórico y bajo valor nutricional. (Calorías vacías)
Para el 2019 Guatemala ha aprobado la ley que regula las tiendas escolares y la venta o expendio de alimentos y bebidas en los establecimientos educativos en todo el país.
Para el 2019 todas las escuelas de pre primaria y primaria tienen dentro del pensum la enseñanza de las guías alimentarias elaboradas por el Ministerio de Salud.
Para el 2019 Guatemala ha Implementado totalmente el Plan de Acción Nacional para la Prevención del Sobrepeso y Obesidad en la Niñez y la Adolescencia con enfoque multisectorial.
Para el 2019 Guatemala reduce el 5% del consumo de sal/sodio en relación a la línea base en las personas mayores de 18 años.
En el 2019 se cuenta con legislación para etiquetado, enfrente del envase, que tiene en cuenta el CODEX alimentario y permite la identificación rápida y sencilla de los alimentos saludables y no saludables
Para el 2019 Guatemala cuenta con políticas y estrategias para mejorar la disponibilidad, los precios bajos y acceso a alimentos saludables; proyectos de agricultura familiar, incentivos fiscales, créditos bancario blandos, etc.
Para el 2019 Guatemala ha fortalecido la Comisión Nacional de Promoción de la Lactancia Materna
Para el 2019 el 60% de las escuelas cuentan con agua potable para el consumo de los alumnos
3.4- Implementar intervenciones eficaces, basadas en la evidencia y costo-efectivas, para el tratamiento y el control de las enfermedades cardiovasculares, la hipertensión, la diabetes, los cánceres, las enfermedades respiratorias crónicas y la enfermedad renal crónica.
Para el 2019 Guatemala ha reducido en 5% la prevalencia del sobre peso y obesidad en adultos, niños y adolescentes.
","Objetivos estratégicos y Actividades
1.4- Elaborar otras propuestas de Políticas, Leyes y Reglamentos para regular los factores de riesgo de ENTs Elaborar y proponer a la Comisión de Salud del Congreso Decreto ley
Elaborar y proponer a la Comisión de Salud del Congreso el decreto ley
Elaborar y proponer a la Comisión de Salud del Congreso el decreto ley
2.3- Promover la alimentación sana a fin de propiciar la salud y el bienestar. Elaborar las propuestas políticas, leyes y reglamentos para regular la manufactura, comercialización, promoción y publicidad de alimentos procesados de acuerdo a las recomendaciones de OMS/OPS
Elaborar propuestas de legislación para limitar las grasas saturadas y trans; así como para gravar las bebidas y los productos de alto contenido calórico y bajo valor nutricional
Impulsar la aprobación por el Congreso del proyecto de ley que regula las tiendas escolares y expendio de alimentos y bebidas en los establecimientos educativos.
Realizar un convenio permanente con el MINEDUC para la incorporación de las guías dentro del pensum escolar a nivel nacional. Actualizar periódicamente las guías alimentarias
Realizar intervenciones de salud pública con participación social, priorizando las acciones estratégicas del Plan Nacional
Establecer un sistema de monitoreo para evaluar periódicamente el impacto de la promoción de disminución del consumo de sal
Elaborar iniciativa de ley para etiquetado, que tenga en cuenta el CODEX y permite la identificación rápida y sencilla de los alimentos saludables y no saludables.
Elaborar iniciativa e impulsar legislación y reglamentos para incrementar la disponibilidad y acceso a alimentos nutritivos, con énfasis en frutas y verduras.
Promover el fortalecimiento de CONAPLAM- y monitoreo de la ley de sucedáneos de la leche materna.
Gestionar con las municipalidades el abastecimiento seguro de agua potable a las escuelas
3.4- Implementar intervenciones eficaces, basadas en la evidencia y costo-efectivas, para el tratamiento y el control de las enfermedades cardiovasculares, la hipertensión, la diabetes, los cánceres, las enfermedades respiratorias crónicas y la enfermedad renal crónica.
Implementación del plan de acción contra el sobrepeso y la obesidad en adultos, niños y adolescentes.
","Objetivos estratégicos y Indicadores
1.4- Elaborar otras propuestas de Políticas, Leyes y Reglamentos para regular los factores de riesgo de ENTs Propuesta de ley entregada a la Comisión de Salud del Congreso
Propuesta de ley entregada a la Comisión de Salud del Congreso
Propuesta de ley entregada a la Comisión de Salud del Congreso
2.3- Promover la alimentación sana a fin de propiciar la salud y el bienestar. Porcentaje de políticas, leyes y reglamentos propuestos/vig entes para el control de la manufactura, comercializació n promoción y publicidad de alimentos procesados, y bebidas no alcohólicas,
Porcentaje de leyes vigentes / propuestas para limitar las grasas saturadas y trans, con impuestos a los alimentos y bebidas de alto contenido calórico y bajo nutricional.
Ley que regula las tiendas escolares y la venta o expendio de alimentos y bebidas en los establecimientos educativos vigente.
Porcentaje de escuelas de pre primaria y primaria que tienen dentro del pensum la enseñanza de las guías alimentarias elaboradas por el Ministerio de Salud.
Porcentaje de implementación del Plan de Acción Nacional para Prevención del Sobrepeso y Obesidad con enfoque multisectorial.
% de reducción del consumo de sal/sodio en relación a la línea base en mayores de 18 años, mediante estimaciones de encuestas.
Ley vigente para el etiquetado, que tiene en cuenta el CODEX alimentario, y permite la identificación rápida de los alimentos saludables y no saludables
% de leyes y reglamentos vigentes / propuestos para incrementar la disponibilidad y acceso a alimentos nutritivos, con énfasis en frutas y verduras.
CONAPLAM fortalecida y la ley de comercialización de sucedáneos de la leche materna.
Porcentaje de escuelas con agua potable para consumo de escolares
3.4- Implementar intervenciones eficaces, basadas en la evidencia y costo-efectivas, para el tratamiento y el control de las enfermedades cardiovasculares, la hipertensión, la diabetes, los cánceres, las enfermedades respiratorias crónicas y la enfermedad renal crónica.
% Tasa de prevalencia de sobre peso y obesidad en niños, adolescentes y mayores de 18 años.
","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Breastfeeding promotion/counselling|Monitoring of the Code|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Trans fat|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","https://hospitales.mspas.gob.gt/descargas/2016/publicaciones/PlanEstratEgico20162020Julio2016.pdf","","",""
"36194","MAR","Morocco","","Prevention des Maladies Non Transmissibles: Plan d’action multisectoriel pour la Promotion d’un Mode de vie sain 2015-2020","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2020","Ministre de la santé","","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Industry|Justice|Labour|Other","Ministère des Affaires Générales et de la Gouvernance, Ministère des Habous et des Affaires Islamiques","","","","","","","","","","","","","","","","","Objectif général: Réduire l’exposition aux facteurs de risque modifiables des maladies Non Transmissibles et promouvoir un mode de vie sain.
Objectifs spécifiques:
- Réduire l'usage du tabac et protéger les non-fumeurs
- Réduire la consommation de sel, de gras et de sucre dans les habitudes alimentaires chez la population et améliorer les habitudes alimentaires
- Promouvoir l'activité physique
- Ralentir la progression des maladies chroniques
","Les domaines prioritaires...
Réduction de la consommation de sel via les campagnes médiatiques et reduction de la réduction de la teneur en sel des aliments transformés et servis Et remplacement des gras trans par des gras polyinsaturés
...
Programme de sensibilisation du public sur l'alimentation et l'activité physique
- Action 1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
- Action 2 : Développement des compétences en matière de mode de vie sain
- Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
- Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
- Action 5: Développement du partenariat en matière du mode de vie sain
- Action 6 : Mise en Place d'une réglementation relative à la promotion du mode de vie sain
- Action 7: Diffusion du plan d’action multisectoriel de promotion de mode vie sain
- Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
- Action 9: Suivi et évaluation des actions multisectorielles de promotion du mode de vie sain
","Promotion d'un mode de vie sain:
- Nombre de messages produits et diffusés ( TV, radio)
- Nombre d'établissements scolaires et universitaires sensibilisés
- nombre d'hôpitaux ayant organisé des campagnes
- Nombre de manifestations organisées dans les universités
- Nombre d'industriels de l'agroalimentaire sensibilisés
- nombre de textes élaborés sur l'alimentation saine
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR_2015_PAM.pdf"
"25893","NRU","Nauru","","Nauru Non Communicable Disease Strategic Action Plan 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","6","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Justice","","","","","","","","","","National NGOs","Nauru National Sustainable Development Strategy 2005-2025 (NNSDS) – Partnership for Quality of Life.","","","","","","","NCDs and nutrition are addressed under key result area 2 of which the goal is to strengthen and improve community preventive and health care services under the principles and concepts of primary health care and healthy islands.
For nutrition, the Plan emphasizes on supporting and strengthening ongoing school feeding programme; introducing and supporting the Baby Friendly Hospital initiative and promotion of exclusive breast feeding; as well as advocating for good family nutrition through home gardening and healthy food preparation.
","6.2. Strengthen food security
Promote breast feeding:
• Re-establish Baby Friendly Hospital Initiative Programme
• Establish community support groups for breastfeeding
• Conduct strategic health communication activities to:
- Strengthen the awareness on importance of exclusive breastfeeding for the first 6 months
- encourage breastfeeding up to 2 years of life
Improve the quality and safety of food produced and consumed in schools
• Develop and implement a school food policy covering food produced, sold and consumed in schools
Provide guidance to canteen staff on healthy and safe food preparation
Conduct regular inspections of school canteens and premises that prepare food for school canteens as a requirement of the Food Bill
Monitor and evaluate the school feeding programme
Provide guidance to food retailers and vendors on sale of healthy meal and snack options for school children
Introduce a weekly fruit and water day in all schools
Integrate vitamin supplementation and provision of school milk into school feeding programme
Conduct an anaemia baseline survey among school children – NIMS Program
Procurement of a vehicle for Food Safety programme
Increase consumption of fruits and vegetable
Establish or revitalize school gardens in all primary schools
Explore opportunities for providing subsidies to imported fruits and vegetables (including frozen and canned) through collection of taxes on unhealthy food
Encourage retailers to promote fresh fruits and vegetables
Promote fresh fruits and vegetables as healthy snacks
Develop Health Promoting Schools Initiative
Promote good health and nutrition
Implement strategic health communication in the promotion of healthy eating
Work with food retailers on establishing and promoting healthy food corners Establish a demo kitchen to demonstrate healthy cooking practices
Reduce population salt intake
Develop comprehensive salt reduction strategy
Conduct strategic health communication activities around salt reduction including awareness raising and communication for behaviour
","Table 3: Target prevalence rates by 2020
Risk factor - Men - Women
Sodium intake* - n.a - n.a
Less than 5 serving of fruits and vegetable per day - 84.4% - 84.2%
Overweight (obesity) -82.1% (55.7%) - 82.1% (60.5%)
High blood pressure - 18.5% - 9.2%
Diabetes - 16.1% - 16.3%
* The baseline for sodium intake will be established during the NCD STEPS survey planned for 2014
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Overweight in adolescents|Raised blood glucose/diabetes|Raised blood pressure|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Salt reduction|Food safety","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NRU-2015-2020-NCD%20Strategic%20Plan.pdf"
"25903","PNG","Papua New Guinea","","National Multisectoral Strategic Plan for the Prevention and Control of Non-Communicable Diseases 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","","2017","","","","","Health|Education and research|Finance, budget and planning|Other","Customs, all other Ministries and Government stakeholders","","","","","","","","","","","","","","","","","- At least a 30% (10%) increase in mean population who consume 5 combined servings of fruit and vegetables
- 25% (5%) Reduction in mean population intake of salt/sodium. *this will require the collection of baseline data
- Reduce adult obesity by at least 5%
- No rise in prevalence of diabetes and obesity
- 7.5% of women, 6% of men with raised blood pressure
- A 5% relative reduction in the prevalence of raised blood pressure
","2.4 Promote healthy diets and physical activity
Responsible party: NDoH
Short term
- Implement nutrition policy
- Assess levels of salt consumption and implement salt reduction pilot programs
- Develop guidelines for physical activity programming
- Implement public awareness programmes on diet and physical activity, particularly in urban areas
Medium term
- Implement salt reduction programs (adjusting levels of iodine as required)
- Strengthen public sector capacity to monitor salt and iodine intake
- Implement global strategy on diet, physical activity and health
- Implement national policies and strategy for infant and young child nutrition in the context of the WHO’s set of recommendations on the marketing of foods and non-alcoholic beverages to children
- Engage different relevant sectors in the development of guidelines, recommendations or policy measures
Long term
- Develop/enforce regulations on the supply of unhealthy foods
- Continue to enforce nutrition and related healthy eating and physical activity policies
- Develop policy to replace trans fats with unsaturated fats
Responsible party: Other Ministries and Government stakeholders
All:
- Support implementation of nutrition policy and development of physical activity guidelines
- Continue to regulate sales of food through increased taxes
- Implement relevant aspects of the nutrition policy
Treasury and Finance:
- Consult of feasibility of developing a tax regime for on unhealthy foods
- Consider the earmarking of taxes and licensing fees received on foods to go towards NCD control programs
Customs:
- Enforce regulations on import and export of food
Education:
- Scale up physical activity programs in school
- Develop healthy eating programs Sports Enforce Physical activity programs to the general population
Responsible party: Private and Church Based health service providers
- Align services with government programs.
- Provide counseling on healthy eating and physical activity at primary care sites
Responsible party: Civil Society
- Develop awareness programs on diet and physical activity and their relation to NCDs
","","","","Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of fruit and vegetable intake|Trans fat|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Salt reduction","","https://extranet.who.int/ncdccs/Data/PNG_B3_Non%20Communicable%20Diseases%20Multisecotoral%20Strategic%20Plan%202015-2020.docx","","WHO Noncommunicable Disease Document Repository https://extranet.who.int/ncdccs/documents/db ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG-2015-2020-NCD.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
- Mettre à la disposition des prestataires socio sanitaires des directives simples et claires sur la surveillance de la croissance et du développement de l’enfant de moins 9 mois à 18 ans ;
- Amener les prestataires socio sanitaires à utiliser les courbes de croissance de l’OMS ;
- Définir les conditions de mise en œuvre de ces directives ;
- Définir les modalités de Supervision/Suivi et Evaluation.
","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
","- Proportion d’enfants de 6-59 mois dépistés par le RC dans son aire de responsabilité ;
- Proportion d’enfants de 6-59 mois pesés et toisés par mois ;
- Proportion de mères d’enfants de 6-59 mois ayant bénéficié de conseils nutritionnels ;
- Proportion d’enfants de 6-59 mois référés pour problème de croissance ;
- Proportion d’enfants de moins de cinq (05) ans atteints de malnutrition aiguë modérée ;
- Proportion d’enfants de moins de cinq (05) ans atteints de malnutrition aiguë sévère ;
- Proportion d’enfants de moins de cinq (05) ans ayant un déficit pondéral ;
- Proportion d’enfants de moins de cinq (05) ans présentant un retard de croissance ;
- Proportion d’enfants de moins de cinq (05) ans ayant un surpoids ;
- Proportion d’enfants ayant une obésité ;
- Proportion de nouveau-né de faible poids (<2500g) ;
- Prévalence de la malnutrition aiguë modérée chez les enfants de moins de 5 ans ;
- Prévalence de la malnutrition aiguë sévère chez les enfants de moins de 5 ans ;
- Prévalence de la malnutrition chronique chez les enfants de moins de 5 ans ;
- Prévalence de l’insuffisance pondérale ;
- Prévalence de l’obésité chez les enfants de moins de cinq (05) ans.
","Outcome indicators|Process indicators","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Overweight in children 0-5 yrs|Overweight in adolescents|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Vaccination","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Directives%20nationales%20surveillnace%20croisssance%20enfant.pdf"
"25764","GEO","Georgia","","სურსათში ინდუსტრიული ტრანსიზომერული ცხიმების რეგულირებასთან დაკავშირებული სამოქმედო გეგმა და შესაბამისი ღონისძიებები [Action Plan and Regulating Measures Related to Industrial Trans Fats]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Georgian","1","2016","","","Legal Portal of Georgia","","2015","Adopted","11","2015","Government of Georgia","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Justice|Labour|Sub-national|Other","National Center for Disease Control and Community Health","","","","","","","","","","","","","Private sector","Food Producers","Other","Child Care and Education Institutions","","დანართი: სურსათში ინდუსტრიული ტრანსიზომერული ცხიმების რეგულირებასთან დაკავშირებული სამოქმედო გეგმა და შესაბამისი ღონისძიებები
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
2.3. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის, როგორც უვნებლობის მაჩვენებლის, ეტიკეტზე განთავსების (მითითების) ვალდებულების შემოღება
3.1. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის ეტიკეტზე განთავსების (მითითების) შესახებ მოთხოვნის შესრულებაზე კონტროლის განხორციელება
3.2. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის ეტიკეტზე განთავსების (მითითების) შესახებ მოთხოვნის შესრულებაზე კონტროლის განხორციელება
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)
","","","","Fat intake|Trans fat intake|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment","","https://matsne.gov.ge/ka/document/view/3071941",""Action Plan and appropriate activities related to regulation of consumption of industrial TFAs in a food" was approved by the government of Georgia, and order №2567 is signed by primer-minister, on 27-th on November of 2015. https://matsne.gov.ge/ka/document/view/3071941","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GEO%202015%20Action%20Plan%20and%20Regulating%20Measures%20Related%20to%20Industrial%20Trans%20Fats.pdf"
"36098","GRC","Greece","","Program for the promotion of fruit and vegetable consumption in schools","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Greek","","2016","","2017","Governmental Newspaper","10","2016","Adopted","9","2016","The Ministers of Education, Research and Religious Affairs; Health; Finance; Agricultural Development and Food","Health|Food and agriculture|Education and research|Finance, budget and planning|Other","Food Safety Authorities","","","","","","","","","National NGOs","","","","","","","","Άρθρο 1 Σκοπός
Με την παρούσα απόφαση καθορίζονται τα αναγκαία συμπληρωματικά μέτρα για την εφαρμογή των άρθρων 22, 23 και 217 του Κανονισμού (ΕΕ) αριθ. 1308/2013 και των διατάξεων του Κανονισμού (ΕΕ) αριθ. 247/2016 και του Κανονισμού (ΕΕ) 248/2016, όπως ισχύουν, σχετικά με την υλοποίηση του προγράμματος προώθησης της κατανάλωσης φρούτων και λαχανικών στα σχολεία (εφε- ξής πρόγραμμα).
Άρθρο 2 Στόχοι εθνικής στρατηγικής
Η εφαρμογή του προγράμματος στοχεύει:
α) Στη διαρκή αύξηση του μεριδίου των οπωροκη- πευτικών στο διαιτολόγιο των παιδιών στο στάδιο της διαμόρφωσης των διατροφικών τους συνηθειών.
β) Στην αύξηση της βραχυπρόθεσμης και μακροπρό- θεσμης κατανάλωσης οπωροκηπευτικών και στη βελτί- ωση των διατροφικών συνηθειών των παιδιών.
γ) Στην επίτευξη των στόχων της Κοινής Γεωργικής Πολιτικής, ιδίως τη σταθεροποίηση των αγορών και τη διασφάλιση του εφοδιασμού τόσο στο παρόν όσο και στο μέλλον.
Άρθρο 3 Ομάδα στόχος
Σε εφαρμογή του άρθρου 22 του Καν. 1308/2013 του άρθρου 2, παρ. 1 του Καν (ΕΕ) 247/2016 και του άρθρου 2 παρ. 1 του Καν (ΕΕ) 248/2016, το πρόγραμμα θα εφαρμο- στεί κατά το σχολικό έτος 2016-2017 σε όλα τα δημόσια και ιδιωτικά Δημοτικά Σχολεία της χώρας.
Άρθρο 4 Περίοδος υλοποίησης
Περίοδος υλοποίησης του προγράμματος ορίζεται το σχολικό έτος 2016-2017.
","Άρθρο 5 Επιλέξιμα προϊόντα
1. Τα προϊόντα που πρόκειται να διανεμηθούν στα σχο- λεία κατά το σχολικό έτος 2016-2017, βάσει της εποχικό- τητας και της διαθεσιμότητας τους, είναι τα εξής:
- Μήλα
- Πορτοκάλια
- Αγγουράκια
- Κομπόστα ροδάκινο σε ατομική συσκευασία
- Κορινθιακή σταφίδα
2. Τα προϊόντα της παρ. 1 δεν περιέχουν καθόλου πρό- σθετη ζάχαρη ή πρόσθετες γλυκαντικές ύλες, σύμφωνα με το δεύτερο εδάφιο της παρ. 3 του άρθρου 23 του Καν. 1308/2013.
3. Τα νωπά προϊόντα της παρ. 1 προέρχονται από καλλιέργειες στις οποίες εφαρμόζεται Σύστημα Ολο- κληρωμένης Διαχείρισης, σύμφωνα με τα εθνικά πρό- τυπα της σειράς AGRO 2 ή άλλο αναγνωρισμένο ιδιωτικό πρωτόκολλο παραγωγής πιστοποιημένων γεωργικών προϊόντων και είναι τουλάχιστον ποιοτικής κατηγορί- ας Ι. Η κομπόστα ροδάκινο σε ατομική συσκευασία θα
πρέπει να είναι τουλάχιστον ποιότητας «Εκλεκτή (Greek choice)», ενώ η κορινθιακή σταφίδα να είναι τουλάχιστον ποιότητας «Choicest», σύμφωνα με την ισχύουσα εθνική νομοθεσία.
4. Όλα τα προϊόντα της παρ. 1 εμπεριέχονται σε ατο- μική συσκευασία με κατάλληλο, για τρόφιμο, περιέκτη και είναι έτοιμα προς άμεση κατανάλωση.
","","","","Fruit and vegetable intake|Fruits|Vegetables|School fruit and vegetable scheme|Promotion of fruit and vegetable intake|Food safety","","http://w2.minagric.gr/index.php/el/xrisimewplirofories-2/progr-koin-arogis/1396-katanal-froyta-sxol","Adoption of additional measures to the programme of 2013","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GRC%202016%20School%20Fruits%20and%20Vegetables.pdf"
"36188","SYC","Seychelles","","Seychelles Strategy for the Prevention and Control of Noncommunicable Diseases, 2016-2025 ","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2025","Ministry of Health","","2016","Adopted","6","2016","The Strategy was presented at Cabinet and approved on the 30th of June 2016 (C16/D/MEM/154). The Strategy was subsequently presented by the Minister of Health at the National Assembly with no objection (Nation 28 July 2016).","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Urban planning|Trade|Environment|Industry|Information|Labour","Health, agriculture, communication, education, employment, energy, environment, finance, food, foreign affairs,housing, justice and security, legislature, social welfare, social and economic development, sports,tax and revenue, trade and industry, transport, urban planning and youth affairs and partnershipwith relevant civil society and private sector entities","","","","","","","","","National NGOs","","","","","","","","Targets
The Seychelles NCD Strategy adopts the 9 national voluntary targets agreed by WHO Member States:
1) 25% reduction of NCD
2) 10% reduction in alcohol use
3) 10% reduction in prevalence of insufficient physical activity
4) 30% reduction in mean population salt intake
5) 30% reduction in the prevalence of tobacco use
6) 25% reduction in the prevalence of raised blood pressure
7) 0% increase in obesity and diabetes
8) At least 50% of eligible people receiving drug therapy and counselling to prevent heart attack and stroke
9) At least 80% availability of the affordable technologies and essential medicines, including generics, required to treat major NCDs on both public and private facilities
","1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.pdf"
"36175","LKA","Sri Lanka","","Multisector Action plan for the prevention and control of Non communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","Ministry of Health","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","Ministry of Health Ministry of Health, Ministry of Education, Ministry of Trade, Ministry of Sports, Ministry of Finance, Ministry of Mass communication, Ministry of Local Government","","WHO","","NCD alliance,","","WB","","","National NGOs","","","","","","","","Sri Lanka aims to achieve the following targets by 2025
1. A 25% relative reduction in premature mortality from cardiovascular disease, cancer, diabetes, or chronic respiratory diseases
...
4. A 30% relative reduction in mean population intake of salt/sodium
...
6. A 25% relative reduction in prevalence of raised blood pressure and or contain the prevalence of raised blood pressure
7. Halt the rise in obesity and diabetes
8. A 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes
...
","2.3 Promote healthy diet high in fruit and vegetables and low in saturated fat/trans fat, free sugar and salt
2.3. 1.a Accelerate the implementation of the diet component of the Global Strategy on Diet, Physical Activity and Health
• create a mechanism for monitoring of food and beverages advertisements and complains
• develop national policies on marketing of food and non alcoholic beverages to children
• develop policies to promote availability of healthy food
• develop policies to increase the affordability of healthy food
• set up a committee to review food advertisement before airing
• conduct programme to increase the acceptability of healthy food
• establish policies on taxes and subsidies to promote consumption of fruits and vegetables
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost strengthen the laboratory facilities at MRI and to check salt, fat content in the diet and urinary sodium concentration
• develop the lab at MRI and in a selected hospital
• strengthen of MLT schools at MRI
2.3. 2.e.Increase the availability of healthy foods low in salt, sugar and fats
• advocacy meeting with food producers, processors, retailers to lobby to change the composition of food
• lobby food industry to manufacture healthy food options
• motivate food industry to reformulate processed food
• conduct award programme for companies who prepare healthy food
• establish a mechanism to ensure voluntary reduction of salt, sugar and fat
• establish a mechanism to ensure mandatory reduction of salt, sugar and fat
• evaluate the effects of major interventions for reducing salt
2.3. 2f Take measures to reduce trans fat in processed foods
• conduct a survey to identify sources of trans fat and base line levels
• develop a national strategy to address trans fat
• develop a policy to limit use of trans fat and use of PHVO (partially hydrogenated vegetable oil) in all processed food and restaurants
2.3. 2.g Introduce food labeling to indicate unhealthy foods
• introduce traffic light system for salt, sugar and saturated fat, trans fat, energy content
• indicate the nutrition composition of the food in the labels
• strengthen laboratory network in the country to certify the contents in the food labels (one per
2.3. 2.h Increase tax for unhealthy food
• establish policies on taxes to discourage consumption of unhealthy food high in fat, sugar and salt
• impose taxes on un healthy food and beverages
2.3. 2.i Establish a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
2.3. 3.a Improve awareness of the public on cardio metabolic risk of consuming unhealthy foods through a mass media campaign
• develop IEC materials on salt, sugar, fat
• telecast commercials on sugar , salt, fat reduction
• develop IEC materials on BMI, obesity, overweight prevention
• telecast commercials on fruits and vegetables consumption
• publish newspaper advertisement on healthy foods and unhealthy food habits
• conduct healthy dish competitions
2.3. 3.b Promote maternal and child nutrition
• promote exclusive breast feeding
• implement breast feeding code
• promote complementary feeding
• ensure good maternal nutrition
• improve nutrition in malnourished girl children
2.3. 3.c Improve availability of healthy foods
• implement healthy canteen policy in schools
• establish healthy canteens in work places according to the guidelines
2.3. 3.d Increase availability of food based dietary guidelines
• revise the Sri Lankan food based dietary guidelines
• disseminate the food based dietary guidelines
2.3. 3.e Conduct awareness programmes on healthy foods and food based dietary guidelines
• conduct programmes for pre school teachers, school children, teachers, parents, youth, university students, community groups on food based dietary guidelines
2.3. 3.f capacity building of health workers on food based dietary guidelines
• training programmes on healthy diet for healthcare workers based on food based dietary guidelines
2.3. 3.g Improve obesity management
• develop a teaching module on obesity management guidelines
• establish obesity management clinics
","Availability of policies and mechanisms to increase intake of healthy foods
Prevalence of persons (aged +18 years ) consuming less than five total servings (400 g) of fruit and vegetables per day
Availability of fruits and Vegetables
Availability of fruits and Vegetables Availability of fruits and Vegetables
Availability of food low in food low in salt, sugar and fats
Availability of processed foods with no trans fats
Availability of food labeling with nutrition composition and traffic light system
No. of food items certified by / given the certification on the contents of the food label
Availability of policies on taxing unhealthy diet
Availability of a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
Knowledge of the public on daily requirement of salt, sugar, fats and cardio metabolic risk of consuming unhealthy foods
% of infants receive complementary feeding after 6 months
% of mothers who exclusively breast feed for 6 months and appropriate complementary feeding
No. of schools practicing healthy canteen policy
No. of workplaces practicing healthy canteen policy
Availability of locally relevant food based dietary guidelines
Knowledge of the public on healthy foods
No. of staff trained on food based dietary guidelines
Availability of obesity management guidelines and obesity management clinics
","","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Complementary feeding|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Removal of subsidies 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|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","http://www.searo.who.int/srilanka/documents/national_ncd_action_plan_sri_lanka.pdf?ua=1","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"25915","EGY","Egypt","","Egypt National Multisectoral Action Plan for Prevention and Control of Noncommunicable Diseases (EgyptMAP-NCD)","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health and Population","","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Industry|Justice","Ministry of Health and Population, Ministry of Education, Ministry of Youth and sports, Ministry of Supply and internal trade, Ministry of Trade and industry, Ministry of Finance, Ministry of Justice","","","","","","","","","","","","","","","","","Table 2: Egypt national NCD targets by 2021
Framework Element - Baseline - Target 2021 - Target 2025
Salt/sodium intake - 12.8 g/day - 20% relative reduction (10.0 g/ day) - 10% relative reduction (9.0 g/ day)
Raised blood Pressure - 39% - 15%relative reduction (33%) - 10 % relative reduction (30%)
Diabetes and obesity - 17.2% diabetes & 31.3% Obesity - Halt the rise in diabetes & obesity - Halt the rise in
diabetes & obesity
","Annex 1: Implementation Plan of EgyptMAP-NCD 2017-21
Strategic Objective 2 to reduce risk factors and promote health
Objective 2: to promote Healthy Diet
1 To establish a sub committee composed of all relevant stakeholders
1.1 Issue Ministerial Decree to establish a multi-sectoral executive sub-committee composed of all relevant stakeholders
2 To Reduce salt intake from meals
2.1 Issue and implement ministerial decree to reduce 30% of salt content of subsidized Baladi Bread
2.3 develop and implement ministerial decree to reduce sodium content in industrial foods, cheese, chips, tomato paste
2.4 improve monitoring system to monitor progress in implementing interventions on unhealthy diet by Setting a monitoring system to monitor and follow salt reduction in bread and different foods
3 To establish Campaign targeting schools on balanced diet and physical activities
3.1 Provide technical guidance on healthy diet by Development of healthy school canteen guidelines in collaboration with ministry of education
3.2 develop policy for school meals specifications by revising and updating healthy school meals’ specifications in collaboration with the Ministry of Education
3.3 Integrating principles of healthy nutrition and balanced diet within house management classes’ curricula in collaboration with ministry of education
3.4 provide health counselling on healthy diet
3.5 improve monitoring system to monitor progress in implementation of the baby friendly hospitals standards in different hospitals
4 To reduce sugar consumption through taxation on sugar sweetened beverages
4.1 develop, issue and implement legislations to restrict marketing of unhealthy foods and non-alcoholic beverages to children
4.2 Review governments subsidies program to remove unhealthy items
4.3 develop, issue and implement legislations to raise taxes on soft drinks and sugar sweetened beverages
5 To promote and support exclusive breastfeeding for the first 6 months of life, including promotion of breast feeding
5.1 Provide technical guidance on healthy diet by establishing breastfeeding guidelines to be used in increasing capacity of PHC workers.
5.2 develop and implement regulations to improve breast feeding by Adoption of code for complimentary feeding nutrition and fully endorsement by MOHP into effective national measures
5.3 Issue a new legislation to expand maternity leave to six months To improve capacity of health workers on promoting healthy diet
5.4 Provide training programmes/ workshops for health workers on best practice of complimentary feeding and exclusive breast feeding
5.5 Provide training programmes for health workers on guidelines for complementary feeding
6 To replace trans fats and saturated fats with unsaturated fats through reformulation, labelling and fiscal and agricultural policies
6.1 adopt and implement legislation to reduce Trans Fatty Acids content to less than 1 % of the total calorie contents
6.2 adopt and implement of reg to reduce Saturated Fatty Acids content to less than 10% of the total calories content
7 To label nutrition in order to improve macronutrient intake, and reduce total energy intake (kcal)
7.1 develop and implement ministerial decree to improve health diet
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Food labelling|Fats|Salt/sodium|Taxation on unhealthy foods|Removal of subsidies on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/EGY_B3_NCDMAPEgypt21March2017%20FINAL%20%20RS.docxhttps://extranet.who.int/ncdccs/Data/EGY_B3_Annex%201_Detailed%20Implementation%20Plan_Strateic%20Object._21-03-17.docxhttps://extranet.who.int/ncdccs/Data/EGY_B3_Annex%202_Roles%20and%20responsibilities%20of%20relevant%20sectors%20in%20implementing%20EgyptMAP%2021%20March%2017.docx","https://extranet.who.int/nutrition/gina/sites/default/filesstore/EGY%202017%20NCDMAPEgypt21March2017%20FINAL%20%20RS_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/EGY%202017%20NCDMAPEgypt21March2017%20FINAL%20%20RS_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/EGY%202017%20NCDMAPEgypt21March2017%20FINAL%20%20RS_0.pdf"
"40056","LBR","Liberia","","National Non-Communicable Disease Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health","","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Industry|Information|Justice|Other","Ministry of Internal Affairs, Ministry of Gender and Development","","","","","","","","","National NGOs","Faith, Community Based, Non-Governmental Organizations and Other Collaborating Health Partners","","","","","Other","Civil societies","","Ministry of Education: Promote a healthy diet in the School Feeding Program
Ministry of Agriculture:
Encourage communities to grow and consume fruits and vegetables.
Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
Promote healthy eating and balance diet
Ministry of Commerce and Industry:
Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
Enforce food labeling on all foods being sold to the public.
","","","","Overweight in children 0-5 yrs|Fruits|Vegetables|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202017%20NCD%20Policy.pdf"
"40320","MDG","Madagascar","","Plan stratégique national de lutte intégrée contre les maladies non transmissibles et la prévention du handicap","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2021","Ministère de la santé publique","2","2017","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Transport|Trade|Information|Justice","Ministère de l’énergie et des minesMinistère de la population","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","","A1.5 Renforcer la législation (lois sur la santé mentale, commercialisation des aliments, allaitement maternel, personnes handicapées, utilisation du sel, protection des consommateurs
S 2 Réduction de l’exposition aux FdR modifiables et environnementaux (écologiques) des MNT et des Handicaps en créant des environnements favorables à la santé
- 2.2.1 Développer les activités de communication pour un impact comportemental en vue de la prévention des FdR modifiables et l'adoption de mode de vie sain dans la communauté, les écoles et le milieu de travail
","- Prévalence de la consommation quotidienne d’au moins 5 portions de fruits et légumes
","Outcome indicators","","Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/MDG_B3_B DOC PSNLIMNT- PH ce 02072018_.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202017%20Plan%20strat%C3%A9gique%20MNT.pdf"
"39770","NAM","Namibia","","National Multisectoral Strategic Plan For Prevention and Control of Non-Communicable Diseases (NCDs) in Namibia 2017/18 – 2021/22","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Social Services, Primary Health Care Directorate, Family Health Division, Non-Communicable Diseases (NCDs) Programme","11","2017","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information","","","","","","","","","","National NGOs","","","","","","","","3.6 Targets
Namibia aims to achieve the following targets by 2022 and 2025 in line with the global NCD targets.
…
4. A 15% relative reduction in mean population intake of salt/sodium by 2022; and a 30% relative reduction by 2025
…
6. A 15% relative reduction in prevalence of raised blood pressure and/or contain the prevalence of raised blood pressure by 2022; and a 25% relative reduction by 2025
7. Halt the rise in obesity and Diabetes Mellitus by 2022
","6.3 Strategic Objective 3: To reduce modifiable risk factors for Non-Communicable Diseases and underlying social determinants through the creation of health promoting environments
3.1 Promote Healthy Diet high in fruits and vegetables and low in saturated fat/trans-fat, free sugar and salt
3.1.1 Increased intake of healthy foods including adequate levels of fruits and vegetables
INDICATORS
- Availability/number of policies, standards and plans on food security and healthy diet reviewed and implemented
- Number of periodic implementation reports on food security programs
- Availability of updated national Food Based Dietary Guidelines (FBDGs)
- Number of health workers trained on FBDG and nutrition counseling skills
- Number of healthy diet programs implemented at all levels
ACTIVITIES
3.1.1.1- Promote availability and affordability (food security) of healthy foods to all segments of the population
3.1.1.2- Establish policies on taxes and subsidies to ensure availability and consumption of healthy diet, particularly fruits and vegetables
3.1.1.3- Increase availability of fruits and vegetables through home gardening promotion programme
3.1.3.4- Update and disseminate national Food Based Dietary Guidelines (FBDGs) and nutrient profiling of common foods
3.1.3.5- capacity building of health workers on FBDGs and counseling skills
3.1.1.6- Implement mass media campaign on healthy diets, social marketing of foods and promote the intake of fruits and vegetables
3.1.2 Reduced intake of salt in the diet
INDICATORS
- Availability of national salt reduction targets and action plan
- Number of front packing labels enforced
- Number of engagement sessions held with stakeholders on salt reduction measures
- Number of mass media campaigns and meetings on salt reduction
ACTIVITIES
3.1.2.1- Develop and implement a national salt reduction action plan focusing on foods that contribute most to population salt intake
3.1.2.2- Set target levels for the amount of salt in foods and meals and enforce reformulation of food products and meals to contain less salt/sodium
3.1.2.3- Enforce front-of-pack labelling
3.1.2.4- Establish policies for food procurement that encourage the purchase of products with lower salt /sodium content
3.1.2.5- Conduct behavior change communication and mass media campaigns on salt reduction
3.1.2.6- Engage food producers, processors, retailers, restaurants and catering services to progressively reduce salt in their products
3.1.2.7- Assess the population’s baseline salt intake and at regular intervals
3.1.3 Reduced consumption of saturated fats/trans fats and sugars
INDICATORS
- Acts and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods available
- Policy on taxation of sugar-sweetened beverages and foods
- Number of WHO recommendations on the marketing of foods and nonalcoholic beverages to children enacted
- Reports of monitoring of implementation of diet related policies and regulations
ACTIVITIES
3.1.3.1- Develop legislation and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods and the packaging, labeling and marketing of food products and beverages
3.1.3.2- Replace trans-fats and saturated fats with unsaturated fats through reformulation, labelling and appropriate fiscal policies
3.1.3.3- Reduce sugar consumption through effective taxation on sugar-sweetened beverages
3.1.3.4- Implement the WHO recommendations on the marketing of foods and non-alcoholic beverages to children
3.1.4 Reduced risk of overweight, obesity and metabolic syndrome
INDICATORS
- WHO recommended infant and young child feeding practices endorsed and implemented
- Number of schools with nutrition in the curriculum
- Proportion of schools implementing the nutrition component of the school health policy
- Nutrition and physical activity programs incorporated into the school health policy
ACTIVITIES
3.1.4.1- Promote and support recommended infant and young child feeding practices
3.1.4.2- Implement nutrition labelling to reduce total energy intake (kcal), sugars, sodium and fats
3.1.4.3 -Limit portion and package size to reduce energy intake and the risk of overweight and obesity
3.1.4.4- Implement nutrition education and counselling in different settings including preschools, schools, workplaces and hospitals
3.1.4.5- Ensure the inclusion of nutrition and physical activity in the school health policy/strategy and curriculum
3.1.4.6- Introduce obesity management guidelines and services
","Comprehensive National Monitoring Framework for the prevention and control of NCDs
Framework element; Indicator Name; Baseline (year); 2025 Target
• Diabetes and obesity; Age-standardized prevalence of obesity and overweight among adults aged 18+ years; 32% women (35-64yrs) 12% men (35-64yrs); 0% increase
• Additional indicator - unhealthy diet; Age-standardized prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day.; No data; 30% relative increase
• Diabetes and obesity; Age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).; 7% men (35-64yrs) 6% women (35-64yrs); 0% increase
• Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.; 44% women (35-64yrs) 45% men (35-64yrs); 25% relative reduction
","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Fruit and vegetable intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Household food security|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/NAM_B3_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202017_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs_1.pdf"
"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","","","","","","","","","B. Eixos estratégicos, objetivos e medidas
Eixo 1: Modificar o meio ambiente onde as pessoas escolhem e compram alimentos através da modificação da disponibilidade de alimentos em certos espaços físicos e promoção da reformulação de determinadas categorias de alimentos.
Pretende -se neste eixo estratégico fazer com que as ofertas e as escolhas saudáveis sejam mais fáceis em termos de preço, acesso e atratividade, promovendo a melhoria da disponibilidade e a composição dos alimentos, em particular nos seus conteúdos em sal, açúcar e ácidos gordos trans.
Para atingir este objetivo apresentam -se as seguintes medidas:
1 — Monitorizar o teor de sal nas seguintes categorias de alimentos: grupo do pão e cereais de pequeno -almoço, carnes e derivados de carne (carne picada — derivado de carne), refeições prontas a consumir, batatas fritas e outros snacks, molhos, sopas prontas a consumir, queijos e conservas de pescado e refeições produzidas pela restauração (sopa e
prato de refeição) (2, 5) Nota 1.
2 — Monitorizar o teor de açúcar nas seguintes categorias de alimentos: bebidas não alcoólicas, laticínios, bolachas e sobremesas doces, produtos de pastelaria, cereais de pequeno- almoço, refeições prontas a consumir, molhos, gelados e fruta em conserva (2, 6) Nota 1.
3 — Monitorizar o teor de ácidos gordos trans nas seguintes categorias de alimentos: bolachas, produtos de pastelaria, batatas fritas, cereais de pequeno -almoço, cremes de chocolate para barrar e margarinas (2, 7).
4 — Promover a adequação dos perfis nutricionais para determinadas categorias de alimentos, nomeadamente relativamente à quantidade de sal, açúcar e ácidos gordos trans:
4.1 — Para os produtos alimentares, pretende- se atingir os valores definidos pelo Regulamento (CE) n.º 1924/2006 do Parlamento Europeu e do Conselho, de 20 de dezembro de 2006, relativo às alegações nutricionais e de saúde sobre os alimentos, que define um alimento com baixo teor de sal quando este não contiver mais de 0,3 g de sal por 100 g ou 100 ml;
4.2 — Para a sopa e prato de refeição define -se que a quantidade de sal presente deve ser inferior ao valor de referência de 0,2 g de sal por 100 g de alimento. Este valor de referência está de acordo com o definido no documento «Proposta de Estratégia para a redução do consumo de sal na população portuguesa através da modificação da disponibilidade da oferta», consensualizado pelo grupo de trabalho interministerial para propor um conjunto de medidas para a redução do consumo de sal pela população Nota 2;
4.3 — Para os produtos alimentares, pretende- se atingir os valores definidos pelo Regulamento (CE) n.º 1924/2006 do Parlamento Europeu e do Conselho, de 20 de dezembro de 2006, relativo às alegações nutricionais e de saúde sobre os alimentos, que define um alimento com baixo teor de açúcar quando este não contiver mais de 5 g de açúcares por 100 g para os sólidos ou de 2,5 g de açúcares por 100 ml para os
líquidos (2, 5, 6, 8).
4.4 — Para as gorduras de origem industrial vendidas para o fabrico de produtos alimentícios, bem como no produto final, deve ser estabelecido um teor em ácidos gordos trans não superior a 2 g por 100 g de gordura.
5 — Propor metas a atingir na reformulação destas categorias de alimentos em conjunto com as entidades do setor, tendo por base as Recomendações da OMS (9, 10) e como objetivo geral:
5.1 — Fazer com que o consumo de sal per capita se aproxime de 5 g/dia em 2020;
5.2 — Fazer com que o consumo diário de açúcar simples se aproxime de 50 g/dia e um máximo de 25 g/dia em menores de idade em 2020;
5.3 — Fazer com que o consumo de ácidos gordos trans se aproxime de zero em 2020.
6 — Estender a todos os serviços e organismos da administração direta e indireta do Estado o Despacho n.º 7516 -A/2016, publicado no Diário da República, 2.ª série, n.º 108, de 6 de junho de 2016, relativo aos contratos a celebrar, para instalação e exploração de máquinas de venda automática.
7 — Propor a existência de dispensadores de água gratuitos ou a distribuição de água nos serviços e organismos da administração direta e indireta do Estado e nos demais serviços sob gestão pública e promover o seu consumo (3, 4).
8 — Propor que nos eventos públicos organizados pelos serviços e organismos da administração direta e indireta do Estado exista obrigatoriamente a oferta de água, fruta e ou produtos hortícolas, de preferência respeitando critérios de disponibilidade sazonal e de proximidade.
9 — Alargar as orientações já existentes para a oferta alimentar em meio escolar e provenientes do Ministério da Educação a todos os níveis de educação e ensino, nomeadamente ao ensino superior.
10 — Estabelecer orientações para a oferta alimentar em instituições da economia social, em particular as que dão apoio à população idosa (11).
11 — Incentivar as compras públicas de produtos alimentares a utilizar cadeias curtas, modos de produção integrada ou biológica. Para tal, propõe- se a elaboração de um guia que contenha indicações claras, quer quanto aos critérios de adjudicação quer quanto aos fatores e subfatores em que estes se densificam. Esse guia deverá aproximar o produtor do consumidor, nomeadamente nos serviços alimentares tutelados por serviços e organismos da administração direta e indireta do Estado.
12 — Estender as orientações para os refeitórios escolares da DGE, relativas à utilização de sal iodado, a outras cantinas/refeitórios para além dos escolares (10, 12).
13 — Incentivar o consumo de fruta e hortícolas nas escolas, aumentando o número de beneficiários do regime de distribuição nas escolas (RE) (13), que engloba os atuais regimes de distribuição de fruta e produtos hortícolas (RFE) e o regime de distribuição de leite nas escolas (RLE).
14 — Incentivar transversalmente o consumo de categorias de alimentos diretamente relacionados com a prevenção de doença crónica, nomeadamente fruta e produtos hortícolas frescos.
15 — Incentivar a retirada de saleiros das mesas em estabelecimentos de restauração coletiva, propondo que os saleiros sejam dispensados apenas por solicitação explícita do cliente.
16 — Incentivar e alargar o âmbito de aplicação das boas práticas relacionadas com as orientações para os refeitórios escolares da DGE no âmbito dos concursos para aquisição de serviços de fornecimento de refeições escolares.
17 — Incentivar as empresas do setor agroalimentar a reduzir o tamanho das porções dos alimentos e bebidas pré -embalados.
18 — Incentivar a restauração a disponibilizar ementas adaptadas para as patologias mais prevalentes.
19 — Alargar as políticas de limitação do volume e oferta dos pacotes de açúcar individuais à totalidade dos agentes económicos responsáveis pela refinação e distribuição do açúcar.
20 — Incentivar a restauração a evitar a disponibilização de bebidas açucaradas na modalidade «free refill».
Eixo 2: Melhorar a qualidade e acessibilidade da informação disponível ao consumidor, de modo a informar
e capacitar os cidadãos para escolhas alimentares saudáveis
Pretende- se neste eixo estratégico identificar atividades/iniciativas que facilitem o acesso por parte do cidadão a informação de qualidade para uma escolha informada. Atualmente existe bastante informação sobre alimentação, mas é difícil aos cidadãos distinguir informação isenta e de fácil compreensão fornecida por autoridades independentes e credíveis, devendo o Estado assumir um papel importante nesta matéria.
Para atingir este objetivo selecionaram- se as seguintes medidas:
1 — Incentivar a utilização de modelos de informação nutricional adicional nos rótulos dos produtos alimentares que facilitem as escolhas dos consumidores, nomeadamente através da produção de linhas orientadoras para os operadores do setor alimentar.
2 — Incentivar a utilização de informação relativa ao teor de ácidos gordos trans na declaração nutricional nas embalagens dos alimentos.
3 — Incentivar a adoção de medidas pelos operadores económicos, no sentido de limitar a publicidade destinada a menores de idade de produtos alimentares com excesso de sal, açúcar, gordura, nomeadamente trans e energia Nota 3.
4 — Incentivar a adoção de medidas pelos operadores económicos, no sentido de limitar as comunicações comerciais e a publicidade a produtos alimentares com excesso de sal, açúcar, gordura, nomeadamente trans e energia em eventos em que participem menores, designadamente atividades desportivas, culturais, recreativas ou outras.
5 — Utilizar os novos meios de comunicação digital para promover mensagens de qualidade sobre alimentação saudável.
6 — Promover o envolvimento das autarquias em iniciativas para o fornecimento de informação sobre alimentação saudável através dos seus próprios meios.
7 — Desenvolver iniciativas em parceria com associações do setor agroalimentar com o objetivo de disponibilizar informação sobre alimentação saudável nos pontos de venda.
8 — Promover a inserção de mensagens simples e curtas sobre alimentação saudável nos documentos periódicos destinados ao grande público por parte dos Ministérios envolvidos do grupo de trabalho, sempre que possível.
9 — Desenvolver uma plataforma de divulgação e monitorização das iniciativas previstas nesta Estratégia Integrada para a Promoção da Alimentação Saudável.
10 — Promover a inclusão de iniciativas de promoção da alimentação saudável nos programas de promoção de saúde pública, atividade física e de envelhecimento ativo dos municípios.
11 — Promover uma campanha pública de informação ao consumidor sobre alimentação saudável, incluindo informação relativa à rotulagem nutricional.
Eixo 3: Promover e desenvolver a literacia e autonomia para o exercício de escolhas saudáveis pelo consumidor
Pretende- se neste eixo estratégico capacitar os cidadãos de vários níveis de literacia para as escolhas saudáveis na medida em que as doenças crónicas têm cada vez mais um gradiente social, sendo mais prevalentes nas populações com menor escolaridade e com situação económica mais frágil. Por outro lado, para o sucesso deste eixo programático é necessário envolver e capacitar outros profissionais que não apenas os da saúde, para a promoção de hábitos alimentares saudáveis, nas populações com quem trabalham, dotando- os de conhecimento e capacidades para estas intervenções.
Assim, para atingir este objetivo selecionaram -se as seguintes medidas:
1 — Promover a literacia alimentar de grávidas e nos pais sobre a importância da alimentação saudável nos primeiros 1000 dias de vida da criança.
2 — Promover estratégias de educação alimentar em ambiente escolar, nomeadamente através da promoção da Dieta Mediterrânica, da preparação e confeção de alimentos e do melhor conhecimento do ciclo de produção dos alimentos.
3 — Melhorar a qualificação dos profissionais dos serviços de ação social na área da alimentação saudável, em particular dos que contactam com populações com baixos níveis de rendimento e literacia e que são responsáveis pela gestão de programas de distribuição de alimentos.
4 — Melhorar a qualificação dos profissionais da área do turismo e restauração na área dos hábitos alimentares saudáveis, em particular no que diz respeito aos riscos do consumo excessivo de sal, açúcar e ácidos gordos trans.
5 — Promover iniciativas que valorizem o conhecimento sobre o valor nutricional de alimentos estratégicos e característicos presentes na Roda da Alimentação Mediterrânica, nomeadamente pescado, hortofrutícolas, azeite, pão, leguminosas e produtos lácteos.
6 — Promover iniciativas que valorizem o consumo de proximidade e de raças/variedades autóctones e de alimentos típicos da Dieta Mediterrânica. Deverão em particular ser valorizadas ervas aromáticas e/ou especiarias, como substitutos do sal e a salicórnia como alternativa ao sal.
7 — Desenvolver medidas de acompanhamento complementares à distribuição de leite e hortofrutícolas nas escolas, potenciando a eficiência do regime de distribuição nas escolas (RE) na promoção de hábitos alimentares saudáveis.
8 — Promover o envolvimento dos municípios e das freguesias na realização de ações de formação na área da alimentação saudável para todos os seus trabalhadores integrados nos serviços de alimentação e refeitórios.
9 — Aumentar o conhecimento dos cidadãos sobre o conceito de Dieta Mediterrânica e como favorecer escolhas saudáveis a partir deste modelo alimentar.
10 — Aumentar o conhecimento dos trabalhadores dos serviços de alimentação e refeitórios sobre como incorporar o pescado e hortofrutícolas na elaboração de ementas e confeção das refeições.
11 — Promover iniciativas que permitam sensibilizar a população relativamente ao impacto na saúde do consumo excessivo de sal, bem como iniciativas que promovam a utilização de substitutos do sal como por exemplo as ervas aromáticas e especiarias e alternativas ao sal como a salicórnia.
12 — Promover iniciativas que permitam sensibilizar a população relativamente ao impacto na saúde do consumo excessivo de açúcar.
13 — Promover iniciativas que incentivem a alimentação saudável junto da população universitária.
14 — Capacitar os diferentes profissionais de saúde para a importância de sensibilizar os pais para a importância da amamentação (4).
15 — Capacitar os profissionais de saúde, docentes e encarregados de educação para promover o gosto e a preferência por alimentos saudáveis em menores de idade (4).
Eixo 4: Promover a inovação e o empreendedorismo direcionado à área da promoção da alimentação saudável
Pretende -se neste eixo estratégico identificar iniciativas que utilizem a inovação e o desenvolvimento tecnológico para modificar conhecimentos, atitudes e comportamentos face à alimentação saudável, aproveitando a capacidade empreendedora do microtecido económico e empresarial português.
Para atingir este objetivo selecionaram -se as seguintes medidas:
1 — Construir um portal de informação sobre pescado e seu valor nutricional, disponibilizando materiais interativos para o sistema de ensino e para o apoio da presença do pescado nas ementas escolares.
2 — Promover a utilização dos meios digitais nas instituições públicas (ex.: salas de espera, balcões de atendimento) para a promoção da alimentação saudável.
3 — Propor o alinhamento das prioridades de financiamento das linhas de investigação nos laboratórios do Estado e agências de financiamento com as prioridades nacionais da área da promoção da alimentação saudável.
4 — Propor a criação de sistemas de monitorização inovadores e sustentáveis que permitam avaliar permanentemente a ingestão alimentar.
5 — Permitir o acesso a dados de informação nutricional de alimentos de forma gratuita e universal através de uma plataforma digital para fomentar a criação de novas iniciativas empreendedoras que promovam a alimentação saudável.
","","","","Breastfeeding|Iodine deficiency disorders|Fat intake|Trans fat intake|Sodium/salt intake|Free sugars|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|School fruit and vegetable scheme|School milk scheme|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Trans fat|Salt/sodium|Sugars|Ban or virtual elimination of industrial trans fatty acids|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|Iodine|Food grade salt","","https://dre.pt/pesquisa/-/search/114424591/details/normal?l=1","https://extranet.who.int/ncdccs/Data/PRT_B22_Anexo%204.pdf","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRT%202017%20EIPAS.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;
","- Interventions prioritaires
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",""
"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:
- совершенствование государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан;
- организационное обеспечение и координация деятельности государственных органов, заинтересованных лиц и организаций;
- обеспечение стабильного финансирования и планирования;
- разработка и реализация государственной программы развития школьного питания;
- участие общества в развитии школьного питания и связанных с ним секторов экономики.
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:
- разработка и утверждение порядка финансирования питания учащихся общеобразовательных учреждений, определяющий категории учащихся, имеющих право на получение дотации на школьное питание, в том числе получение бесплатного, частично дотируемого школьного питания, и порядок их предоставления;
- в рамках действующей системы государственных закупок разработка и утверждение типовых требований по осуществлению закупок товаров и услуг для организации школьного питания;
- разработка и утверждение нормативов предоставления субсидий на частичное возмещение затрат на строительство, реконструкцию, модернизацию и создание новых предприятий, производственно-логистических центров и комбинатов социального питания, а также на компенсацию логистических издержек, обусловленных поставками товаров местных производителей.
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
- определение объема средств, направляемых из бюджета на реализацию мероприятий, связанных с развитием системы школьного питания, контролирует эффективность их расходования; утверждение и ежегодная индексация нормативов финансирования школьного питания за счет государственного бюджета;
- определение размеров субсидий, выделяемых для частичной или полной компенсации стоимости школьного питания для целей оказания адресной поддержки детям из малообеспеченных семей в соответствии с установленными категориями нуждаемости населения;
- обеспечение консолидации средств бюджетов различных уровней, финансовой помощи и средств, поступающих от родителей и иных источников, для софинансирования программ школьного питания;
- (...)
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
- разработка рационов питания на основании проводимых научных исследований с учетом необходимости удовлетворения физиологических потребностей учащихся общеобразовательных учреждений в основных пищевых веществах и энергии;
- разработка необходимых для организации питания учащихся меню в соответствии с рекомендуемым для использования в школьном питании ассортиментом основных продуктов, а также с учетом региональных и возрастных особенностей питания и состояния здоровья учащихся;
- разработка санитарно-эпидемиологических требований к организации питания учащихся общеобразовательных учреждений, а также рекомендации по созданию условий, обеспечивающих сохранение и укрепление здоровья обучающихся;
- разработка мер, направленных на развитие системы производства, переработки, поставок и реализации продукции для школьного питания; - разработка мер по поддержке местных производителей сельскохозяйственной продукции, используемой в школьном питании, включая определение видов такой продукции и требований к ней;
- разработка и реализация пилотных проектов апробации различных моделей развития производства и переработки продукции на местном уровне, обобщение и распространение наиболее ценного опыта.
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
- проведение разъяснительной и просветительской работы, пропаганда принципов здорового питания, в том числе через средства массовой информации;
- привлечение к работе по развитию местного производства учащихся и аспирантов сельскохозяйственных вузов для оказания помощи в обустройстве пришкольных хозяйств, проведения научно-исследовательских работ, оптимизации процессов производства и переработки сельскохозяйственной продукции и реализации научно-исследовательских проектов, связанных с развитием сельского хозяйства;
- обеспечение расширения знаний административных работников, учителей и иных сотрудников учреждений общего образования об отрицательном влиянии недостаточного питания на способность к обучению, приобретение профессии;
- внесение изменений в учебные планы в целях формирования у учащихся знаний о значении полноценного питания, умения осуществлять оценку правильности своего питания, навыков приготовления здоровой еды в рамках курсов домоводства, навыков выращивания сельскохозяйственной продукции с использованием местных ресурсов в рамках трудового воспитания и уроков биологии;
- участие общеобразовательных учреждений в мероприятиях, связанных с выбором вариантов организации школьного питания и контролем за его качеством; - предоставление родителям информации об ассортименте питания учащихся, включая указание в ежедневном меню наименований блюд и объемов порций, а также замены блюд для детей с пищевыми аллергиями и сахарным диабетом.
- осуществление переподготовки младшего медицинского персонала, работающего в образовательных учреждениях, в том числе в целях своевременного выявления детей с пониженным весом, обследования условий жизни семей школьников;
- обеспечение участия медицинского персонала родителями (семьями), включая принятие мер для навыков в области здорового питания и гигиены;
- обеспечение распространения знаний о последствиях недостаточного и неправильного питания, формирование навыков организации здорового питания, распространение знаний о возможных способах улучшения питания, в том числе за счет изменения рациона питания и расширения доступа к ресурсам, позволяющим обеспечить производство продуктов питания.
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:
- развитие нормативной правовой базы школьного питания;
- формирование эффективной организационно-управленческой инфраструктуры;
- разработка пилотных проектов по внедрению моделей организации школьного питания, определение условий и стоимости их реализация;
- развитие кадрового потенциала; - развитие системы мониторинга, разработка методик определения целевых индикаторов и показателей, проведение научных исследований.
47. На втором этапе (2019 - 2020 годы) осуществляется:
- внедрение моделей организации школьного питания в рамках разработанных пилотных проектов с уточнением их стоимости;
- мониторинг и анализ достигаемых результатов;
- отбор наиболее перспективных моделей организации школьного питания и связанных с ними решений.
49. На третьем этапе (2021 - 2026 годы) осуществляется:
- выполнение мероприятий национальной программы школьного питания в соответствии с утвержденными календарными планами;
- распространение системы школьного питания на все районы Республики Таджикистан;
- постепенный переход к самостоятельной реализации программ улучшения школьного питания, финансируемых за счет средств государственного бюджета и иных источников.
","38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
- уровень достижения установленных рациональных норм питания обучающихся в учреждениях общего образования, в том числе по качеству, калорийности, разнообразию, количеству белков, жиров, углеводов, витаминов, макро- и микроэлементов, потребляемых обучающимися с учетом школьного питания;
- уровень охвата учреждений общего образования школьным питанием, соответствующим, установленным требованиям;
- количество обучающихся, обеспеченных школьным питанием, соответствующим установленным требованиям, в том числе с учетом частично дотируемого и бесплатного школьного питания;
- увеличение объема производства продуктов для обеспечения системы школьного питания, в том числе специализированных продуктов (детского и лечебного питания), полуфабрикатов, обогащенных продуктов;
- объем государственных и местных закупок продовольствия и услуг по обеспечению школьного питания, в том числе у местных производителей;
- сокращение затрат при производстве и переработке пищевой продукции для школьного питания, а также при предоставлении питания обучающимся.
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
- улучшение питания учащихся и рост уровня жизни семей в Республик, Таджикистан, в особенности семей с недостаточным уровнем дохода;
- pocт посещаемости, повышение качества обучения и успеваемости учащихся;
- снижение уровня заболеваемости учащихся, в том числе хроническими заболеваниями, укрепление здоровья населения Республики Таджикистан, в том числе за счет формирования культуры здорового питания;
- создание гарантированного рынка сбыта сельскохозяйственной продукции, в том числе продукции местных производителей, повышение производительности и уровня доходов в сельском хозяйстве;
- технологическую модернизацию и реструктуризацию отрасли, развитие современной производственно-логистической инфраструктуры;
- формирование устойчивых, долгосрочных хозяйственных связей между производителями сельскохозяйственной продукции и организациями школьного питания;
- ускоренное развитие отраслей, связанных с переработкой, транспортировкой, хранением и реализацией продовольствия;
- рост уровня защищенности от внутренних и внешних угроз продовольственной безопасности.
","","","Right to food|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|Distribution of take home rations|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Food sovereignty|Vulnerable groups","","http://base.mmk.tj/view_sanadhoview.php?showdetail=&sanadID=602&language=ru","","http://extwprlegs1.fao.org/docs/pdf/taj189452.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202017%20School%20Nutrition.pdf"
"25901","TTO","Trinidad and Tobago","","National Strategic Plan for the Prevention and Control of Non Communicable Diseases: Trinidad and Tobago 2017 - 2021","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","The Ministry of Health, Trinidad and Tobago","","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Transport|Urban planning|Trade|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","By 2025, reduce the burden of preventable mortality (before the age of 70) due to heart diseases, diabetes, cancer, and stroke by 25%
AND In five years, reduce the prevalence of:
i. High blood pressure by 20%;
ii. High cholesterol by 20%;
iii. High blood sugar by 20%;
iv. Adult overweight/obesity by 10%;
v. Adolescent overweight/obesity (ages 13 – 15 years) by 12%;
vi. Child overweight/obesity by 15%;
• Increase by 50% the proportion of persons who are aware of their disease status with regards to hypertension, diabetes dyslipidaemia and cervical cancer; and
• Increase by 50% the proportion of persons with hypertension, diabetes, and dyslipidaemia for whom the condition is controlled in keeping with recommended targets.
• Increase the prevalence of adult (aged 18+ years) population consuming ≥ five total servings (400 grams) of fruit and vegetables per day by 20% by 2018;
","1.3 Increase availability, accessibility, and consumption of healthy foods and promote physical activity
1.3.1 Development of policies on marketing of high fat, high sugar, high salt foods, and sugar sweetened non-alcoholic beverages in keeping with WHO guidelines, and policies on access to health nutrition for children along the life course.
1.3.2 Establish baseline for population sodium and Trans fat intake.
1.3.3 Implement Workplace Health Promotion policy promoting physical activity and access to healthy foods in public sector Ministries
1.3.4 Develop health education and social marketing campaigns promoting healthy eating and active living in collaboration with public, private, and civil society stakeholders.
","","","","Breastfeeding|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Sugar intake|Growth monitoring and promotion|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/TTO_B3_TTO%20National-Strategic-Plan-%20for%20Prevention%20and%20Control%20of%20NCDs-2017-2021.pdf","WHO NCD Document Repository ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TTO-2017-2021-NCD.pdf"
"38165","ARE","United Arab Emirates","","الخطة الوطنية للوقاية والتصدي ل لمراض غير السارية في دولة الامارات العربية المتحدة [National Plan for Prevention and Response For noncommunicable diseases State of United Arab Emirates]","NCD policy, strategy or plan with healthy diet components","","Arabic","","2017","","","","","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Transport|Sub-national","multi sectoral الشركاء الاستراتيجيين للخطة الوطنية لمكافحة الامراض الغير سارية - القطاعات الصحية الحكومية) هيئة صحة دبي ، هيئة صحة ابوظبي( وزارة التربية و التعليم وزارة الاقتصاد البلديات المحلية هيئة الامارات للمواصفات و المقاييس المجلس الوطني للإعلام الهيئة العامة لتنظيم قطاع الاتصالات الهيئة العامة لرعاية الشباب و الرياضة القطاع الصحي الخاص بالدولة الجامعات منظمات المجتمع المدني الغير حكومية مركز الامارات للدراسات و للبحوث الخطة وزارة الد ولة لشؤون المجلس الوطني الاتحادي هيئة الطرق والمواصلات","","","","","","","","","","","","","","","","","١ اعتبار مكافحة الامراض غير السارية والوقاية منها جزء لا يتجزأ من السياسات الوطنية في جميع القطاعات ووفقا لظروفها وتشريعاتها الخاصة
ووضع وتعزيز السياسات والخطط الوطنية للوقاية ومكافحة الآمراض غير السارية، وللحد من عوامل الاختطار والمحددات ذات الصلة بها، كجزء لا يتجزأ من الطار الوطني للصحة والتنمية.
٢ إنشاء لجنة وطنية متعددة القطاعات ورفيعة المستوى لتخطيط وتوجيه ورصد وتقييم عملية وضع السياسة الوطنية الخاصة للوقاية ومكافحةالآمراض غير السارية .
٣ تعزيز وترسيخ مبدأ المسؤولية المشتركة لكافة القطاعات لأن الامراض غير السارية تشكل تحديا اجتماعيا كبيرا وان القطاع الصحي لا يستطيع ان يواجه هذا التحدي بمفرده
٤ إجراء تقييم شامل للأمراض غير السارية، بما في ذلك تحليل أثر السياسات التي تنتهجها مختلف القطاعات الحكومية بشأن حجم المشكلة وخصائص الآمراض المعنية ومحدداتها، وتحديد سياسه موحده لتوقي ومكافحة الآمراض غير السارية .
٥ استعراض وتعزيز التشريعات والسياسات المعنية بالأمراض غير السارية، ولاسيما التشريعات والسياسات المعدة من أجل الحد من عوامل الاختطار الخاصة بالأمراض غير السارية
٦ وضع وتنفيذ خطة مسندة بالبيانات لتعزيز الصحة وتوقي الآمراض غير السارية، وذلك بهدف الحد من عوامل الاختطار الرئيسية الخاصة بالأمراض غير السارية .
٧ تنفيذ البرامج التي تستهدف المحددات الاجتماعية للأمراض غير السارية خاصة فيما يتعلق بالتدخل المبكر بمراحل الطفولة الاولية والتمويل وعدالة الاستفادة من خدمات الرعاية الصحية الاولية لتكون بمتناول الجميع
٨ ا رساء منظومة دقيقة للموارد المالية والتقنية من قبل جميع الشركاء لضمان تنفيذ الخطط المرحلية بصورة فاعلة وارساء البرامج اللازمة لبناء القدرات الوطنية لتحقيق اهداف الخطة الوطنية، واستغلالها بصورة تؤدي الى نتائج ايجابية ملموسة وقابلة للقياس.
٩ إنشاء برامج تجريبية للتدخلات المجتمعية و إنشاء آليات للكشف المبكر وتحري الأمراض غير السارية
١٠ تعزيز ودعم انشطة وبرامج التدخل للحد من عوامل الاختطار للأمراض غير السارية خاصة المتعلقة باستخدام التبغ والغذاء غير الصحي وقلة الحركة وغيرها عن طريق :
تنظيم ومتابعة عملية استخدام التبغ وتشجيع المدخنين للتخلص من هذه العادة الغير الصحية .
تعزيز العادات الغذائية الصحية بدءً من الرضاعة الطبيعية وخلال الطفولة ومراحل العمر المختلفة بالإضافة الى التسويق المسؤول للمنتجات الغذائية الصحية .
تنفيذ برامج للنشاط الحركي بشكل منتظم خلال مراحل الطفولة والمدرسة وفي اماكن العمل.
١١ التعرف على الفوارق المجتمعية و الثقافية واحترامها وتأكيد المشاركة الايجابية للمستفيدين
١٢ ارساء نظام فعال لترصد ومتابعة محددات الامراض غير السارية وتقييم التقدم المحرز في مكافحتها والوقاية وتشجيع الدراسات والبحوث العلمية للاسترشاد
بها في تطبيق ومراجعة الخطط التنفيذي
","ترتكز الخطة الوطنية على اربع محاور رئيسيه تتماش ى مع خطة العمل القليمية لمكافحة الامراض غير السارية والتي تعتمد على برنامج تنفيذ القرار
السياس ي للأمم المتحدة UN POLITICAL DECLERATION
١- القيادة والحوكمة
٢- الوقاية وتقليص عوامل الاختطار
٣- الترصد والمراقبة والتقييم والبحوث
٤- تعزيز مجال الرعاية الصحية من الامراض غير السارية
","
مؤشرات الأجندة الوطنية حسب رؤية الامارات ٢٠٢١
خفض معدل الوفيات بسبب أمراض القلب والشرايين من ٢٩٧.٦ (٢٠١٤) الى ١٥٨.٢/١٠٠.٠٠ بحلول عام ٢٠٢١ a.
خفض معدل الوفيات بسبب مرض السرطان من ٩٩ (٢٠١٤) الى ٦٤.٢/١٠٠.٠٠ بحلول عام ٢٠٢١ b.
خفض معدل السكري بين سكان الامارات الفئة العمرية (٢٠-٧٩ عام) من بنسبة ١٩.٣٪ لعام ٢٠١٥ الى نسبة ١٦.٣٪ لعام ٢٠٢١ c.
خفض معدل السمنة بين الاطفال من عمر ٥-١٧ عاما من نسبة ١٤.٤٪ لعام ٢٠١٤ الى ١٢٪ بحلول عام ٢٠٢١
خفض معدل التدخين اليومي من ٢١.٦٪ للذكور و ١.٩٪ للاناث لعام ٢٠١٠ حسب نتائج مسح الاسرة الى نسبة ١٥.٧٪ للذكور و ١.٦٦٪ للاناث d.
الكشف المبكر عن الامراض غير السارية وعوامل الاختطار الفئة المستهدفة ٤٠ عاما فما فوق e.
الغايات والمؤشرات الوطنية المستمدة من مؤشرات منظمة الصحة العالمية ٢٠٢٥
١. خفض الوفاة المبكرة ومخاطر الاصابة بسبب امراض القلب والاوعية الدموية، والسرطان، أمراض الجهاز التنفسي المزمنة، والسكري بين البالغين ( العمر ٣٠-٧٠ سنة) بنسبة ٢٥٪ بحلول عام ٢٠٢٥ من ٨١.٤٪ الى ٦١.٠٪
٢. وقف الزيادة بمعدل انتشار السمنة وداء السكري
٣. خفض معدل قلة ممارسة النشاط البدني بنسبة ١٠٪ من ٣٨.٤٪ الى ٣٤.٥٪
٤. خفض نسبة الزيادة بمعدل ارتفاع ضغط الدم ٢٥٪ من ١٤.٧٪ الى ١١٪)
٥. خفض نسبة استهلاك الافراد للملح والدهون المشبعة ٣٠٪
٦. خفض نسبة التدخين للافراض ١٥ سنة فما فوق بنسبة ٣٠٪ من ٢١.٦٪ الى ١٥٪
٧. توفير الخدمات التشخيصية والمخبرية بنسبة ٩٠٪
٨. توفير الأدوية اللازمة لعلاج الأمراض غير السارية بنسبة ٩٠٪ في جميع مراكز الرعاية الصحية الأولية
","","","Overweight in adolescents|Overweight in school children|Sodium/salt intake|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARE_UAE%20national%20NCD%20plan%202017%20.pdf"
"39767","KHM","Cambodia","","National multisectoral action plan for the prevention and control of noncommunicable diseases","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2027","Royal Government of Cambodia, Ministry of Health","6","2018","Adopted","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Industry|Information|Labour","","","","","","","","","","National NGOs","","","","","","","","","3. Promote healthy diet and physical activity
3.1 Conduct a national survey on salt use.
3.2 Promote healthy diet and physical activity through the healthy city program
3.3 Promote healthy diet and physical activity in schools.
3.4 Raise public awareness about healthy diet and physical activity through mass media.
3.5 Develop and implement the national action plan on salt reduction
3.6 Replace trans-fat with unsaturated fat
3.7 Develop national guideline on nutrition for all sectors
3.8 Strengthen the management of advertisements (food and non-food products) that are fraud, misleading or cheating about the quality and safety of products to be used without following established regulations.
3.9 Manage taxes on foods and subsidies
3.10 Replace saturated fat with unsaturated fat
3.11 Provide health and safety education at low income workplaces
3.12 Reduce consumption of plastic products
","- Mean salt/sodium intake among population aged over 18
- Prevalence of overweigh/obesity among adults aged over 18
- Prevalence of high blood glucose among adults aged over 18
- Prevalence of high blood pressure among adults aged over 18
- Consumers received options for quality, safe and appropriate products that cause NCDs
- Prevalence of adults aged over 18 consuming <5 servings of fruit and vegetables per day
- Proportion of adult population aged over 18 with lack of physical activity
- Number of schools implementing the health promoting school program
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Fats|Trans fat|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|Media campaigns on healthy diets and nutrition","","http://moh.gov.kh/content/uploads/2017/05/NMAP-NCD_-13-06-2018-Signed_En.pdf","","WHO NCD Country Capacity Survey 2019",""
"40327","MRT","Mauritania","","Plan Stratégique National intégré et multisectoriel de prévention et de lutte contre les Maladies Non Transmissibles 2018-2022","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2022","Ministère de la Santé","","2018","Adopted","","2018","Ministre de la santé","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Urban planning|Trade|Environment|Industry|Justice|Other","Ministère de l'énergie","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
- Sensibiliser la population sur les avantages de l’allaitement maternel exclusif au sein jusqu’à 6 mois
- Faire du plaidoyer pour la révision de la durée du congé de maternité pour permettre l’allaitement exclusif pendant 6 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
- Mettre en place un mécanisme intersectoriel pour mettre en œuvre les recommandations pour une alimentation saine en milieux éducatifs.
- Elaborer un Guide pour promotion d’une alimentation saine à l'usage des enseignants et des encadreurs pédagogiques.
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
- Elaborer un programme de communication sur la relation «Alimentation et Santé» en ciblant les professionnels travaillant avec les enfants et les parents d’élèves
- Elaborer les outils d'information et de formation destinés aux enfants, adolescents et les parents ainsi qu’à tous les professionnels travaillant avec les enfants et adolescents.
- Inclure des messages de santé dans les publicités sur les aliments.
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","- Réduction relative de 10 % de la consommation moyenne en sel dans la population, pour arriver à 32% d’ici à 2025
- Nombre de personnes sensibilisées
- Nombre de séance de plaidoyer organisé
- Nombre de Mécanisme intersectoriel mis en place
- Nombre de Guide élaborés
- Nombre d’Outils pédagogiques
- Nombre de service ayant bénéficié de renforcement de compétence
- Nombre de Programme de communication sur la relation Alimentation et Santé
- Nombre d’outils d’information et de formation destiné aux enfants adolescents et les parents
- Nombre de Messages de santé inclus dans les publicités sur les aliments
","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Maternity protection|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/MRT_B3_PLAN_MNT_VF Mauritanie.rtf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MRT%202018%20Plan%20MNT.pdf"
"39424","TUN","Tunisia","","Stratégie Nationale Multisectorielle de Prévention et Contrôle des Maladies Non Transmissibles (MNT)","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Environment|Industry|Information","","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Health Organization (WHO)","","","","","","","","National NGOs","ONGs, associations, société civile","","","","","","","2.1.2. Principes directeurs et résultats attendus (impact) de la stratégie MNT
- Intégrer réellement la lutte contre les MNT dans le projet de développement de la Tunisie soit « la santé dans toutes les politiques », déjà inclus dans le plan de développement et économique social du pays 2016-2020.
- Adopter une approche intra-sectorielle pour de meilleures efficacité, efficience et coordination entre les différents départements du secteur santé et un mécanisme de gouvernance intersectorielle afin d’inciter les différentes institutions gouvernementales (publiques et semi-publiques), les organisations non gouvernementales et la société civile à concevoir et mettre en oeuvre des programmes de prévention et de contrôle des maladies non transmissibles à l’échelle centrale, régionale et locale
- Renforcer les capacités de la population pour la prévention des facteurs de risque dans leur quotidien et contre les facteurs de risque dans certains groupes dans le domaine des MNT.
- Renforcer le système de soins de base (public et privé) pour l’habiliter à la prévention et la prise en charge des principales maladies non transmissibles tout en garantissant l’équité et l’accessibilité aux soins.
Cibles tunisiennes chez les 15 ans et plus 2018-2025, adaptées des cibles OMS
- Baisse de 25% du risque de décès prématuré lié aux MNT
- Baisse relative d’au moins 10 % de l’usage nocif de l’alcoolisme chronique
- Baisse de 10% de l’activité physique insuffisante
- Réduction de 30% de l’apport moyen en sel
- Stabilisation de la prévalence de l’HTA
- Stabilisation de la prévalence du -Diabète-Obésité
- Prise en Charge des sujets à risque de MNT (IDM/AVC et autres) dans les CSB et chez les MG
","2.2. Axes Stratégiques de la Prévention et Contrôle des MNT
AXE 1 : LA GOUVERNANCE NATIONALE DE LA PREVENTION ET CONTROLE DES MNT, BASEE SUR LA MISE EN PLACE DE MECANISMES DE COORDINATION INTRA ET INTER SECTORIELS EST ASSUREE
- Créer (ou identifier) une structure au sein du ministère de la santé (comité, unité,…), qui sera chargée de la coordination, ainsi que du suivi et évaluation des activités du plan.
- Mettre en place au sein du gouvernement, un comité multisectoriel de pilotage, qui aura la mission de coordonner l’élaboration des plans d’action des différents secteurs, de faciliter l’octroi des ressources nécessaires, d’assurer le suivi et évaluation de la mise en oeuvre du plan. Ce comité qui devrait s’intégrer dans le cadre de l’Objectif 3 des ODD, devra avoir un rôle décisionnel, et le ministère de la santé assurera le rôle de leadership de ce comité.
- Mettre en place des comités multisectoriels régionaux pour faciliter la mise en oeuvre de la mise en oeuvre des activités dans chaque région et en assurer le suivi
- Proposer au sein de ce comité les aspects concernant les financements innovants (taxation sur les produits néfastes à la santé) qui pourraient servir à financer en partie les investissements dans la prévention des MNT
- Développer au sein de ce comité la revue des aspects législatifs concernant le renforcement des mesures de prévention et de contrôle des MNT en Tunisie
AXE 2 : LES FACTEURS DE RISQUE (FR) MODIFIABLES DES MNT SONT REDUITS EN TENANT COMPTE DES CIBLES NATIONALES PAR RAPPORT AUX CIBLES VOLONTAIRES DE L’OMS
- Axe 2.1. Promotion d’une alimentation saine
- Axe 2.2. : promotion de l’activité physique
- Axe 2.4. : réduction des autres facteurs de risque
Axe 2.4.1 : réduction de la consommation de l’alcool
AXE 4: UN PLAN DE COMMUNICATION POUR LA PREVENTION ET LE CONTÔLE DES MNT EST ELABORE ET MIS EN ŒUVRE
AXE 5 : UN SYSTEME DE SUIVI ET EVALUATION (S&E) DES MNT ET DE LEURS FACTEURS DE RISQUE EST MIS EN PLACE ET EST FONCTIONNEL ET EFFICACE
","Dans le domaine de la Gouvernance
1) Stratégie nationale multisectorielle MNT élaborée
2) Mécanisme de coordination intra et intersectoriel mis en place
Dans le domaine de la Prévention et de la réduction des Facteurs de Risque
2) Campagnes de sensibilisation sur les facteurs de risque des MNT réalisées
3) La réduction du sel dans le pain est adoptée par d’autres boulangeries dans les autres gouvernorats
4) Au moins un nouveau produit agroalimentaire favorable à la santé est fabriqué et mis sur le marché
5) Plaidoyer sur l’étiquetage des produits agroalimentaires réalisé
Dans le domaine de la surveillance et du Suivi & Evaluation
1) Enquête STEPS réalisée et résultats publiés
2) Des réunions de coordination entre les registres du cancer du nord, centre et sud sont organisées
3) Des réunions avec les responsables du système national d’information sanitaire (SNIS) sont organisées sur les MNT et leurs facteurs de risque
","Process indicators","","Overweight in adolescents|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Nutrition in the school curriculum|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|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/TUN_B11_Stratégie Nationale MNT 18-25_Finale (dernière version juin 2018).pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202018%20Strat%C3%A9gie%20Nationale%20MNT.pdf"
"39773","UKR","Ukraine","","Національний План Заходів щодо неінфекційних захворювань для досягнення глобальних цілей сталого розвитку [National Action Plan for Non-communicable Diseases for the Attainment of the Global Sustainable Development Goals]","NCD policy, strategy or plan with healthy diet components","","Ukrainian","","2018","","","","","2018","Adopted","7","2018","Кабінету Міністрів України","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","","…
2. Формування інформаційної політики та забезпечення громадської підтримки у напрямі профілактики неінфекційних захворювань
…
2) забезпечення підвищення рівня обізнаності різних груп населення щодо важливості здорового харчування для підтримання належної маси тіла та профілактики неінфекційних захворювань
3) забезпечення надання необхідної інформації про харчування для певних категорій населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями), а також переконливої і аргументованої інформації про значення грудного вигодовування дітей протягом щонайменше шести місяців від народження як основи профілактики виникнення неінфекційних захворювань у дорослому віці; попередження про загрозу для здоров’я дефіциту макро- і мікронутрієнтів
…
3. Формування освітніх матеріалів з питань пропагування здорового способу життя та профілактики неінфекційних захворювань в навчальних програмах
1) упровадження сучасних навчальних та освітніх матеріалів в навчальний процес для дітей дошкільного та шкільного віку, студентів і слухачів післядипломної освіти з включенням до навчальних програм тем щодо формування здорового способу життя, попередження розвитку неінфекційних захворювань
2) розроблення та поширення навчальних матеріалів для різних груп населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями) щодо шкідливого впливу тютюну, надмірного вживання алкоголю, нездорового харчування та низької фізичної активності
3) розроблення та поширення рекомендації щодо здорового та профілактичного харчування для різних груп населення з метою запобігання виникненню аліментарних та аліментарно зумовлених захворювань
4) забезпечення розроблення, затвердження та впровадження в навчальному процесі у вищих закладах педагогічної освіти у системі підготовки фахівців педагогічного профілю та соціальних працівників освітніх матеріалів з питань, що стосуються основних засад здорового способу життя, наслідків нездорового способу життя, необхідності відмови від куріння, надмірного вживання алкоголю, а також здорового харчування та достатнього рівня фізичної активності
…
4. Вдосконалення законодавства з питань охорони здоров’я
…
2) вдосконалення законодавства з використанням найкращих міжнародних практик щодо повної заборони реклами та інших видів стимулювання продажу тютюнових виробів, алкогольних напоїв, слабоалкогольних та енергетичних напоїв, продуктів харчування, що містять надмірну кількість солі, жирів, цукру та трансжирів
…
7. Підтримка та пропагування здорового харчування
1) розроблення нормативно-правових актів щодо регламентації вмісту трансізомерних жирів у харчових продуктах, їх вилучення з харчових продуктів і заміни на ненасичені жири
2) вдосконалення законодавства щодо інформування споживачів про точну кількість солі, цукру, насичених жирів із зазначенням їх співвідношення з рекомендованими нормами споживання під час маркування харчових продуктів
3) вдосконалення законодавчих актів щодо обмеження реклами харчових продуктів з надмірним вмістом солі, цукру та насичених жирів
4) розроблення і подання в установленому порядку на розгляд Кабінету Міністрів України законопроекту щодо оподаткування харчової продукції з надмірним вмістом солі, цукру, насичених жирів
5) розроблення та затвердження основних вимог до харчових продуктів і напоїв, які можуть розповсюджуватися в закладах освіти; унеможливлення доступності і продажу висококалорійних харчових продуктів та напоїв з підвищеним вмістом насичених жирів, солі та цукру тощо в закладах освіти, на прилеглих до них територіях
6) надання підтримки програмам, спрямованим на забезпечення здорового харчування в закладах освіти
7) проведення спільних заходів з виробниками харчових продуктів з метою усвідомлення ними відповідальності, пов’язаної з виробництвом та обігом харчових продуктів з надмірним вмістом солі, цукру, насичених і трансізомерних жирів; надання рекомендацій стосовно зміни технології, рецептур з метою зменшення вмісту солі, цукру, насичених жирів, вилучення трансізомерних жирів і їх заміни на ненасичені жири
8) здійснення ефективних заходів, спрямованих на вивчення питання поширення та зменшення дефіциту певних нутрієнтів (кальцію, йоду, заліза тощо), вітамінів (фолієвої кислоти, вітаміну D тощо) серед різних груп населення
…
19. Проведення моніторингу стану харчування населення
1) проведення репрезентативних досліджень стану фактичного харчування населення залежно від віку і статі, а також оцінки залежності якості харчування від рівня освіти, доходів, місця проживання та професії; забезпечення проведення досліджень щодо поширеності дитячого ожиріння
2) проведення досліджень щодо поширеності метаболічних факторів ризику неінфекційних захворювань (підвищеного рівня холестерину, глюкози тощо)
3) проведення досліджень щодо виконання рекомендацій ВООЗ стосовно грудного вигодовування немовлят
4) забезпечення участі в Європейській мережі дій щодо споживання солі
…
","","","","Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School meal standard|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education","","https://extranet.who.int/ncdccs/Data/UKR_B3_NATIONAL ACTION PLAN.docx","https://www.kmu.gov.ua/npas/pro-zatverdzhennya-nacionalnogo-planu-zahodiv-shchodo-neinfekcijnih-zahvoryuvan-dlya-dosyagnennya-globalnih-cilej-stalogo-rozvitku","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf"
"36187","BIH","Bosnia and Herzegovina","","Акциони план за превенцију и контролу незаразних болести у Републици Српској за период од 2019. до 2026. године [Action Plan for the Prevention and Control of NCDs]","NCD policy, strategy or plan with healthy diet components","","Serbian","","2019","","2026","Министарство здравља и социјалне заштите","12","2018","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Information","","","","","","","","","","","","","","","","","","","7.Активности у Републици Српској
Активности које би се у Републици Српској требале спроводити у периоду од 2019. до 2026. године дате су табели 6.
Табела 6: Активности које би се у Републици Српској требале спроводити у периоду од 2019. до 2026. године
...
Активности
3. Припремити и спроводити свеобухватну кампању социјалног маркетинга за:
-промовисање здраве конзумације преко фискалних и маркетиншких политика (дуван, алкохол, намирнице);
-преформулацију и унапређење производа (со, масти и шећери);
-смањење соли;
...
6. Пратити преухрањеност код дјеце у Републици Српској кроз COSI (Childhood Obesity Surveillance Initiative - Иницијатива за праћење преухрањености код дјеце - дио за надзор) давати редовне препоруке
7. Осигурати равномјерно високе стандарде промоције, заштите и подршке дојењу у Републици Српској (акредитација болница пријатеља беба)
8. Програм ""Предшколске установе и школе пријатељи здраве исхране у Републици Српској"" проширити у програм „Здрави живот у предшколским установама и школама"" (физичка активност, здравље уста и зуба, мишићно-коштаног система, контрола употребе дувана, алкохола и сл.)
9. Анализирати постојеће мјере политика у свијету које смањују дневни унос соли и дати препоруке за дјеловање у тој области у Републици Српској (5 грама соли, 2 грама натријума дневно)
...
16. Стварати окружење за омогућавање и промовисање здравог живота и смањења дискриминације против особа са хроничним болестима на радном мјесту у Републици Српској кроз: стимулисање развоја свеобухватних здравствених програма на радном мјесту, смањење психолошког стреса и стреса повезаног са радним мјестом, промовисање здраве хране на радном мјесту и политика за контролу употребе алкохола на радном мјесту, увођење адекватних мјера да би се омогућила физичка активност током радног времена и активан превоз на посао и са посла, заштиту, промоцију и подршку дојењу на радном мјесту
...
22. Процијенити одрживост имплементације низа препорука СЗО о оглашавању хране и пића и дати препоруке за дјеловање у тој области у Републици Српској
...
25. Анализирати постојеће мјере свеобухватних фискалних политика у Европи које укључују доступност и прихватање здравих прехрамбених производа, те смањење употребе дувана и алкохола и размотрити одрживост увођења тих мјера у Републици Српској
...
27. Анализирати постојеће мјере политика у свијету које смањују транс-масти и засићене масти у храни и дати препоруке за дјеловање у тој области у Републици Српској
(код избацивања трансмасти избјећи повећање засићених масти у производима, а код смањивања засићених масти избјећи њихову замјену прерађеним угљикохидратима у производима)
...
29. Анализирати постојеће мјере политика у свијету које смањују дневни унос шећера и дати препоруке за дјеловање у тој области у Републици Српској
(унос слободног шећера испод 10% или 5% укупног енергетског уноса)
30. Анализирати унапређење интерпретативног декларисања производа на предњој страни паковања и дати препоруке за дјеловање у тој области у Републици Српској
","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Monitoring of children’s growth in school|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces","","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Documents/Akcioni plan 2019 2026 10.12.2018. za Vladu Republike Srpske.doc","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Pages/Javno_zdravstvo.aspx","",""
"74265","BDI","Burundi","","Plan Stratégique Multisectoriel de prévention et de contrôle de Lutte contre les Maladies Non Transmissibles ","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé Publique et de la Lutte contre le SIDA","8","2019","Adopted","12","2019","Le Ministre de la Santé Publique et de la Lutte contre le SIDA","Health|Food and agriculture|Finance, budget and planning|Trade","","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Tableau VI : Aperçu des actions prioritaires en fonction des objectifs et des domaines d'intervention.
...
Alimentation saine et équilibrée
-Former et certifier les cuisiniers sur l'intérêt de la réduction du sel et du sucre, l'augmentation des fruits et légumes dans les repas, et les caractéristiques d'une alimentation équilibrée
-Organiser des campagnes médiatiques sur la réduction du sel, du sucre, des aliments gras dans les repas et l'intérêt d'une alimentation équilibrée
-Limiter l'importation des aliments conservés
-Augmenter les taxes sur les boissons sucres
-Promouvoir l'allaitement exclusif au sein au moins jusqu'a 6 mois et recommander de continuer
-Introduire la promotion d'une alimentation saine et équilibrée dans les soins de santé primaire
-Promouvoir la consommation des fruits et légumes à tout âge
...
Tableau VIII: Réduction des facteurs de risque
...
Domaine d'intervention 3: Promotion d'une alimentation saine et équilibrée
...
1. Réduction de sel, sucre et gras, dans les aliments et dans les repas
1.1 Former et certifier les cuisiniers sur l'intérêt de la réduction du sel, du sucre et des gras dans les repas
1.2 Organiser des campagnes médiatiques sur la réduction du sel, du sucre et des gras dans les repas
1.3 Encourager la consommation des aliments locaux
1.4 Augmenter les taxes sur les boissons sucrées
2. Promouvoir l'allaitement exclusif au sein au moins jusqu'à 6 mois et recommander de continuer
2.1 Diffuser les outils de communication sur les avantages de l'allaitement exclusif au sein au moins jusqu'a 6 mois
3. Introduire la promotion d'une alimentation saine et équilibrée dans les soins de santé primaire
3.1. Elaborer et diffuser les outils de communication sur l'importance d'une alimentation saine et équilibrée dans les SSP
3.2. Augmenter la production des fruits et légumes dans les ménages
3.3. Augmenter la consommation des fruits et légumes dans les ménages
3.4. Renforcer les capacités des prestataires de soins sur le régime alimentaire sain et équilibre
3.5. Sensibiliser le public sur l'intérêt de la consommation des fruits et légumes
...
Tableau XVIII: Suivi-évaluation de l'impact et des résultats du PSM
Eléments du cadre
Valeurs de référence
Cibles horizon 2023
Cibles horizon 2025
Indicateurs
Techniques de mesure
Consommation de sel
A établir
Réduction relative de 15%
Réduction relative de 30%
Quantité de sel ingérée en moyenne par jour (en gramme)
Quantité de sel de cuisine importée divisée par la population d'au moins 2 ans par jour
HTA
25.2% selon STEPS Kirundo
Baisse relative de 10%
Baisse relative de 15%
Prévalence de l'HTA chez l'adulte
Prise de la TA
Diabète et obésité
1 à 8% selon les études
Augmentation de0%
Augmentation de0%
Prévalences du diabète et de l'obésité
Glycémie capillaire et IMC
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/BDI_B2a_s21_PLAN%20MULTISECTORIEL%20DES%20MNT%20DU%20BURUNDI%20(2019-2023).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
- Fiche Action 15 : Instaurer des chartes d’engagement au progrès nutritionnel des entreprises et commerces alimentaires locaux
- Fiche Action 16 : Collecter et développer les connaissances et les expériences allant dans le progrès nutritionnel et l’innovation alimentaire
- Fiche Action 17 : Développer et accompagner le réseau des entreprises et des commerces alimentaires engagés dans une démarche de progrès nutritionnel
- Fiche Action 18 : Valoriser les expériences et les résultats obtenus
- Fiche Action 19 : Inciter les entreprises locales à s’engager dans une démarche de progrès nutritionnel en développant les cadres réglementaires nécessaires (bonus pour les entreprises)
- L’alimentation de base
- Fiche Action 20 : Labéliser les produits locaux transformés qui respectent les recommandations nutritionnelles
- Fiche Action 21 : Intégrer l’éducation au goût aux programmes d’éducation nutritionnelle
- Fiche Action 22 : Poursuivre le programme allaitement et alimentation saine
- Fiche Action 23 : Accompagner les restaurants scolaires pour améliorer les repas servis aux enfants et aux jeunes scolarisés dans les établissements publics du 1e et 2nd degré
- Fiche Action 24 : Promouvoir la mise en place de fa’a’apu
- La réglementation
- Fiche Action 25 : Réviser la liste des produits de première nécessité
- Fiche Action 26 : Imposer l’étiquetage nutritionnel des produits commercialisés
- Fiche Action 27 : Réflexion sur l’encadrement de la commercialisation et la distribution de produits jugés néfastes pour la santé dans les lieux publics
- Fiche Action 28 : Encadrer la promotion et les parrainages des produits nocifs à la santé et favoriser celles des produits sains
- Fiche Action 29 : Réglementer l’installation des distributeurs et établissements d’alimentation autour des écoles, crèches, garderies et centres d’accueil
- Fiche Action 30 : Mettre en place une taxation nutritionnelle progressive sur l’ensemble des produits riches en sucres, sel et graisses
- Fiche Action 31 : Valoriser les produits en fonction de leur qualité nutritive avec un indicateur visuel
- Fiche Action 32 : Mettre en place une taxe sur les publicités pour les produits sucrés, salés et riches en graisse
","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",""
"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
- Proposer un projet de textes pour rendre obligatoire le respect des règles nutritionnelles dans les cantines scolaires
- Participer à la mise en œuvre de la stratégie mondiale pour l'alimentation
","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|School-based health and nutrition programmes|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|Creation of healthy food environment|Nutrition counselling on healthy diets|Salt reduction|Nutrition education|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/NER_B3_PSNMLMNT NIGER.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202019%20PLan%20strat%C3%A9gique%20national%20MNT.pdf"
"74262","NER","Niger","","Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","Ministère de la Sante Publique","","2019","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Urban planning|Environment|Industry|Information|Labour","Ministère en charge de la Jeunesse et des Sports, Ministère en charge de l’Agriculture et de l’Elevage, Ministère en charge de l’Environnement et du Développement Durable, Ministère en charge de l’Urbanisme, Ministère en charge des Transports, Ministère en charge des Finances, Ministère en charge du Commerce et de la Promotion du Secteur Privé, Ministère en charge de la Renaissance Culturelle, Ministère en charge de l’Industrie, Ministère en charge de l’Education, Ministère en charge de la Communication, Ministère en charge du Transport, Ministère en charge de l’Emploi, du Travail et de la Protection Sociale …) ;","World Health Organization (WHO)","","","","","Partenaires Techniques et Financiers; Société Civile (ONG, Associations et Fondations)","","","National NGOs","","","","Private sector","Secteur Privé","","","E- CIBLES
...
• Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population.
• Baisse relative de 3.46% de la prévalence de l’hypertension artérielle ou limitation de la prévalence de l’hypertension artérielle ;
• Baisse relative de 3.46% de la prévalence du diabète et de l’obésité ou limitation de la prévalence du diabète et de l’obésité ;
...
G- CADRE OPERATIONNEL POUR LA MISE EN OEUVRE DU PLAN
...
OBJECTIF 2 : 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
...
AXES D’INTERVENTION PRIORITAIRES
Promotion d’une alimentation saine et équilibrée
STRATEGIES
Adoption de mesures favorisant une alimentation saine et équilibrée
ACTIVITES
1. Proposer un projet de textes pour rendre obligatoire le respect des règles nutritionnelles dans les cantines scolaires
2. Participer à la mise en oeuvre de la stratégie mondiale pour l’alimentation
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|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)","","https://extranet.who.int/ncdccs/Data/NER_B3_s21_EXE - Doucument complet Validé PNLCMNT.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202019%20Plan%20strat%C3%A9gique%20national%20multisectoriel%20de%20lutte%20contre%20les%20MNT_0.pdf"
"96702","RWA","Rwanda","","National Strategy and Costed Action Plan for the Prevention and Control of Non-Communicable Diseases in Rwanda ","NCD policy, strategy or plan with healthy diet components","","English","6","2020","","","Non-Communicable Disease Division, Rwanda Biomedical Centre, Ministry of Health","11","2020","","","","","Health|Food and agriculture|Finance, budget and planning","Non-Communicable Disease Division, Rwanda Biomedical Centre, Ministryof Health; Ministry of Finance and Economic Planning (MINECOFIN); Food and Drugs Authority (FDA)","","","","","","","","","","","","","","","","","…
4 GOAL AND STRATEGIC OBJECTIVES
Vision
A nation free from the avoidable burden of NCDs, including injuries and disabilities.
Mission
To enhance national multisectoral collaborations to alleviate the economic, social, and medical burden of NCDs, reduce morbidity and premature mortality, improve functionality, and ensure a healthier population.
Goal
By 2025, reduce premature mortality from NCDs by 25 percent.
Delivering the strategic objectives outlined below will require the support of multiple partners.
STRATEGIC OBJECTIVE 1
NCD prevention through health promotion and reduction of risk factors
…
PRIORITY AREA 1: Awareness-raising / education to reduce exposure to modifiable NCD risk factors
Strategic actions
Population-based prevention and health awareness
…
Develop and disseminate NCD prevention communications material targeting the general population. These could focus on balanced diets, reducing alcohol consumption, promoting physical activities and reducing tobacco addiction
…
PRIORITY AREA 3: Establish and strengthen the implementation of policies and regulations addressing NCD risk factors
Strategic actions
…
Promoting healthy diets
• Establish regulations or policies related to healthy diets. For example, the trade of transfats, sugary beverages, processed food and sodium
• Conduct public awareness campaigns, including mass and social media, to inform and engage consumers about healthy diets based on a variety of locally available food and drinks
• Promote user-friendly or easy-to-understand food labelling on processed food packaging; and translate international food labels into local languages
• Reduce sugar consumption through increased taxation on sugar-sweetened beverages
• Raise community awareness of healthy diets, including salt consumption
• Promote farming with controlled used of agrochemicals, ensuring crop diversity, and cultivating fruits and vegetables
…
STRATEGIC OBJECTIVE 2 Strengthening health systems for quality NCD early detection, care and treatment at all levels
...
PRIORITY ACTION 6: Enhance patient psychosocial and resource support programmes
Strategic actions
...
• Integrate NCDs with nutrition programmes at health facilities
...
5 IMPLEMENTATION, MONITORING AND EVALUATION FRAMEWORK
…
Strategic objective 1:
NCD prevention through health promotion and reduction of risk factors
Priority area 3: Establish and strengthen the implementation of policies and regulations addressing NCD risk factors
Promoting healthy diets
Strategic Actions
Establish regulations or policies related to healthy diets. For example, the trade of trans-fat, sugary beverages, processed food and sodium
Promote user-friendly or easy-to-understand food labelling on processed food packaging; and translate international food labels into local languages
Reduce sugar consumption through increased taxation on sugar-sweetened beverages
Expected Output
Policies and regulations on trans-fat, saturated fats and sugar consumption in place
Clearly labelled food products and ingredients
Increased taxation on locally produced and imported sugar-sweetened beverages
Indicators
% reduction in obesity
% of food products with clear labelling
New sugar taxation scheme issued
Indicator Measurement
Every five years, MoH reports % reduction in obesity through STEPS survey
Annually, FDA reports % of food products with clear labelling to the chair of the NCD multisectoral committee
Annually, MINECOFIN reports the progress towards implementation of a new sugar taxation scheme to the chair of the NCD multisectoral committee
Lead Agency
MoH; Baseline: 2.8% Target:2.8%
FDA; Baseline: N/A Target: 50%
MINECOFIN; Baseline: 0 Target: 1
","","","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|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|Reformulation of foods and beverages|Fats|Salt/sodium|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","Rwanda Africa Integrated NCD policies 2021 RwandaNCDs Strategic Plan final Signed.pdf https://extranet.who.int/ncdccs/Data/RWA_B3_s21_RwandaNCDs Strategic Plan_final_Signed.pdf #I/T ADD SODIUM + TFA 1st pri ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA%202020%20NCDs%20Strategic%20Plan_0.pdf"
"41585","MEX","Mexico","","Estrategia Nacional de Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2014","","2018","Secretaría de Salud","","2014","Not adopted","","","","Cabinet/Presidency|Health|Women, children, families|Social welfare|Finance, budget and planning|Development","","","","","","","","","","","","","","","","","","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
- Posicionar el tema en la agenda de las personas tomadoras de decisión de los diferentes órdenes de gobierno y unificar acciones.
- Fortalecer las competencias institucionales para la promoción, protección y apoyo de la lactancia materna.
- Impulsar la participación de la iniciativa privada en la promoción y apoyo a la lactancia materna.
- Vigilar el cumplimiento del Código Internacional de Comercialización de Sucedáneos de la Leche Materna.
- Fomentar la práctica del amamantamiento natural en los municipios de la Cruzada Nacional contra el Hambre.
- Eje transversal: Capacitación al personal de salud, estudiantes universitarios de áreas médicas y afines, así como a la población en general en el fomento de la lactancia materna.
Metas
- Conseguir la nominación “Hospital amigo del niño y la niña” en al menos el 30% de las unidades con atención obstétrica en el país.
- Conseguir la nominación de “Unidad amiga del niño y la niña” en al menos 180 unidades de primer nivel de atención.
- Capacitar en lactancia materna al 80% del personal de atención médica y paramédica del Sistema Nacional de Salud.
- Capacitar en lactancia materna al 80% del personal de los Centros de Desarrollo Infantil. Difusión y fomento para la implementación de por lo menos 60 lactarios empresariales.
- Crear la Red Nacional de Bancos de Leche Humana, integrada por al menos 60 Bancos y 250 lactarios hospitalarios.
","Ejes estratégicos
- Fortalecer la coordinación intersectorial e interinstitucional.
- Posicionar en la comunidad la información efectiva para el incremento de la lactancia a través de medios de comunicación.
- Consolidar el Marco Normativo de la Lactancia.
- Evaluación y monitoreo de las acciones e indicadores de práctica de la lactancia.
Fortalecer las competencias institucionales para la promoción, protección y apoyo de la lactancia materna
Ejes estratégicos
- Impulsar la nominación de Hospitales Amigos del Niño y de la Niña y su extensión a Unidades Amigas del Niño y de la Niña.
- Fortalecer la atención de la niña y del niño recién nacido prematuro con técnica canguro.
- Establecer una Red Nacional de Bancos de Leche Humana.
- Disminuir el uso rutinario de sucedáneos de leche materna en unidades médicas del Sistema Nacional de Salud.
- Promover lactarios institucionales para proteger el derecho de las madres trabajadoras a amamantar.
- Elaborar materiales de difusión con información efectiva para la población.
- Gestionar la inclusión de los indicadores de práctica de lactancia materna a los sistemas nacionales de información.
Impulsar la participación de la iniciativa privada en la promoción y apoyo a la lactancia materna
Ejes estratégicos
- Promover lactarios empresariales para proteger el derecho de las madres trabajadoras a amamantar.
- Impulsar la capacitación en lactancia materna a Centros de Desarrollo Infantil.
Vigilar el cumplimiento del Código Internacional de Comercialización de Sucedáneos de la Leche Materna
Eje estratégico
- Difundir, vigilar y mejorar el cumplimiento de la normativa que limita la comercialización indiscriminada de fórmulas infantiles.
Fomentar la práctica del amamantamiento natural en los municipios de la Cruzada Nacional contra el Hambre
Ejes estratégicos
- Capacitar para la promoción de la lactancia materna en unidades médicas de 1er. nivel de atención.
- Pelebrar el Mes de la Cruzada Nacional Contra el Hambre.
- Intensificar las acciones de promoción de la lactancia materna en los municipios incluidos en la Cruzada Nacional contra el Hambre.
- Apoyar a las madres en la práctica del amamantamiento natural.
Eje transversal: Capacitación al personal de salud, estudiantes universitarios de áreas médicas y afines, así como a la población en general
Actividades
- Coordinar con las instituciones del Sistema Nacional de Salud la capacitación en lactancia materna.
- Coordinar con las universidades del país la incorporación de la materia de lactancia materna en la formación de los futuros profesionales de la salud.
- Revisión de los planes de estudio de las escuelas formadoras de profesionales de la salud.
- Cursos de lactancia para profesoras/es.
- Coordinar la capacitación con las áreas de prestaciones sociales.
- Actualizar y difundir los lineamientos relacionados con el apoyo, promoción y protección de la lactancia.
","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
- Porcentaje de niñas y niños que son alimentados exclusivamente con leche humana desde su nacimiento hasta los 6 meses.
- Porcentaje de niños y niñas que reciben lactancia materna a los 12, 18 y 24 meses de edad.
- Porcentaje de latas de fórmula de inicio adquiridas en un año en cada entidad.
- Porcentaje de latas de fórmula de seguimiento adquiridas en un año en cada entidad.
- Porcentaje de personal capacitado en lactancia materna.
- Porcentaje de personal de los Centros de Desarrollo Infantil capacitado en lactancia materna.
- Proporción de unidades de primero y segundo nivel de atención con la Nominación de “Amiga/o de la Niña y del Niño”.
","Process indicators","","Low birth weight|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Capacity building for the Code|Maternity protection|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|HIV/AIDS and nutrition|Vulnerable groups","","https://www.gob.mx/salud/acciones-y-programas/estrategia-nacional-de-lactancia-materna-2014-2018","","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/MEX%202014%20Estrategia%20Nacional%20de%20Lactancia%20Materna%202014-2018.pdf"
"41888","NLD","Netherlands","","Alles is gezondheid… Het Nationaal Programma Preventie 2014 - 2016 / Everything is Health... National Prevention Program 2014-2016","NCD policy, strategy or plan with healthy diet components","","Dutch","2","2014","12","2016","Ministry of Health ","","2014","Adopted","","2014","Government of the Netherlands","Nutrition council|Health|Education and research|Finance, budget and planning|Sport|Environment|Industry|Sub-national","","","","","","","","","","","","Research/academia","National Institute for Public Health (RIVM); Free University (VU)","","All Schools; Health Insurance Companies; Public place owners; Employers ","Other","Central Statistical Bureau (CBS); Municipal Sanitary Service (GGD); Catering services union (Veneca); Healthcare providers; NOC*NSF; Stichting MVV Nederland; KNHB","In het NPP spreken wij met onze partners af dat wij voor elk van de speerpunten -roken, overgewicht, overmatig alcoholgebruik, bewegen, diabetes en depressie- een substantiële verbetering willen t.o.v. waar de huidige trends ons in 2030 zouden brengen.
Zo is de Gezonde School Aanpak van het RIVM Centrum Gezond Leven een methode voor scholen en professionals om structureel aan de slag te gaan met een gezonde leefstijl. Ook op rijksniveau nemen we daarbij, passend bij onze rol, onze verantwoordelijkheid. In deel twee staat een groot aantal nauwkeurig uitgewerkte activiteiten. Zo gaan we er bijvoorbeeld samen voor zorgen dat in 2030 alle scholen gezonde scholen zijn, op basis van een bewuste inzet van scholen zelf. In 2016 moeten 850 (van de 8000) scholen een Vignet Gezonde School hebben als uiting van aandacht en beleid voor een gezonde leefstijl. Daarmee krijgen ca 180.000 leerlingen een gezonde leeromgeving.
Doel In 2015 hebben alle scholen in het voortgezet onderwijs en MBO een gezonde schoolkantine.
Gezond gewicht Doel: Minimaal 75 JOGG-gemeenten in 2015. Op termijn is de ambitie dat álle 408 gemeenten zich aansluiten.
Doel Er is een verbinding tot stand gebracht tussen gezondheid en natuur, en gezondheid is structureel onderdeel van het ontwerp van de publieke ruimte.
Doel Een actief gezondheidsbeleid in MKB-bedrijven stimuleren
Doel Bijdragen aan een gezonde voeding van werknemers via de bedrijfscatering. Reduceren van verzuim- en/of zorgkosten.
Doel De gezonde keuze makkelijker maken door de samenstelling van producten te verbeteren waar het gaat om zout, verzadigd vet en suiker, en door een gezond aanbod in school- en sportkantines en bedrijfsrestaurants.
Doel Het hoge niveau van voedselveiligheid behouden, de ervaren voedselveiligheid (voedselvertrouwen) vergroten, waakzaam blijven voor nieuwe risico’s, slagvaardig handhaven en effectief reageren bij eventuele incidenten
Doel Het hoge niveau van productveiligheid behouden.
","8.1.1 Ondersteunen van ouders, jeugd en (voor)scholen Bewustwording en gezondheidsinformatie voorschoolse opvang en peuterspeelzalen
- JOGG, onderdeel van het Convenant Gezond Gewicht, gaat in het schoolseizoen 2013-2014 in JOGG-gemeenten het drinken van water stimuleren. Aandacht voor ‘DrinkWater’ is er onder meer op kinderdagverblijven en basisscholen; jong geleerd is oud gedaan. JOGG heeft DrinkWaterbekers voor de peuters, en er is een digitale toolkit met informatie en best practices en tips voor professionals. Het Convenant Gezond Gewicht (26 publieke en private partijen, zes landelijke bedrijfspartners) en de 27 JOGG-gemeenten werken hierbij samen.
- Van 7 oktober tot en met 29 november 2013 kunnen scholen voor PO, VO en MBO via www.gezondeschool.nl ondersteuning (financieel of advies op maat) aanvragen om in 2014 mee aan de slag te gaan. VWS en OCW stellen hiervoor 1,14 miljoen euro beschikbaar vanuit de middelen van de Jeugdimpuls en de Onderwijsagenda. Afhankelijk van de behoefte zal de ondersteuning de jaren erna een vervolg krijgen.
- Ouders zijn de eerstverantwoordelijke voor een gezonde opvoeding. Het kabinet ondersteunt ouders onder meer via de JGZ en door te voorzien in betrouwbare informatie. Ouders zijn betrokken bij de school en de ontwikkeling van gezond schoolbeleid, waarin thema’s als gezonde traktaties en aanpak van pesten gezamenlijk worden opgepakt. Kinderen zijn immers gebaat bij samenhang tussen hun wereld thuis, in de buurt en op school.
8.1.2 Gezonde schoolomgeving
Gezonde schoolkantines: Inzet, middelen en betrokken partijen Deze ambitie van het Convenant Gezond Gewicht wordt in opdracht van het ministerie van VWS ondersteund door Het Voedingscentrum. In 2013 is voor de uitvoering van het programma de Gezonde Schoolkantine € 1.300.000 beschikbaar. Dit wordt onder andere ingezet voor de Schoolkantinebrigade, die scholen advies op maat geeft. In 2014 wordt de ondersteuning in vergelijkbare mate voortgezet. Ook private partijen zoals cateraars, de automatenbranche en leveranciers, zetten zich in voor een gezonder assortiment op scholen op basis van het Handvest Gezonder Voedingsaanbod op Scholen. Dit Handvest is inmiddels door 40 partijen ondertekend.
8.2 Wonen en leven in een gezonde wijk en omgeving
- Diverse initiatieven in het land - soms specifiek gericht op een thema als sport en bewegen of gezond gewicht - dragen eraan bij dit doel te bereiken.
- Lokale organisaties kunnen gebruikmaken van het instrumentarium van het programma ‘Sport en Bewegen in de Buurt’ (buurtsportcoaches en Sportimpuls).
- Er zijn nu 27 gemeenten aangesloten bij Jongeren Op Gezond Gewicht. Deze gemeenten werken volgens de intersectorale JOGG-aanpak, die bewezen effectief is om de stijging van overgewicht en obesitas bij kinderen om te zetten in een daling.
8.3 Werken is gezond en gezond werken kan nog beter
- Het stimuleren van actief gezondheidsbeleid en kennisverspreiding in bedrijven.
- bewustwording bij werkgevers en werknemers in het MKB van het feit dat een gezond bedrijf meerwaarde heeft voor henzelf en voor de maatschappij;
- de algemene gezondheid stimuleren door meer bewegen;
- De brancheorganisatie van cateraars (Veneca), een grote zorgverzekeraar en onderzoekers van de VU ontwikkelen op basis van wetenschappelijk onderbouwde informatie een plan van aanpak en een cateringconcept
- Dit concept wordt vervolgens bij enkele verschillende typen bedrijven getest. De resultaten worden verwerkt tot een concept dat breed door alle werkgevers alias opdrachtgevers (grotere en kleinere bedrijven) en cateraars ingezet kan worden bij een programma De Gezonde Werkvloer. Werkgever, werknemer en HR-medewerkers worden betrokken bij de aanpak en het onderzoek.
- Deze activiteit sluit aan op en wordt afgestemd met deelconvenant werk van het Convenant Gezond Gewicht en wordt inhoudelijk ondersteund door het Voedingscentrum. Cateringorganisaties Sodexo, Albron, SAB en KLM Cateringservices zijn betrokken bij de uitvoering. Opdrachtgevers waar het concept getest wordt, worden nog gezocht. Het plan wordt ook afgestemd met Stichting IKB (Vinkje logo) en de ministeries van SZW en VWS. Voor eind 2013 is het plan van aanpak gereed. Dit zal in ieder geval via de site van het convenant vindbaar zijn.
9. Preventie een prominente plek in de zorg
- In de Alliantie Voeding Gelderse Vallei werken Ziekenhuis Gelderse Vallei (Ede) en Wageningen Universiteit samen om een gezond voedingsadvies en maaltijdaanbod basisonderdeel van preventie en medische behandeling te maken, door aandacht voor voeding vóór, tijdens en na behandeling van ziekte. Een voorbeeld van zulke transmurale voedingszorg is het Zorgpad Ondervoeding. Dit zorgpad borgt de screening en behandeling van ondervoeding in het verzorgingsgebied van het ziekenhuis. In overleg met partner Menzis zal een landelijke uitrol van dit zorgpad plaatsvinden (via o.a. brochure en website). Via het Alliantie project Cater with Care (2013-2016, 4.3 miljoen) werken bedrijven en zorg- en kennisinstellingen samen aan de ontwikkeling van smakelijke en effectieve voeding die bijdraagt aan de preventie en behandeling van ondervoeding bij ouderen.” www.alliantievoeding.nl.
- Diverse partijen in het veld nemen een rol op zich in proeftuinen en pilots. Hierbij is het een goed teken dat er op nieuwe manieren in de wijk gewerkt wordt aan gezondheid. VWS monitort deze proeftuinen de komende jaren. De proeftuinen die zich richten op preventie en gezondheidswinst kunnen interessante informatie opleveren over wat er wel en niet werkt in de bekostiging. De kennis uit deze proeftuinen is te gebruiken voor zowel andere regio’s als voor verder beleid.
- Versterking van de netwerkfunctie is een taak die primair bij de verschillende zorgverleners ligt. Hoewel de overheid hier een faciliterende rol in wil en zal spelen, zal de daadwerkelijke verbetering alleen kunnen slagen als partijen de netwerkfunctie met elkaar oppakken. Het gaat hierbij om een breed scala aan zorgverleners, uit de huisartsenzorg, de fysiotherapie, de mondzorg, de diëtetiek, de thuiszorg en de verloskunde.
10.2 Gezond voedingsaanbod, voedsel- en productveiligheid
- De minister van VWS heeft bedrijven opgeroepen meer sectorbrede afspraken te maken over productverbetering in verschillende productcategorieën (bijvoorbeeld, soepen, sauzen, en koek en gebak). Dit najaar maakt VWS afspraken met het bedrijfsleven over concrete ambities en het tijdpad dat daarbij hoort. De Kamer wordt hierover geïnformeerd.
- In 2013 en 2014 zal het Convenant Gezond Gewicht gericht zijn op gezondere sportkantines. De uitvoering gebeurt samen met onder andere NOC*NSF, Stichting MVV Nederland en de KNHB. Een gezonder assortiment en verantwoord alcoholbeleid zijn hierbij de belangrijkste pijlers. Sportverenigingen kunnen hierbij ondersteuning op maat (tools, begeleiding) krijgen via de portal www.gezondesportkantine.nl.
- Initiatieven met schoolkantines en bedrijfsrestaurants staan in de paragrafen 1.1.2 en 1.3 beschreven.
","Inzet op deze activiteiten levert op dat:
- in 2015 het aantal scholen met een Vignet Gezonde School gestegen is naar 850
- (1 september 2013: 62 scholen);
- de stijgende trend van overgewicht en obesitas bij kinderen is omgebogen in een daling;
- het percentage jongeren dat de beweegnorm haalt is gestegen;
","Outcome indicators|Process indicators","","Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Saturated fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|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|Healthy food environment in hospitals|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Nutrition education|Management of moderate acute malnutrition|Food safety|Home, school or community gardens|Water and sanitation|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/NLD_NCD_NLD_B3-alles-is-gezondheid-nationaal-programma-preventie-2014-2016.pdf","","WHO NCD Document Repository.","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202014%20NCD%20Policy.pdf"
"43358","UZB","Uzbekistan","","ПРОГРАММА МЕР по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности населения на 2019 — 2022 годы [Program for prevention of NCDs, support of healthy lifestyle an promotion of PA]","NCD policy, strategy or plan with healthy diet components","","Russian","","2019","","2022","Government of Uzbekistan ","12","2018","Adopted","12","2018","President of Uzbekistan","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Urban planning|Industry|Information|Sub-national","National Standards Agency ","","","","ASPHER — The Association of Schools of Public Health in the European Region","","","","","","","Research/academia","Tashkent Medical Academy; National Public Health Schools ","Private sector","","","","Целью Концепции является формирование здорового образа жизни у населения страны путем реализации комплексных мер по предупреждению, лечению и контролю неинфекционных заболеваний и факторов их риска, снижению преждевременной смертности и тяжести болезней для общества.
Стратегические приоритеты Концепции:
а) борьба с такими факторами риска неинфекционных заболеваний, как:
- нездоровое питание;
- недостаточная физическая активность;
- избыточная масса тела;
- повышенное артериальное давление, повышенный уровень глюкозы и холестерина в крови;
б) борьба со следующими группами заболеваний:
- сердечно-сосудистые заболевания (артериальная гипертония, инфаркт миокарда, инсульт);
- сахарный диабет;
","Глава 4. Основные направления деятельности по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности населения на 2019 — 2022 годы
1. Совершенствование законодательства в сфере профилактики неинфекционных заболеваний, поддержки здорового образа жизни и повышения уровня физической активности населения:
- Дальнейшее совершенствование законодательства в сфере ограничения пропаганды и рекламы употребления продуктов питания с повышенным содержанием жиров, соли и сахара.
- Совершенствование правовых механизмов, направленных на установление дополнительных мер по ограничению распространения и употребления алкогольной и табачной продукции.
- Разработка предложений по ограничению ввоза (импорта) в республику необогащенной микронутриентами пшеничной муки первого сорта.
- Пересмотр рецептуры и стандартов продуктов питания массового потребления с целью снижения их калорийности и установления целевых уровней содержания в них жиров, соли и сахара, а также определение рекомендуемых размеров порций.
- Пересмотр стандартов профилактического питания для промышленных предприятий с вредными условиями труда.
2. Реализация мер по обеспечению здорового питания населения
- Внедрение рыночных механизмов по стимулированию производства и продажи здоровых продуктов питания и ограничению ввоза, производства (изготовления) и продажи продуктов с повышенным содержанием жиров, соли и сахара.
- Проведение научно-практических исследований по изучению состава и качества сельскохозяйственной пищевой продукции, выращиваемой в различных условиях земледелия, а также фармакодинамических свойств национальных блюд.
- Пересмотр рациональных норм питания для различных половозрастных и профессиональных групп населения на основе современных достижений в области нутрициологии.
- Усиление контроля применения пищевых добавок (красители, ароматизаторы, консерванты и другие).
- Стимулирование включения в меню предприятий общественного питания овощей, фруктов и других полезных для здоровья продуктов питания.
5. Совершенствование системы мониторинга и оценки мер по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности населения
- Осуществление полномасштабного мониторинга, включающего анализ фактического потребления населением пищевой продукции, а также оценку отношения потребителей к данным продуктам.
- ...
6. Совершенствование системы подготовки, переподготовки и повышения квалификации кадров
- Повышение квалификации преподавателей кафедр медико-профилактического направления высших медицинских образовательных учреждений по вопросам общественного здоровья и формирования здорового образа жизни, здорового питания, диетологии совместно с ведущими зарубежными учреждениями общественного здравоохранения.
- ...
ПРОГРАММА МЕР
- Разработка и утверждение порядка и критериев отнесения продуктов питания к категории с повышенным содержанием жиров, соли и сахара.
- Пересмотр рецептуры и стандартов продуктов питания массового потребления с целью снижения их калорийности и установления рекомендуемых уровней содержания в них жиров, соли и сахара, а также определение рекомендуемых размеров порций.
- Пересмотр стандартов профилактического питания для работников промышленных предприятий с вредными условиями труда.
- Разработка предложений по ограничению ввоза (импорта) в республику необогащенной микронутриентами пшеничной муки первого сорта.
- Внедрение рыночных механизмов по: а) стимулированию производства (изготовления) и реализации здоровых продуктов питания; б) ограничению ввоза, производства (изготовления) и реализации продуктов питания с повышенным содержанием жиров, соли и сахара путем: ограничения размеров порций и упаковок с целью сокращения потребления лишних калорий и риска избыточного веса (ожирения); разработки стратегии ориентирования потребителей по приобретению здоровых продуктов питания (раскладка в объектах торговли здоровых продуктов питания в привлекательном окружении и в легкодоступных местах).
- Проведение научно-практических исследований по изучению состава и качества сельскохозяйственной пищевой продукции, выращиваемой в различных условиях земледелия, а также фармакодинамических свойств национальных блюд.
- Составление на основе изучения электронного справочника состава местных продуктов питания по содержанию микроэлементов и витаминов.
- Размещение электронного справочника в сети Интернет.
- Пересмотр рациональных норм питания для различных половозрастных и профессиональных групп населения на основе современных достижений в области нутрициологии.
- Усиление контроля применения пищевых добавок (красителей, ароматизаторов, консервантов и других) путем: модернизации и оснащения испытательных лабораторий современным высокотехнологичным оборудованием; изучения состава применяемых в промышленности пищевых добавок; определения предельно допустимых концентраций пищевых добавок.
- Создание в образовательных и медицинских учреждениях условий, способствующих ведению здорового образа жизни, включая: недопущение рекламы потребления, приготовления и реализации на территории данных учреждений продуктов питания с повышенным содержанием жиров, соли и сахара; внедрение в учебные программы образовательных учреждений мероприятий по ведению здорового образа жизни и обеспечению физической активности учащихся; разработку нормативов здорового питания и внедрение их в практику образовательных учреждений;
- Создание в поселках, кишлаках и аулах, а также в махаллях городов, поселков, кишлаков и аулов условий, способствующих ведению здорового образа жизни, включая: ограничение изготовления и продажи продуктов питания с повышенным содержанием жиров, соли и сахара; стимулирование включения в меню предприятий общественного питания овощей, фруктов и других полезных для здоровья продуктов питания;
- Пересмотр квалификационных требований специалистов по нутрициологии, диетологии и общественному здравоохранению с учетом международных требований.
- Разработка и распространение в средствах массовой информации, в том числе в сети Интернет и социальных сетях, рекомендаций по здоровому питанию, повышению физической активности, ведению здорового образа жизни и отказу от употребления табачной и алкогольной продукции.
- Разработка и распространение баннеров, плакатов, буклетов и других информационно-образовательных материалов по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности, в том числе путем их размещения на объектах торговли, предприятиях общественного питания, в медицинских и образовательных учреждениях, на центральных улицах городов и районов, в местах массового скопления людей, общественном транспорте.
- Проведение в органах самоуправления граждан, образовательных учреждениях, объектах торговли, предприятиях общественного питания и других организациях «круглых столов», семинаров и иных мероприятий по вопросам обеспечения здорового питания, повышения физической активности и ведения здорового образа жизни.
","В результате реализации Концепции ожидается:
- увеличение потребления населением овощей и фруктов на 15 процентов;
- сокращение потребления поваренной соли на 15 процентов;
- увеличение доли производства продуктов, обогащенных витаминами и необходимыми минералами;
- увеличение физической активности населения на 10 процентов;
- сокращение потребления алкогольной и табачной продукции на 10 процентов;
- сдерживание роста числа пациентов с повышенным артериальным давлением;
- сдерживание роста числа пациентов с ожирением и сахарным диабетом;
- достижение 50 процентного уровня обеспечения медицинских учреждений базовыми диагностическими тестами, оборудованием и основными лекарственными средствами, необходимыми для лечения приоритетных неинфекционных заболеваний;
- обеспечение не менее 50 процентов пациентов с высоким риском и больных неинфекционными заболеваниями надлежащей лекарственной терапией и консультированием для предотвращения инсультов и инфарктов;
- сокращение на 10 процентов преждевременной смертности от сердечно-сосудистых заболеваний, злокачественных новообразований, сахарного диабета и хронических заболеваний органов дыхания.
","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Sugar intake|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)|Dietary guidelines|Promotion of fruit and vegetable intake|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|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|Food fortification|Nutrition education|Wheat flours","","http://lex.uz/docs/4111360","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202018%20NCD%20Prevention%20Policy.pdf"
"39426","MAR","Morocco","","Stratégie Nationale Multisectorielle de Prévention et de Contrôle des Maladies Non Transmissibles 2019 - 2029","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2029","Ministry of Health","","2019","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Environment|Industry","","World Health Organization (WHO)","","","","","","","","National NGOs","ONG – sociétés savantes","","","Private sector","représentants de l’industrie agro-alimentaire","","","4.4. Objectif général
Réduire la morbidité, les incapacités et la mortalité prématurée, liées aux MNT et leurs facteurs de risques selon une approche intégrée et multisectorielle.
4.5. Objectifs spécifiques
• Objectif spécifique 1 : Renforcer la promotion des modes de vie sains et la prévention des MNT.
• Objectifs spécifique 2 : Assurer une prise en charge de qualité des MNT.
• Objectif spécifique 3 : Améliorer la gouvernance à tous les niveaux de compétence et de responsabilité.
• Objectif spécifique 4 : Développer un système de suivi-évaluation des MNT et de leurs facteurs de risque.
Cibles fixées par le Maroc pour les MNT d’ici 2029
- Réduction de lʼactivité physique insuffisante (sédentarité) dʼenviron 10% à lʼhorizon de 2029
- Réduction de la consommation de sel chez la population dʼenviron 10% à lʼhorizon de 2029
- Réduction de lʼhypertension artérielle chez la population âgée de 20 ans et plus de 10% à lʼhorizon de 2029
- Réduire de 15% lʼaugmentation de la prévalence du diabète à lʼhorizon de 2029 (actuellement elle est de 30% sur 10 ans)
- Accessibilité de 80% des patients suivis pour diabète et HTA aux médicaments essentiels au niveau des établissements de soins de santé primaires
- 50% des personnes remplissant les conditions bénéficiant dʼun traitement dans le but de prévenir les infarctus du myocarde et les accidents vasculaires cérébraux
- Réduction de 10% lʼusage nocif dʼalcool à lʼhorizon de 2029
- Réduction de 25% la mortalité prématurée liée au MNT à lʼhorizon de 2029
","Domaine Stratégique 1 : Promotion des modes de vie sains et prévention des MNT
Action 1.1 : Renforcer la sensibilisation et la communication en matière des MNT et leurs FR
Mesure 1 : Organiser des campagnes annuelles de sensibilisation sur les MNT et leurs FR ;
Mesure 2 : Organiser des campagnes annuelles pour la promotion des modes de vie sains ;
Mesure 3 : Développer une stratégie de plaidoyer, de communication et de mobilisation sociale en matière de prévention des MNT et leurs FR ;
Mesure 4 : Elaborer un plan de formation auprès des professionnels de santé sur la promotion des modes de vie sains et la lutte contre les FR des MNT ;
Action 1.2 : Consolider les services sanitaires de prévention
Mesure 7 : Encourager et soutenir l’abandon des habitudes alcooliques ;
Action 1.3 : Créer des environnements favorables pour la promotion des modes de vie sains
Mesure 10 : Créer des environnements favorables pour la promotion d’une alimentation saine ;
Mesure 11 : Elaborer et implanter un plan d’action de réduction du sel sucre gras ;
Mesure 12 : Créer des environnements favorables pour la promotion de l’activité physique ;
Domaine Stratégique 2 : Renforcement de la prise en charge des MNT et développement de nouveaux programmes
Action 2.1 : Améliorer de la prise en charge des Maladies Non Transmissible
Mesure 16 : Institutionnaliser les filières de soins spécifiques pour les MNT et les intégrer dans les schémas régionaux de l’offre de soins ;
Mesure 17 : Créer des centres de référence pour les MNT ;
Mesure 18 : Créer des pôles d’excellence pour la PEC des MNT ;
Mesure 19 : Créer une « maison des jeunes diabétiques » par région ;
Mesure 21 : Implanter l’approche d’évaluation du risque cardio-vasculaire au niveau des ESSP ;
Mesure 29 : Elaborer un plan de formation au profit des professionnels de santé pour les programmes des MNT ;
Action 2.2 : Développer de nouveaux programmes de prévention et de contrôle des MNT
Mesure 38 : Développer un programme de prévention et de contrôle des maladies cardio- vasculaires ;
Domaine stratégique 3 : Amélioration de la gouvernance des MNT et de leurs FR
Action 3.1 : Renforcer la coordination des actions de promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT
Mesure 40 : Créer une structure pour la gestion et la coordination des actions relatives à la promotion des modes de vie sains et la prévention des MNT ;
Mesure 41 : Mettre en place d’un comité national multisectoriel de pilotage pour la coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT et le décliner à l’échelle régionale et provinciale ;
Mesure 42 : Mettre en place un comité technique multisectoriel des actions relatives à la promotion de modes de vie sains et de lutte contre les facteurs de risque des MNT ;
Mesure 43 : Institutionnaliser les comités de coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT ;
Mesure 44 : Redynamiser et institutionnaliser les comités spécifiques des programmes MNT ;
Mesure 45 : Elaborer des plans stratégiques de prévention et de contrôle du cancer, du diabète et de l’HTA pour la période 2020-2029 ;
Mesure 46 : Elaborer des plans stratégiques des nouveaux programmes pour la période 2020-2029 ;
Action 3.2 : Renforcer le financement en matière des MNT
Mesure 48 : Plaidoyer pour le renforcement de la couverture médicale de base ;
Mesure 49 : Rationaliser le budget alloué aux MNT ;
Mesure 50 : Renforcer la mobilisation de fonds additionnels.
Action 3.3 : Développer le partenariat pour les MNT et leur FR
Mesure 51 : Développer le partenariat public-privé dans le domaine de la promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT et de prise en charge des MNT ;
Mesure 52 : Renforcer la collaboration avec la société civile, les sociétés savantes et les organisations nationales et internationales en matière de prévention et de contrôle des MNT ;
Mesure 53 : Améliorer le partenariat avec les autres départements publics en matière de prévention et de contrôle des MNT.
Action 3.4 : Renforcer l’arsenal juridique pour les MNT et leurs FR
Mesure 54 : Renforcer la législation relative à la normalisation des FR des MNT ;
Mesure 57 : Plaidoyer pour l’augmentation des taxes sur les prix du tabac, de l’alcool, des boissons sucrées et sur tous les produits nocifs à la santé ;
Domaine stratégique 4 : Renforcement de la surveillance, du suivi évaluation et développement de la recherche en matière des MNT et leurs FR
Action 4.1: Renforcer le système de surveillance des MNT et leurs FR
Mesure 63 : Actualiser les données épidémiologiques relatives aux MNT et à leurs FR par des enquêtes épidémiologiques régulières (STEPS …) ;
Mesure 64 : Mettre en place des registres pour les MNT (cancers, maladies rares…) ;
Action 4.2 : Mettre en place un mécanisme de suivi-évaluation des MNT et leurs FR
Mesure 67 : Mettre en place un tableau de bord pour les programmes des MNT et leurs FR à tous les niveaux ;
Mesure 68 : Révision des systèmes d’information des MNT ;
Mesure 69 : Informatiser le système d’information des MNT à tous les niveaux de soins.
Action 4.3 : Développer la recherche en matière de MNT
Mesure 70 : Réaliser des études d’impact socio-économique des MNT et leurs FR sur la santé ;
Mesure 71 : Réaliser des études sur les connaissances, attitudes, pratiques des MNT et leurs FR ;
Mesure 72 : Renforcer la recherche en matière des MNT et leurs complications ;
Mesure 73 : Réaliser des études d’évaluation des actions menées pour prévenir et contrôler les MNT ;
","- Manque d’activité physique: Prévalence standardisée selon l’âge des personnes âgées de 18 ans et plus.
- Apport journalier moyen en sel (chlorure de sodium) en grammes dans la population, standardisé selon l’âge chez les personnes âgées de 18 ans et plus
- Prévalence standardisée selon l’âge de l’hypertension artérielle chez les personnes âgées de 18 ans et plus
- Prévalence standardisée selon l’âge, l’hyperglycémie/ du diabète chez les personnes âgées de 18 ans et plus
- Disponibilité des médicaments antihypertenseurs et Antidiabétiques oraux pour couvrir 80% des patients suivis et nécessitant un traitement médicamenteux
","Outcome indicators","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Total fat intake|Sodium/salt intake|Sugar intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Taxation on unhealthy foods|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/MAR_B11_Plan Stratégique MNT fin Multisectoral National Strategy for the Prevention and Control of Non-Communicable Diseases 2019 - 2029.pdf","","WHO 2019 NCD Country Capacity Survey",""
"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:
Strategic objective 1: Sustainably improve the availability, accessibility and utilization of adequate, diversified, safe and nutritious foods for all citizens at all times.
Strategic objective 2: Strengthen and implement an integrated food safety and quality system.
Strategic objective 3: Improve post-harvest management throughout the food value chain.
Strategic objective 4: Improve nutritional status throughout the life cycle through the provision of nutrition-sensitive and nutrition specific interventions.
Strategic objective 5: Improve the nutritional status of people with communicable, noncommunicable and lifestyle-related diseases.
Strategic objective 6: Strengthen the national capacity to manage natural and man-made food and nutrition emergencies with timely and appropriate responses, including emergency management for internally displaced persons and refugees
Strategic objective 7: Improve water, sanitation, and hygiene (WASH) practices of individuals, households and institutions.
Strategic objective 8: Improve the nutrition literacy of individuals, families and communities along the food value chain, to enable them to make informed decisions on the uptake of diversified, safe, adequate and nutritious food.
Strategic objective 9: Create a functional governance body to strengthen coordination and integration between FNP implementing sectors.
Strategic objective 10: Improve sustainable and adequate financing through government budgets, private sector, community and development partner funding, and innovative financing mechanisms to translate policy into action.
Strategic objective 11: Build the institutional capacities of FNP-implementing sectors via investments in human resources, research, and technological development.
Strategic objective 12: Enhance evidence informed decision-making, learning and accountability.
Strategic objective 13: Ensure effective food and nutrition communication.
","Page 66 - Page 175
","Page 66 - Page 175
","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|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|Maternity protection|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy 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|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food safety|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/eth211936.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202021%20National%20Food%20and%20Nutrition%20Strategy.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","3. Rozsah aktivit
...
c) Podniknutí potřebných aktivit
Klíčová priorita 1: Tvorba prostředí s vhodnými potravinami
1. Klíčová priorita: Tvorba prostředí s vhodnými potravinami
1.1. Vytvoření systému společenské odpovědnosti za správnou výživu obyvatelstva.
...
1.2. Reformulace potravin, tj. změna složení potravin ve smyslu snížení soli, cukrů, živočišných tuků a trans mastných kyselin. Podpora vhodných potravin na trhu, aby byly více zastoupené a ekonomicky dostupné.
...
1.3. Podpora nabídky správné výživy ve školách a školských zařízení.
...
1.4. Ochrana dětí před marketingem nevhodných potravin prostřednictvím zákona o regulaci reklamy.
...
Klíčová priorita 2: Podpora získávání a osvojování si správné výživy a zdravého životního stylu v průběhu celého života, zejména u nejvíce zdranitelných skupin obyvatelstva
2. Klíčová priorita: Podpora získávání a osvojování si správné výživy a zdravého životního stylu v průběhu celého života, zejména u nejvíce zranitelných skupin obyvatelstva.
2.1. Zvýšení zdravotní gramotnosti ve správné výživě, diferencované podle věkových skupin v celé populaci.
...
2.2. Individuální poradenství ve výživě zdravotnickými odborníkyve výživě, hrazené z veřejného zdravotního pojištění.
...
2.3. Navýšení nutriční kvality institucionálního stravování (ve školách a školských zařízeních, v závodním stravování, ve vězeňské službě, v nemocnicích a ústavech dlouhodobé a následné péče).
...
2.4. Podpora dostupnosti výživy, získávání a osvojování si správné výživy u nejvíce zranitelných skupin obyvatel v oblasti výživy.
...
Klíčová priorita 3: Posilování zdravotního systému v podpoře správné výživy a zdravého životního stylu
3. Klíčová priorita: Posilování zdravotního systému v podpoře správné výživy a zdravého životního stylu
3.1. Odborné řízení akčního plánu a tvorba systému výživových doporučení, jejich přijetí a garance státem.
...
3.2. Zavedení celoplošného vyhledávání osob v riziku malnutrice v rámci primární i sekundární zdravotnické péče.
...
3.3. Poskytování komplexní diferencované péče nemocným s nadváhou a obezitou.
...
3.4. Vybudování sítě ambulancí nutričních terapeutů (poradenství v primární i sekundární péči ve výživě).
...
3.5. Identifikace a řešení mikronutrientních deficitů v populaci, či ohrožených skupinách (subpopulacích)
3.6. Navýšení dozorové činnosti zaměřené na nutriční složení ve všech typech společného stravování.
3.7. Systémové navyšování či zavádění výuky správné výživy a klinické výživy do studijních pregraduálních plánů lékařských a s výživou spojených nelékařských profesí ve zdravotnictví.
3.8. Vytvoření sítě odborných pracovišť pro vzdělávání, testování nutričního stavu a zdravotně orientované tělesné zdatnosti, preskripci výživy a fyzické aktivity a edukaci široké veřejnosti.
...
Klíčová priorita 4: Podpora dozoru, sledování, hodnocení a výzkumu správné výživy a nutričního stavu obyvatelstsva ČR a jeho podskupin
4. Klíčová priorita: Podpora dozoru, sledování, hodnocení a výzkumu správné výživy a nutričního stavu obyvatelstva ČR a jeho podskupin.
4.1. Monitoring a hodnocení výživy a výživového stavu populace v souvislosti s ukazateli zdraví.
...
4.2. Monitoring vývojových trendů malnutrice a jejích dopadů na zdraví a průběžná a závěrečná evaluace efektivity jednotlivých i celkových výstupů akčního plánu.
4.3. Výzkum v oblasti výživy a zdraví.
...
Klíčová priorita 5: Posílení role veřejné správy v oblasti správné výživy a přizvání k řízení a rozhodování všech složek společnosti a sociálních skupin ČR, tvorba komunit a aliancí
5. Klíčová priorita: Posílení role veřejné správy v oblasti správné výživy a přizvání k řízení a rozhodování všech složek společnosti a sociálních skupin ČR, tvorba komunit a aliancí
5.1. Kraje více aktivní v řízení správné výživy svých obyvatel.
...
5.2. Podpora a rozvíjení komunitních programů, které řeší správnou výživu jako jednu z prioritních oblastí.
...
5.3. Podpora vytváření aliancí, platforem, sítí zájmových skupin společnosti s cílem aktivizace, podpory a rozvoji společnosti v oblasti správné výživy a prevence obezity a podvýživy
5.4. Vytvoření Platformy výživy fyzické aktivity a zdraví, podporované státem, kde se aktivní složky společnosti dobrovolně zavazují k aktivitám, které budují antiobezigenní prostředí.
5.5. Podpora již existujících sítí.
5.6. Podpora vytváření nových sítí.
...
4. Předpokládané benefity APSV a jejich indikátory
...
Benefit splnění klíčové priority 1
Zlepšení dostupnosti vhodných potravin - pokles průměrné spotřeby soli na dospělého obyvatele ČR (věkově standardizováno) o 20 %; cukrů o 10 %, transmastných kyselin pod 1 % celkové přijímané energie. Posílení domácí produkce potravin.
...
Benefit splnění klíčové priority 2
Snížení prevalence osob, které jedí méně než 5 porcí ovoce a zeleniny (400 g) denně (věkově standardizováno) o 20 %. Pokles průměrného příjmu nasycených tuků o 5 % u dospělých (věkově standardizováno). Snížení počtu osob s podvýživou způsobenou chudobou o 5 %. Zlepšení dostupnosti věrohodných informací.
...
Benefit splnění klíčové priority 3
Zlepšení zdravotní situace skrze zlepšení výživy a nutričního stavu obyvatelstva (zlepšení zdravotního stavu obyvatelstva. Ušetření nákladů včasným záchytem a adekvátní léčbou malnutrice (obezity i podvýživy), a tak zabránění rozvinutí:
a) komorbidit obezity ve formě chronických neinfekčních onemocnění a nádorových onemocnění.
b) rozvinuté podvýživy a zvýšeným nákladům na léčbu doprovodných onemocnění.
...
Benefit splnění klíčové priority 4
Vytvoření báze znalostí pro efektivní řízení a zvládání dvojité malnutrice (epidemie obezity a podvýživu) a jejích zdravotních a ekonomických dopadů v ČR.
...
Benefit splnění klíčové priority 5
Prodloužení délky života bez nemoci v jednotlivých krajích o 1 rok. Snížení rychlosti nárůstu prevalence obezity, diabetu mellitu, hypertenze o 10 % u dětí i dospělých. Posílení zdravotních aktivit obyvatelstva.
...
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 %
Ad 2.1. Zvýšení zdravotní gramotnosti o výživě o 20 %. Zlepšení dostupnosti věrohodných informací.
Ad 2.2. Počet výkonů edukace ve výživě za kalendářní rok.
Ad 2.3. Minimálně 80 % vydávané stravy odpovídá nutričním doporučením.
Ad 2.4. Snížení počtu osob s podvýživou způsobenou chudobou o 5 %.
Ad 3.1. Řízení AP a vznik sady výživových doporučení.
Ad 3.2. Vybudování systému celonárodního screeningu malnutrice – počty zachycených.
Ad 3.3. Komplexní diferencovaná léčba obezity – počty léčených.
Ad 3.4. Včasná léčba malnutrice – počty léčených.
Ad 3.5. Intervenční programy mikronutrientních deficitů v populaci.
Ad 3.6. Počet provedených šetření.
Ad 3.7. Počet studentohodin.
Ad 3.8. Síť odborných vzdělávacích pracovišť v životním stylu a jejich výkon.
Ad 4.1. Monitoring a hodnocení výživy a výživového stavu populace v souvislosti s ukazateli zdraví.
Ad 4.2. Evaluace AP správné výživy - závěrečná zpráva.
Ad 4.3. Základní a aplikovaný výzkum v oblasti výživy a prevence nemocí - nástroje jeho hodnocení.
Ad 5.1. Počet krajských opatření podporujících správnou výživu. funkční systém odpovědnosti za správnou výživu na úrovni krajů; sběr dat ohledně výživy a zdraví z jednotlivých krajů. Pokles obsahu soli v komoditách regionální produkce (chléb a pečivo, masné výrobky a další komodity, které spotřebou a obsahem soli zatěžují nejvíce) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let.
Ad 5.2. Počet funkčních komunitních programů podporujících správnou výživu, do kterých je kraj zapojen. Zvýšení nabídky zeleniny a ovoce ve školách a školských zařízeních o 30 %.
Ad 5.3. Snížení rychlosti nárůstu prevalence obezity, diabetu mellitu, hypertenze o 10 % u dětí i dospělých.
Obesity Action Indicators
Ad 1.1 Monitoring prevalence nadváhy a obezity a jejich determinant
Ad 1.2. Evaluace AP proti obeziě - závěrečná zpráva
Ad.1.3. Základní a aplikovaný výzkum v oblasti obezity a prevence neinfekčních nemocí -instrumenty jeho hodnocení
Ad 2.1: Navýšení procenta plně kojených dětí do 6 měsíců věku u 5 % (o ¼). Navýšení relativního zastoupení dětí, které mají denně pohybovou aktivitu minimálně ve střední intenzitě zátěže o 10 %. 10% snížení zastoupení dětí a mládeže mladší 18 let, které denně konzumují slazené nápoje. Navýšení zastoupení škol s programem Ovoce a zelenina o 10 %.
Ad 2.2: Dle indikátorů WHO Akčního plánu prevence NCD (i NCD) č. 15: Snížení zastoupení saturovaných mastných kyselin v celkovém energetickém příjmu dospělých pod 10 % (věkově standardizováno). Snížení počtu dospělých osob, které denně konzumují méně než 400 g zeleniny a ovoce o 30 % (i NCD) č. 16.
Ad 2.3: Zastavení nárůstu prevalence nadváhy a obezity u dospělé populace
Ad 3.1. Zvýšení zdravotní gramotnosti v aktivním životním stylu a prevenci nadváhy a obezity o 30 %.
Ad 3.2. Navýšení individuálního poradenství v aktivním přístupu k prevenci a léčbě obezity o 50 % zajišťovaném zdravotnickými odborníky, ve výživě, fyzioterapii, psychoterapii, hrazené z veřejného zdravotního pojištění.
Ad 4.1. Vybudovaná sít obezitologických pracovišť 1. a 2. typu, která odpovídá požadavkům počtu obézních v ČR.
Ad 4.2. Standardizace léčebných postupů při léčbě nadváhy, obezity a jejích komplikací a počet výkonů poskytované léčebně-preventivní péče obézním – navýšení na dvojnásobek současného stavu.
Ad 4.3. Zavedení specializačního vzdělávání v obezitologii - počet lékařů se získáním specializace.
Ad 5.1.: Regionální aktivity cílené na prevenci obezity.
Ad 5.2. Vytvořené aliance a platformy.
Ad 5.3. Zastavení nárůstu prevalence nadváhy a obezity obezity u dospělých.
","","","Outcome indicators|Process indicators","","Breastfeeding|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|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|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|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School fruit and vegetable scheme|School milk scheme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|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|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron|Vitamin D|Micronutrient supplementation|Nutrition education|Food safety|Vulnerable groups","","http://www.mzcr.cz/verejne/dokumenty/akcni-plany-pro-implementaci-narodni-strategie-zdravi-2020_10814_3016_5.html","https://www.mzcr.cz/Verejne/dokumenty/zdravi-2020-narodni-strategie-ochrany-a-podpory-zdravi-a-prevence-nemoci_8690_3016_5.html","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CZE%202015%20Health%202020%20Action%20Plan%20Obesity.pdf"
"23757","JAM","Jamaica","","National Infant and Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","","Government of Jamaica","","2014","Adopted","","2013","Cabinet Office","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Labour|Other","Government of Jamaica Ministries of Health; Education; Commerce; Agriculture; Foreign Affairs; Labour and Social Security; Finance; Planning Institute of Jamaica; Early Childhood Commission","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO; UNICEF; FAO","","","","","","","","","","","","","","","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
- General
- Health care workers
- Early childhood education
- Counselling of Parents/Guardians of Young Children
3.4.3 Health Care Delivery
- General
- Antenatal care services
- Intra-partum
- Immediate post-partum and early neonatal
- Post-partum and neonatal
- Neonatal and Infancy
- Special circumstances
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"
"130362","LBY","Libya","","Strategy to combat noncommunicable diseases","NCD policy, strategy or plan with healthy diet components","","English","12","2016","","2021","Ministry of Health Republic of Liberia","","2017","Adopted","","2017","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","4.0 Non-Communicable Diseases Strategic Plan
3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
...
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
","","","","International Code of Marketing of Breast-milk Substitutes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)","","https://extranet.who.int/ncdccs/Data/LBR_B3_S23_LBR%202017%20NCD%20Policy.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR_2017%20NCD%20Policy.pdf"
"130363","LBR","Liberia","","National Non-Communicable Diseases Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health Republic of Liberia","12","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
...
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
..
Annex 1 NCD Results Framework
...
Indicator
Target (% change vs Baseline)
...
9 Age-standardized prevalence of raised blood pressure among persons aged 18+ years
10% reduction
...
10 Prevalence of overweight and obesity in adolescents
10% reduction
","","","","Overweight in adolescents|Raised blood pressure|International Code of Marketing of Breast-milk Substitutes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/LBR_B3_S23_LBR%202017%20NCD%20Policy.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR_2017%20NCD%20Policy_0.pdf"
"130355","BWA","Botswana","","Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2018-2023","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2023","Republic of Botswana Ministry Of Health & Wellness","","2018","Not adopted","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Ministry of Land Management","","","","","","","","","National NGOs","","","","","","","","3.4.1 Priority Area 1: Primordial Prevention and Health Promotion
Goal 1. Reduce risk factors through awareness, promotion of healthy lifestyles and creation of enabling environments
...
• Objective 1.2. To create a legislative and policy environment conducive to healthy living
...
o Unhealthy diet and physical inactivity
Provide access to healthy food as part of school health programs
...
Manage food taxes and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
...
Promote breastfeeding
...
Table 6: Botswana Multi-sectoral National Strategic Plan implementation framework
Priority area 1: primordial prevention and health promotion
...
2. To create a legislative and policy environment conducive to healthy living
...
Develop and implement national regulations to promote healthy diet, limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, reduce the impact on children of marketing of foods and non-alcoholic beverages high in saturated fats, trans-fatty acids, free sugars, or salt
...
Promote access to healthy food, including at schools (taxation on imports of unhealthy foods, regulations on food provided at schools or packed from home in both private and public schools)
...
Institute fiscal incentives and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
...
Priority area 2: primary prevention, early detection, quality treatment, care and support
Implement screening for overweight and unhealthy living (diet, exercise, smoking, alcohol) at primary care level
Conduct screening for overweight, tobacco, alcohol at schools
Conduct screening for overweight, tobacco, alcohol in the workplace
Conduct screening for obesity, tobacco, alcohol in communities (e.g. churches, places of trade)
...
WHO framework element (where relevant)
Indicator name
Baseline (year)
FY 2023 Target
..
Obesity
Age-standardised prevalence of obesity and overweight among adults aged 18+ years
30.5% (2014)
0% increase
…
Unhealthy diet
Age-standardised prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day
94.8% (2014)
30% relative reduction
…
Diabetes
Age-standardised prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).
4.5% (2014)
0% increase
…
Hypertension
Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.
29.3% (2014)
25% relative reduction
…
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Monitoring of children’s growth in school|Reformulation of foods and beverages|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","https://extranet.who.int/ncdccs/Data/BWA_B3_S23_Botswana%20NCD%20Strategy%20Final.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202018_Botswana%20NCD%20Strategy%20Final.pdf"