"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" "25330","ISL","Iceland","","Nr. 79/2010 - Reglugerð um hámarksmagn transfitursýra í matvælum","Legislation relevant to nutrition","","Icelandic","8","2011","","","","12","2010","Adopted","","","Atvinnuvega- og nýsköpunarráðuneytið","Labour","Atvinnuvega- og nýsköpunarráðuneytið","","","","","","","","","","","","","","","","","","","","","
Samkvæmt reglugerðinni er óheimilt að markaðssetja matvæli sem innihalda meira en 2 grömm af transfitusýrum í hverjum 100 grömmum af heildarfitumagni.
Reglur þessar gilda um fitu og önnur matvæli sem innihalda fitu, hvort sem er innihaldsefni eða afleiðingar framleiðsluferlis. Reglugerðin gildir ekki um transfitusýrur sem eru í dýrafitu frá náttúrunnar hendi.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Limit on 2 g / 100 g fat in all foods","","https://www.reglugerd.is/reglugerdir/allar/nr/1045-2010","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISL%202010%20Trans%20fat%20ban.pdf" "43614","FRA","France","","Arrêté du 30 septembre 2011 relatif à la qualité nutritionnelle des repas servis dans le cadre de la restauration scolaire","Legislation relevant to nutrition","","French","9","2012","","","de l'agriculture, de l'alimentation, de la pêche, de la ruralité et de l'aménagement du territoire","10","2011","Adopted","9","2011","Journal officiel électronique authentifié n° 0229 du 02/10/2011","Food and agriculture|Health|Education and research|Women, children, families|Finance, budget and planning|Consumer affairs|Trade|Industry|Justice|Labour|Other","","","","","","","","","","","","","","","","","","","","","","Article 1
Les déjeuners et dîners servis dans le cadre de la restauration scolaire comprennent nécessairement un plat principal, une garniture, un produit laitier et, au choix, une entrée et/ou un dessert.
La variété des repas est appréciée sur la base de la fréquence de présentation des plats servis au cours de 20 repas successifs selon les règles fixées à l'annexe I du présent arrêté.
La taille des portions servies doit être adaptée au type de plat et à chaque classe d'âge. Les gestionnaires des restaurants scolaires doivent exiger de leurs fournisseurs que les produits alimentaires qu'ils livrent soient conformes aux valeurs précisées à l'annexe II du présent arrêté.
Article 2
L'eau est à disposition sans restriction.
Le sel et les sauces (mayonnaise, vinaigrette, ketchup) ne sont pas en libre accès et sont servis en fonction des plats.
Le pain doit être disponible en libre accès.
Article 3
Les dispositions du présent arrêté entrent en vigueur à compter du 1er septembre 2012 pour les services de restauration scolaire servant moins de 80 couverts par jour en moyenne sur l'année.
Article 4
Le présent arrêté sera publié au Journal officiel de la République française.
…
A N N E X E I
FRÉQUENCES DE PRÉSENTATION DES PLATS
Au sens de la présente annexe, on entend par :
― produits gras : produits à teneur en matières grasses supérieure à 15 % ;
― produits sucrés : produits contenant plus de 20 g de sucres simples totaux par portion ;
― plat protidique : plat principal à base de viandes, poissons, œufs, abats ou fromages.
Les fréquences figurant ci-dessous sont définies sur la base de 20 repas successifs.
Pour garantir les apports en fibres et en vitamines, il convient de servir :
― au moins 10 repas avec, en entrée ou accompagnement du plat, des crudités de légumes ou des fruits frais ;
― au moins 8 repas avec en dessert des fruits crus ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes cuits, autres que les légumes secs ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes secs, féculents ou céréales.
Pour garantir les apports en calcium, il convient de servir :
― au moins 8 repas avec, en entrée ou en produit laitier, des fromages contenant au moins 150 mg de calcium par portion ;
― au moins 4 repas avec, en entrée ou en produit laitier, des fromages dont la teneur en calcium est comprise entre 100 mg et 150 mg par portion ;
― au moins 6 repas avec des produits laitiers ou des desserts lactés contenant plus de 100 mg de calcium et moins de 5 g de matières grasses par portion.
Pour garantir les apports en fer et en oligoéléments, il convient de servir :
― au moins 4 repas avec, en plat protidique, des viandes non hachées de bœuf, veau, agneau ou des abats de boucherie ;
― au moins 4 repas avec, en plat protidique, du poisson ou une préparation d'au moins 70 % de poisson et contenant au moins deux fois plus de protéines que de matières grasses ;
― moins de 4 repas avec, en plat protidique, une préparation à base de viande, de poisson ou d'œuf contenant moins de 70 % de ces produits.
Pour limiter les apports en matières grasses, il convient de ne pas servir :
― plus de 4 entrées constituées de produits gras ;
plus de 3 desserts constitués de produits gras ;
― plus de 4 plats protidiques ou garnitures constitués de produits gras à frire ou préfrits ;
― plus de 2 plats protidiques qui contiendraient autant ou plus de matières grasses que de protéines.
Pour limiter les apports en sucres simples, il convient de ne pas servir :
― plus de 4 desserts constitués de produits sucrés et contenant moins de 15 % de matières grasses.
","Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|Fibre|Sugar intake|Free sugars|Fruit and vegetable intake|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|School milk scheme|Mandatory standards|School breakfasts or snacks|School lunches|Schools (standards)|Food-based criteria (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Salt shakers should not be available|Nutrient-based criteria (standards)|Total fat (standards)|Micronutrients (standards)|Total sugars (standards)|Portion size (standards)","","https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000024614763","","","" "24688","DZA","Algeria","","Décret exécutif n° 13-378 du 5 Moharram 1435correspondant au 9 novembre 2013 fixant lesconditions et les modalités relatives à l'informationdu consommateur","Legislation relevant to nutrition","","French","11","2013","","","Prime ministry","11","2013","","","","","Nutrition council|Health|Food and agriculture|Consumer affairs|Trade|Industry|Other","ministere des affaires religieuses","","","","","","","","","National NGOs","","","","","","","","","","","","Section 2
Mentions obligatoires d’étiquetage
Art. 12. . Les informations sur les denrées alimentaires, prévues à l’article 9 ci-dessus, comportent sous réserve des exceptions énumérées dans le présent chapitre, les mentions obligatoires d’étiquetage suivantes :
…
2) la liste des ingrédients ;
…
12) l’étiquetage nutritionnel ;
…
Art. 14. . L’étiquetage nutritionnel doit fournir les informations relatives à la teneur en éléments nutritifs des denrées alimentaires. Les modalités applicables en matière d’étiquetage nutritionnel des denrées alimentaires, sont fixées par arrêté conjoint des ministres chargés de la protection du consommateur et de la répression des fraudes, de la santé, de l’agriculture et de l’industrie.
…
Section 10
Allégations
Art. 36. . Aucun aliment ne doit être décrit ou présenté de façon fausse, trompeuse, mensongère ou susceptible de créer une impression erronée au sujet de sa nature de manière à induire le consommateur en erreur. Les allégations employées dans l’étiquetage et la présentation des denrées alimentaires mises à la consommation ne doivent pas :
. être inexactes, ambiguës ou trompeuses ;
. susciter des doutes quant à la sécurité et/ou l’adéquation nutritionnelle d’autres denrées alimentaires ;
. encourager ou tolérer la consommation excessive d’une denrée alimentaire ;
. laisser entendre qu’une alimentation équilibrée et variée ne peut fournir tous les éléments nutritifs en quantité suffisante ;
. être non justifiées ;
. mentionner des modifications des fonctions corporelles qui soient susceptibles d’inspirer des craintes au consommateur sous la forme soit de textes, soit d’images, soit d’éléments graphiques ou de représentations symboliques ;
. faire référence à des propriétés préventives ou curatives à l’égard des maladies humaines, sauf les eaux minérales naturelles et les denrées alimentaires destinées à une alimentation particulière.
…
ANNEXE I
LE GROUPE D.INGREDIENTS POUVANT ETRE DESIGNES PAR LE NOM DE LA CATEGORIE AU LIEU DU NOM SPECIFIQUE
A l’exception des ingrédients énumérés à l’annexe II du présent décret, les ingrédients appartenant à l’une des catégories de denrées alimentaires énumérées ci-dessous et qui entrent dans la composition d’une denrée alimentaire peuvent être désignés par le seul nom de cette catégorie au lieu du nom spécifique.
DESIGNATION DU NOM DE CATEGORIE
Huiles raffinées autres que l’huile d’olive
DEFINITION DE CATEGORIE DE DENREE ALIMENTAIRE
« huile », complétée :
- soit par le qualificatif, selon le cas, « végétale » ou « animale »
-soit par l’indication de l’origine spécifique végétale ou animale.
Le qualificatif « totalement hydrogénée » ou « partiellement hydrogénée » doit accompagner la mention d’une huile hydrogénée.
DESIGNATION DU NOM DE CATEGORIE
Matières grasses raffinées
DEFINITION DE CATEGORIE DE DENREE ALIMENTAIRE
« Graisse » ou « matière grasse », complétée :
- soit par le qualificatif, selon le cas, « végétale » ou « animale »,
- soit par l’indication de l’origine spécifique végétale ou animale.
Le qualificatif « totalement hydrogénée » ou « partiellement hydrogénée » doit accompagner la mention d’une graisse hydrogénée.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Sanctions exist","","https://www.joradp.dz/FTP/JO-FRANCAIS/2013/F2013058.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA%20Etiquetage%202013.pdf" "36129","ISL","Iceland","","Reglugerð um notkun Skráargatsins við markaðssetningu matvæla [Regulation on the use of the Keyhole in the marketing of food]","Legislation relevant to nutrition","","Icelandic","","2015","","","Atvinnuvega- og nýsköpunarráðuneytinu","4","2015","Adopted","4","2015","Sjávarútvegs- og landbúnaðarráðherra","Health|Food and agriculture|Industry|Labour","","","","","","","","","","","","","","","","","","","","","","ORDON:
1. Se modifică și se completează Recomandările pentru un regim alimentar sănătos şi activitate fizică adecvată în instituţiile de învățământ din Republica Moldova după cum urmează:
…
c) compartimentul C) „Produsele alimentare interzise pentru alimentaţia copiilor” se completează cu următoarele:
„Produse alimentare cu conţinut de zaharuri de 15 g şi mai mult la 100g produs (conuri de zahăr, rulouri din fructe, brânzică glazurată în ciocolată, caramel din porumb, alte produse similare), cu excepția magiunului.
Produse alimente cu conţinut de grăsimi de 20g şi mai mult la 100g produs (hamburgheri, gogoşi, sandwich, pizza, produse prăjite în friteuză, inclusiv pateuri, cartofi prăjiţi în ulei, alte alimente preparate prin prăjire, maioneză, brânză topită, brânzeturi tartinabile cu conţinut de grăsime peste 20% şi alte produse similare), cu excepția untului fără grăsimi vegetale.
Produse alimentare cu conţinut de sare de 1,5g şi mai mult la 100g produs (biscuiţi săraţi, covrigei săraţi, sticksuri sărate, snacksuri, alune sărate, seminţe sărate, brânzeturi sărate, alte produse similare).
Produse alimentare cu valoarea energetică de 300 kcal pe unitate de vânzare.
Produse alimentare cu adaos de aditivi alimentari (băuturi nealcoolice cu adaos de aditivi alimentari, băuturi pentru sportivi, produse de preparare rapidă, gume de mestecat)”.
","Overweight and obesity in school age children and adolescents|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Voluntary standards|Any foods and beverages offered in school|Schools (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in added sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Energy and sport drinks (standards)|Sweetened or flavored milk drinks (standards)|Fats (standards)|Energy (standards)|Free sugars (standards)|Sodium (standards)|Total sugars (standards)","","https://www.legis.md/cautare/getResults?doc_id=111307&lang=ro","https://www.legis.md/cautare/getResults?doc_id=94869&lang=ro# ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202018%20ORDIN%20Nr.%20622%20din%2021-05-2018.pdf" "43601","RUS","Russian Federation","","Цветовая индикация на маркировке пищевой продукции в целях информирования потребителей [Color indications on food labels for consumer information]","Government guidance","","Russian","","2018","","","Rospotrebnadzor","","2018","","10","2020","","Health|Consumer affairs","The Federal Service for Supervision of Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor); Ministry of Health","","","","","","","","","","","","","","","","","","","","","I. Общие положения и область применения
...
2. В настоящих методических рекомендациях представлены
цированные подходы по цветовой индикации на маркировке пищевой продукции промышленного производства в зависимости от содержания в ней добавленного сахара, соли, насыщенных жирных кислот и трансизомеров жирных кислот с учетом анализа среднесуточного потребления пищевой продукции в Российской Федерации и усредненных значений вышеуказанных критически значимых пищевых веществ.
Данная цветовая индикация не относится к показателям, отражающим наличие опасности потребляемой пищевой продукции, является добровольной и предназначена для обеспечения возможности предоставления потребителю более детальной и наглядной информации о содержании в ней отдельных веществ в целях осуществления им осознанного и правильного выбора пищевой продукции в пользу здорового питания.
...
IV. Принципы цветовой индикации
...
4.4. При разработке цветовых схем маркировки пищевой продукции, ранжирующих ее в соответствии с пищевой ценностью критически значимых пищевых веществ, необходимо использовать приведенные в таблице 3 дифференцированные критерии, полученные путем анализа среднесуточного потребления пищевой продукции в Российской Федерации и усредненных значений критически значимых пищевых веществ (приведены в таблицах 1, 2 и приложении 1 к настоящим методическим рекомендациям).
Таблица 3
Дифференцированные критерии отнесения пищевой продукции промышленного производства к продуктам с избыточным содержанием поваренной соли, добавленного сахара, жиров с насыщенными жирными кислотами и трансизомерами жирных кислот
...
4.5. Маркировку красным цветом («высокое содержание») рекомендуется наносить на упаковку пищевой продукции промышленного производства, в которой величины содержания поваренной соли, добавленного сахара, жиров с насыщенными жирными кислотами и трансизомерами жирных кислот имеют значения, представленные в столбце 2 таблицы 4 настоящих методических рекомендаций.
При содержании указанных веществ, соответствующем значениям в столбце 4 таблицы 4, рекомендуется наносить маркировку зеленым цветом («низкое содержание»). В качестве критерия отнесения к низким величинам критически значимых пищевых веществ использованы данные, приведенные в техническом регламенте Таможенного союза «Пищевая продукция в части ее маркировки» (ТР ТС 022/2011).
Маркировку желтым цветом («среднее содержание») используют, соответственно, в диапазоне между максимальным значением (верхняя граница) при «низком содержании» (зеленый цвет), указанном в столбце 4 таблицы 4, и минимальным значением (нижняя граница) при «Высоком содержании» (красный цвет), указанном в столбце 2 таблицы 4.
Таблица 4
Рекомендуемая цветовая индикация на маркировке в зависимости от величины содержания поваренной соли, сахара, жиров в пищевой продукции промышленного производства
...
V. Рекомендации по способу нанесения цветовой индикации на маркировку
5.1. Сведения об уровнях содержания поваренной соли, сахара, жиров с насыщенными жирными кислотами и трансизомерами жирных кислот в пищевой продукции промышленного производства, представляются на маркировке в виде графического изображения (например, в виде вертикальных полос или иное) красного, желтого и зеленого цветов, в зависимости от содержания этих компонентов в соответствии со значениями, приведенными в пункте 4.5 и таблице 4 настоящих методических рекомендаций. На данное графическое изображение также наносится среднее содержание этих веществ в пищевой продукции
","Saturated fat intake|Trans fat intake|Sodium/salt intake|Added sugars|Front of pack labelling|Front-of-pack labelling|Voluntary (FOP)|Added sugars (FOP)|Saturated fatty acids (FOP)|Sodium-salt (FOP)|Trans fatty acids (FOP)|Multiple traffic light system|Nutrient specific","","https://www.rospotrebnadzor.ru/upload/iblock/f17/mr-2.3.0122_18-svetofornaya-markirovka.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202018%20%D0%A6%D0%B2%D0%B5%D1%82%D0%BE%D0%B2%D0%B0%D1%8F%20%D0%B8%D0%BD%D0%B4%D0%B8%D0%BA%D0%B0%D1%86%D0%B8%D1%8F%20%D0%BD%D0%B0%20%D0%BC%D0%B0%D1%80%D0%BA%D0%B8%D1%80%D0%BE%D0%B2%D0%BA%D0%B5%20%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B9%20%D0%BF%D1%80%D0%BE%D0%B4%D1%83%D0%BA%D1%86%D0%B8%D0%B8%20%D0%B2%20%D1%86%D0%B5%D0%BB%D1%8F%D1%85%20%D0%B8%D0%BD%D1%84%D0%BE%D1%80%D0%BC%D0%B8%D1%80%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F%20%D0%BF%D0%BE%D1%82%D1%80%D0%B5%D0%B1%D0%B8%D1%82%D0%B5%D0%BB%D0%B5%D0%B9.pdf" "43877","AUT","Austria","","Lebensmittelbuch: B 11 Suppenartikel und verwandte Erzeugnisse [Food book: B 11 Soups and related products]","Government guidance","","German","","2019","","","Lebensmittelbuch","","2019","","","","","Health|Social welfare|Consumer affairs|Labour","Bundesministerium für Arbeit, Soziales, Gesundheit und Konsumentenschutz","","","","","","","","","","","","","","","","","","","","","9 Grenzwerte*
...
Produkte: Kochsalz
Fleischsuppen: max. 12,5 g/l
Rindfleischsuppen: max. 12,5 g/l
Geflügelsuppen: max. 12,5 g/l
Andere Suppen: max. 12,5 g/l
Rahmsuppen: max. 12,5 g/l
Vegane Suppen: max. 12,5 g/l
Bratensäfte und -soßen: -
Rahmsoßen: -
Suppen- oder Speisewürze: max. 50 % i.d.TM
","Sodium/salt intake|Salt/sodium|Mandatory reformulation|Measures to limit sodium content|Ready-made and convenience foods and composite dishes (Reformulation sodium)|Sauces, dips and dressings (Reformulation sodium)","","https://www.lebensmittelbuch.at/lebensmittelbuch/b-11-suppenartikel-und-verwandte-erzeugnisse.html","","","" "36135","URY","Uruguay","","Decreto Nº 272/018 relativo al etiquetado de alimentos","Legislation relevant to nutrition","","Spanish","2","2020","","","Ministerio de Salud Pública","8","2018","Adopted","8","2018","Poder Ejecutivo","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Transport|Environment|Industry|Labour","","","","","","","","","","National NGOs","","","","","","","","","","","","Artículo 2
Arrêtons:
Art. 1er.
Le logo «Nutri-Score» est utilisé conformément aux modalités fixées dans son règlement d’usage et plus précisément dans le cahier des charges figurant en annexe du présent règlement.
Art. 2.
Lorsque les exploitants du secteur alimentaire s’engagent à utiliser le logo «Nutri-Score» pour une ou plusieurs de leurs marques propres, cet engagement doit porter sur l’ensemble des denrées alimentaires qu’ils mettent sur le marché luxembourgeois sous les marques concernées.
Art. 3.
Notre ministre ayant la Protection des consommateurs dans ses attributions est chargé de l’exécution du présent règlement qui sera publié au Journal officiel du Grand-Duché de Luxembourg.
…
Annexe I:
I. REGLEMENT D’USAGE DU LOGO «NUTRI-SCORE »
…
Article 3. IDENTIFICATION DU LOGO
Le Logo «Nutri-Score» a été conçu par Santé publique France en respectant les prérogatives posées par l’article 35 du Règlement européen.
Il constitue une forme complémentaire à la Déclaration nutritionnelle obligatoire et vise à aider le consommateur à prendre en compte la qualité nutritionnelle des produits qu’il achète grâce au classement de l’aliment dans l’échelle nutritionnelle à 5 niveaux, calculé conformément aux dispositions du Cahier des charges, annexé au présent Règlement d’usage.
Il est constitué par 5 Logos Classants et 1 Logo Neutre.
Tout usage du Logo vaut acceptation formelle des dispositions du Règlement d’usage.
Seul un Exploitant peut apposer le Logo conformément aux modalités d’utilisation définies ci-après.
","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Front of pack labelling|Front-of-pack labelling|Voluntary (FOP)|Energy value (FOP)|Saturated fatty acids (FOP)|Sodium-salt (FOP)|Total sugars (FOP)|Summary indicator","","https://legilux.public.lu/eli/etat/leg/rgd/2021/05/07/a396/jo","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LUX%202021%20R%C3%A8glement%20relatif%20%C3%A0%20l%E2%80%99utilisation%20du%20logo%20Nutri-Score.pdf" "73545","UKR","Ukraine","","ПРАВИЛА додавання вітамінів, мінеральних речовин та деяких інших речовин до харчових продуктів [Rules for adding vitamins, minerals and some other substances to food products]","Legislation relevant to nutrition","","Ukrainian","9","2023","","","Ministry of Health, Ukraine","9","2020","Adopted","7","2020","Approved Order of the Ministry of Health of Ukraine No. 1613 on July 16, 2020","Cabinet/Presidency|Health|Food and agriculture|Consumer affairs|Trade","","","","","","","","","","","","","","","","","","","","","","reduction of 1990 under five mortality rates by 1/3 within a decade
virtually eliminate iodine deficiency disorders within a decade
virtually eliminate vitamin A deficiency and its consequences (eg blindness) within a decade
fortify all appropriate food vehicles with vitamin A and iodine
eliminate severe PEM and reduce the percentage of under-five children who are underweight to less than 10% by the year 2006 or within a decade
eliminate all micronutrient deficiencies by the year 2006
reduce iron deficiency anaemia by 1/3 of the 1996 levels, especially among women of child bearing age by the year 2006
fortify all appropriate food vehicles with iron
reduce diet related NCD to levels of no public health significance
empowerment of all women to breastfeed their children exclusively for 4-6 months and continue breastfeeding, with complementary food, well into the second year (at least for 18 months)
increase access to facilities for sanitary means of excreta disposal form 41 % to 70% of rural household within a decade
increase access to safe water supply form 68% to 95% of rural households within a decade
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Underweight in children 0-5 years|Complementary feeding|Diet-related NCDs|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Food fortification|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Improved hygiene / handwashing|Water and sanitation","","","","WHO Global Database on National Nutrition Policies and Programmes","" "7919","AUT","Austria","","Austrian strategy for sustainable development","Multisectoral development plan with nutrition components","","","","2002","","","Federal Government of Austria","","2002","Adopted","","2002","Ministry of Agriculture and Environment","Food and agriculture|Social welfare|Consumer affairs|Environment|Sub-national","Federal Government of Austria Consumer affairs, Social welfare, Sub-national: Länder, Ministry of environment and agriculture, Bundesministerium für soziale Sicherheit und Generationen, Gemeinden","","","","","","","","","National NGOs","National NGOs: Interessensvertretungen, Sozialpartner","","","","","","","","Anhang (p. 12)D
ies unterstreicht die Notwendigkeit der Entwicklung einer adäquaten Lebensmittel- und Ernährungspolitik über den bestehenden Standard hinaus, sowohl zum Schutz und zur Förderung der menschlichen Gesundheit als auch zur Reduktion der durch ernährungsabhängige Krankheiten entstehenden Kosten. Lebensmittelsicherheit, Ernährungsverhalten und Sicherstellung eines nachhaltigen Nahrungsmittelangebotes sind die zentralen Anliegen dieser Politik. Ein wesentlicher Schritt in diese Richtung ist die Gründung der Agentur für Gesundheit und Ernährungssicherheit.
Goal:
To ensure the survival, healthy development, and protection of the child from birth up to 5 years and the healthy status of mothers.
Objectives:
Strategies:
2. 0 GOALS OF THE NATIONAL FOOD AND NUTRITION POLICY AND PLAN OF ACTION
2.1 Goals of the Policy
2.1.1 Overall Goal
The overall goal of Nigeria's Food and Nutrition Policy is to improve the nutritional status of all Nigerians, with particular emphasis on the most vulnerable groups, i.e., children, women, and the elderly.
2.1.2 Specific Goals
The Food and Nutrition Policy aims to promote the following specific goals:
(i) Establishing of a viable system for guiding and coordinating food and nutrition activities undertaken In the various sectors and at various levels of the society, from the community to the national level;
(ii) Incorporating of food and nutrition considerations into development plans and allocation of adequate resources towards solving the problems pertaining to food and nutrition at all levels;
(iii) Promoting habits and activities that will reduce the level of malnutrition and improve the nutritional status of the population;
(iv) Identifying of sectoral roles and assignment of responsibilities for the alleviation of malnutrition;
(v) Ensuring that nutrition is recognised and used as an important indicator to monitor and evaluate development policies and programmes; and
(vi) Promoting good, indigenous food cultures and dietary habits among Nigerian people for healthy living and development.
2.1.3 Specific Objectives
To achieve the overall goal of improving nutritional status of vulnerable groups, a number of specific objectives have been formulated, as follows:
1 To improve food security at the household and aggregate levels to guarantee that
families have access to safe food that is adequate (both in quantity and quality) to meet the nutritional requirements for a healthy and active life;
2. To enhance care-giving capacity within households with respect to child feeding and child care practices, as well as addressing the care and well-being of mothers;
3. To improve the provision of human services, such as health care, environmental sanitation, education, and community development;
4. To improve the capacity within the country to address food and nutrition problems; and
5. To raise understanding of the problems of malnutrition in Nigeria at all levels of society, especially with respect to its causes and possible solutions.
2.2 Goals of the NPAN
The goals of the National Plan of Action on Food and Nutrition in Nigeria is to initiate new programme focus, integrate and coordinate effectively all food and nutrition programmes of all sectors. Furthermore, it is to advance vigorously a national nutrition agenda that will recognise and respond effectively to regional, zonal, and specific needs in accordance with the National Policy on Food and Nutrition in Nigeria. A detailed individual workplan of each project is expected to be developed based on more detailed time frame and budget.
In this context the following goals will be pursued in the overall national programme:
1. Improve the economic situation of Nigeria, with particular emphasis on protecting the welfare of the most vulnerable groups in society; and
2. Increase investment in the social sector, thereby raising the status of women in our society by increasing their access to and control over productive resources.
2.2.1 General and Specific Objectives of the NPAN
These are presented before the details of each of the 5 programme areas
2.3 Targets of the NPAN
The following targets are being set to address the food and nutrition problems in the country:
1. Reduce the level of poverty by 10% by 2010 from the 65.8% (1996);
2. Reduce starvation and chronic hunger to the barest minimum through increased food intake;
3. Reduce undernutrition, especially among children, women, and the aged, and, in particular, severe and moderate malnutrition among under-fives by 30% by 2010;
4. Reduce micronutrient deficiencies, particularly iodine deficiency disorders (IDD) [13%], vitamin A deficiency (VAD) [29.5%], and iron deficiency anaemia (IDA) [36.5%] by 50% of these levels by 2010;
5. Reduce the rate of low birth-weight (less than 2.5 kg) at 17% to less than 10% of the above level by 2010;
6. Reduce diet-related, non communicable diseases by 25% of current levels by 2010;
7. Improve general sanitation and hygiene, including the availability of safe drinking water from the 54% level;
8. Reduce the prevalence of infectious and parasitic diseases that aggravate the poor nutritional status of infants and children by 25% of the current levels.
3.2 Food Security, Food Safety, and Consumer Protection
3.2.2 General Objectives
3.2.3 Specific Objectives
3.3 ENHANCING CARE GIVING CAPACITY
3.4 ENHANCING PROVISION OF HUMAN SERVICES
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.6 RAISING AWARENESS AND UNDERSTANDING OF THE PROBLEMS OF MALNUTRITION IN NIGERIA
3.6.2 General Objective
3.2 Food Security, Food Safety, and Consumer Protection
3.3 ENHANCING CARE GIVING CAPACITY
3.3.4 Strategies
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.5.4 Strategies:
","
4.0 PROGRAMME CO-ORDINATION, MONITORING AND EVALUATION
","","","Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food fortification|Wheat flours|Maize flours|Refined sugar|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Conditional cash transfer programmes|Vulnerable groups","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202005%20National%20Plan%20of%20Action%20on%20Food%20and%20Nutrition.pdf" "8402","ESP","Spain","","Spanish strategy for nutrition, physical activity and prevention of obesity (NAOS)","Comprehensive national nutrition policy, strategy or plan","","English","","2005","","","Ministry of Health and Consumer Affairs","","2005","Adopted","","2005","Ministry of Health and Consumer Affairs","Nutrition council|Health|Consumer affairs","","World Health Organization (WHO)","","","","","","","","","","","","","","","","
Goal and main objectives
The fundamental goal of the NAOS Strategy is:
To promote a healthy diet and foster physical activity to invert the growing trend of the prevalence of obesity and thus to substantially reduce morbidity and mortality attributable to chronic diseases.
To achieve the proposed goal, the main objectives which are to be developed through the NAOS Strategy are as follows:
To promote policies and plans of action aimed at improving eating habits and increasing physical activity in the population. These policies should be sustainable, integral and reach a wide section of the society.
Areas of intervention
The implementation of the NAOS Strategy requires, as previously mentioned, the cooperation of all sections of society. Few public health activities have such a multisectorial, multidisciplinary and multifactor involvement as that required to implement and manage this Strategy. Moreover it requires the effort to be sustained over the short, medium and long term.
Two fundamental pillars for achieving this: applying the Strategy to create an environment favouring a decided and sustainable change towards a healthier diet and the practice of regular physical activity.
Included are recommendations for action, to undertakings of specific measures in the following fields:
Family and community
Actions in this area:
● Information campaigns will be carried out to make the public more aware of the importance of physical activity and to promote regular activity as an alternative to sedentary leisure.
● Entertainment businesses, toy manufacturers and advertisers will be asked to collaborate, in the search for common initiatives aimed at promoting games requiring physical activity.
● Work groups will be set up, in the autonomous and municipal areas, responsible for designing initiatives to improve spaces for practising exercise and physical activity, safe bicycle lanes, skating rinks, pedestrian lanes. These groups should include the participation of management representatives from the town council, town planning department, leisure and sports activities, teachers, etc.
At school
Actions in this area:
● The inclusion in the academic curriculum of knowledge and skills related to diet and nutrition. Not only can these notions be included in the specific subjects (natural and social sciences and physical education) but they can also form part of other content (education for the citizen, etc.). This measure requires regulatory action proposed by the Ministry of Education and Science and the Autonomous Communities.
● To reinforce through workshops or extracurricular activities pupil initiation into the world of cooking and gastronomy, learning to buy, prepare and cook food. In this way positive habits are promoted favouring the acceptance and development of healthy eating habits, within a perspective of class equality.
● The inclusion in teacher training courses of teaching material and guides about diet and nutrition, and their effect on health, in addition to the importance of regular physical activity.
● To promote educational activities in collaboration with other sectors such as parent associations, the catering industry, foundations, etc.
In business
Actions in this area: To develop this collaboration, an agreement has been signed with the Spanish Federation of Food and Drink Industries (FIAB), the only business organisation in this sector in a national scale. The following undertakings have been agreed:
● Support for the Strategy and sponsors: the food industry will actively contribute to the efficient empowerment of the NAOS Strategy, placing all its scientific and technical knowledge at the disposition of the pursued objectives, together with its experience in understanding consumer demands and its communication capacity.
● It undertakes to promote, diffuse and support all those activities and publicity campaigns concerning lifestyles, nutrition, physical activity and health carried out by the Ministry of Health and Consumer Affairs.
● It will sponsor sporting events, promote sport, provide material and encourage physical activity, especially for children and young people.
● The food industry also undertakes to participate in the Observatory of Obesity, created by the Ministry of Health and Consumer Affairs, of a scientific and independent nature, from where the actions of the NAOS Strategy will be evaluated.
The health system
Actions in this area:
● To encourage doctors working in Primary Health Care to ask patients the necessary questions for detecting the risk of obesity in time, and to provide these patients with basic advice on food and physical exercise.
● To carry out regular campaigns for the early detection of overweight and obesity. The calculation of the body mass index (BMI), by measuring weight and height, is the most accepted indicator in the scientific community for recognising whether the subject is overweight.
● To carry out strategies of information and assistance to prevent obesity in those groups which are more susceptible to rapid weight gain: individuals giving up a nicotine addiction; users of drugs which increase appetite, pregnant, breastfeeding or menopausal women; immigrant populations and marginalised groups.
● To promote breastfeeding in Primary Health Care Centres.
● To identify and monitor children potentially at risk: obesity in parents; overweight or underweight at birth; children of diabetic mothers or mothers who smoked during pregnancy; who have taken medication such as glucocorticoids, antiepileptics, antidepressants, and antipsychotics; etc.
","Evaluation and monitoring
The Administration proposes the creation of an Obesity Observatory which regularly quantifies and analyses the prevalence of obesity in the Spanish population, especially in the infant and young population, and measures the progress obtained in the prevention of this disease. This Observatory will ensure the necessary methodological homogeneity among the different epidemiological studies which are initiated, enabling comparison with other national and international studies and the obtaining of valid information concerning the evolution, trend and factors influencing and determining obesity.
Functions of the Observatory:
1. OBJETO
El objeto del presente acuerdo es articular la colaboración entre las partes en atención a la ejecución eficaz de la Estrategia NAOS del Ministerio de Sanidad y Consumo a lo largo de los próximos años, sin que ello suponga gasto alguno.
2. COMPROMISO DE LAS PARTES
Las partes se comprometen a colaborar en las siguientes áreas:
Reducir el porcentaje de sal utilizado en la elaboración del pan común hasta un máximo de 18 g de NaCl/kg de harina, de la siguiente manera:
Cantidad máxima a 31 de Diciembre de 2005: 21 g de NaCl/kg de harina.
Cantidad máxima a 31 de Diciembre de 2006: 20 g de NaCl/kg de harina.
Cantidad máxima a 31 de Diciembre de 2007: 19 g de NaCl/kg de harina.
Cantidad máxima a 31 de Diciembre de 2008: 18 g de NaCl/kg de harina.
Realizar estudios por parte del Ministerio de Sanidad y Consumo para analizar si se puede utilizar preferentemente en el pan común algún tipo de sal (u otra materia prima) rica en nutrientes deficitarios en la dieta de los españoles.
Resaltar por parte del Ministerio de Sanidad y Consumo y la AESA la colaboración del sector de panadería en la estrategia para una vida más sana, evitando cualquier tipo de relación entre pan y obesidad.
Establecer conjuntamente mecanismos de control de esta medida.
","Sodium/salt intake|Reformulation of foods and beverages|Salt/sodium|Measures to limit sodium content|Bread, bread products and crisp breads (Reformulation sodium)|Cakes, sweet biscuits and pastries; other sweet bakery wares; and dry-mixes for making such (Reformulation sodium)|Voluntary reformulation","","https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/CONVENIO_con_CEOPAN.pdf","https://www.aesan.gob.es/AECOSAN/web/nutricion/ampliacion/reformulacion_alimentos.htm","","" "23782","CUB","Cuba","","Proyecciones de la Salud Publica en Cuba para el 2015","Health sector policy, strategy or plan with nutrition components","","Spanish","","2006","","2015","Ministerio de Salud Publica","","2006","","","","Health ministry","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Labour","","","","","","","","","","","","","","","","","","1. Lograr con una adecuada intersectorialidad, acciones que influyan favorablemente en el ambiente y con ello a una protección superior en la salud de la población.
2. Desarrollar con efectividad un trabajo dirigido a la disminución y control de los factores de riesgo más importantes que afectan la salud de la población.
3. Disminuir la mortalidad y la morbilidad de las enfermedades no trasmisibles y otros daños a la salud que constituyen las principales causas de enfermedad y muerte en la población cubana.
4. Mantener y mejorar la situación de salud alcanzada en relación con las enfermedades infecciosas y parasitarias, y enfatizar en aquellas que no se han podido resolver mediante la aplicación de inmunobiológicos y en las exóticas susceptibles de introducirse en el país.
5. Consolidar y mejorar los niveles alcanzados en la salud de la madre y el niño.
6. Desarrollar las acciones que permitan enfrentar con éxito la atención que demanda el envejecimiento de la población cubana
","","Внесены изменения и дополнения в Закон Кыргызской Республики ""О государственных пособиях в Кыргызской Республике"", в котором закреплен порядок предоставления и определен размер ежемесячного социального пособия для детей, живущих с ВИЧ/СПИДом или рожденных ВИЧ-инфицированными матерями
1.2. Подключение служб охраны здоровья матери и ребенка (далее ОЗМиР) и служб репродуктивного здоровья к реализации программ профилактики ВИЧ-инфекции у детей грудного возраста.
3.3. Обеспечение искусственным питанием детей, родившихся от ВИЧинфицированных женщин
3.4. Подготовка медицинских кадров, обученных вопросам профилактики вертикальной трансмиссии ВИЧ/СПИДа
- по вожможности, отказ от грудного вскармлевания существенно снижает риск инфецирования ребенка
","","","","Maternity protection|Minimum acceptable diet|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202006-2010%20HIVAIDS%20prevention%20programme.pdf" "8431","TZA","United Republic of Tanzania","","National Population policy","Multisectoral development plan with nutrition components","","English","","2006","","","Ministry of Planning Economy and Empowerment (Ministry of Finance and Economic Affairs)","","2006","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Social welfare|Sport|Sub-national","Ministry of Finance and Economic Affairs, Ministry of Planning, Economy and Empowerment, National Population Technical Committee, Tanzania Council on Population and Development, Ministry of Community Development, Gender and Children","","","","","","","","","","","","","","","","","4.9 Agriculture, Food and Nutrition:
Policy Objective: The objective of this component is to promote healthy lifestyles and reduce risk factors that arise from environmental, economic, social and behavioural causes. Promoting healthy lifestyles in a healthy environment implies (Box 7)
Policy Measures
Policy Objective: The objective of this component is to ensure equitable access to good quality and affordable health, population and nutrition services – services that will improve health outcomes, respond to people’s legitimate expectations and are financially fair.
","","","","","School-based health and nutrition programmes|Nutrition in the school curriculum|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|Food safety","","http://www.moh.gov.gh/wp-content/uploads/2016/02/NATIONAL-HEALTH-POLICY.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202007%20Creating%20Health%20through%20Wealth.pdf" "8537","KEN","Kenya","","National strategy on infant and young child feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","2010","Ministry of Public Health and Sanitation","","2007","Adopted","","2007","Ministry of Health","Cabinet/Presidency|Health|Education and research|Trade|Labour","Ministry of Public Health and Sanitation","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Other","","Centers for Disease Control and Prevention (CDC USA)","","","","","","","","","","","","
6. Strategic areas:
Education Division is outlining the following as its main goals for its Healthy Eating Lifestyle Plan:
The Education Division is proposing a multifaceted approach which touches different aspects of school life, through the following three objectives:
An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Nutrition counselling on healthy diets|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-24 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202007%20S.%20No.%201698%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202007.pdf" "23163","RWA","Rwanda","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2007","","","Ministry of Health","7","2007","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Sport|Women, children, families","Ministry of Education, Science, Technology, and Scientific Research, Ministry of Finance and Economy Planning, Ministry of agriculture and animal resources, Ministry of Health, Ministry of Public Service and Labor, Ministry of Commerce, Industry, Investment Promotion, Tourism and Cooperatives, Ministry of Local Government, Ministry of Youth, Culture and Sports, Ministry of Gender and Family Promotion","","","","","","","","","","","","","","","","","6.4.1. General objective
The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people, prevent and appropriately manage cases of malnutrition.
6.4.2. Specific objectives
In order to improve the nutritional status of the population, the policy seeks to achieve the following specific objectives:
-Promote practices favorable to the improvement of the nutritional status,
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses,
-Assure adequate treatment and prevention of malnutrition due to nutritional deficiencies and excesses,
-Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices,
-Provide appropriate nutritional support and care for people living with HIV/AIDS
","7 STRATEGIES FOR NUTRITION IMPROVEMENT
To achieve its objectives, the National Nutrition Policy proposes the following strategies:
7.1
Reinforcement of the political commitment
Given the magnitude and persistence of nutrition problems in the country, their multi-causal factors and impact on different development sectors, Rwanda needs to strengthen its political commitment to improve the nutritional well-being of its people and make this a priority government action for its sustainable development. Some of the measures that can strengthen the political commitment are:
Allocate and/or mobilize adequate government or partner resources for the fight against nutritional problems, in particular, the financing of nutrition activities through the medium-term expenditure framework (MTEF).
Re-establish the training of nutritionists at A1 level and initiate undergraduate (A) and graduate nutrition degree programs in the university.
7.2 Promotion of optimal infant and young child feeding
Inappropriate breastfeeding and complementary feeding practices are major factors affecting infant and child mortality. Children from 0 to 6 months who are not breastfed have 7 and 5 times higher risk of dying from diarrhea and pneumonia, respectively. Promoting optimal child feeding makes it possible to reduce child deaths, the practice of breast-feeding and optimal complementary feeding respectively constitute the first and the 3rd most effective preventive interventions of child mortality. Breastfeeding is part of the Rwandan culture, however, it needs to be maintained and optimally practiced through the following strategies: 21
Promotion and protection of the exclusive breastfeeding in infants from birth up to six months, including infants born to HIV positive mothers who cannot meet the AFASS (Acceptable, Accessible, Feasible, Sustainable and Safe) conditions for replacement feeding,
7.3 Scaling up of community-based nutrition programs
Certain simple actions, easy to be implemented by community workers, have a very positive impact on the nutritional status and the survival of the population. The Community–Based Nutrition Program (CBNP) is an approach that promotes equity and efficiency in the fight against malnutrition in a participatory manner. In addition, this approach will enable the link of nutrition services and the communities, and can constitute an entry point to child survival interventions such as integrated management of childhood illnesses (IMCI) at community level. Thus, the objective of the approach is achieving coverage of up to 80% of cells (umurenge) in all the districts of the country. In order to achieve this objective, the following activities are planned:
7.4 Food Fortification
Fortification is one of the approaches to provide essential micronutrients to a large proportion of any population using commonly consumed and easily accessible foods. In Rwanda, the only food that is fortified and widely consumed is table salt which is iodized. However, there is a potential to fortify other foods to combat micronutrient deficiencies. To achieve this objective, the following activities are planned:
7.5 Promotion of household food security
The following strategies can improve availability, accessibility and utilization of foods at all levels:
7.6 Prevention and management of nutritional deficiency or excess-related diseases
The following strategies can promote prevention and management of malnutrition and related diseases:
Nutrition care and support is now integrated into the national strategy for prevention, treatment and care for PLWHA. In line with this, the government has developed and adopted guidelines and protocol giving practical recommendations for improving the nutritional well being of PLWHA. These guidelines are intended to be used by service providers, including those providing home based care. In order to meet the nutrition needs of PLWHA and their families, the following actions should be implemented:
Health professionals in nutrition centers and health facilities in nutritional assessment and counseling, management and follow up,
Community health workers in order to promote community based nutrition interventions for PLWHAs,
Associations to act as a forum for setting up community-based nutrition programs and as an agent of behavioral change.
7.8 Promotion of pre-school and school nutrition
In order to improve the children’s nutritional status and school performance, including HIV/AIDS orphans and vulnerable children, the following actions have to be taken:
7.9 Communication for behavior change
Because clinical symptoms associated with malnutrition appear in the advanced stages of deficiency, communication for behavior change should be reinforced at all levels. Communication should provide pertinent educational messages to trigger voluntary changes in dietary behavior and practices that impact on nutrition. Appropriate Communication channels should include the mass media, radio, televisions, audio-visual press, newspaper, conferences, plays, traditional media (street shouters, songs, sketches...) e.t.c and relevant messages passed through health facilities, community health or nutrition workers, schools, churches, CBOs, NGOs, etc… To reach rural populations, developed messages must be culturally appropriate and translated to the local language.
","6.5 Expected outcomes and the link to the Millennium Development Goals
In accordance with the Millennium Development Goals, operationalization of the National Nutrition Policy will lead to the following outcomes by the year 2015:
Goal 1: Reduce poverty and hungry
Goal 2: Ensure universal primary education
Goal 4: Reduce Infant Mortality
Goal 5: Reduce Maternal Mortality
Goal 6: Combat HIV/AIDS and other diseases
Objective 4 To ensure access for people to the comprehensive services reducing MTC transmission
Before 2008: to mobilise donor resources and establish targeted stock of supplementary feeding for newborns from HIV-positive mothers by commercially available baby food. Emergency stock of such foods must be available in all AIDS centres. To design mechanism for free delivery of supplementary feeding as needs for that will emerge.
","","Annual number of HIV-infected children from HIV-infected mothers is under 8%;
","","","Maternity protection|Complementary feeding promotion/counselling|Complementary food provision|HIV/AIDS and nutrition|Nutrition & infectious disease|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/TJK","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202007%20Programme%20on%20the%20response%20to%20the%20epidemic%20of%20HIV%20in%20the%20Republic%20of%20Tajikistan%20for%20the%20period%202007%20-%202010.pdf" "8009","DEU","Germany","","National Action Plan IN FORM - Deutschlands Initiative für gesunde Ernährung und mehr Bewegung. German National Initiative to Promote Healthy Diets and Physical Activity.","Comprehensive national nutrition policy, strategy or plan","","German","","2008","","","Federal Ministry of Health; Federal Ministry of Food, Agriculture and Consumer Protection","","2008","Adopted","","2008","Federal Ministry of Health Federal Ministry of Food, Agriculture and Consumer Protection","Health|Consumer affairs|Sub-national","Federal Ministry of Food, Agriculture and Consumer Protection, Federal Ministry of Health, Communes, Länder (states)","","","","","","","","","National NGOs","NGOs, civil society, Federal Association for Disease Prevention","","","","","","","1.5 Goals of the National Action Plan
Objective:
The National Action Plan will sustainably improve the dietary habits and patterns of physical activity in Germany.
The goals are for:
1. adults to live healthier lives, children to grow up more healthily and to enjoy a better quality of life as well as improved performance in education,professional and private life.
2. the diseases caused by an unhealthy lifestyle, a one-sided diet and a sedentary lifestyle to be markedly reduced. (p. 13)
The National Action Plan seeks to:
1. convey the importance of a healthy diet and sufficient physical activity for people’s health.
2. formulate recommendations for dietary habits and patterns of physical activity behaviour in a target group-specific and implementation-oriented manner.
3. create or improve structures that encourage individuals to assume responsibility for a healthy lifestyle combined with a balanced diet and sufficient physical activity.
4. forge links between stakeholders and measures that contribute to an extended, co-ordinated offering.
5. publicise good projects and best practice and promote transparency about the quality, scale and financing of the offerings and how their success is measured.
The National Action Plan is to encourage transparency, networking and co-operation and to offer a roof to existing engagement. (p. 14)
Detailed objectives under 2. Key Action Areas (p. 17pp)
2.2 Action Area 2: Information on diet, physical activity and health (p. 20)
Objective:
The schemes for nutrition and physical activity education enable people to lead healthy lives and heighten their own sense of responsibility.
1. The yardstick for measuring the quality of information for citizens on diet, physical activity and health is the day-today viability of the messages conveyed.
2. The qualifications of providers involved in awareness-raising and information building schemes improved.
3. The offerings providing information on dietary and physical activity are intended for all age groups. In order to be able to convey their contents in a targetgroup oriented manner, they are tailo red to their respective needs and living environments.
4. All social stakeholders contribute to the responsible handling of information seeking to raise awareness of diet and physical activity amongst the population at large.
2. Key Action Areas
2.1 Action Area 1: Federal Government, Länder and communes set an example (p. 17pp)
2.2 Action Area 2: Information on diet, physical activity and health (p. 20pp)
2.3 Action Area 3: Physical activity in daily life (p. 27pp)
2.4. Action Area 4: Improving the quality of away-from home catering (p. 33pp)
2.5 Action Area 5: Fresh impetus for research (p. 38pp)
Quality assurance
The National Action Plan aims to achieve lasting improvements to the health situation in all phases of life by changing dietary habits and patterns of physical activity. To guarantee and monitor this, scientifically validated quality assurance and evaluation of individual projects and measures are necessary. The success of individual projects is examined on the basis of previously stipulated indicators. They are to be, used amongst other things, to identify which measures are particularly successful, have a lasting effect and which measures are cost effective. On this basis a decision is then taken about which projects are to receive long-term support and which projects are to be abandoned. The foundations for the evaluation and establishment of quality assurance standards for projects are elaborated by an independent institution up to 2010. (p. 42)
Documentation of progress (p. 43)
4. Timeline (p. 45-47)
Ziele der “Strategie der Bundesregierung zur Förderung der Kindergesundheit”
Übergeordnete Ziele der “Strategie der Bundesregierung zur Förderung der Kindergesundheit” sind:
V. Anhang: Zusammenstellung konkreter Maβnahmen in Tabellenform (p. 26)
","III. Zentrale Handlungsfelder
III.1. Prävention und Gesundheitsförderung ausbauen (p. 8)
Ausbau der Prävention zu einer eigenständigen Säule der gesundheitlichen Versorgung (p. 8)
Förderung von Bewegung und gesunder Ernährung (p. 9)
Förderung des sicheren Radverkehrs (p. 10)
Prävention von Essstörungen (p. 10)
Gesundheitsförderung in Kindertageseinrichtungen, in der Kindertagespflege, in Schulen und Mehrgenerationenhäusern (p. 11)
Interdisziplinäre Frühförderung (p. 12)
Steigerung der Durchimpfung bei Kindern und Jugendlichen (p. 12)
Konzentrierte Umsetzung von Initiativen zur Alkohol-, Tabak- und Cannabisprävention (p. 12)
Förderung der psychischen Entwicklung von Kindern und Jugendlichen (p. 14)
Kind- und familiengerechte Stadtentwicklung (p. 14)
III.2. Gesundheitliche Chancengleichheit fördern
Unterstützung chronisch kranker Kinder (p. 15)
Spezifische Angebote zur Gesundheitsförderung und Prävention (p. 16)
Frühe Hilfen und soziale Frühwarnsysteme (p. 16)
Verbesserung der Früherkennungsuntersuchungen für Kinder und Jugendliche (p. 16)
Sexualerziehung und Prävention von Teenagerschwangerschaften (p. 17)
Ausbau der Mutter-/Vater-Kind-Maβnahmen (p. 17)
Stärkung der elterlichen Erziehungskompetenz, Bekämpfung von Gewalt (p. 17)
Umweltgerechtigkeit (p. 18)
III.3. Gesundheitliche Risiken mindern (p. 18)
V. Anhang: Zusammenstellung konkreter Maβnahmen in Tabellenform (p. 26)
","III.4. Situation beobachten, Grundlagen erforschen und Risiko- und Schutzfaktoren ermitteln (p. 22/23)
","Outcome indicators","","Overweight and obesity in school age children and adolescents|Diet-related NCDs|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vaccination","","http://www.bmg.bund.de/fileadmin/redaktion/pdf_misc/psychische-Gesundheit_01.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DEU%202008%20Strategie%20der%20Bundesregierung%20zur%20F%C3%B6rderung%20der%20Kindergesundheit.pdf" "8072","NZL","New Zealand","","National Strategic Plan of Action for Breastfeeding 2008-2012","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","2012","Ministry of Health","3","2009","","","","","Education and research|Health|Labour|Other","Ministry of Education, Ministry of Health, Department of Labour, National Breastfeeding Advisory Committee of New Zealand","","","","","","","","","","","","","","","","","Government
Objective 1.1(a): The Ministry of Health provides the leadership for breastfeeding strategy and policy.
Objective 1.2(a): The Ministry of Health continues to strengthen the accuracy and completeness of the existing dataset on breastfeeding.
Objective 1.3(a): Identification of New Zealand-specific breastfeeding research needs.
Objective 1.4(b) The Ministry of Health supports a programme of research into marketing of infant formula in New Zealand.
Objective 2.1(b): The Ministry of Health works with District Health Boards (DHBs) to assessand plan for improving access to ante-natal education.
Objective 2.2(b): Communities work with DHBs and other providers to establish new or supportexisting peer support programmes for breastfeeding.
Objective 2.3(a): the second phase of the national breastfeeding social marketing campaignpromotes positive attitudes to breastfeeding in the community and public places.
Health services
Objective 3.1(a): All DHBs achieve and maintain Baby Friendly Hospital accreditation.
Objective 3.2(b): DHBs are aware of and act on the breastfeeding support needs of their Māori,Pacific and other ethnic communities.
Workplace childcare and early childhood education
Objective 4.1(a): The Ministry of Health continues to link with other agencies (for examplethe Families Commission, Department of Labour) to support the development of a policyframework for options for extending current paid parental leave entitlements.
","","Imrpoving breastfeeding rates in New Zealand (also among Maiori): Measurable improvements in the rates and duration of breastfeeding
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vulnerable groups","","http://www.health.govt.nz/publication/national-strategic-plan-action-breastfeeding-2008-2012","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NZL%202009%20National%20Strategic%20Plan%20of%20Action%20for%20Breastfeeding%202008-2012.pdf" "8565","SVK","Slovakia","","Národný program starostlivosti o deti a dorast v Slovenskej republike na roky 2008 - 2015 [National Program for Children and Adolescents in the Slovak Republic for the years 2008 - 2015]","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","Slovak","","2008","","2015","Ministry of Health","1","2008","Adopted","","2008","Ministry of Health","Health|Education and research|Social welfare|Sport|Trade|Industry|Labour|Sub-national","Municipalities","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Prioritné oblasti pôsobenia
Strategické direktívy na zlepšenie zdravia a vývoja detí a dorastu vychádzajú z implementácie Európskej stratégie, ktoré zdôrazňujú sedem hlavných priorít:
Zdravie matky a novorodenca
Zdravie dieťaťa je neoddeliteľne spojené so zdravím matky odvíjajúc sa od jej reprodukčného zdravia, spôsobu života počas tehotenstva a postoja k dojčeniu. Antenatálna, perinatálna a následná zdravotná starostlivosť je dôležitá pre optimálny vývin dieťaťa až do dospelosti.
Výživa a fyzická aktivita
Zdravá výživa je základom pre zdravý vývin dieťaťa. Veľmi dôležité je zabezpečenie dojčenia čo najväčšiemu počtu detí v čo najdlhšom čase. Nesprávna výživa vedie k narušeniu zdravia a zhoršeniu vyživovacieho stavu. Predstavuje čoraz väčší problém takmer vo všetkých európskych krajinách. Môže viesť k obezite u školopovinných detí a zvýšiť riziko kardiovaskulárnych a iných systémových ochorení v neskoršom veku.
Primeraná a vyvážená zdravotne orientovaná fyzická aktivita je podmienkou zdravého telesného a duševného vývoja detí a dorastu. Zároveň podporuje osobný rozvoj, je účinná v prevencii telesných i duševných chorôb, predovšetkým chronických neinfekčných a kardiovaskulárnych chorôb. Zmysluplné trávenie voľného času napomáha predchádzať závislostiam od tabaku, alkoholu, omamných a psychotropných látok.
1. 2 Ciele
3. Bezpečné materstvo - cieľom je zabezpečiť optimálnu starostlivosť o tehotnú ženu a novorodenca. Zahŕňa snahu o znižovanie materskej úmrtnosti a chorobnosti, ako aj zlepšovanie zdravotného stavu novorodencov organizáciou rovnocenného prístupu k zdravotnej starostlivosti vrátane plánovaného rodičovstva s dôrazom na marginalizované rómske komunity a ostatné znevýhodnené skupiny obyvateľstva. Pediater a všeobecný lekár pre deti a dorast podporujú dojčenie a zdravú výživu novorodenca. Tieto činnosti je potrebné zakomponovať do zdravotnej politiky štátu, na ktorej základe sa vypracujú programy na rozvoj, poskytovanie služieb, zabezpečenie vzdelávania vrátane informačných kampaní, ktorých cieľom je uvedomelé „zdravé“ správanie sa ľudí a eliminovanie nerovnosti v prístupe k zdravotnej starostlivosti prostredníctvom podpory komunitnej práce v oblasti zdravotnej výchovy.
4. Podpora princípov Mother and baby friendly hospital initiative - správneho postoja ženy k materstvu, zdôrazňovania dôležitosti dojčenia, účasti otca pri pôrode a jeho prístupu na pracoviská šestonedelia.
2. 2 Ciele
1. Zabezpečenie správnej výživy u detí od narodenia až po dorastový vek s osobitným dôrazom na edukáciu detí a rodín z marginalizovaných rómskych komunít edukáciou v rodinách, školách, školských zariadeniach a vytvorenie aktívneho prístupu zodpovednosti za svoje zdravie.
2. Analyzovanie výskytu nadváhy a obezity u detí v jednotlivých vekových obdobiach.
3. Doplnenie vedomostí vzdelávaním detí o potravinách pomocou vzdelávacej pomôcky-softvéru „Pyramída“ vhodného pre deti do 14 rokov, rozdelených do troch vekových kategórií, ktorý je určený na tvorbu správneho jedálnička, zodpovedajúceho zásadám zdravej výživy.
4. Vypracovanie odporúčania k determinantu fyzická aktivita pre deti a dorast na zabezpečenie potrieb zdravého fyzického a duševného vývinu podľa vekových období.
5. Realizácia Kardiovaskulárneho programu „Zdravé srdce pre Slovensko“ pre deti a dorast ako súčasť Národného kardiovaskulárneho programu SR s dôrazom na primárnu prevenciu vzniku kardiovaskulárnych chorôb a na včasné odhalenie rizikových faktorov a prvých príznakov.
","
2. 3 Úlohy
3.3. Goal
To accelerate the reduction of maternal, newborn and childhood morbidity and mortality, in line with MDGs 4 and 5, by 2015.
","3.7 Guiding principles:
o Addressing underlying causes of high mortality: Taking a multi-sectoral and partnership approach to address the underlying causes of maternal, newborn and child death such as, transport, nutrition, food security, water and sanitation, education, gender equality and women empowerment to ensure sustainability.
","3.5 Operational targets to be achieved by 2015:
4. Reduced stunting and underweight status among under-fives from38% and 22% to 22% and 14%, respectively.
5. Increased exclusive breast feeding coverage from 41% to 80 %
Other list of indicators to assess maternal, newborn and child health:
c) Neonatal indicators:
• Prevalence of low birth weight
• Early initiation of breast feeding (within the first hour)
• Proportion of district hospitals implementing Kangaroo Mother Care for management of Low Birth Weight
• Proportion of district hospitals that are accredited baby friendly
• Postnatal vitamin A coverage
§ 2. (1) Es ist verboten, Lebensmittel mit einem Gehalt an trans-Fettsäuren von mehr als 2g/100g im Gesamtfett herzustellen oder in Verkehr zu bringen.
(2) Eine Überschreitung des in Abs. 1 genannten Grenzwertes bei verarbeiteten, aus mehreren Zutaten bestehenden Lebensmitteln ist zulässig, sofern der Gesamtfettgehalt des Lebensmittels geringer als 20 Prozent ist und der Gehalt an trans-Fettsäuren im Gesamtfett 4g/100g nicht übersteigt oder sofern der Gesamtfettgehalt geringer als 3 Prozent ist und der Gehalt an trans-Fettsäuren im Gesamtfett 10g/100g nicht übersteigt.
(3) Abs. 1 und 2 gelten für verzehrfertige Lebensmittel, die als solche in Verkehr gebracht oder durch den Endverbraucher nach Gebrauchsanleitung zubereitet werden.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Limit on 2 g / 100 g fat in all foods|Less restrictive limits apply to low fat foods","","https://www.ris.bka.gv.at/eli/bgbl/II/2009/267","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AUT%202009%20BGBLA_2009_II_267.pdf" "22869","PHL","Philippines","","Republic Act No. 10028: Expanded Breastfeeding Promotion Act of 2009 ","Legislation relevant to nutrition","","English","","2009","","","14th Congress of the Republic of the Philippines, Senate of the Philippines","7","2009","Adopted","3","2010","President of the Philippines","Health|Education and research|Social welfare|Trade|Justice|Labour|Other","Commission on Higher Education, Department of Education, Technical Education and Skills Development Authroity (TESDA), Department of Labor and Employment, Civil Service Commission, Department of the Interior and Local Government, Department of Social Welfare and Development, Department of Trade and Industry","","","","","","","","","National NGOs","Professional and nongovernmental organizations","","","","","","","","","","","An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202009%20Republic%20Act%20No.%2010028%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202009.pdf" "39482","CIV","Côte d'Ivoire","","Politique nationale de nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","","Ministère de la santé et de l’hygiène publique","","2010","Adopted","","","Ministère de la santé et de l’hygiène publique","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Transport|Consumer affairs|Trade|Environment|Industry|Information|Other","Ministère des infrastructures économiques","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","associations de consommateurs","","","Private sector","","","","VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
2. Au niveau communautaire
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
C. N°3 : Amélioration de la sécurité alimentaire des ménages
D. N°4 : Promotion de la sécurité sanitaire des aliments
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
G. N° 7 : Intégration de la nutrition en milieu carcéral
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
Sensibilisation
Mobilisation sociale
J. N°10 : Promotion de la recherche en matière de nutrition
K. N°11 : Développement des compétences en matière de nutrition
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
Mission: Establish effective overall mechanisms through which policies, strategies, programmes, and activities can be identified, prioritized, coordinated, implemented, monitored, and evaluated for the attainment of nutrition and food security in Lao PDR.
Overall Goal: Since there is no single measure of nutritional status and food security, the overall goal has been translated into a number discrete, empirically observable and measurable targets by the Year 2015 (attainment year of MDGs) and the Year 2020 (year for exiting Less Developed Country status and entering Medium Income Country status). See indicator tab for list of goal indicators.
","
Strategic Direction I: Address Immediate Causes
SO1: Improve Nutrient Intake
SO2: Prevent and Reduce Food-, Water-, Vector-borne, and Infectious Diseases
Strategic Direction II: Address Underlying Causes
SO3: Increase and Diversify Domestic Food Production
SO4: Improve Access to Nutritious Food
SO5: Improve Mother and Child Care Practices
SO6: Improve Environmental Health and Access to Nutrition and Health Services
Strategic Direction III: Address Basic Causes
SO7: Improve Institutions and Coordination
SO8: Improve Human Capacity
SO9: Increase Quantity and Quality of Information
SO10: Increase Investments in Nutrition and Food Security
Overall Goal Indicators
Indicator (2006 Baseline, 2015 Target, 2020 Target)
Malnutrition
Rate of stunting among CU5 (NCHS standard) (40, 34, 28)
Rate of wasting among under CU5 (NCHS standard) (6, 4, 2)
Rate of underweight among CU5 (NCHS standard)* (37, 22, 15)
Rate of thinness of women among reproductive aged (WRA) (BMI<18.5kgm-2) (14, 12, 10)
Rate of anemia among CU5 (Hemoglobin < 11g/dL) (41, 30, 20)
Rate of Anemia among women of reproductive age (WRA) (Hemoglobin < 12 g/dL) (36, 25, 15)
Iodine deficiency among school age children (urinary iodine excretion < 100µg/L) (27, 17, 10)
Iodine deficiency among women of reproductive age (WRA) (13, 9, 5)
Vitamin A deficiency among CU5 (serum retinol < 0.7) (45, 30, 20)
Percentage of households with low < 1800 KC energy intake* (TBD, 10, 5)
Health
Infant mortality rate (IMR) (70/1,000, 49/1,000, 30/1,000)
Under 5-years old child mortality rate (CU5 MR) (98/1,000, 80/1,000, 40/1,000)
Maternal mortality rate (MMR) (405/100,000, 260/100,000, 100/100,000)
Poverty
Poverty Head Count Ration (HCR) (TBD, 24%, 8%)
* MDG Goal indicators. MDG Goal Indicators will be used as key proxy indicators to measure progress towards MDG 1
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|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|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Other B-vitamins|Iodine|Iron|Zinc|Micronutrient powder for home fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","National Nutrition Policy (2008) https://extranet.who.int/nutrition/gina/en/node/8022","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202010%20National%20Nutrition%20Strategy%20and%20Plan%20of%20Action.pdf" "23562","UZB","Uzbekistan","","Public Health Strategy of the Republic of Uzbekistan for the period 2010-2020","Health sector policy, strategy or plan with nutrition components","","Russian","","2010","","2020","Ministry of Health. Republic of Uzbekistan","","2010","","","","","Health|Food and agriculture|Education and research|Environment|Labour|Other","","","","","","","","","","","","Research/academia","Institute of Health and Medical Statistics; Center for Anemia under the Research Institute for Hematology and Blood Transfusion; National Center for Endocrinology; Tashkent Institute of Post-graduate Medical Training; School of Public Health","Private sector","Food processing, agricultural, industrial and catering enterprises","Other","Centres of the Sanitary Epidemiological Service","Objectives
5. Mortality due to cardiovascular disease in people under 65 years should be reduced by at least 20% between 2010 and 2020.
6. Between 2009 and 2020, improved nutrition should lead to a measurable decrease in anaemia, thyroid dysfunction, malnutrition and over-nutrition.
9. MDG 4 is the reduction of the under-five mortality rate by two-thirds between 1990 and 2015. This rate was 47.8 per 1,000 live births in 1990 and 20.6 per 1,000 in 2005 (source: Health in Uzbekistan - facts and figures, 2006). Therefore the Uzbek rate should be below 16.0‰ in 2015. An additional indicator for MDG 4 in Uzbekistan is the infant mortality rate.
10. The international MDG 5 is the reduction of the maternal mortality rate by three-quarters between 1990 and 2015. The maternal mortality rate was 65.3 per 100,000 live births in 1991, 34.1/100,000 in 2001, and 31.4/100,000 in 2004 (source: Ministry of Health of the RUz). The objective is a maternal mortality rate of below 163./100,000 in 2015
Existing short to medium term programmes (control of tobacco, tuberculosis and HIV/AIDS, and the nutrition programme) will be evaluated before they expire, to be replaced by new programmes in the framework of the overall public health strategy.
Health promotion will receive more emphasis, especially regarding cardiovascular diseases, but also on nutrition and on the prevention of accidents and communicable diseases. Examples are the increased availability of healthy food (e.g. in canteens), the creation of sport facilities, the establishment of smoke-free zones, and decreasing the access to harmful substances.
Present health protection activities, such as sanitation, environmental control, food safety measures, and occupational safety & health measures will to a large extent continue as before. Examples are improved possibilities for physical exercise to combat cardiovascular disease, flour fortification, protection against passive smoking, and traffic and other safety measures.
","Activities CVD
Objective 6 - Nutrition: Between 2010 and 2020, improved nutrition should lead to a measurable decrease in anaemia, thyroid dysfunction, malnutrition and over-nutrition.
Activities
4.7.2.1 Goal
Increase access to affordable healthy food and promote healthy eating habits and increased physical activity in order to reduce malnutrition as well as preventing chronic diseases such as diabetes, cardiovascular disease, osteoporosis, etc.
4.7.2.2 Objectives
• To reduce obesity;
• To prevent children from obesity and malnutrition;
• To increase accessibility to affordable, healthy foodstuffs to all population particularly in deprived and rural areas; and
• To implement a physical exercise programme along with the health and wellness week in all work places and schools.
MDG Targets
1. Underweight children for under 5 (%) to reduce by half: baseline (1990-94) 17.0%; target (2015) 8.5%
","","","","","Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202011%20National%20Health%20Policy.pdf" "39752","FRA","France","","Plan Obésité 2010-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","7","2011","","2013","Ministère du Travail, de l’Emploi et de la Santé","","2010","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Information|Labour|Other","Ministère de l'intérieur, de l'outre-mer, des collectivités territoriales et de l'immigration.","","","","","","","","","","","","","Private sector","","","","AXE 2 → Mobiliser les partenaires de la prévention, agir sur l’environnement et promouvoir l’activité physique
","Mesure 2.1 : Actions préventives conduites dans le cadre du PNA
Pour son volet « prévention », le Plan obésité s’appuie sur les axes suivants du Programme national pour l’alimentation (les actions du PNA intégrées dans le Plan obésité ont pour numéro 15 (15.1, 15.2…)).
Faciliter l’accès de tous à une alimentation de qualité (Axe I)
- Mieux manger en situation précaire (I.1) :
- Prendre de bonnes habitudes alimentaires dans le cadre scolaire ou périscolaire (I.2) :
Améliorer l’offre alimentaire (Axe II)
- Généraliser les démarches volontaires et les partenariats publics/privés permettant d’innover pour améliorer la qualité des aliments (II.1).
- Développer des variétés végétales à haute valeur environnementale, nutritionnelle, et organoleptique (II.2).
Améliorer la connaissance et l’information sur l’alimentation (Axe III)
- Former les jeunes consommateurs de demain (III.1) :
- Éduquer les consommateurs (III.2) :
- Informer les consommateurs (III.3) :
Mesure 2.2 : Actions préventives conduites dans le cadre du PNNS
Pour son volet « Prévention », le Plan obésité s’appuiera sur les axes suivants du PNNS (les actions du PNNS intégrées dans le Plan obésité ont pour numéro 16 (16.1, 16.2…)).
Développer l’activité physique et sportive et limiter la sédentarité (Axe 2)
- Promouvoir, développer et augmenter le niveau d’activité physique quotidienne pour tous (mesure 1).
- Promouvoir l’activité physique et sportive adaptée (APA) chez les populations défavorisées, en situation de handicap, atteintes de maladies chroniques, ou âgées (mesure 2).
Valoriser le PNNS comme référence pour les actions en nutrition ainsi que l’implication des parties prenantes (Axe 4)
- Mettre en place une stratégie de communication du PNNS (mesure 1, action 29).
- Développer les chartes d’engagements des collectivités territoriales actives du PNNS (mesure 2, actions 30, 31 et 32).
- Développer la charte « entreprises actives du PNNS » (mesure 3, action 33).
- Faire connaître et valoriser les actions et documents validés par le PNNS (mesure 4, actions 34, 35 et 36).
Réduire, par des actions spécifiques, les inégalités sociales de santé dans le champ de la nutrition au sein d’actions générales de prévention (Axe 1)
- Mettre en place des interventions spécifiques pour réduire les inégalités sociales de santé (ISS) en matière nutritionnelle (mesure 1, actions 1 à 5).
- Développer et valoriser les chartes d’engagement volontaires de progrès nutritionnel pour une offre alimentaire allant dans le sens des objectifs du PNNS (mesure 2, action 8).
- Développer des actions d’information et d’éducation nutritionnelle (mesure 4) :
- Promouvoir l’allaitement maternel (mesure 5, action 13).
Organiser le dépistage et la prise en charge des patients en nutrition (Axe 3)
- Prévenir et prendre en charge les troubles nutritionnels des populations en situation de handicap (Mesure 4, action 28).
","","","","Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Breastfeeding promotion/counselling|School-based health and nutrition programmes|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food security and agriculture|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/FRA_B11_Plan_Obesite_2010_2013-2.pdf, https://extranet.who.int/ncdccs/Data/FRA_B11_Obésity plan.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA%202010%20Plan%20Obesite.pdf" "23767","FRA","France","","Programme National Nutrition Santé","Comprehensive national nutrition policy, strategy or plan","","French","","2011","","2015","Ministère du travail, de l'emploi et de la santé","","2011","Adopted","","2011","Ministere chargé de la santé","Health|Education and research|Social welfare|Sport|Labour","Ministère du travail, de l'emploi et de la santé. Le PNNS associant également les ministères chargés de l’éducation nationale, des sports, de la consommation, de la cohésion sociale, de l’enseignement supérieur et de la recherche, présente par conséquent, une forte dimension interministérielle.","","","","consommateurs, patients, sport","","","","","","","","","","Mutuelles, distributeurs, industriels agro alimentaires,","","","
Améliorer l’état de santé de l’ensemble de la population, en agissant sur l’un de ses déterminants majeurs, la nutrition.
","
Réduire l’obésité et le surpoids dans la population
- Stabiliser la prevalence de l’obesite et reduire le surpoids chez les adultes
- Diminuer la prevalence de l’obesite et du surpoids chez les enfants et les adolescents
Augmenter l’activité physique et diminuer la sédentarité à tous les âges
- Augmenter l’activite physique chez les adultes
- Augmenter l’activite physique et lutter contre la sedentarite chez les enfants et les adolescents
Améliorer les pratiques alimentaires et les apports nutritionnels, notamment chez les populations à risque
- Augmenter la consommation de fruits et legumes
- Reduire la consommation de sel
- Augmenter les apports en calcium dans les groupes à risque
- Lutter contre la carence en fer chez les femmes en situation de pauvrete
- Ameliorer le statut en folates des femmes en age de procreer
- Promouvoir l’allaitement maternel
Réduire la prévalence des pathologies nutritionnelles
- Denutrition, Troubles du comportement alimentaire
","Objectif general 3 • Ameliorer les pratiques alimentaires et les apports nutritionnels, notamment dans les populations a risque
• Sous objectif général 3-1 : augmenter la consommation de fruits et légumes
OS 3-1-1 : augmenter en 5 ans, chez les adultes en population generale, la consommation de fruits et legumes, de sorte que :
- 70 % au moins d’adultes consomment au moins 3,5 fruits et legumes par jour ;
- 50 % au moins d’adultes consomment au moins 5 fruits et legumes par jour.
OS 3-1-2 : augmenter, en 5 ans, chez les adultes en situation de pauvrete, la consommation de fruits et legumes, de facon a :
- Doubler la proportion d’adultes declarant consommer des fruits et legumes au moins 3 fois par jour ;
- multiplier par 5 la proportion d’adultes declarant consommer des fruits et legumes au moins 5 fois par jour.
OS 3-1-3 : augmenter en 5 ans, chez les enfants et les adolescents de 3 a 17 ans, la consummation de fruits et legumes, de sorte que :
- 50 % au moins consomment au moins 3,5 fruits et legumes par jour ;
- 25 % au moins consomment au moins 5 fruits et legumes par jour.
• Sous objectif général 3-2 : réduire la consommation de sel
OS 3-2-1 : diminuer la consommation moyenne de sel dans la population pour atteindre, en 5 ans :
- 8 g/jour chez les hommes adultes ;
- 6,5 g/jour chez les femmes adultes et les enfants.
• Sous-objectif général 3-3 : améliorer la répartition des macronutriments dans les apports énergétiques sans alcool (AESA)
OS 3-3-1 : ramener, chez les adultes et les enfants, en 5 ans, la contribution moyenne des lipides totaux au sein des apports energetiques sans alcool à 36.5%
OS 3-3-2 : ramener, chez les adultes et les enfants, en 5 ans, la part moyenne des acides gras satures, au sein des apports en lipides totaux :
- a 36 % chez les adultes ; - a 37 % chez les enfants.
OS 3-3-3 : augmenter chez les adultes et les enfants, la part des apports en glucides complexes et en fibres et diminuer la part des apports en glucides simples issus des produits sucres dans l’apport energetique total.
OS 3-3-3-1 : augmenter, en 5 ans, la proportion de personnes ayant des apports en glucides complexes ≥ 27,5 % de l’AESA :
- de 20 % chez les adultes ; - de 35 % chez les enfants.
OS 3-3-3-2 : augmenter, en 5 ans, la proportion de personnes ayant des apports en glucides simples issus des produits sucres < 12,5 % de l’AESA :
- de 7 % chez les adultes ; - de 20 % chez les enfants.
OS 3-3-3-3 : doubler chez les adultes, la proportion de personnes ayant des apports en fibres > 25 g/jour.
OS 3-3-3-4 : reduire de 25% au moins, en 5 ans, la proportion d’enfants consommant plus d’un demi-verre de boissons sucrees par jour.
• Sous-objectif général 3-4 : augmenter les apports en calcium dans les groupes à risque
OS 34-1 : diminuer de 10 % au moins, la proportion de femmes jeunes, d’adolescents et de personnes agees ayant des apports en calcium alimentaire inferieurs au BNM (Besoin nutritionnel moyen).
• Sous-objectif général 3-5 : lutter contre la carence en fer chez les femmes en situation de pauvreté
OS 3-5-1 : reduire d’un tiers, en 5 ans, la frequence de l’anemie ferriprive chez les femmes en situation de pauvrete, en age de procreer (15-49 ans).
• Sous-objectif général 3-6 : améliorer le statut en folates des femmes en âge de procréer
OS 3-6-1 : reduire de 30 % au moins, en 5 ans, la proportion des femmes en age de procreer (15-49 ans) ayant un risque de deficit en folates (taux de folates plasmatiques < 3 ng/mL).
OS 3-6-2 : reduire de 20 % au moins, en 5 ans, la proportion de femmes ayant des apports en folates inferieurs au BNM.
OS 3-6-3 : augmenter de 50 % au moins, en 5 ans, le nombre d’unites de comprimes d’acide folique (0,4 mg) prescrits pour un projet de grossesse.
• Sous-objectif général 3-7 : promouvoir l’allaitement maternel
OS 3-7-1 : augmenter de 15 % au moins, en 5 ans, le pourcentage d’enfants allaites a la naissance.
OS 3-7-2 : augmenter de 25 % au moins, en 5 ans, la part des enfants allaites a la naissance beneficiant d’un allaitement exclusif.
OS 3-7-3 : allonger de 2 semaines, en 5 ans, la duree mediane de l’allaitement.
OS 3-7-4 : retarder d’un mois, en 5 ans, l’age median d’introduction de tout autre aliment que le lait (maternel ou formule lactee du commerce).
Objectif general 1 • Reduire l’obesite et le surpoids dans la population
• Sous-objectif général 1-1 : stabiliser la prévalence de l’obésité et réduire le surpoids chez les adultes
OS 1-1-1 : stabiliser, en 5 ans, la prevalence de l’obesite chez les adultes.
OS 1-1-2 : reduire, de 10 % au moins, en 5 ans, la prevalence du surpoids chez les adultes.
OS 1-1-3 : stabiliser, en 5 ans, chez les femmes en situation de pauvrete, la prevalence de l’obesite.
OS 1-1-4 : diminuer de 15 % au moins, en 5 ans, la prevalence de l’obesite morbide.
OS 1-2-1 : diminuer en 5 ans, de 15 % en moyenne, chez les enfants et adolescents de 3 a 17 ans, la prevalence globale de surpoids et d’obesite.
OS 1.2.2 : diminuer en 5 ans, de 15 % au moins, chez les enfants et adolescents de 3 a 17 ans issus de milieux defavorises, la prevalence de surpoids et d’obesite.
Objectif general 2 • Diminuer l’hypercholesterolemie et l’hypertension arterielle
OS 2-1 : reduire de 5 %, dans la population adulte, la cholesterolemie moyenne (LDL–cholesterol) en 5 ans.
OS 2-2 : augmenter en 5 ans la proportion de patients atteints d’hypercholesterolemie traites et equilibres
OS 2-3: augmenter en 5 ans la proportion de patients atteints d’hypertension arterielle, traites et equilibres.
","","","Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Fibre|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|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|School milk scheme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|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|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Salt reduction|Micronutrient supplementation|Food security and agriculture","","http://social-sante.gouv.fr/IMG/pdf/PNNS_2011-2015.pdf - https://extranet.who.int/ncdccs/Data/FRA_B11_PNNS%20eng.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA_2011_PNNS.pdf" "23615","GEO","Georgia","","National Health Care Strategy 2011-2015","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Labour, Health, and Social Affairs of Georgia","","2011","","","","","Health|Education and research|Social welfare|Sport|Labour|Other","National Center for Disease Control (NCDC); National Reproductive Heath Council","World Health Organization (WHO)","","","","","","European Union","","","","","","Private sector","","Other","Civil Registry Agency","To promote a healthy lifestyle, the government will collaborate with private and non-governmental organizations to initiate educational campaigns increasing public awareness about behavioral risk factors (drug abuse, unhealthy diet, physical inactivity, alcohol and tobacco consumption and road safety). Therefore, the MoLHSA will develop and implement information, education and communication initiatives aimed at increasing the population’s awareness about health and healthy life-style issues.
","The Government will increase its efforts to promote health by implementing a number of special programs such as: the introduction of the “Healthy School” concept
By 2015, special attention will be devoted to improving legislation and elaborating efficient enforcement measures that assure health improvements. To that end, road safety, reduction of drug abuse, assuring food safety and promoting a healthy urban environment will receive prime attention.
NCDC will create and develop national registers for such chronic diseases as cancer, myocardial infarction, diabetes, epilepsy and stroke.
","","","","School-based health and nutrition programmes|Physical activity and healthy lifestyle|Food safety|Vaccination|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/GEO","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GEO%202011%20GEORGIA%20-%20NATIONAL%20HEALTH%20CARE%20STRATEGY%202011-2015.pdf" "8241","KEN","Kenya","","National Food and Nutrition Security Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","","Agricultural Sector Coordination Unit","","2011","Adopted","","2011","Ministry of Agricuture","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Development|Consumer affairs|Other","Agricultural Sector Coordination Unit, Inter-ministerial Coordinating Committee on Food and Nutrition, Kenya Food Security Meeting (Office of the President), National Food Safety Coordinating Committee","","","","","","","","","","","","","","","","","1.6 Overall policy goal and objectives
1.6.2 The broad objectives of the FNSP are:
i. To achieve adequate nutrition for optimum health of all Kenyans;
ii. To increase the quantity and quality of food available, accessible andaffordable to all Kenyans at all times; and
iii. To protect vulnerable populations using innovative and cost-effectivesafety nets linked to long-term development.
4. Nutrition Improvement/Nutrition Security
4.2 The life-cycle approach to nutrition improvement
Objectives:
1. improving maternal and newborn nutrition
2. improving early childhood nutrition and survival
3. improving late childhood nutrition
4. improving adolescent nutrition
5. improving adult nutrition
6. improving nutrition of older persons
","4. Nutrition Improvement/Nutrition Security
4.2 Maternal and newborn nutrition
i. Promote actions to ensure pregnant and lactating women and their families have access to and are knowledgeable about their need for an adequate and nutritious diet;
ii. Support the establishment of a monitoring and support system to promote compliance with iron/folate supplementation and healthy weight programme before and during pregnancy and lactation;
iii. Support the development of a universal programme of iron/folate or multi micronutrient supplementation for adolescent girls and young women and promote dietary diversification and consumption of fortified food at the household level;
iv. Promote behavioural changes; strengthen linkages between nutrition care in health facilities and community centres, and monitor birth weights of babies born outside health facilities;
v. Promote early initiation and exclusive breastfeeding;
vi. Promote linkage of nutrition interventions and nutrition education of mothers with Safe Motherhood, Baby Friendly Hospital Initiatives, immunization, malaria control and Integrated Management of Childhood Illness (IMCI); and
vii. Promote workload reduction technologies and increase income-generating activities for women.
Early childhood nutrition
i. Promote and protect exclusive breastfeeding and create an enabling environment which will include enactment and enforcement of a law to regulate marketing of breast-milk substitutes (Code of Marketing of Breast-milk Substitutes) and ensuring supportive labour laws in relation to maternity leave;
ii. Support the development of systems to implement the right to proper nutrition and health care for all children as per the Constitution;
iii. Promote improvements to micronutrient status of children and support micronutrient supplementation;
iv. Ensure equitable access to high impact nutrition and health interventions and increased uptake of optimal feeding and hygiene practices.
v. Support expansion of growth monitoring and promotion to all communities.
Late childhood nutrition
i. Support coordination efforts to improve nutrition through schools, including full integration in the curriculum, routine health/nutrition assessments and school meal standards;
ii. Support adoption of food preparation and eating practices that better ensure children’s adequate nutrition; and
iii. Lay emphasis on improving sanitation and hygiene.
Adolescence nutrition
i. Support coordination efforts to improve nutrition through schools, including full integration within the education curriculum, routine health/nutrition assessments, school meal standards;
ii. Promote the establishment of lifestyle micronutrient supplementation programmes to prevent such deficiencies among young women;
iii. Promote the importance of adequate nutrition for young women especially before pregnancy; and
iv. Promote use of fortified foods in the diet.
Adult nutrition
i. Promote good eating habits and weight monitoring, and establish supportive community based health and nutrition counselling centres;
ii. Support the development and dissemination of national food and dietary guidelines and lifestyle education packages on a regular basis with revisions at least every five years; and
iii. Improve the system of social safety nets to ensure all affected family members have adequate protein, energy as well as necessary micronutrients in their daily diets.
Nutrition for older persons
i. Develop and actively disseminate dietary guidelines and standards for older persons;
ii. Develop and support nutrition care initiatives and support community based life-style and health services; and
iii. Improve the system of social safety nets to ensure the older persons have adequate protein, energy as well as necessary micronutrients in their daily diets.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20Food%20and%20Nutrition%20Security%20Policy%5B1%5D_0.pdf" "22870","PHL","Philippines","","The Implementing Rules and Regulation of Republic Act No. 10028","Legislation relevant to nutrition","","English","9","2011","","","Department of Health, Republic of the Philippines","8","2011","Adopted","9","2011","","Finance, budget and planning|Health|Labour|Other|Trade","Bureau of Internal Revenue (BIR), Department of Health (DOH), Department of Labor and Employment (DOLE), Local Government Units (LGUs), Department of Trade and Industry (DTI)","","","","","","","","","","","","","","","","","","","","","
Section 1. Title - These rules shall be known and cited as the Rules and Regulations Implementing Republic Act No.10028 also known as the """"Expanded Breastfeeding Promotion Act of 2009.
Section 2. Purpose - These Rules are promulgated to prescribe the procedure and guidelines for the Implementation of the Expanded Breastfeeding Promotion Act of 2009 in order to facilitate the compliance therewith and to achieve the objectives there of pursuant to Section 18 of RA 10028.
Section 3. Construction - These Rules shall be liberally construed and applied in accordance with and in furtherance of the policy and objectives of the law. In case of conflict and/or ambiguity, which may arise in the implementation of these Rules, the agencies concerned shall issue the necessary clarification.
Section 4. Declaration of Policy - The State adopts rooming-in as a national policy to encourage, protect and support the practice of breastfeeding. It shall create an environment where basic physical, emotional, and psychological needs of mothers and infants are fulfilled through the practice of rooming-in and breastfeeding. The State shall likewise protect working women by providing safe and healthful working conditions, taking into account their maternal functions, and such facilities and opportunities that will enhance their welfare and enable them to realize their full potential in the service of the nation. This is consistent with international treaties and conventions to which the Philippines is a signatory such as the Convention on the Elimination of Discrimination Against Women (CEDAW), which emphasizes provision of necessary supporting social services to enable parents to combine family obligations with work responsibilities; the Beijing Platform for Action and Strategic Objective, which promotes harmonization of work and family responsibilities for women and men; and the Convention on the Rights of the Child, which recognizes a child's inherent right to life and the State's obligations to ensure the child's survival and development. Breastfeeding has distinct advantages which benefit the infant and the mother, including the hospital and the country that adopt its practice. It is the first preventive health measure that can be given to the child at birth. It saves children from dying. It also enhances the mother-infant relationship. Furthermore, the practice of breastfeeding could save the country valuable foreign exchange that would otherwise be used for milk importation. Breastmilk is unequalled as the best food for infants because it contains essential nutrients completely suitable their needs. It is also nature's first immunization, enabling the infant to fight potential serious infection. It contains growth factors that enhance the maturation of an infant's organ systems' Towards this end, the State shall promote and encourage breastfeeding and provide the specific measures that would present opportunities for mothers to continue expressing their milk and/or breastfeeding their infant or young child.
","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food safety|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Functioning implementation and monitoring mechanism|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12092","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20The%20Implementing%20Rules%20and%20Regulation%20of%20Republic%20Act%20No.%2010028.pdf" "23149","ZMB","Zambia","","National AIDS Strategic Framework","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Government of Zambia","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Development|Labour|Other","Cabinet Committee on HIV and AIDS, Ministry of Community Development and Social Services, Ministry of Youth Sports and Child Development, Ministry of Science, Technology and Vocational Training","","","","","","","","","","","","","","","","","","3.1.5. Prevention of mother to child transmission
Priority strategies:
ii. Providing technical guidance to optimize quality pediatric HIV prevention, care nutrition support
and treatment services
3.2.1. Antiretroviral therapy
Priority strategies:
v. Provide nutrition for malnourished people living with HIV (PLHIV), children and infants
3.3.1 Vulnerable households and Individuals
Priority strategies:
iii. Provide food and material support to incapacitated vulnerable households (e.g. because of
physical or life-cycle status)
iv. Promote small scale sustainable community or households agricultural projects that will
improve household food security. Some of the livelihood initiatives would be more of income
generating activities
v. Prioritise food assistance to food insecure households with chronically ill adults and children
3.3.2 Orphans and vulnerable children
Priority strategies
ii. Provide education, psychosocial and material support nutrition, and shelter, and a caregiver to in and out- of- school female and male OVC
","Annex 1. The NASF Results Framework
D) MITIGATION
Outcome result:
Vulnerable households and food security
[OC17] More people receive comprehensive and quality care at home and in the community. Female and male aged 15-59 who either have been very sick or who died within the last 12 months after being very sick whose households received certain free basket external support to care for them within the last year increased from 41% in 2009 to 50 % in 2013 and 60 % by 2015.
Output result
[OP44] Households with vulnerable persons who received all three types (medical, emotional, and social/material) of support in the last year increased from 5.5% in 2007 to 10% in 2013 and 20% by 2015
[OP45] Females and males adult PLHIV who are clinically malnourished and who received nutritional support increased from 15% in 2007 to 25% in 2013 and to 50% in 2015.
","","","Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202010%20National%20AIDS%20Strategic%20Framework.pdf" "8297","BRB","Barbados","","United Nations Development Assistance Framework (UNDAF) for Barbados and the Organisation of Eastern Caribbean States (OECS) 2012 to 2016","Non-national nutrition policy document","","English","","2012","","2016","United Nations System in Barbados and the Organisation of Eastern Caribbean States (OECS)","","2011","Adopted","","","FAO, UN women, ITU, UNDP, PAHO/WHO, UNAIDS, UNICEF, UNECLAC, UNESCO; UNFPA, UNIC, UPU; ILO, UNEP, UNIDO, UNODC","Health|Labour|Other","Ministry of Health, National AIDS programme","United Nations Development Programme (UNDP)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNODC, PAHO","","","","","","","National NGOs","Media, Environmental NGOs, Agricultural Associations, Employers and Workers Organizations, Human Rights NGOs, NGOs working in HIV/AIDS, FBOs","","","Private sector","UN-Women","","","UNDAF Priority : Improved Food and Nutrition Security
Outcome: By 2016 there is strengthened policy, legislative framework and food production environment towards higher levels of food and nutrition security.
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Outcome: A more enabling environment established for the reduction of incidence, morbidity and mortality from HIV and noncommunicable diseases
UNDAF Priority : Improved Food and Nutrition Security:
Output 1.1 Strengthened capacities for the preparation and implementation of food and nutrition security policies at the national level strengthened.
Output 1.3 Improved production techniques and technologies to support climate resilient agricultural related livelihoods within rural and urban communities
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Output 1.1 Policies to address stigma, discrimination in vulnerable populations promoted and implementation facilitated through the provision of technical assistance, financial resources, capacity building and partnerships
Output 1.3 National Surveillance of NCD/HIV strengthened
UNDAF Priority : Improved Food and Nutrition Security:
Indicators: # of countries with food and nutrition strategies prepared
Baseline :1
Target : 5% in increase production of selected vegetables, fruits, fish and animal products increased by
Indicators: % increase in per capita consumption of
Targeted foods increased
Baseline: 2011 production levels.
Target: 10% increase in 6 countries
Baseline: 2011 production levels
Target: 1% by 2016 in 5 countries
Output 1.1:
Indicators # of regional capacity development opportunities linked to food and nutrition planning with positive evaluations conducted.
Baseline = 0
Target = 2# of countries with food and nutrition strategies prepared.
Baseline = 2
Target = 7
Output 1.3:
Indicators # of countries with DRM/CCA plans for the agricultural sector in place.
Baseline = 2
Target ? 4 % increase in backyard food production disaggregated by sex (rural and urban)
Baseline = 2011 level of backyard production
Target = 10% and age.
UNDAF Priority: Public Health within context of the development agenda using rights based approach, maintaining focus on HIV/AIDS and noncommunicable diseases
Indicators:
Regional Strategic plan in place
# countries with action agendas for NSPs in implementation.
% increase in expenditure on HIV
# of Parliamentarians advocating on issues of stigma and discrimination
25% increase in sustainable prevention programmes
25% increase in media reports over 2011 base year.
Baseline: Most countries do not yet truly know their epidemic and need to step up efforts to collect, analyse and use data for planning, policy formulation and assessing progress. Overall, significant progress has been made in increasing access to HIV care and treatment and that of NCDs and the HIV epidemic seems to reach a plateau, though at high level. Stigma and discrimination are important challenges and legislative reform is required to ensure the human rights of vulnerable populations and those infected with HIV are respected
Target: All countries have established adequate systems for surveillance of HIV/NCDs to enable countries to better understand their HIV epidemic and NCD status and inform decision making, and increase access to related health services. At least 60% of countries have policies to support HIV and noncommunicable disease programmes that address stigma and discrimination and among vulnerable groups, taking into account of gender-based HIV vulnerabilities. Countries have improved HIV and nutrition education, and clear dietary guidelines.
Output 1.1.
Indicators:
# of schools in which nutrition has been added to the school curriculum.
# of countries with food based dietary guidelines prepared.
Baseline: Countries have draft work place policies Few schools with nutrition as part of curriculum. 4 countries with food based dietary guidelines prepared
Target: At least 60% of member states have policies to support HIV and non-communicable disease programmes that address stigma, discrimination and vulnerabilities. Work place policies adopted or included in national HIV/AIDS revised policies in at least 4 countries. All new programmatic, prevention-oriented responses take account of gender-based HIV vulnerabilities. At least 6 countries have developed food based dietary guidelines and integrated nutrition into school curricula
Output 1.3 National Surveillance of NCD/HIV strengthened
Indicators: % of obesity in females and males between the ages of 16-55% of minors who regularly consume alcohol# of schools with substance abuse and HIV prevention counselling
Baseline: Reporting on UNGASS Indicators in Barbados and the OECS ranges from 27% in Dominica to 77% in St. Lucia, with 5 of the 10 countries reporting on 50% or more. Reporting on Indicators relating to most vulnerable populations is low, indicating that national decision makers have not achieved clear understanding on the most at risk populations in the epidemic. Counselling support, particularly for at risk groups need to be strengthened.
Target: All countries have adequate and functional sites and systems for surveillance of HIV/NCD and capacity of statistics offices, ministries of health, and national aids commissions strengthened through networking, exchange of experiences and training opportunities. HIV prevalence and incidence among population between 0 - 25 reduced by 25% and obesity in females and males by 25%. Policies and updated legislation in place to restrict use of alcohol among minors, support counselling in schools to address the problem of drug and alcohol abuse by students, and integrate substance use and HIV prevention messages into youth services in at least 3 countries.
A Política Nacional de Alimentação e Nutrição (PNAN) tem como propósito a melhoria das condições de alimentação, nutrição e saúde da população brasileira, mediante a promoção de práticas alimentares adequadas e saudáveis, a vigilância alimentar e nutricional, a prevenção e o cuidado integral dos agravos relacionados à alimentação e nutrição.
","As diretrizes que integram a PNAN indicam as linhas de ações para o alcance do seu propósito, capazes de modificar os determinantes de saúde e promover a saúde da população. Sendo consolidadas em:
1. Organização da Atenção Nutricional;
2. Promoção da Alimentação Adequada e Saudável;
3. Vigilância Alimentar e Nutricional;
4. Gestão das Ações de Alimentação e Nutrição;
5. Participação e Controle Social;
6. Qualificação da Força de Trabalho;
7. Controle e Regulação dos Alimentos;
8. Pesquisa, Inovação e Conhecimento em Alimentação e Nutrição;
9. Cooperação e articulação para a Segurança Alimentar e Nutricional.
Ao viabilizar essa avaliação, deverão ser considerados indicadores que permitam verificar em que medida são consolidados os princípios e diretrizes do SUS, na conformidade do detalhamento feito no Art. 7º, da Lei n° 8.080/90, observando-se, por exemplo, se:
Pactuar, monitorar e avaliar os indicadores de alimentação e nutrição e alimentar os sistemas de informação da saúde, de forma contínua, com dados produzidos no sistema local de saúde;
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|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|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Wheat flours|Maize flours|Food security and agriculture|Conditional cash transfer programmes","","http://dab.saude.gov.br/portaldab/biblioteca.php?conteudo=publicacoes/pnan","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202012%20Pol%C3%ADtica%20Nacional%20de%20Alimenta%C3%A7%C3%A3o%20e%20Nutri%C3%A7%C3%A3o_0.pdf" "11610","GTM","Guatemala","","Orientaciones estratégicas de política 2012-2014","Comprehensive national nutrition policy, strategy or plan","","Spanish","1","2012","12","2014","Secretaría de Planificación y Programación de la Presidencia -SEGEPLAN","2","2011","Adopted","2","2011","Secretaría de Planificación y Programación de la Presidencia -SEGEPLAN","Education and research|Finance, budget and planning|Health|Labour|Food and agriculture|Other","Instituto Nacional de Estadística - INE, Instituto Nacional de Fomento Municipal - INFOM, Ministerio de Agricultura, Ganadería y Alimentación -MAGA, Ministerio de Comunicaciones, Insraestructura y vivienda -CIV, Ministerio de Economía -MINECO, Ministerio de Educación - MINEDUC, Ministerio de Trabajo - MINTRAB, Secretaría de obras Sociales de la Esposa del Presidente -SOSEP, Secretaría de Seguridad Alimentaria y Nutricional - SESAN","","","","","","","","","","","","","","","","","El documento no plantea objetivos pero, del capítulo de presentación se deducen los siguientes:
Concretar la articulación Plan-Presupuesto y armonizar las prioridades de la gestión pública y las asignaciones presupuestarias.
Definir las orientaciones del Sistema Nacional de Planificación para contar con una herramienta para la planeación y previsión presupuestaria que de respuesta a los desafíos de las condiciones económicas, sociales y ambientales que configuran la realidad nacional.
Ubicar las prioridades del desarrollo para el trienio 2012-2014, que permitan visualizar un futuro posible e inmediato que coadyuve a reducir las brechas de exclusión y discriminación existentes en el país, con acciones estratégicas, firmes y sostenibles.
","Se incluyen los siguientes ejes:
1. Desarrollo económico
2. Seguridad alimentaria y nutrición
3. Educación
4. Salud
5. Seguridad y justicia
6. Desarrollo municipal y democrático
7. Gestión ambiental
Se construyeron matrices de trabajo por eje las que incluyen, para cada una de las acciones de política pública, lo siguiente:
Las acciones de política pública incluida en el eje de seguridad alimentaria y nutrición son:
","
En las matrices de trabajo del eje de seguridad alimentaria y nutrición (páginas 47-56 del documento adjunto) aparecen los indicadores de proceso e impacto para cada una de las acciones sectoriales, según el marco programático.
","Outcome indicators|Process indicators","","Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Growth monitoring and promotion|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iron|Micronutrient powder for home fortification|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food security and agriculture|Family planning (including birth spacing)|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Orientaciones%20Estrat%C3%A9gicas%20de%20Pol%C3%ADticas.pdf" "36226","KWT","Kuwait","","Kuwait Action PIan for SFA intake reduction and TFA Elimination. Kuwait Salt lntake Reduction Strategy Preliminary Plan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2018","","","2012","","","","","Health|Food and agriculture|Consumer affairs|Trade|Industry","","","","","","","","","","","","","","","","","","","Kuwait Action Plan for SFA intake reduction and TFA Elimination
The overall aim of the Healthy Weight for Life Strategy is to curb and reverse the growing proportion of overweight and obese children and adults in the population in order to reduce the health, social and economic consequences of excess body weight.
","The Public Health Case for Action
Economic Evaluation of Overweight and Obesity
Promoting Healthy Eating
Promoting Physical Activity
Healthcare Services
In order to measure the effectiveness of this Strategy, we aim to demonstrate the following improvements in children and adults by 2020:
• Reduction in the self-reported proportion of the adult population who are overweight from 36% to at least 33%.
• Reduction in the self-reported proportion of the adult population who are obese from 22% to at least 18%.
• Reduction in the proportion (measured by anthropometric studies) of 7 year olds who are overweight and obese from 32% to 27%.
• Maintenance of the proportion of 13 year olds above the 95% weight centile (obese) below 15%.
Monitoring of the targets will take place on a triennial basis (in 2015 and 2018) followed by an end of plan evaluation. The Healthy Weight for Life Implementation Group will be responsible for ensuring that the actions within the different settings are achieved according to the timeframe set and within the allocated budget.
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Capacity building for the Code|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Vulnerable groups","","https://health.gov.mt/en/Documents/National-Health-Strategies/hwl_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLT%202012%20Healthy%20Weight%20for%20Life.pdf" "40384","NAM","Namibia","","National Policy on Sexual, Reproductive and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2022","Directorate of Primary Health Care","","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Information|Justice|Labour|Other","Directorate of Primary Health Care, Ministry of Safety and Security, Ministry of Defense, Ministry of Home Affairs and Immigration, Ministry of Agriculture, Water and Forestry, Gender, ICT, Regional Reproductive and Child Health Committee, National Statistics Agency, Ministry of Regional and Local Government, Housing, and Rural Development","","","","","","Unspecified","","","National NGOs","Namibia Alliance for Improved Nutrition (NAFIN), Churches and faith-based organizations","Research/academia","","Private sector","Private health and social services providers","Other","Food Fortification Technical Working Group, Health Professions Councils of Namibia (HPCNA), National Youth Council, civil society organizations","
3.1 Goal
The overall goal of this policy is to enhance the attainment of the highest possible standard of Sexual, Reproductive Health, Child Health and Nutrition for the Namibian population through provision of equitable, accessible and affordable health and nutrition information and services.
3.3 Objectives (nutrition-related only)
","
Nutrition Policy Statements
Stunting rate among under 5 children
Prevalence of Malnutrition (wasting, stunting and underweight) disaggregated by age.
Prevalence of NCDs
Early initiation of breastfeeding: Proportion of children born in the last 24 months who were put to the breast within one hour of birth
Exclusive breastfeeding"": Proportion of infants aged 0-6 months who are fed exclusively with breast milk.
The new ""minimum acceptable diet"": Proportion of children 6-23 months of age who had both minimum meal frequency and dietary diversity (in both BF and non-BF children).
","","Outcome indicators|Process indicators","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Sexual%2C%20Reproductive%2C%20and%20Child%20Health%20Policy.pdf" "40732","NAM","Namibia","","Namibia’s Fourth National Development Plan 2012/13 to 2016/17","Multisectoral development plan with nutrition components","","English","","2012","","2017","Office of the President National Planning Commission","","2012","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Labour|Other","Office of the President National Planning Commission, Home Affairs","","","","NGO service providers","Other","Bank of Namibia","","","National NGOs","","","","","","","","Desired Outcome 3 (DO3): By 2017, Namibians have access to a quality health system, both in terms of prevention, cure, and rehabilitation, characterised by an improvement in healthy adjusted life expectancy (HALE) from baseline 57 (2011) to 59 (2017).
Desired Outcome 4 (DO4): By 2017, the proportion of severely poor individuals has dropped from 15.8% in 2009/10 to below 10%.
Desired Outcome 9 (DO9): Agriculture experiences average real growth of 4% per annum over the NDP4 period.
","The drivers of health outcomes are multifaceted and include factors such as income, sanitation, education and health service provision. It is important to recognise the need for multi-sectoral approach that include not only the health sector, but also improvements in poverty, education, sanitation, food security (through agriculture) and infrastructure.
","","","","School-based health and nutrition programmes|Provision of school meals / School feeding programme|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20NDP4_0.pdf" "39373","ALB","Albania","","National Action Plan for Food and Nutrition 2013-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2020","the Ministry of Health (MoH) and the Ministry of Agriculture, Food and Consumer Protection (MoAFCP)","","2012","Adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Consumer affairs|Labour","Albanian Food and Nutrition Action Plan (AFNAP) 2013-2020 has been developed in the framework of the Joint Programme on Nutrition implemented by the Ministry of Health (MoH) and the Ministry of Agriculture, Food and Consumer Protection (MoAFCP) The Plan has been developed with the inputs of five line ministries: Ministry of Health, Ministry of Agriculture, Food and Consumer Protection, Ministry of Education and Science, Ministry of Labour, Social Affairs and Equal Opportunities, Ministry of Finance and the respective local and national institutions.","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF) and the Food and Agriculture Organization of the United Nations (FAO) .","","","Other","funded by the Spanish Millennium Development Goals Achievement Fund","","","","","","","","","","","1.1 Increase employment opportunities for youth, members of vulnerable groups and people with disabilities
1.2 Establish social businesses to hire young people, members of vulnerable groups and individuals with disabilities
2.1 Construct and/or rehabilitate markets for agricultural, animal and fish products
2.2 Establish/rehabilitate infrastructures to store agricultural, animal and fish products
2.3 Establish/rehabilitate secondary roads, especially in areas used to transport goods to market
2.4 Establish social businesses to collect and distribute local food to the poor
3.1 Deploy improved technologies (agricultural inputs, livestock breeding and nutrition)
3.2 Improve management of irrigation systems
3.3 Help build capacity in the extension services and the private sector to use local resources and identify donors to provide financial support to these initiativesto strengthen agricultural innovation systems
3.4 Help build capacity in the advisory service
3.5 Increase financial supportfor national schemes in agriculture and secure support for development research projects funded by the European Union for rural development
3.6 Study the agricultural and environmental potential at national and local (rural) level
3.7 Build social businesses to provide advice and specialized technical support to farmers
4.1 Develop national guidelines for: nutritional status indicators based on the population according to demographic data and special physiological conditions;
• standardized methods of data collection; and
• frequency of data collection, information flow, methods of data analysis and reporting of each indicator.
4.2 Develop and distribute standardized forms and create a central database or registry on the nutritional status of the population
4.3 Develop training activities with primary health care personnel and public health specialists to assess, document, and report on the nutritional status of the population
4.4 Improve the forms used to report foodborne diseases and develop guidelines for the flow of information on foodborne diseases
4.5 Create databases to collect and process national data on foodborne diseases
4.6 Strengthen technical capacity and infrastructure of public health laboratories to identify more causes of foodborne diseases
4.7 Establish and strengthen the NCD surveillance system
4.8 Assess how balanced the diet of the Albanian population is through questionnaires that collect data on the frequency/type of food consumption using 24-hour recall or food and exercise diary
4.9 Include Albania in the WHO European Childhood Obesity Surveillance Initiative for children aged 6.0–9.9 years and monitor obesity among children every three years using WHO protocols
4.10 Participate in the Health Behaviour in School-aged Children (HBSC) study which uses standardized questionnaires and reporting mechanisms to evaluate the physical (including nutrition- related) and mental health among young people aged 11, 13 and 15 years
4.11 Create a surveillance system to monitor progress on eliminating iodine deficiency with particular focus on vulnerable groups and populations with high prevalence
4.12 Monitor progress towards universal salt iodization by periodic testing of salt to ensure proper iodization
4.13 Evaluate average salt content in the main staple foods
4.14 Assess national food security
4.15 Develop standardized methods for collecting, updating and disseminating information on the demand/ supply and use of most food products
4.16 Establish an information system for prompt/early warnings, monitoring and surveillance
4.17 Prepare periodic accounts on imports and exports of food staples
7.1 Review the cash payment system for families assisted by the economic aid scheme whose aim is to improve the nutritional status of children
7. 2 Pilot the improved economic assistance scheme and its nutrition-related components: counselling, education on nutrition and the provision of food packages or coupons for at-risk populations
8.1. Draft and approve legislation for traceability: update general labelling rules and develop specific rules for labelling and controlling food and health statements made on foods
12.1 Review and update the regulatory framework (regulations, guidelines, protocols, stand- ards) on maternal and child health to prevent malnutrition and track the status of maternal and child nutrition
12.2 Assess the nutrition and feeding practices of reproductive-aged women (15–49 years old)
12.3 Organize promotional activities for healthy nutrition in pre-school and compulsory education
12.4 Determine daily feeding rates for nurseries, kindergartens and schools that offer lunch
12.5 Organize communication campaigns promoting behavioural changes to improve the nutritional practices of reproductive-aged women
12.6 Organize training activities to increase knowledge and skills of staff providing health care for women and infants
13.1 Review and update national health statistical indicators on breastfeeding and infant and young child feeding to be consistent with globally standardized indicators
13.2 Train health personnel on feeding practices of infants and young children
13.3 Periodic assessment of “baby friendly” hospitals/maternities to implement this initiative
13.4 Periodic assessment of feeding practices of infants and young children
13.5 Train the personnel providing health care for children in their growth assessment according to the standardized growth curves for children aged 0–5 years
13.6 Prepare and distribute informational materials on family and community level on feeding practices of infants and young children
14.1 Conduct a national study on the prevalence of anaemia
14.2 Develop a regulatory framework for the fortification of flour with iron, folic acid and Vitamin B12
14.3 Provide FBO training and inspectors to monitor the fortification of flour
14.4 Develop protocols to prevent and treat iron deficiency anaemia among children
14.5 Organize promotional activities to use behaviour change to improve dietary diversity
14.6. Establish social businesses that produce and distribute fortified foods to improve child nutrition
15.1 Review the Recommendations on Healthy Nutrition in Albania
15.2. Communicate and distribute Recommendations on Healthy Nutrition in Albania to health professionals
15.3 Inform the public about the Recommendations on Healthy Nutrition in Albania
16.1 Develop and approve extracurricular modules on healthy nutrition for the 9-year primary education system
16.2 Train teachers on the use of extracurricular modules on healthy nutrition for the 9-year primary education system
16.3 Develop and approve extracurricular modules on healthy nutrition for the secondary education system
16.4 Improve the public health nutrition curriculum in the undergraduate and postgraduate programmes in the Faculty of Medicine and Nursing
16.5 Train school health personnel (doctors, nurses, dentists) on the new curricula approved by the MoH
16.6 Implement in phases the European Healthy Eating and Physical Activity in Schools project
16.7 Adopt and implement in stages the Action plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016
16.8 Pilot a public school programme that offers healthy food
16.9 Develop and distribute information, education and counselling about the need to limit the intake of dietary salt
16.10 Promote physical activity and an active lifestyle
16.11 Continuous training of staff and the promotion of sanitary inspectors of the Departments of Public Health on healthy nutrition and good food hygiene practices, at local and national level.
16.12 Strengthening the capacity of local staff (municipalities, Regional Agriculture and Food Directories, Directorates of Public Health, Directorates of Education) in the planning, implementation and monitoring of interventions related to nutrition.
16.13 Implement an advocacy strategy for nutrition issues
16.14 Develop a strategy for reducing salt consumption
16.15 Assess consumer knowledge, attitudes and practices related to food safety
16.16 Raise consumer awareness on food safety
16.17 Present, inform and organize distribution of the NAFPN to all relevant stakeholders including the public
17.1 Evaluate the implementation of the Plan-based on the monitoring and evaluation framework
17.2 Evaluate the implementation of food and nutrition action plans at regional and local government levels
17.3. Strengthen the institutional capacity to monitor and evaluate the implementation of food and nutrition programmes
(a) increasing by 20% (from 39% to 60%) the proportion of children aged 0–6 months who are exclusively breastfed;
(b) increasing by 20% (from 38% to 60%) the proportion of mothers who start breastfeeding within one hour of giving birth;
(c) implementing in 80% of public and private maternity hospitals the infant feeding practices of UNICEF’s Baby- friendly Hospital Initiative;
(d) improving by 10% (from 19% to 29%) the proportion of children aged 6–23 months who are fed according to recommended feeding practices;
(e) reducing by 6% (from 19% to 13%) the proportion of children under five who have growth retardation;
(a) maintaining the proportion of children who have normal body weight
(b) decreasing by 20% the proportion of physically inactive adults
(c) maintaining the proportion of adults over 60 years old who have normal body weight
(d) increasing by 20% the average fruit consumption of adults over 60 years old
(e) maintaining the proportion of adults aged 20–59 years who have normal body weight
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Sodium/salt intake|Fruits|Growth monitoring and promotion|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Salt reduction|Vitamin B12|Iodine|Iron and folic acid|Food fortification|Nutrition education|Wheat flours|Food grade salt|Food safety|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/ALB_B19_ligj nr. 74, dt. 25.10.2018 per pijet energjike dhe sheqer.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB_2013_PUU.pdf" "25916","GUY","Guyana","","Strategic Plan 2013-2020: Integrated Prevention and Control of Non Communicable Disease in Guyana","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2020","Ministry of Health","7","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Trade|Labour","Partners on healthy eating and salt reduction: Ministry of Agriculture, Ministry of Trade and Commerce,Food and Drugs, Food Policy unit, Ministry of Education, Ministry of Labor Human Services and SocialSecurity","Food and Agriculture Organisation (FAO)|World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","","","","","Статья 4
1. По представлении медицинского свидетельства или после иной надлежащей проверки, предусмотренной национальными законодательством и практикой, удостоверяющих предполагаемый срок родов, женщина, в отношении которой применяется настоящая Конвенция, имеет право на отпуск по беременности и родам продолжительностью не менее 14 недель.
Статья 6
1. В соответствии с национальным законодательством или любым иным способом, соответствующим национальной практике, женщинам, отсутствующим на работе в связи с отпуском, указанным в статьях 4 или 5, предоставляются денежные пособия.
2. Денежные пособия устанавливаются на таком уровне, чтобы женщина могла содержать себя и своего ребенка в достойных с санитарно-гигиенической точки зрения условиях и иметь надлежащий уровень жизни.
Статья 10
1. Женщине предоставляется право на один или несколько перерывов в день или на повседневное сокращение рабочего времени для кормления своего ребенка грудью.
2. Срок, в течение которого допускаются перерывы или повседневное сокращение рабочего времени для кормления грудного ребенка, их количество и продолжительность, а также процедура повседневного сокращения рабочего времени определяются в соответствии с национальными законодательством и практикой. Эти перерывы или повседневное сокращение рабочего времени засчитываются как рабочее время и оплачиваются соответствующим образом.
Заявление(декларация)
В соответствии с подпунктом 2 статьи 4 Конвенции о пересмотре Конвенции (пересмотренной) 1952 года об охране материнства (Конвенция 183) имею честь от имени Правительства Республики Казахстан подтвердить, что продолжительность отпуска по беременностям и родам в Республике Казахстан составляет 18 недель (в случае осложненных родов или рождения двух или более детей - 20 недель).
","Breastfeeding|Maternity protection|Right to health|Breastfeeding promotion/counselling|Conditional cash transfer programmes|Vulnerable groups|18 weeks or more|14 weeks or more|Paid breastfeeding breaks|Unpaid breastfeeding breaks","","http://www.03portal.kz/spravochniki/pravovaya-baza/zakony-respubliki-kazakhstan/42877-zakon-respubliki-kazakhstan-ot-14-fevralya-2012-goda-554-iv ","","http://online.zakon.kz/Document/?doc_id=31124006","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202012%20Law%20on%20Maternity%20protection.pdf" "24476","LSO","Lesotho","","Lesotho United Nations Development Assistant Plan (LUNDAP)","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team of Lesotho","12","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Environment|Industry|Justice|Labour|Sub-national","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","
Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf" "24487","RWA","Rwanda","","Rwanda United Nations Development Assistance Plan 2013-2018","Non-national nutrition policy document","","English","","2013","","2018","UN country team in Rwanda","","2013","Adopted","7","2013","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Disaster management and refugee affairs, defense, foreign affairs, infrastructure, internal security, east African community","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNECA, IOM, UN Women, UNEP, UN Habitat, UNV, UNCTAD, ITC, UNCDF, OHCHR","Other","","","","","","National NGOs","","","","","","","","Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "7994","ZAF","South Africa","","Roadmap for Nutrition in South Africa","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","Department of Health","","2013","","","","(Policy to be signed by Minister of Health)","Health|Finance, budget and planning|Labour|Other","Department of Communication, National Planning Commission","","","","","","","","","","","","","","","","","Overall Goals:
- To contribute to increased life expectancy of the entire population by improving the quality, coverage and intensity of specific nutrition interventions that support reduction in mortality rates, especially maternal, neonatal, infant and child mortality;
- To promote optimal growth of children and prevent overweight and obesity later in life, by focusing on optimal infant and young child nutrition;
- To contribute to the prevention, control and treatment of HIV and Tuberculosis through targeted nutritional care and support strategies;
- To contribute to the effective functioning of the health sector, by reducing the demand for curative services and improving recovery rates from diseases, thus freeing up resources for preventive and promotive services
- To empower families and communities to make informed nutrition-related decisions, through advocacy regarding household food security, multisectoral collaboration and effective nutrition education.
Strategic Aproaches:
1. Advocacy and technical support for the integration of nutrition into relevant sector strategies and programmes.
2. Positioning nutrition strategically within the health sector at national and provincial levels.
3. Delivering the key nutrition interventions through appropriate action at each of the following levels:
3.1 Population based services, including communication and market-based approaches.
3.2 Community based services.
3.3 PHC clinic services.
3.4 Hospital-based services.
4. Strengthening Human Resources to deliver effective nutrition services.
5. Strengthening the information base for effective nutrition services.
Core Nutrition Indicators:
- Proportion of stunted children below age five (< 2yrs and 2-5yrs): from 18% (baseline) to 12% by 2016
- Proportion of wasted children below age five (< 2yrs and 2-5yrs): from 2.5% (baseline) to 2% by 2016
- Proportion of women in reproductive age with Hb<11 g/dL: non-pregnant women 10.5% (baseline), target value (2016) to be determined, no baseline values for pregnant women
- Incidence of low birthweight: from 15.5% (baseline) to 10% by 2016
- Proportion of overweight children below age five (< 2yrs and 2-5yrs): from 14% (baseline) to 10%
- Proportion ofpopulation below minimum level of dietary energy consumption: No baseline data, target value to be determined
- Proportion of Infants under 6 months who are exclusively breastfed: from 26% (baseline) to 40% at 6 months and 75% children 0-6 months
- Babies exclusively breastfed at 14 weeks rate: no baseline value to 60% by 2016
- Proportion of children 6-23 months who receive a minimum acceptable diet: no baseline data
- Proportion of People Living with HIV nutritionally assessed using anthropometric measurement that were found to be undernourished and provided with nutritional support at any point during the reporting period: No baseline data, target: 90% by 2016
- Proportion of children aged 6 to 59 years who have received two doses of Vitamin A supplements: 42% [12-59 months children,(Children who received one dose)] (baseline) to 80% (12 to 59 months) or 90% (6 to 11 months)
Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf" "38208","VEN","Venezuela (Bolivarian Republic of)","","Plan de la Patria Segundo Plan Socialista de Desarrollo Economico y Social de la Nacion","Multisectoral development plan with nutrition components","","Spanish","","2013","","2019","Asamblea Nacional","","2013","Adopted","","2013","Asamblea Nacional","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Environment|Industry|Labour","","","","","","","","","","","","","","","","","","Objetivo Nacional
1.4 Lograr la soberanía alimentaria para garantizar el sagrado derecho a la alimentación de nuestro pueblo.
...
Objetivo Nacional
2.2 Construir una sociedad igualitaria y justa
...
","","","","","Breastfeeding|Right to food|Food security and agriculture","","http://ucs.gob.ve/descargas/Plan_de_la_Patria.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VEN%202013%20Plan_de_la_Patria.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","","","","
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.
","Objectifs :
Le présent plan de mise en œuvre se fixe comme objectifs principaux :
see document P32-37
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Household food security","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA%20M%26E.pdf" "39454","DOM","Dominican Republic","","Ley de Soberania de Seguridad Alimentaria y Nutricional","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2014","","","CONGRESO NACIONAL","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Urban planning|Environment|Industry|Labour","","","","","","","","","","National NGOs","","","","","","","","Art. 19. El Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional tiene como objetivos fundamentales:
a) articular las iniciativas y esfuerzos del país y canalizarlos en la formulación y aplicación de las políticas y los planes para la soberanía, seguridad alimentaria y nutricional,
b) promover la producción de alimentos en el país, protegiendo el material genético nativo y a la producción local, garantizando que se prohíba la importación e internación de productos cuya comercialización, prestación, uso o consumo estén suspendidos o prohibidos en su país de origen, o en terceros países por razón de protección de la salud y seguridad, siempre y cuando dichas suspensiones o prohibiciones hayan sido debidamente justificadas mediante procedimientos científicos y de análisis de riesgo de conformidad a los acuerdos internacionales relevantes vigentes en la materia.,
c) estimular y viabilizar la integración de los esfuerzos entre las instancias del gobierno, el Estado y la sociedad civil,
d) dar seguimiento, monitorear y evaluar sistemáticamente el estado de la soberanía y la seguridad alimentaria y nutricional del país y adoptar las medidas que se consideren necesarias,
e) contribuir a la gobernanza mundial en materia soberanía y seguridad alimentaria y nutricional fortaleciendo especialmente la colaboración e integración en la región caribeña y latinoamericana dichas materias.
Art. 20. El Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional observará en su funcionamiento las siguientes directrices:
I. Alineamiento con la Estrategia Nacional de Desarrollo y otras estrategias sectoriales.
II. Promoción de la intersectorialidad e integralidad de las políticas, los programas y las acciones gubernamentales y no gubernamentales.
III. Desarrollar fórmulas prácticas y funcionales de coordinación evitando la duplicidad de funciones.
IV. Descentralización de las acciones, articulación y colaboración entre las esferas de gobierno y entre todos los componentes del sistema.
V. Monitoreo sistemático de la situación alimentaria y nutricional y elaboración de informes que contribuyan a la corrección de las acciones y las políticas en curso.
VI. La correspondencia eficiente del presupuesto con la gestión a realizar y la adopción de modelos de gestión por resultados.
VII. Profesionalismo, racionalidad y eficiencia en las estructuras.
VIII. Los temas de género, niñez, adolescencia y tercera edad, serán considerados de modo transversal en todo lo concerniente a la soberanía y seguridad alimentaria y nutricional.
De las funciones
Art. 26. Para el cumplimiento de su objetivo, el Consejo tendrá las siguientes funciones:
I. Acceso a los alimentos: fortalecimiento y consolidación del sistema de protección social para asegurar el mismo a la población vulnerable de un modo estable y considerando las necesidades de una alimentación adecuada que se vincule con la producción local.
II. Producción y disponibilidad de alimentos con especial atención a las formas de producción autónoma de la población, a los ciclos cortos de comercialización y a la creación de un entorno inclusivo y adecuado que atienda las necesidades especificas de los pequeños productores y la agricultura familiar y las mujeres productoras de alimentos en lo que se refiere a acceso a tecnología, crédito, seguros y comercialización.
III. Promover la tenencia de la tierra y su uso eficiente de manera equitativa a fin de que los pequeños y medianos productores agropecuarios incrementen su potencial de producir alimentos que podrán utilizar para el autoconsumo y la venta de los excedentes en los mercados, incrementando su generación de ingresos y contribuyendo de este modo a reducir la pobreza extrema y el flagelo del hambre sin deteriorar la base de los recursos naturales.
IV. Abastecimiento: propiciando la articulación de los mercados y la transparencia y eficiencia de los sistemas de distribución y comercialización, con atención a las economías locales y el establecimiento de mecanismos que aseguren la estabilidad de la disponibilidad de alimentos y minoren los riesgos de volatilidad de precios por fenómenos especulativos y prácticas abusivas o distorsionadoras.
V. Inocuidad y calidad de los alimentos: promoviendo la regulación normativa y adopción de buenas prácticas en la producción y distribución de alimentos para que los mismos sean inocuos y nutritivos, así como las normas necesarias para asegurar la calidad y adecuación de la alimentación institucional y/o colectiva o ambas, con especial atención a la primera infancia, los escolares y la tercera edad.
VI. Promoviendo la atención, el cuidado y seguimiento de la salud y nutrición: promoviendo la atención y cuidados de salud con especial atención a mujeres gestantes, primera infancia, personas de la tercera edad, población con necesidades especificas y medidas que faciliten la adopción de buenas prácticas tales como la lactancia materna.
De la Red Nacional para la Soberanía y Seguridad Alimentaria y Nutricional (RED SSAN)
Art. 29. Se instituye la Red Nacional para la Soberanía y Seguridad Alimentaria y Nutricional para coordinar las acciones encaminadas a la formulación, ejecución, seguimiento y evaluación del Plan Nacional de Soberanía y Seguridad Alimentaria y Nutricional.
Art. 35. La Red Nacional para la Soberanía y Seguridad Alimentaria y Nutricional es sobre todo de un concepto organizativo integrador. Sus actividades son financiadas por el Presupuesto General del Estado, aunque no se excluyen otras fuentes. Sus principales funciones son:
1. Reunirse periódicamente en los niveles municipal, provincial, regional y nacional para monitorear el estado general de la Soberanía y Seguridad Alimentaria y Nutricional en esos niveles, alertar sobre cualquier eventualidad que obstaculice el desarrollo de la soberanía y seguridad alimentaria y nutricional, y elaborar propuestas oportunamente para enfrentar los problemas que se presenten.
2. Al cumplirse el tercer año del Plan Cuatrienal a partir de la convocatoria por el Consejo Nacional para la Soberanía y Seguridad Alimentaria y Nutricional, la Red iniciara el proceso de evaluación del cumplimiento del Plan Cuatrienal en curso en los niveles municipales, provinciales, regionales y nacional, y propondrá al Consejo Nacional el nuevo Plan Cuatrienal.
3. Evaluar la situación mundial de la producción y comercialización de alimentos, su impacto en República Dominicana y elaborar propuestas para amortiguar y superar sus y propondrá al Consejo Nacional el nuevo Plan Cuatrienal efectos negativos, así como aprovechar las oportunidades.
4. Contribuir activamente a la colaboración e integración en la región caribeña y latinoamericana en todo lo concerniente a la soberanía y seguridad alimentaria y nutricional.
5. Participar activamente en la promoción y desarrollo en el país de una cultura alimentaria inocua y nutritiva.
6. Apoyar el desarrollo de la economía solidaria y de los emprendimientos familiares y comunitarios en la producción y comercialización de alimentos, con especial énfasis en las mujeres productoras.
7. Promover el apoyo financiero, científico y tecnológico al desarrollo de la producción nacional y comercialización de alimentos sanos y nutritivos con énfasis en los pequeños y medianos productores.
8. Velar en todo momento por la protección del medio ambiente y de los recursos naturales del país, en especial de los suelos y en el empleo racional del agua y el desarrollo y administración de sus fuentes.
9. Promover la aplicación de una nueva Ley de Reforma Agraria, que se adecue mejor a las circunstancias actuales del país.
10. Dar seguimiento a la aplicación de la Ley sobre Soberanía y Seguridad Alimentaria y Nutricional, así como de otros fundamentos legales relacionados con la soberanía y seguridad alimentaria y nutricional y hacer proposiciones para su perfeccionamiento.
11. Hacer propuestas mediante planes, proyectos y otras iniciativas encaminadas a superar en todas las regiones del país la inseguridad alimentaria y nutricional.
12. Promover la eficiencia en el manejo integral de los asuntos relacionados con la Soberanía y Seguridad Alimentaria y Nutricional, en particular en lo tocante a evitar la duplicidad de funciones, asegurar el empleo racional de los recursos y al el aprovechamiento de las potencialidades científicas y tecnológicas del país.
13. Exigir y promover la transparencia en todo lo relacionado con la Soberanía y Seguridad Alimentaria y Nutricional.
14. Acopiar, intercambiar y difundir información relativa a la Soberanía y Seguridad Alimentaria y Nutricional, aprovechando fundamentalmente los medios electrónicos. Consolidar la Red a todos los niveles promoviendo el intercambio mutuo de información.
15. Incentivar la investigación científica y tecnológica y la aplicación de sus resultados.
16. Promover la colaboración con los organismos internacionales vinculados al tema, en especial la FAO, el PMA, el PNUD, la OPS/OMS, UNICEF, intercambiar sistemáticamente con estas instituciones informaciones y coordinar tareas de desarrollo.
3.1 Policy Goal
The goal of the NNP is to ensure optimal nutrition of all people living in Ghana throughout their lifecycle.
3.2 Policy Objectives
The NNP has three objectives:
1. To increase coverage of high-impact nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout their lifecycle, with special reference to maternal health and child survival
2. To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
3. To reposition nutrition as a priority multi-sectoral development issue in Ghana.
","3.3 Policy Measures
3.3.1 Policy Objective 1: To increase coverage of high impact
nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout the lifecycle with specific reference to maternal health and child survival
Policy Measures
1. Nutrition of Women in Child-Bearing Age and the New-Born
2. Optimal Nutrition during Infancy and Childhood
3. Nutrition of School-Age Children and Adolescents
4. Nutrition in the General Population
5. Prevent and Manage Obesity and Diet-Related Non-Communicable Diseases
6. Prevent and Manage Acute Malnutrition
7. Nutrition in Emergency Situations
3.3.2 Policy Objective 2: To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
Policy Measures
1. Health, Water, Hygiene, and Sanitation Services
2. Agriculture and Food Security
3. Social Protection and Safety Nets
4. Education
3.3.3 Policy Objective 3: To Reposition Nutrition as a Priority Multi-Sectoral Development Issue in Ghana
Policy Measures
1. Advocacy and Communication
2. Nutrition as a Priority
3. Integration and Coordination
4. Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Minimum acceptable diet|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Dietary guidelines|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","http://ndpc.gov.gh/downloads/Policy%20Almanac/Nutrition%20Policy_September%202013%20(Draft).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202013%20National%20Nutrition%20Policy.pdf" "23526","GIN","Guinea","","Politique nationale d’Alimentation","Comprehensive national nutrition policy, strategy or plan","","French","4","2014","","","Ministère de la Santé","4","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Transport|Trade|Environment|Industry|Information|Labour","","","","","","","","","","","","","","","","","","3.3 Objectifs
L’objectif général est d’éradiquer la sous-alimentation et de faire reculer la malnutrition ainsi que ses conséquences économiques et socio-sanitaires.
Les objectifs spécifiques sont :
(i) atteindre l’autosuffisance alimentaire,
(ii) consolider la sécurité alimentaire,
(iii) garantir la couverture universelle de la prise en charge holistique de tous les cas de malnutrition et des maladies provoquées par la malnutrition et,
(iv) parvenir à une couverture universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité
","3.4.1 Axe 1 : La mobilisation nationale pour éradiquer la sous-alimentation
Il s’agit d’aligner les stratégies sectorielles de développement socio-économique pour la sécurité alimentaire et nutritionnelle à travers une meilleure coordination, une analyse approfondie de la situation socio-économique territoriale et la création des synergies pour des effets tangibles sur la sous-alimentation. Les secteurs suivants sont concernés au premier chef : développement agropastoral et halieutique, protection de l’environnement, promotion de l’emploi des jeunes, éducation des filles, alphabétisation, promotion de l’agro-industrie, hydraulique, énergie, eau, transports et travaux publics, communication, douanes, forces de sécurité.
3.4.2 Axe 2 : La mobilisation nationale pour faire reculer la malnutrition
Il s’agit de créer une synergie sectorielle effective pour des interventions sensibles à la nutrition telles que l’éducation nutritionnelle, la fortification alimentaire, l’hygiène alimentaire, l’assainissement du milieu, la sécurité sanitaire des aliments, la communication, l’enseignement supérieur et la recherche scientifique et technique.
3.4.3 Axe 3 : La capacitation des collectivités déconcentrées et décentralisées et des communautés locales à la base
Il s’agit d’engager davantage les autorités des collectivités déconcentrées et décentralisées dans la promotion et le suivi des activités concourant à la sécurité alimentaire et nutritionnelle d’une part et de veiller à l’appropriation effective des activités par les organisations communautaires à la base d’autre part.
3.4.4 Axe 4 : Le renforcement du système de santé pour l’accès universel aux services et soins de santé primaires de qualité
Il s’agit de veiller particulièrement à la prise en charge holistique de tous les cas de malnutrition et à l’intégration effective des interventions essentielles d’alimentation et de nutrition dans le continuum des soins pour protéger les 1000 premiers jours de vie sur l’ensemble du territoire.
","
4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
RS-1.5. La prévention de la malnutrition est assurée de manière efficace.
· La promotion des comportements individuels positifs et du changement social ciblant des pratiques appropriées de nutrition maternelle, d’alimentation du nourrisson et du jeune enfant ;
· Le renforcement de l’allaitement maternel exclusif ;
· La supplémentation en micronutriments à certaines périodes de la vie, enfance, âge scolaire, femmes enceintes, allaitantes, etc. ;
· L’implication des collectivités territoriales et des communautés à tous les niveaux ;
· La promotion de l’utilisation des aliments enrichis en micronutriments (farine et huile).
RS-1.6. La Surveillance de la croissance et du développement de l’enfant est assurée de manière permanente et efficace.
· La vulgarisation de l’utilisation des nouvelles courbes de croissance pour suivre l’évolution staturo-pondérale des enfants ;
· Les conseils aux mères ou parents-soignants sur l’état de leur enfant et les mesures à prendre pour maintenir ou corriger cet état.
· La prise en charge des cas de malnutrition aiguë, modérée et sévère dans les formations sanitaires et au niveau communautaire selon le protocole révisé de prise en charge de la malnutrition.
RS-1.7. La prévention des carences en micronutriments est assurée de manière plus efficace.
· la prise en charge des carences en micronutriments à travers les activités de routine (PEV, CPN, CPON) ;
· l’intensification de SIAN ;
· la promotion de la consommation de sel iodé au niveau ménage et communautaire ;
· la promotion de la production des aliments thérapeutiques au niveau local.
RS-1.9. Des services de santé et de nutrition de qualité sont disponibles en milieu scolaire.
· le renforcement des capacités des structures de santé communautaire qui abrite des établissements scolaires réhabilitation/équipement complémentaire, ressources humaines au besoin) ;
· la promotion de l’hygiène alimentaire en milieu scolaire;
· La prévention et la réduction de l’exposition aux principaux facteurs de risques aux plans individuel et collectif en milieu scolaire (violences, alcoolisme, tabagisme, usage des drogues etc.) ;
· La vaccination contre le tétanos ;
· La réalisation des visites médicales systématiques dans les écoles ;
· La prise en charge correcte des malades sur le plan global y compris l’organisation de la référence en milieu scolaire ;
· La réalisation d’étude en vue d’assoir un dispositif approprié de prise en charge de la question de santé scolaire.
","","","","Underweight in children 0-5 years|Underweight in women|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Micronutrient supplementation|Wheat flours|Management of moderate acute malnutrition|Management of severe acute malnutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLI-2014-2023-PDDSS.pdf" "41552","MMR","Myanmar","","Myanmar Policy for Early Childhood Care and Development","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2014","","","Ministry of Social Welfare, Relief and Resettlement","","2014","","","","","Cabinet/Presidency|Health|Education and research|Social welfare|Finance, budget and planning|Information|Labour","","United Nations Children's Fund (UNICEF)","","Other|Save the Children|World Vision International","The Leprosy Mission International;","","","","","National NGOs","Yinthway Foundation; Pyinnya Tazaung Association; Myanmar Baptist Convention; Karen Baptist Convention; Kachin Baptist Convention; Metta Development Foundation; Phoenix Association; Ratana Metta Organization; Myanmar Red Cross Society","","","","","","","CHAPTER (4)
POLICY CONCEPTS, GOALS, OBJECTIVES AND STRATEGIES
...
4.3. Objectives of the ECCD Policy
164. To achieve the Main Goals of the ECCD Policy, the following Objectives will be attained progressively, using a phased approach. The first Five-Year ECCD Strategic Plan, 2014-2018 will constitute Phase I for achieving the following ECCD Objectives:
Policy Objectives
1. Improve birth outcomes and ensure mothers have skilled birth attendants, safe deliveries, and newborns who are well nurtured, promptly registered, healthy, immunised, breastfed, and well nourished and developed.
2. Improve and maintain essential parenting skills and ensure children develop well, receive preventive and basic health and nutrition care, are upto- date in their immunisations, breastfeed exclusively for 6 months, receive nutritious and balanced complementary feeding, are safe and protected, and have hygienic homes and child care centres.
3. Improve the development and status of children 0 to 5 years with developmental delays, malnutrition, chronic illnesses, disabilities and atypical behaviours, with a special focus on achieving the full acceptance and inclusion of children with special needs.
...
4.4. Policy strategies
165. To achieve these ECCD goals and objectives, the following 10 Policy Strategies will be pursued.
Policy strategies
...
Chapter (5)
Services and Activities for Each Strategy
...
5.1.4 Antenatal care including nutrition
174. Antenatal education complements but does not replace the antenatal care that is provided at Health Centres. A minimum of 4 health and nutrition antenatal checkups will be provided, and they should begin during the first trimester. For high-risk pregnant mothers or for those who develop conditions of concern (such as preeclampsia, bleeding, etc.), additional checkups will be provided. Essential micronutrients, and especially iron folate and vitamins, will be given to all mothers and adolescent girls with anaemia or other nutritional deficiencies. Village Food Banks will be promoted, with a focus on pregnant and lactating mothers and their children. In-service training will be provided for health personnel, including auxiliary midwives and traditional birth attendants. Immunisations will also be administered, as per needs.
...
5.2.9 Comprehensive and continuous maternal, newborn and child health and nutrition services
199. Rather than relying mainly on promotion programmes for immunisations and micronutrients, renewed emphasis will be placed providing comprehensive, regular and continuous health, nutrition and environmental sanitation services through expanding and improving the national health system of community services, with a special emphasis on Rural Health Centres
...
5.2.11 Maternal nutrition and support for breastfeeding and complementary feeding
203. Postnatal home visits will include special attention to reinforcing the importance of breastfeeding and appropriate complementary feeding, helping with complications that may develop, and encouraging mothers to continue exclusive breastfeeding until their infant reaches 6 months of age.
204. For mothers working outside of the home, it will be important to ensure they receive enabling and accessible services for breastfeeding, health and nutrition, including afterwork opportunities for health care. Work-site facilities for breastfeeding mothers will be provided. Balanced and appropriate maternal nutrition will be emphasised, along with the provision of micronutrients as needed. Education will be provided regarding the avoidance of contraindicated substances while breastfeeding, such as alcohol, smoking, damaging chemicals used in cleaning products, etc.
5.2.12 Child health and nutrition services, 0 to 3
...
207. These scheduled visits of parents and children to the Health Centre will include:
- Infant and child basic check ups;
- Child height and weight measurements, followed by immediate plotting on a growth chart by age and gender in order to assess the nutritional status of the child;
- Physical and developmental screenings and referrals to additional services such as early childhood intervention (ECI) services, if needed;
- Regular immunisations, as per evolving MoH plans, guidelines and protocols (MoH, 2012c);
- Provision of essential micronutrients, as needed, such as A, D, E, K, C, B-1, B-6, B-12, riboflavin, niacin, biotin, folic acid, pantothenic acid, iron, zinc, iodine, copper, manganese, and selenium; and
- Comprehensive guidance for parents regarding complementary feeding.
...
5.4.9 Preschool health care and feeding systems
...
252. Preschool feeding will be given a special priority in geographic areas of poverty and scarce food resources. Preschools must work with the local Health Centre to ensure that no child becomes or remains malnourished. Malnourished preschool age children will be identified and speedily enrolled in preschools to ensure they receive the stimulation, health care, food and micronutrients they require for healthy development.
...
5.5.8 Kindergarten and primary school health and feeding services
...
275.
...
Basic health staff will also provide occasional learning sessions for children, parents and teachers on essential topics regarding child health, nutrition and hygiene. In addition, children will receive micronutrients and deworming tablets, according to schedule and types of needs.
276. Good child nutrition will be ensured through the provision of nutritious school breakfasts and lunches, especially in communities with families living in poverty. For children from well-to-do homes, a fee will be charged for this service. For other children, parents will not pay a fee but they will be asked to help on a rotating basis with school feeding services, once they have received training on how to prepare nutritious food in a sanitary manner. All schools will use the guidelines of a school nutrition package.
","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Maternity protection|Low birth weight|Anaemia|Anaemia in adolescent girls|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Iron and folic acid|Micronutrient supplementation|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://www.dsw.gov.mm/mm/ebook/mnmaaeruiiarykelsuungypcupiethaangerng-phnphierchiungraa-muuwd","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202014%20Early%20Child%20Care%20and%20Development.pdf" "24486","NGA","Nigeria","","United Nations Development Assistance Framework ","Non-national nutrition policy document","","English","","2014","","2017","UN country team in Nigeria","7","2013","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Environment|Information|Justice|Labour|Sub-national|Other","Tourism and culture, Youth development","Food and Agriculture Organisation (FAO)|International Food Policy Research Institute (IFPRI)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UN Women, UNODC, UNOPS, UN Habitat, UNITAR, WMO OIC, UNOCHA, ITC, UNEP, IAEA","Other","","Other|Department of International Development (DFID)|The World Bank","GIZ, IMF, KOICA","European Union","","National NGOs","","","","","","","","
Outcome 2.2 Health/WASH/Nutrition. By 2017, health related MDGs achieved and sustained through strong and well-coordinated health systems implementing innovative, high impact and cost effective, equitable, gender responsive interventions inclusive of foundational determinants of health at community, LGA states and Federal levels with active engagement of right holders, informed by South-South cooperation and evidence-based learning.
Output 2.2.1 Public agencies and civil society organizations at federal, state, and LGA levels are able to implement updated, harmonized, evidence based, gender responsive policies and plans to facilitate equitable access to quality water supply and sanitation services and the practice of good hygiene by vulnerable populations and institutions based on innovative communication for development and coordination systems
Output 2.2.2 Capacities of government and partners at all levels including intersectoral linkage and coordination are strengthened to implement high impact, equitable, gender responsive and innovative nutrition and food security interventions, enhance nutrition friendly agricultural productivity especially at household level and promote crop and livestock diversification to improve nutrition outcomes (reduce stunting, acute malnutrition, and micronutrient deficiencies rates) amongst most vulnerable groups especially children and women.
","","Under-five mortality rate
% of people with access to (a) improved sanitation and (b) improved water supply
% of infants under 6 months breastfed exclusively
Prevalence of children under 5 years of age that are underweight
Number of states with (a) WASH policies (b) investment plans and (c) M&E frameworks
Number of states with decentralized WASH services and functional LGA WASH departments
Number of additional children provided with access to WASH in schools
Hunger Index
Number of health facilities providing treatment to severely malnourished children under 5 years
% of children aged 6-59 months who received at least one dose of Vit A in last 6 months
# of community structures supported to assist mothers to appropriately feed children under 2 years
Number of community structures/sites supported to alleviate food insecurity
Proportion of States supported to develop a strategic plan for NCDs
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","https://www.unops.org/SiteCollectionDocuments/Information-disclosure/UNDAFs/Nigeria-UNDAF-2014-2017.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202014%20UNDAF.pdf" "23503","ZWE","Zimbabwe","","Zimbabwe National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2018","Food and Nutrition Council","","2014","","","","","Education and research|Food and agriculture|Health|Labour|Nutrition council|Social welfare|Women, children, families","Food and Nutrition Council Education and research, Food and agriculture, Health, Labour, Nutrition council, Social welfare, Women, children, families,","","UN","","International NGOs & National NGOs","","","","","National NGOs","","","","","","","","KEY RESULT AREAS GOALS AND STRATEGIES
1) KRA 1 Adolescent and Maternal Nutrition Services
a. Goal 1: Coverage of health and community nutrition services for adolescents increased to 50% by 2018
b. Goal 2: Standard maternal health and nutrition package scaled up to 90% coverage by 2018
c. Goal 3: 50% of women of reproductive age have positive support from spouses and communities for decisions on maternal health, nutrition, healthy lifestyles and safe living environment by 2018.
2) KRA2: Infant and Young Child Nutrition
a. Goal 4: All health institutions provide the standard IYCF package (BMFHI, BF, CF, multiple micronutrient supplementation and fortification, dietary diversification, disease prevention and management, nutrition interventions in emergencies, feeding behaviours and stimulation, PMTCT, WASH and IMAM) by 2018
b. Goal 5: Community IYCF counseling package increased from 44% to 100% of districts and in at least 90% of the wards by 2018
c. Goal 6:Coverage of growth monitoring and promotion for under-fives increased from 2 districts to 20 districts by 2016 and to 40 districts by 2018 and covering 5 wards per district by 2018
3) KRA3 Clinical Nutrition Services
a. Goal 7: To increase the proportion of the adult population practicing at least one or a combination of the top 5 healthy lifestyles to 40% by 2018
b. Goal 8: Proportion of health facilities (central, provincial, mission and district hospitals) providing quality nutrition services for communicable (schistosomiasis, HIV, malaria, soil transmitted helminthes) and non-communicable diseases increased to 75% by 2018.
c. Goal 9: 30% of institutions adopt national food service and nutrition guidelines by 2018.
4) KRA4 Enhancing the Quality of Nutrition Information Systems and Effectiveness of Advocacy
a. Goal 10: Timely availability of relevant nutrition information that incorporates disaster risk reduction at all levels adequate for disaster preparedness planning and nutrition programming by 2018.
5) KRA 5 Strengthening Multi-sectoral Coordination and Collaboration for Integrated Nutrition Response
a. Goal 11:80% of women of reproductive age have the capacity to safely provide for their food, health and nutrition security using appropriate technologies
b. Goal 12: Coverage of health and community nutrition services for school children increased to 50% by 2018
c. Goal 13: All provinces and districts have Food and Nutrition Security Committees that are fully discharging their terms of reference by 2014, 50% of ward level committees functioning by 2018
d. Goal 14: To increase the proportion of households consuming safe and acceptable diets all year round to at least 80% by 2018
e. Goal 15: Scale up evidence-based nutrition sensitive interventions in social protection services to 80% coverage by 2018
f. Goal 16: At least 50% of community based health workers promote WASH related behaviour change whilst integrating nutrition messaging by 2018
g. Goal 17: To ensure that at least 50% of imported and locally produced foods are evaluated for safety by 2018.
6) KRA6 Capacity Development for Nutrition Service Delivery and Resource Mobilization
a. Goal 18:To ensure that the National Nutrition Department has a critical mass of staff with the ability, tools, supportive supervision and resources to integrate nutrition into other sectors
b. Goal 19: To increase resource allocation to nutrition to 1% of GDP per year by 2018.
","","Table 14 contains Outcome Indicators, Baseline Values, Targets and Allowable Variance
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202014%20National%20Nutrition%20Strategy.pdf" "24494","AFG","Afghanistan","","United Nations Development Assistance Framework for Afghanistan 2015-2019","Non-national nutrition policy document","","English","","2015","","2019","UN country team of Afghanistan","","2015","","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Transport|Urban planning|Information|Justice|Labour|Other","Economy, foreign affairs, interior, public works, refugees, rural development","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNEP, UN Habitat, UNMAS, UNODC, UN Women","","","","","","","","","","","Private sector","","","","Output 2: Strengthened mechanisms to increase equitable access to agricultural production and productivity, licit economic opportunities, productive assets and lands for food and livelihood security for vulnerable and marginalized population.
Output 1. Improved capacity of government and nongovernment organizations to increase accessibility to and demand for delivery of quality and cost effective health care, including maternal reproductive health, ASRH, family planning, nutrition and WASH services for the most marginalized and vulnerable populations.
","In the areas of health care, nutrition, WASH, education and prevention and protection services, UN agencies will support a range of interlinked and mutually supportive interventions at three levels: policy reform and implementation; data and knowledge management and community action.
At the policy and institutional level the UNCT will assist the development and implementation of health, nutrition, education drugs, child protection and WASH policies, strategies, and sectoral plans. It will support the strengthening of health systems, including Human Resources for Health (HRH), hospital management and reforms, improving access to essential medicines and health technology, and support establishing quality assurance and improvement mechanisms including drug & food regulation. At the implementation level, it will help expand health facilities to the areas not currently covered by BPHS and or cut off due to climatic or geographical barriers. It will assist the Government and CSOs (includes NGOs, CBOs and other civil society actors), and the private sector, under public-private partnership arrangements, in the implementation of the BPHS & EPHS, with a focus on strengthened capacity to deliver quality health and nutrition services, especially to women and children, psychosocial services to victims of Gender Based Violence, and services for persons with disabilities, including at the community level. The prevention and control of diseases, access to quality drugs, including contraceptives and HIV/AIDS prevention, treatment, care and rehabilitation services, will be other areas of support. It will support the Government in completing the Polio Eradication Initiative agenda and strengthening emergency preparedness and response. It will also provide support to increased coverage of quality safe and drinking water and sanitation and increased access to and utilization of quality preventive and curative nutrition services, provided at community level and through health facilities.
","Output Indicator 2.2: % of targeted populations, farming families and households which have access to agricultural production and productivity, economic opportunities and productive assets for food and agri-based livelihood security
Outcome Indicator 2.4: Prevalence of global acute malnutrition of children 6-59 months by sex
Outcome Indicator 2.5: Proportion of population using an improved drinking water source
Outcome Indicator 2.6: Proportion of population using an improved sanitation facility
Output Indicator 2.1.3: % of communities which have access to health facilities within one hour walking distance by residence
Output Indicator 2.1.6: # of pregnant and lactating women received infant and young child feeding counselling
","Outcome indicators|Process indicators","","Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf" "24452","AGO","Angola","","Partnership framework between the government of Angola and the UN system (UNPAF)","Non-national nutrition policy document","","English","","2015","","2019","Ministry of Planning and Regional Development","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Environment|Industry|Labour|Sub-national|Other","Ministry of Energy and Water","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNCHR, UNEP, UN Habitat, IOM, IAEA, UNISDR, UNCTAD","","","Other|Bill and Melinda Gates Foundation|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","Global Fund, Rotary","European Union|Other","Portuguese bilateral cooperation, cooperation with the German Embassy","National NGOs","ADPP, PIN, AAEA","","","Private sector","","","","Result 1.1: Health. By 2019 Angola reduced maternal and child morbidity and mortality, the mortality rate of its population, the risk factors for the health of adolescents and non- communicable diseases
Result 3.1 Inclusive growth, economic diversification, production and job creation. By 2019, Angola possesses and is implementing policies and strategies for the promotion of inclusive and sustainable growth to enable Angola to leave the group of Less Advanced countries
","Result 1.1. Adequate support from the central level of the Ministry of Health for capacity building of provincial and municipal staff to better implement actions in the field of health.
Recruitment of additional health personnel for the different levels of the health pyramid.
Coordination of the activities of all the actors in the health sector.
Information system on water and sanitation (SISAS) & Model for community management of water (MOGECA) launched and implemented as planned
Surveys and evaluations
Baseline Survey on Mothers and care givers awareness of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Qualitative study on Mothers and care givers awareness and behaviors of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Study on the Impact of the school feeding programme(UNICEF) (2016)
Rapid Assessment study on Mothers and care givers awareness and behavior regarding essential practices in health, nutrition and WASH (UNICEF) (2017)
Final evaluation on parents and caregivers’ awareness of essential practices in health, nutrition and WASH (UNICEF). (2019
","Result 1.1.
Indicator 1: Development and implementation of policies: Number of policies/national plans updated/produced and budgeted with the support of the UN to promote and strengthen health in line with the 9 priority programmes of the PNDS 2012 -2025.
Baseline: 4 plans produced.
Goal: 9 plans produced (1. National Strategic Plan for the Aged; 2 .National Strategic Plan for Maternal, Neonatal and Infant Health (including vaccinations); 3. Strategic Plan for Infant Nutrition; 4. National strategic Plan for the control and prevention of malaria; 5. National Plan for Water and Sanitation; 6 .National Policy for Community Interventions; 7. Multiannual Integrated Plan for Vaccination; 8. National Plan for the Elimination of Mother to child HIV; 9. Plan for Management, Procurement and Logistics )
Indicator 2: Capacity building and training. Number of teams of the government and civil society trained in health matters (sexual and reproductive health, including maternal and newborn health, family planning, HIV/AIDS, DNT, etc.).
Baseline: Not available
Goal: 1000 individuals trained in sexual reproductive health and HIV/AIDS by 2019.
Indicator 3: Supply of services. Number of provinces to implement the policy of re- vitalisation of the municipal health services, including integrated services for health, nutrition, water and sanitation and HIV/AIDS.
Baseline: 5 provinces Goal: 10 provinces by 2019.
Result 3.1
Indicator 5: Increase in the number and improvement in the quality of research on hunger, poverty and national inequalities carried out by Angolan universities.
Baseline: At the moment, few national institutions produce research in a systematic way.
Goal: At least four national institutions produce periodic studies which help in decision making.
","Process indicators","","HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.undp.org/content/dam/angola/docs/legalframework/UNDP_AO_UNPAF2015-2019_EN.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202015%20UNPAF.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","","","","","","","","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%
","Nacionalni program „Živjeti zdravo“ razvijen je kao program promicanja i unapređenja zdravlja stanovnika Republike Hrvatske promicanjem pravilne prehrane i tjelesne aktivnosti u cilju prevencije prekomjerne tjelesne mase i debljine te očuvanja mentalnog i spolnog zdravlja u različitim okruženjima.
MISIJA: unapređenje zdravlja stanovništva Republike Hrvatske smanjenjem utjecaja rizičnih čimbenika na zdravlje provođenjem učinkovitih mjera promicanja zdravlja i primarne prevencije bolesti.
VIZIJA: smanjenje negativnog učinka bihevioralnih, biomedicinskih i sociomedicinskih rizičnih čimbenika te kreiranje okruženja u kojima je svim osobama u Republici Hrvatskoj omogućena najviša razina zdravlja i kvalitete života.
CILJEVI: povećati svijest o rizičnim ponašanjima za razvoj kroničnih nezaraznih bolesti i utjecati na odrednice zdravlja, spriječiti razvoj bolesti te poboljšati kvalitetu života osoba u Republici Hrvatskoj.
OPĆI CILJ:
Povećati svijest i educirati stanovništvo o ponašanjima rizičnima za razvoj kroničnih nezaraznih bolesti i drugih negativnih posljedica na zdravlje i načinima zaštite zdravlja te utjecati na odrednice zdravlja u svrhu povećanja očekivanoga trajanja života, smanjenja smrtnosti, povećanja broja godina života bez bolesti i/ili invalidnosti i postizanja najviše moguće razine tjelesnog i entalnog zdravlja, uključujući poboljšanje kvalitete života očuvanjem zdravlja i funkcionalne sposobnosti.
SPECIFIČNI CILJEVI:
1. razvoj specifičnog preventivnog panela za promicanje zdravlja
2. unapređenje životnih navika populacije Republike Hrvatske
3. povećanje svijesti i znanja o zdravim stilovima života u populaciji Republike Hrvatske
4. zaustavljanje porasta broja osoba s prekomjernom tjelesnom masom i debljinom
5. zaustavljanje porasta broja tjelesno nedovoljno aktivnih osoba
6. smanjenje učestalosti bihevioralnih i biomedicinskih rizičnih čimbenika za razvoj KNB-a.
7. smanjenje specifične stope smrtnosti od kroničnih nezaraznih bolesti za dob do 65. godina života
Tri prioritetna područja djelovanja Nacionalnog programa „Živjeti zdravo“ usmjerena su na:
1. pravilnu prehranu, tjelesnu aktivnost i prevenciju debljine - podrazumijeva promicanje pravilne prehrane kroz edukaciju, informiranje i kampanje te poticanje na izgradnju infrastrukture u vrtićima, školama i na radnim mjestima, poticanje donošenja legislativnih okvira koji reguliraju ovo područje u
svim okruženjima, poticanje proizvođača hrane na istaknuto označavanje i proizvodnju zdravijih prehrambenih proizvoda, praćenje i nadzor prekomjerne tjelesne mase i debljine, provođenje kampanja i inicijativa koje promiču dojenje i dr.
Nacionalni program „Živjeti zdravo“ djeluje na razvoju navedenih prioriteta predlaganjem legislativnih okvira koji reguliraju područje promicanja zdravlja u svim okruženjima, kontinuiranom medijskom promidžbom te potporom implementaciji učinkovitih intervencija na lokalnoj razini s posebnim naglaskom na vulnerabilne skupine.
2&3...
Aktivnosti
Aktivnosti Nacionalnog programa osmišljene su kroz pet komponenti koje se sastoje od niza pojedinačnih projekata, a sadržajno odgovaraju gore navedenim područjima i provode se u zajednici uz aktivno sudjelovanje djece i mladih, odraslih, radno sposobnih i starijeg stanovništva Republike Hrvatske:
U okviru zdravstvenog obrazovanja u školama kroz Nacionalni program “Živjeti zdravo“ planirano je:
1. Promicanje pravilne prehrane i tjelesne aktivnosti u cilju prevencije prekomjerne tjelesne mase i debljine
Uz edukaciju učitelja i učenika o temeljima pravilne prehrane, ista će se učiniti dostupnom u skladu s donesenim Nacionalnim smjernicama za prehranu učenika u osnovnim školama sa skupinom normativa i jelovnika koji su izbalansirani ovisno o nutritivnim i energetskim potrebama učenika te ovisno o godišnjem dobu i sezonskoj dostupnosti namirnica. Uz dodatnu edukaciju učitelja i učenika o važnosti tjelesne aktivnosti u očuvanju zdravlja, tjelesna aktivnost poticat će se putem dva dodatna programa, svakodnevnim 10-minutnim tjelesnim vježbanjem i poligonima za tjelesnu aktivnost školske djece....
Zdravlje i prehrana
Obilježavanjem hrane jamstvenim žigom „Živjeti zdravo“, koji se dodjeljuje za razdoblje od tri godine, želi se dodatno informirati potrošače i pružiti im mogućnost olakšanog izbora hrane čiji je sastav preporučljiv za pravilnu prehranu. Također, isticanjem jamstvenog žiga „Živjeti zdravo“ na prehrambenim proizvodima želi se potaknuti proizvođače da razvijaju ili reformuliraju proizvode prema preporučenim kriterijima za unos energije i pojedinih hranjivih tvari prema Aneksu XIII B Uredbe EU Br.1169/2011.
Proizvode za dodjelu žiga prehrambena industrija i distributeri hrane prijavljuju Hrvatskom zavodu za javno zdravstvo u kojem se obavljaju provjere zadovoljavanja kriterija koji se temelje na pojedinim elementima nutritivne deklaracije. Proizvodi se mogu analizirati u bilo kojem akreditiranom laboratoriju sukladno normi 17025, dok provjeru istih provodi Hrvatski zavod za javno zdravstvo prilikom evaluacije prijave. Ukoliko proizvod zadovoljava kriterije, dodjeljuje mu se jamstveni žig „Živjeti zdravo“. Hrvatski zavod za javno zdravstvo na nacionalnoj je razini nositelj aktivnosti vezanih uz nacionalne mjere o dodatnim oblicima izražavanja i prezentiranja hrane prema Uredbi 1169/2011 Europskog parlamenta i Vijeća Europe o informiranju potrošača o hrani, a u cilju zaštite potrošača.
Jamstveni žig „Živjeti zdravo“ dodjeljuje se na vremensko razdoblje od tri godine. Nakon dodjele jamstvenog žiga, Hrvatski zavod za javno zdravstvo jednom godišnje provodi monitoring nad prehrambenim proizvodima kojima je dodijeljen jamstveni žig kako bi se provjerilo zadovoljavaju li proizvodi i dalje propisane kriterije. Ukoliko se analizom utvrdi da proizvod više ne zadovoljava kriterije, pravo korištenja istog se oduzima.
Ovaj projekt nadovezuje se i na Strateški plan za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015.–2019. godine za 16% u navedenom razdoblju. Naime, stanovnici Hrvatske dnevno u prosjeku unose više od 11 grama soli, gotovo dvostruko više od preporuke SZO-a, što uzrokuje značajne javnozdravstvene posljedice.
Dodjeljivanjem jamstvenog žiga „Živjeti zdravo“ bit će dostupnija informacija o nutritivno povoljnijoj hrani kako bi se svima mogla osigurati pravilna prehrana. Jamstveni žig upečatljivog je dizajna koji će potrošačima pružati jednostavan uvid u proizvode koji su nutritivno povoljniji. Na taj način olakšava se odabir nutritivno povoljnijih proizvoda bez potrebnog dodatnog znanja čitanja nutritivnih deklaracija.
U Republici Hrvatskoj sve je više obiteljskih poljoprivrednih gospodarstava i malih proizvodnih pogona (mini mljekare, sirane, mesna industrija, proizvođači meda, čajeva, proizvoda od voća i povrća) koji nude nutritivno povoljne proizvode. To se dodatno želi iskazati jamstvenim žigom „Živjeti zdravo“, a na taj način će se poticati i domaća proizvodnja i suradnja s civilnim društvom i udrugama.
Zdravlje i radno mjesto
Radno mjesto je, uz obitelj i školu, jedna od tri primarne društvene zajednice te time i jedna od najvažnijih socijalnih determinanti zdravlja. Zdravo radno okruženje preduvjet je socijalnog, mentalnog i fizičkog zdravlja, a zdrav radno aktivan čovjek je preduvjet društvenog opstanka. Imajući u vidu potrebu promicanja zdravlja na radnome mjestu Hrvatski zavod za javno zdravstvo je u okviru nacionalnog programa „Živjeti zdravo“ osmislio projekt promicanja zdravlja na radnom mjestu.
Projekt „Tvrtka prijatelj zdravlja“ usmjeren je zaposlenicima i potiče uvođenje posebnih oznaka za radna okruženja koja zaposlenicima omogućuju usvajanje zdravih životnih navika, promiču zdravlje na radnom mjestu te iskazuju pozitivnu brigu o zdravlju djelatnika. Kako bi utvrdili ispunjava li tvrtka potrebne uvjete, tim stručnjaka Hrvatskog zavoda za javno zdravstvo (HZJZ) dolazi u nadzorni posjet tvrtki, a predviđena su i predavanja za djelatnike tvrtke prema definiranim temama: pravilna prehrana, tjelesna aktivnost, zdravstvena ispravnost namirnica, zlostavljanje na radnom mjestu i upravljanje stresom, pušenje, alkohol, zlouporaba droga i kockanje, okoliš i zdravlje....
","Ovaj projekt nadovezuje se i na Strateški plan za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015.–2019. godine za 16% u navedenom razdoblju
","Outcome indicators","","Sodium/salt intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|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|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|Salt reduction|Nutrition education|Food sovereignty|Vulnerable groups","","https://zdravstvo.gov.hr/","Includes aims to introduce National Healthy Nutrition Claim (FOP logo that stands for healthy choices). Criteria for the logo still have to be developed.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202015%20National%20Programme%20Living%20Healthy.pdf" "36112","MLT","Malta","","A Whole School Approach To A Healthy Lifestyle: Healthy Eating and Physical Activity Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","","Ministry for Education and Employment","2","2015","Adopted","","2015","Ministry for Education and Employment","Health|Education and research|Labour","","","","","","","","","","National NGOs","","","","","","","","The Whole School Approach to Healthy Lifestyle: Healthy Eating and Physical Activity Policy aims to:
The Ministry for Education and Employment has the lead responsibility for monitoring the implementation of this policy.
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
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" "24488","SLE","Sierra Leone","","The United Nations Development Assistance Framework (UNDAF)","Non-national nutrition policy document","","English","","2015","","2018","UN country team in Sierra Leone","","2015","","","","","Health|Food and agriculture|Social welfare|Finance, budget and planning|Justice|Labour|Sub-national|Other","Internal affairs, foreign affairs","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNOPS, IOM, UNCDF, UN Women, UNODC, IAEA, OHCHR","Other","","The World Bank","","","","National NGOs","","","","","","","","
Pillar 3: Accelerating human development
D. By 2018, children under five, adolescent girls, women of reproductive age, vulnerable groups and households are better protected from hunger and show improved nutritional status as a result of stronger UN support to the government.
E. By 2018, communities have improved and equitable use of safe drinking water, sanitation and hygiene practices.
Pillar 6: Strengthen social protection systems
A. By 2018, vulnerable populations including adolescent girls have increased access to livelihoods, education and improved nutritional status
B. By 2018, 20% of extremely poor households have access to social safety nets
","","
Proportion of women 15-49 years with anaemia.
Proportion of children under 2 years. that are stunted
Proportion of children under 5years that are Underweight
Proportion of infants 0-5 months that are exclusively breastfed
Proportion of population using an improved water source
Proportion of population using basic sanitation
Proportion of population that is practicing open defecation
Percentage of food secure house hold
Supplementary feeding performance rates among targeted children under 5
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Food distribution/supplementation for prevention of acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202015%20UNDAF.pdf" "41546","SVN","Slovenia","","Resolucija o nacionalnem programu o prehrani in telesni dejavnosti za zdravje 2015-2025 [National Programme for Nutrition and Physical Activity 2015-2025]","Comprehensive national nutrition policy, strategy or plan","","Slovenian","","2015","","2025","Official Gazette of the Republic of Slovenia","","2015","Adopted","","2015","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Labour","","","","","","","","","","","","","","","","","","Vizija
V Sloveniji ustvariti pogoje in oblikovati okolja, ki bodo prebivalcem omogočali boljše prehranjevalne in gibalne navade oziroma več telesne dejavnosti ter zdrave izbire, s tem pa boljše zdravje in kakovost življenja.
Namen
Z nacionalnim programom želimo izboljšati prehranske in gibalne navade prebivalcev od najrosnejšega obdobja življenja do pozne starosti. S tem želimo zaustaviti in obrniti trend naraščanja telesne mase prebivalcev Slovenije in vplivati na manjšo pojavnost kroničnih nenalezljivih bolezni, in posledično na vzdržnost zdravstvenega sistema. S predvidenimi ukrepi želimo vplivati tudi na zmanjšanje razlik v zdravju prebivalcev, ki nastajajo zaradi nepravilnega prehranjevanja in pomanjkanja telesne dejavnosti med socialno in ekonomsko ogroženimi skupinami prebivalstva.
Z izvajanjem nacionalnega programa želimo:
- zmanjšati delež prebivalcev s prekomerno telesno maso in debelih (ITM > 25);
- povečati delež prebivalcev, ki so redno telesno dejavni;
- povečati delež dojenih otrok;
- povečati uživanje sadja in zelenjave;
- povečati uživanje rib;
- zmanjšati vnos trans maščob, nasičenih maščob, sladkorja, in soli;
- povečati vnos polnozrnatih žit in žitnih izdelkov.
...
5. PREDNOSTNA PODROČJA IN UKREPI
Izhajajoč iz namena nacionalnega programa so v nadaljevanju v podpoglavjih navedeni ukrepi na različnih prednostnih področjih:
- zagotavljanje zdravega prehranjevanje v skladu s smernicami in priporočili (organizirana vrtčevska, šolska in študentska prehrana, prehrana v bolnišnicah in domovih za starejše občane),
- izboljšanje ponudbe za zdravje koristnih izbir v sodelovanju z deležniki v živilskopredelovalni verigi ter v gostinstvu in turizmu,
- zagotavljanje dostopnosti do zdravih prehranskih izbir za socialno-ekonomsko ogrožene skupine,
- zagotavljanje varne in zdravju koristne hrane, s poudarkom na lokalno-trajnostni oskrbi in samooskrbi,
- označevanje, predstavljanje in trženje živil,
- telesna dejavnost za zdravje in okolje, ki jo spodbuja,
- vloga sistema zdravstvenega varstva,
- izobraževanje in usposabljanje ter raziskovanje,
- obveščanje in osveščanje.
...
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|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|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School fruit and vegetable scheme|School milk scheme|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|Trans fat|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|Physical activity and healthy lifestyle|Iodine|Food safety","","http://pisrs.si/Pis.web/pregledPredpisa?id=RESO101","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SVN%202015%20National_Programme_Nutrition_and_Physical_Activity_2015-2025.pdf" "36088","BLR","Belarus","","ГОСУДАРСТВЕННАЯ ПРОГРАММА ”Здоровье народа и демографическая безопасность Республики Беларусь“ на 2016 – 2020 годы [National Programme 'Health of People and Demographic Safety of Belarus 2016-2020]","Health sector policy, strategy or plan with nutrition components","","Russian","","2016","","2020","National Legal Internet Portal of Belarus Republic","3","2016","Adopted","3","2016","Совет Министров Республики Беларусь (Ministerial Council)","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Industry|Information|Labour|Sub-national|Other","Other: Ministry of Internal Affairs; Ministry of Culture; National Committee for Standards; National food production concern 'Belgospicheprom'; National TV company.","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","Research/academia","National Academy of Science of Belarus","Private sector","Food Producers","Other","Concern 'Belaruspicheprom'(Food production)/Концрн Белгоспищепром","Задачами подпрограммы 2 ”Профилактика и контроль неинфекционных заболеваний“ являются:
Данные задачи будут решены посредством реализации мероприятий подпрограммы 2 ”Профилактика и контроль неинфекционных заболеваний“ согласно приложению 2.
","Сводным целевым показателем Государственной программы и целевыми показателями подпрограмм согласно приложению 8 предусматривается обеспечить к 2020 году:
Desafio 1 - Promover o acesso universal à alimentação adequada e saudável, com prioridade para as famílias e pessoas em situação de insegurança alimentar e nutricional.
Desafio 2 - Combater a Insegurança Alimentar e Nutricional e promover a inclusão produtiva rural em grupos populacionais específicos, com ênfase em Povos e Comunidades Tradicionais e outros grupos sociais vulneráveis no meio rural.
Desafio 3 - Promover a produção de alimentos saudáveis e sustentáveis, a estruturação da agricultura familiar e o fortalecimento de sistemas de produção de base agroecológica.
Desafio 4 - Promover o abastecimento e o acesso regular e permanente da população brasileira à alimentação adequada e saudável.
Desafio 5 – Promover e proteger a Alimentação Adequada e Saudável da População Brasileira, com estratégias de educação alimentar e nutricional e medidas regulatórias.
Desafio 6 - Controlar e Prevenir os Agravos decorrentes da má alimentação.
Desafio 7 - Ampliar a disponibilidade hídrica e o acesso à agua para a população, em especial a população pobre no meio rural.
Desafio 8 - Consolidar a implementação do Sistema Nacional de Segurança Alimentar e Nutricional (SISAN), aperfeiçoando a gestão federativa, a intersetorialidade e a participação social.
Desafio 9 - Apoio a iniciativas de promoção da soberania, segurança alimentar e nutricional, do direito humano à alimentação adequada e de sistemas alimentares democráticos, saudáveis e sustentáveis em âmbito internacional, por meio do diálogo e da cooperação internacional.
","De acordo com o artigo 21 do Decreto 7.272/2010, o monitoramento e avaliação da PNSAN será feito por sistema constituído de instrumentos, metodologias e recursos capazes de aferir a realização progressiva do direito humano à alimentação adequada, o grau de implementação daquela Política e o atendimento dos objetivos e metas estabelecidas e pactuadas no Plano Nacional de Segurança Alimentar e Nutricional. O sistema terá como princípios a participação social, equidade, transparência, publicidade e facilidade de acesso às informações. Deverá organizar, de forma integrada, os indicadores existentes nos diversos setores e contemplar as seguintes dimensões de análise:
I - produção de alimentos;
II - disponibilidade de alimentos;
III - renda e condições de vida;
IV - acesso à alimentação adequada e saudável, incluindo água;
V - saúde, nutrição e acesso a serviços relacionados;
VI - educação; e
VII - programas e ações relacionadas à segurança alimentar e nutricional.
O sistema de monitoramento e avaliação ainda deverá identificar os grupos populacionais mais vulneráveis à violação do direito humano à alimentação adequada, consolidando dados sobre desigualdades sociais, étnico-raciais e de gênero. Dessa forma, o monitoramento do PLANSAN objetiva acompanhar a execução das ações governamentais voltadas para a promoção da SAN e aferir o desempenho da atuação governamental nessa temática, possibilitando intervenções que visem o aprimoramento da gestão pública. O conjunto de informações gerado nas atividades de monitoramento também é fundamental para a prestação de contas da ação governamental à sociedade. A CAISAN é a instância responsável por tornar públicas as informações relativas à SAN da população brasileira (§3o, art. 21, decreto 7.272/2010). Para isso, instituiu um Comitê Técnico permanente cuja atribuição é definir instrumentos e metodologia para monitorar, avaliar e divulgar as análises a respeito dos determinantes da SAN e da implementação dos objetivos e metas do PLANSAN. A seguir, são apresentados os indicadores de SAN para cada desafio do Plano e as dimensões de análise a eles associadas. Importante ressaltar que os dados serão desagregados por urbano/rural, raça/cor, etnia e gênero sempre quando houver informação disponível. Os indicadores constantes no quadro não se esgotam aqui e serão objeto de discussão posterior em um seminário técnico a ser organizado pela CAISAN.
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Overweight in adolescents|Sugar intake|Fruit and vegetable intake|Fruits|Vegetables|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Media campaigns on healthy diets and nutrition|Sugar reduction|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Food sovereignty|Conditional cash transfer programmes|Vulnerable groups","","http://www4.planalto.gov.br/consea/eventos/plenarias/documentos/2016/plano-nacional-de-seguranca-alimentar-e-nutricional-plansan-2016-2019-metodologia-e-estrutura/view","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202016%20PLANSAN.pdf" "39458","SLV","El Salvador","","Plan Estratégico Nacional Intersectorial de Promoción, Protección y Apoyo a la Lactancia Materna 2016 - 2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2016","","2019","Ministerio de Salud","","2016","","","","","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Labour","","","UNICEF","","Salvadorian Institute for Women, College of Physicians, Centre for Breastfeeding support","","","","","National NGOs","","","","","","","","Propósito:
Incrementar la práctica de la lactancia materna exclusiva y prolongada hasta los dos años, en el ámbito familiar y comunitario, contribuyendo a la salud integral de la niñez de El Salvador.
Objetivo:
Establecer las estrategias, mecanismos y acciones que favorezcan la promoción, protección y apoyo a la lactancia materna durante el período del 2016 al 2019.
","Actividades
Indicadores
Línea estratégica 3: Monitoreo y evaluación
Objetivo Específico:
Establecer mecanismos y acciones que permitan monitorear y evaluar la promoción, protección y apoyo a la lactancia materna.
Actividades e Indicadores
Monitoreo y evaluación del cumplimiento del plan estratégico intersectorial de promoción protección y apoyo a la lactancia materna.
Evaluación del cumplimiento del Código internacional de comercialización de sucedáneos de la leche materna.
Vigilancia a travès de auditorias permanentes de trabajo sobre la implementaciòn de las salas de lactancia materna y del cumplimiento de la hora de permiso por patrono
Actualización de la Inciativa de Hospitales amigos de la niñez y las madres
Acreditación de 10 nuevos hospitales como amigos de la niñez y las madres
STRATEGIC OBJECTIVE 1: Improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years)
STRATEGIC OBJECTIVE 2: Improve the nutritional status of children from birth up to 10 years
STRATEGIC OBJECTIVE 3: Improve the delivery of nutrition services for communicable and non-communicable/lifestyle related diseases
STRATEGIC OBJECTIVE 4: Strengthen the implementation of nutrition-sensitive interventions across sectors
STRATEGIC OBJECTIVE 5: Improve multisectoral coordination and capacity to implement the national nutrition program
","","
2020 TARGETS
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20National%20Nutrition%20Programme%20II.pdf" "39359","ETH","Ethiopia","","Health Sector Transformation Plan","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","FMOH","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Labour|Other","Ministry of Capacity Building","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","International NGOs","","","","","National NGOs","","","","","","","","","
Strategic Initiatives:
Nutrition
8. Scale-up community-based nutrition (CBN) program and the first 1000 days initiative
9. Implement the Sequota declaration of ending child under nutrition
10. Implement Baby-friendly hospitals initiative in all hospitals
","
Reduce childhood stunting, wasting and under-weight in under-5 year from 40%, 9% and 25% to 26%, 4.9% and 13%, respectively
Increase proportion of children ages 6-59 months who received vitamin A supplementation to 95%
Increase availability of quality assured iodized salt to 100%
Increase proportion of under 5 children with regular growth monitoring to 95%
More indicators in table on p. 165 (Nutrition) and p. 169 (NCDs)
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vaccination","","www.moh.gov.et","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Health%20Sector%20Transformation%20Plan.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","","
1.1. მოსახლეობის ინფორმირება სურსათში ინდუსტრიული ტრანსცხიმების ადამიანის ჯანმრთელობაზე მავნე ზეგავლენის და ჯანსაღი კვების პრინციპებთან დაკავშირებით
1.2. ბიზნესოპერატორების ინფორმირება დაგეგმილ ცვლილებებთან ან და მათ მიერ შესაბამისი აქტივობების (ახალი რეცეპტურის დანერგვა, მომწოდებლების მოძიება და ხც.)განხორციელებასთან დაკავშირებით
2.1. სურსათში ინდუსტრიული ტრანსცხიმების შემცველობის, როგორც უვნებლობის მაჩვენებლის, ნორმირება: სურსათში ინდუსტრიული ტრანსცხიმების ნორმად განისაზღვროს 2 გრ ტრანსიზომერი 100 გრ მცენარეულ ცხიმზე გადაანგარიშებით
2.2. ჩვილ ბავშვთა კვების პროდუქტებსა და ბავშვთა კვების პროდუქტებში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში (სკოლა, საბავშვო ბაღი, სანატორიუმი, ბანაკი, სპორტული სკოლა, ბავშვთა სახლი, ბავშვთა გასართობი ცენტრი სამედიცინო დაწესებულება და ა.შ.) გამოყენებულ სურსათში ინდუსტრიული ტრანსცხიმების არსებობის აკრძალვა
3.3. ბავშვთა კვების პროდუქტებისა და ბავშვთა ორგანიზებულ კვების დაწესებულებებში გამოყენებული სურსათის კონტროლის განხორციელება ინდუსტრიული ტრანსცხიმების შემცველობაზე (როგორც ბაზარზე (მათ შორის საზოგადოებრივი კვების ობიექტში) განთავსებულ, ისე იმპორტირებულ სურსათში, ასევე ბავშვთა ორგანიზებული კვების დაწესებულებებში გამოყენებულ ურსათში)
3. Wskaźniki monitorowania poszczególnych celów operacyjnych 1) cel operacyjny 1
1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.pdf" "36034","TZA","United Republic of Tanzania","","National Multi-sectoral Nutrition Action Plan (NMNAP)","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","Prime Ministers Office: United Republic of Tanzania","10","2016","Adopted","10","2016","Prime Ministers Office: United Republic of Tanzania. High Level Steering Committee on Nutrition (HLSCN)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Information|Labour|Sub-national","Prime Ministers Office: United Republic of TanzaniaTNFC","","UNICEF, WHO, UN-REACH, WFP, FAO","Helen Keller International (HKI)","PANITA, HKI, COUNSENUT","","Fhi360, Irish Aid, DFID, USAID","","","National NGOs","","","academia (SUA, MUHAS); institutions (Ifakara Health Institute), Tanzania Public Health Association - TPHA, Tanzania Diabetic Association – TDA, Tanzania NCD Alliance)","","unspecified","","","The NMNAP’s broad goal is to accelerate scaling up of high impact multisectoral nutrition specific and nutrition sensitive interventions and creating an enabling environment for improved nutrition, to contribute to the building of a healthy and wealthy nation.
NMNAP Key targets by 2020/21
4.5 Key strategies
4.5.1 Community-centred multisectoral approach as overarching strategy
82. Acknowledging that nutrition is a crosscutting issue that requires the effective contribution of multiple actors, sectors and administrative levels, the NMNAP is based on a national multisectoral strategic nutrition framework for planning, implementation and coordination. Thus, the overarching strategy for the NMNAP is a community-centred multisectoral nutrition approach that explicitly embraces simultaneous actions for nutrition specific interventions at the level of immediate causes and nutrition sensitive interventions at the levels of underlying and basic causes of malnutrition. A multisectoral nutrition system is composed of multiple sectors (e.g. agriculture, health, WASH (water, sanitation and hygiene), education, social protection, environment); multiple levels (national, regional, Local Government Authorities and importantly the community); and multiple partners (Government, development partners – UN/multi-laterals, bilaterals, NGOs, CSOs, academia and private sector). The multisectoral community-centred strategy is based on the overwhelming scientific evidence that achieving high coverage of the evidence-based high impact nutrition interventions (Lancet Nutrition Series 2008 and 2013) requires multisectoral harmonization and collaboration with key nutrition stakeholders.
4.5.2 Supportive cross-cutting strategies
83. The overarching multisectoral approach is complemented by several supportive strategies which are relevant and applicable to each of the seven key result areas. These include: -
1) Social and Behaviour Change Communication (SBCC) for nutrition through interpersonal communication and mass media to promote adoption of appropriated behaviours and practices and commitment to achieving common results for everyone and everywhere in the country for improved nutrition. The NMNAP will use the SBCC Strategy for 2013-2018.
2) Advocacy and Social mobilization to sustain political will and Government commitment for nutrition and to mobilise adequate resources for nutrition. Social mobilisation activities are important to create awareness of the problems of malnutrition among decision makers and community members to improve nutrition. For example, a 2013 landscape analysis by TFNC found that policy makers and communities do not perceive stunting and micronutrient deficiencies as problems to be addressed. Since many of the actions in advocacy and social mobilization require behavioural, attitude and practice changes by policy makers and communities for overall societal change all types of media need to be involved. Social mobilization will also increase the participation of communities in the implementation of the NMNAP. Since the key actors for improved nutrition are households and communities ensuring their active participation of communities is a critical success factor for the NMNAP.
3) Community-Centred Capacity Development (CCCD): The development of human, institutional and organizational capacity is critical in the implementation of the NMNAP especially at the community level. Community participation in doing their own triple A processes of assessment, analysis and action can be greatly enhanced by developing the capacity of the community and that of community-based organisations to support social accountability mechanisms (see section 6.1 for definition of social accountability). Recognizing that communities constitute the greater whole of society and that they exist in relationship with society as a whole, development of capacity of communities should go hand in hand with developing capacity at the higher levels – council, district, region, national.
4) Developing functional human resource capacity: Although human resource technical capacity in nutrition is fairly adequate, functional capacity in communication skills, coordination and strategic leadership and management requires further development. System-wide development of nutrition relevant institutions, especially for TFNC as the institutional leader in the implementation of this NMNAP will be given priority. Institutionalization of the nutrition steering committees at all levels and developing their functional capacity will be further explored.
5) Aligning all stakeholders with the NMNAP through Community-Public-Private Partnerships (C-PPP) using the “three ONES principle” of ONE plan, ONE coordinating mechanism and ONE monitoring and evaluation framework, so that every stakeholder come together to tackle malnutrition and build an enabling environment for improved nutrition with equity. Capacities will be developed to conduct and manage C-PPPs as part of a collaborative leadership strategy. Forming strategic partnerships at all levels of the nutrition system will enhance coordination and accountability. Strategic collaboration, including the engagement of the private sector through implementation of appropriate principles of social and corporate responsibility, is likely to result in cost-efficiency and effectiveness and promote ownership and sustainability.
6) Delivery of quality and timely nutrition services: This NMNAP will promote the delivery of nutrition and nutrition-relevant services that are timely and of high quality. Tools will be put in place to assess the effective implementation and delivery of services, and where bottlenecks are identified, remedial and corrective measures will be adopted including legal enforcement as appropriate.
7) Mainstream equality in all the seven Key Result Areas of the NMNAP without discrimination, focusing on women, children and adolescent girls. Although generally Tanzania has made good progress in empowering women, traditional patriarchal practices remain, that favour men, including in nutrition relevant practices, and are often reflected in both formal and informal systems and institutions especially in the rural areas.
8) A resource mobilization strategy will be developed to advocate for resource allocation to the NMNAP by both Government and partners.
9) Tracking progress and operational research and development will be promoted to ensure key lessons and insights gained from the implementation of the NMNAP are learnt and used in adjusting and improving the proposed interventions at regular intervals and linking research with programmes and training. Research will also provide quality assurance, robust data on program performance and support learning. Linking research to the programmes and to training will assure evidence-based sharing of experience and intergenerational transfer of knowledge. Efforts will be made to link the implementation of the NMNAP with nutrition-relevant centres of excellence both nationally and internationally.
10) Overall planning and coordination is a key strategy to align implementation of the NMNAP to achieve far greater results than what single sectors could achieve alone.
","note: indicators are embedded in targets: see above and document, table 4, p49
","Outcome indicators","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Staple foods|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Family planning (including birth spacing)|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.tfnc.go.tz/uploads/publications/en1512587132-NMNAP%202016-21.pdf ","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf" "24492","AIA|ATG|ABW|BRB|VGB|DMA|GRD|JAM|MSR|KNA|LCA|VCT|TTO|BLZ|GUY|SUR","Anguilla|Antigua and Barbuda|Aruba|Barbados|British Virgin Islands|Dominica|Grenada|Jamaica|Montserrat|Saint Kitts and Nevis|Saint Lucia|Saint Vincent and the Grenadines|Trinidad and Tobago|Belize|Guyana|Suriname","","United Nations Multi-Country Sustainable Development Framework in Caribbean","Non-national nutrition policy document","","English","","2017","","2021","UN country teams in the Caribbean","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Trade|Labour|Other","Social transformation","","","Other","","The World Bank","","Other","CARICOM","National NGOs","","Research/academia","","Private sector","","","","Improve health and wellbeing by addressing the ability of the state to provide services, increasing access to healthy nutrition, a healthy environment and knowledge as preventive measures. Sustainable health financing and direct action to addresses NCDs, SRH and HIV/AIDS and related stigma is also necessary for better health outcomes.
Universal access to quality health care services and systems, and Laws, policies, and systems introduced to support healthy lifestyles among all segments of the population
Laws, policies and systems introduced to support healthy lifestyles among all segments of the population.
","","Number of countries that have achieved targets in reducing prevalence of hypertension rates
Number of countries that have achieved their targets in reduction of diabetes prevalence
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure","","http://www.2030caribbean.org/content/unct/caribbean/en/home/resources.html ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CARIBBEAN%202017%20MSDF.pdf" "24467","ERI","Eritrea","","The strategic partnership cooperation framework (SPCF) between the government of the state of Eritrea and the United Nations","Non-national nutrition policy document","","English","","2017","","2021","Eritrea UN country team","1","2017","","","","","Health|Food and agriculture|Education and research|Development|Environment|Labour|Other","National Union of Eritrean Women (NUEW)","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IAEA, UNEP, UNODC","","","","","","","","","","","","","","","Outcome 1. Health and Nutrition. By 2021, children under five, youth, women and other vulnerable groups including refugees, have improved access to and utilization of quality, integrated health and nutrition services for the achievement of universal health coverage (UHC) to safeguard healthy lives and promote well-being for all.
Outcome 2. Water, Sanitation and Hygiene (WASH). By 2021, all people, including refugees, benefit from available and sustainable water, sanitation and hygiene services.
Outcome 6. Food Security and Livelihoods. By 2021, smallholder households have improved access to, and utilisation of quality food and enhanced livelihood opportunities.
","Outcome 1. (iii) Strengthen the capacity of community health workers to implement integrated community case management, promote appropriate childcare and care seeking practices at household and community levels, and to make timely referrals to the next level of care. There will be a strong focus on integrated nutrition security, infant and young child feeding practices.
Outcome 2. (i) Involving communities in strengthening their capacity to operate and maintain rural water supplies and to develop and implement sanitation action plans.
(ii) Capacity building support to develop implementation protocols and guidelines on WASH in Institutions, rural water supply and sanitation and hygiene through the Community-Led Total Sanitation (CLTS) approach.
(iii) Evidence generation through support to the GoSE to conduct necessary assessments, surveys, and formative research such as the Eritrea Population and Health Survey (EPHS) and Knowledge, Attitude and Practice (KAP) surveys, as well as formative studies on community based approaches.
(iv) Policy dialogue and advocacy to promote balance between upstream policy and institutional development and the downstream work of capacity building, monitoring, and service delivery in the critical areas of child survival and development through equity-focused programming.
(v) Provision of service delivery assistance in the form of supplies, cash and services to facilitate the government, as implementing partners, to continue to provide WASH services. Service delivery assistance will also assist the GoSE sustain the service delivery gains as well as provide models of best practice to scale-up critical child survival and developmental WASH interventions.
Outcome 6. (i) Continue to support the GoSE expand, diversify and make more sustainable the productive base and engage the international community.
(ii) Continue to provide upstream support by engaging partners in a dialogue to identify capacity and policy gaps and to unlock potential development resources in the agriculture sector.
(iii) Identify diversified productive sectors that could provide sustainable livelihood opportunities for the population. The experience with the mining sector could be replicated in other sectors with higher job intensity, such as manufacturing, food processing and tourism.
(iv) Continue to work with communities to increase food and nutrition capacity, productivity and livelihoods with a special focus on youth and women.
(v) Provide technical assistance to the GoSE in the areas of institutional and human capacity development, quality seed production; improvement of crop and animal production; improved water management through the introduction and installation of new irrigation systems; provision of agricultural inputs; food processing for export and value addition of agricultural products to further increase employment and incomes in the agricultural sector
","1.8: Proportion of infants under 6 months exclusively breastfed
1.9: Proportion of children 6-59 months receiving two doses of vitamin A supplementation per year
1.11: Proportion of children 6-59 months with SAM enrolled in therapeutic feeding programme
2.1: Proportion of the population using an improved source of drinking water
2.3: Percentage of people who wash their hands with soap after defecation.
6.1: % of smallholder households using nutritious foods
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of severe acute malnutrition|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation","","http://reporting.unhcr.org/sites/default/files/UNDP%20ERITREA_SPCF%202016%20Low%20res%20fa.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ERI%202017%20SPCF.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
2. Содержание приоритетного проекта
Цель проекта
Результаты проекта
2. Разработана и реализована программа предоставления грантов за счет средств федерального бюджета и внебюджетных источников некоммерческим и другим общественным организациям, реализующим проекты в сфере пропаганды здорового образа жизни, правильного питания и сбережения здоровья.
3. Разработана и реализована кампания с участием производителей продуктов питания по информированию граждан о здоровом питании через добровольное размещение дополнительных знаков отличия и информации на упаковках продуктовых товаров.
4. Разработана и проведена масштабная информационно-коммуникационная кампания по формированию здоровьесберегающего поведения, включая сохранение репродуктивного здоровья и повышение приверженности вакцинации. Кампания проведена в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга.
5. Определены и внедрены наиболее эффективные механизмы, направленные на повышение ответственности работодателей за здоровье работников организации, а также ответственности граждан за свое здоровье.
","Проведение коммуникационной кампании по здоровому питанию с участием компаний-производителей
15. Разработана концепция коммуникационной кампании по размещению на продукции отличительных знаков и информационных сообщений, связанных с правилами здорового питания. Утверждены категории продукции и правила участия.
16. Отобрано не менее 30 компаний-производителей продуктов питания, на продукции которых будут размещены информационные сообщения кампании по здоровому питанию
17. Разработаны и утверждены нормативные правовые акты по йодированию пищевой поваренной соли
18. Разработаны и утверждены визуальные и коммуникационные элементы кампании по здоровому питанию. Проведено согласование форматов и правил размещения с производителями-участниками
19. Начата коммуникационная кампания по здоровому питанию с участием производителей
20. Разработана методика оценки формирования культуры здорового образа жизни у населения с учетом особенностей целевых групп граждан. Определены правила осуществления регулярного мониторинга ситуации
21. На основе разработанной методики проведено обследование. Актуализирован основной показатель ""доля граждан, приверженных здоровому образу жизни""
22. Разработана концепция информационно-коммуникационной кампании по формированию здоровьесберегающего поведения, включая сохранение репродуктивного здоровья. Концепцией предусмотрено проведение кампании в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга
23. Запущена информационно-коммуникационная кампания в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга
24. Разработаны и проведены открытые уроки по мотивированию школьников, родителей и учителей к ведению здорового образа жизни
","Показатели проекта и их значения по годам
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
","Objetivo general
Alcanzar una adecuada nutrición y desarrollo de la población ecuatoriana durante todo el curso de vida, brindando atención integral y, generando mecanismos de corresponsabilidad entre todos los niveles de gobierno, ciudadanía y sector privado; en el marco de intervenciones intersectoriales que incidan sobre los determinantes sociales de la salud.
Objetivos específicos
1. Fortalecer el rol del Estado, la coordinación intersectorial y la participación ciudadana en la aplicación de este plan.
2. Brindar atención integral de salud durante todo el ciclo de vida, con énfasis en los 1000 primeros días, la etapa escolar, así como, el fomento y protección de la lactancia materna.
3. Fortalecer y generar intervenciones que incidan sobre los determinantes de la salud, enfocados en la promoción de la salud, la protección social, la seguridad y soberanía alimentaria y agua-saneamiento.
","Lineamiento estratégico 1. Dinamizar la coordinación intersectorial entre todos los actores públicos y privados con el fin de generar mecanismos de corresponsabilidad.
Lineamiento estratégico 2. Asegurar el monitoreo continuo y evaluación periódica de las políticas de alimentación y nutrición.
Lineamiento estratégico 3. Asegurar la atención integral en salud y nutrición de los grupos prioritarios en todo el curso de vida en todos los niveles de atención.
Lineamiento estratégico 4. Fomentar y proteger la práctica de la lactancia materna y la alimentación complementaria adecuada.
Lineamiento estratégico 5. Fomentar espacios y prácticas saludables durante todo el ciclo de vida.
Lineamiento estratégico 6. Incrementar el acceso a agua segura y servicios de saneamiento adecuados.
Lineamiento estratégico 7. Contribuir a la autosuficiencia y diversidad de alimentos sanos, nutritivos y culturalmente apropiados de forma permanente.
Lineamiento estratégico 8. Fortalecer la protección e inclusión social a través de estrategias de fomento del ejercicio de derechos de los ciudadanos en todo su ciclo de vida
","En el marco de la implementación del Plan Intersectorial de Alimentación y Nutrición es evidente la necesidad de fortalecer el monitoreo de las acciones propuestas, así como la evaluación del Plan en sí mismo. Para esto, el mejoramiento continuo de los sistemas de información, así como los registros administrativos, y la implementación periódica de encuestas, es indispensable para la generación de insumos a nivel intersectorial, para la toma de decisiones. Líneas de acción 2.1 Articulación y mejoramiento continuo de los sistemas de información. 2.2 Levantamiento y generación de información periódica de alimentación y nutrición. 2.3 Monitoreo y evaluación permanente de los planes, programas, proyectos, iniciativas e intervenciones de nutrición y alimentación saludable.
Indicadores
AXE 1 : FAVORISER DES ENVIRONNEMENTS PROPICES A LA SANTE DES POLYNESIENS
OBJECTIF 1 : UN ENVIRONNEMENT FAVORABLE A UNE ALIMENTATION SAINE
Priorité 1: Mettre en place le processus d’engagements et des mesures pour inciter le progrès nutritionnel
Action 1 : Instaurer des chartes d’engagement de progrès nutritionnel pour les entreprises et commerces alimentaires locaux
Action 2 : Collecter et développer les connaissances et les expériences allant dans le sens du progrès nutritionnel et de l’innovation alimentaire
Action 3 : Développer et accompagner le réseau des entreprises et des commerces alimentaires engagés dans une démarche de progrès nutritionnel
Action 4 : Valoriser les expériences et les résultats obtenus
Action 5 : Développer les cadres réglementaires nécessaires pour soutenir les objectifs du progrès nutritionnel en faveur de la santé des Polynésiens (bonus/malus pour les entreprises)
Priorité 2 : Collaborer avec les structures concernées sur des techniques de transformation des produits locaux
Action 1 : Labéliser les produits locaux transformés qui respectent les recommandations nutritionnelles
Action 2 : Intégrer l’éducation au goût aux programmes d’éducation nutritionnelle
Priorité 3 : Adopter une règlementation pour un environnement sain
Action 1 : Réviser la liste des produits de première nécessité
Action 2 : Imposer l’étiquetage nutritionnel des produits commercialisés
Action 3 : Inciter les entreprises locales à s’engager dans une démarche de progrès nutritionnel
Action 4 : Encadrer la commercialisation et la distribution de produits jugés néfastes pour la santé dans les lieux publics
Action 5 : Encadrer la promotion et les parrainages des produits nocifs à la santé et favoriser celles des produits sains
Action 6 : Réglementer l’installation des distributeurs et établissements d’alimentation autour des écoles, crèches, garderies et centres d’accueil
Priorité 4 : Concevoir et mettre en oeuvre la fiscalité comportementale
Action 1 : Mettre en place une taxation nutritionnelle progressive sur l’ensemble des produits sucre, sels, et graisses
Action 2 : Mettre en place les bonus/malus pour la taxation nutritionnelle
Action 3 : Valoriser les produits en fonction de leur qualité nutritive avec un indicateur visuel.
Action 4 : Mettre en place une taxe sur les publicités pour les produits sucrés, salés et riche en graisse
AXE 2 : SANTE TOUT AU LONG DE LA VIE
OBJECTIF 1 : LA PERINATALITE
Priorité 1 : Mener un projet commun autour de la périnatalité et la petite enfance
Action 5 : Poursuivre le programme allaitement et alimentation saine
","","","","Breastfeeding|Breastfeeding - Continued|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|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|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B11_Schéma-Prévention-2018-2022.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PYF%202018%20Sch%C3%A9ma%20Pr%C3%A9vention%20Sant%C3%A9.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
Cibles tunisiennes chez les 15 ans et plus 2018-2025, adaptées des cibles OMS
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 2.4.1 : 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" "40719","SLV","El Salvador","","Plan de implementación de la Política nacional para el abordaje integral de las enfermedades no transmisibles","NCD policy, strategy or plan with healthy diet components","","Spanish","","2019","","","Ministerio de Saludo","","2019","","","","","Cabinet/Presidency|Nutrition council|Health|Education and research|Social welfare|Consumer affairs","","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Objetivo específico
Posicionar el abordaje integral de las ENT en la agenda nacional multisectorial como un problema prioritario de salud públicEstrategia 1.1: Fortalecer alianzas y acciones intra y multisectoriales para el abordaje integral de las Enfermedades no Transmisibles
Línea de acción
Incluir en los diferentes espacios intra e intersectoriales de carácter técnico y político, el análisis de las medidas, resultados y su impacto en las ENT
Promover la corresponsabilidad y la participación activa de instituciones públicas y privadas para potenciar en la población ambientes, modos y estilos de vida saludable
Objetivo específico
Fomentar la promoción de la salud y la prevención de las Enfermedades No Transmisibles con participación intra e intersectorial y de la sociedad civil como parte de su abordaje integral
Estrategia
Implementar intervenciones estratégicas de promoción de la salud, educación para la salud y prevención de las Enfermedades no Transmisibles con participación social e intersectorial
Línea de acción
Implementación del plan nacional intra e intersectorial y multidisciplinario de intervenciones estratégicas de promoción de la salud y educación para la salud.
","","
Monitoreo, evaluación y rendición de cuentas
El presente plan de implementación será monitoreado de manera trimestral y evaluado semestral y anualmente con participación intra e intersectorial y de la sociedad civil. Los resultados de las evaluaciones serán presentados en el marco de rendición de cuentas para el seguimiento de los avances y realizar ajustes necesarios para el cumplimiento de la Política Nacional para el Abordaje Integral de las ENT.
Objetivo específico
Fortalecer la vigilancia en salud pública y desarrollar investigaciones para la toma de decisiones en el abordaje integral de las Enfermedades No Transmisibles
Estrategia
Fortalecer el Sistema Único de Información en Salud (SUIS)
Línea de acción
Desarrollo e implementación de la vigilancia en salud pública dentro del SUIS para el abordaje integral de las ENT Diseñar el componente de vigilancia en salud pública de las ENT.
","Process indicators","","Raised blood glucose/diabetes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Physical activity and healthy lifestyle","","http://asp.salud.gob.sv/regulacion/pdf/planes/planimplementacionpoliticaabordajeenfermedadesnotransmisibles2019.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV%202019%20Plan%20implementacion%20politica%20abordaje%20enfermedades%20no%20transmisibles.pdf" "39760","PYF","French Polynesia","","Programme d’actions Polynésien sur l’alimentation équilibrée et la pratique d’activité physique 2019-2023","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2019","","2023","Ministère de la santé et de la prévention en charge de la protection sociale généralisée-Direction de la santé","","2019","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Trade|Industry|Information|Labour|Other","Communes","","","","","","","","","National NGOs","Associations","","","Private sector","","","","Objectif général :
- Lutter contre le développement des MNT sur l’ensemble de la population en Polynésie française
Objectifs spécifiques :
- Développer des modes alimentaires sains pour la santé
Objectifs opérationnels :
- Agir sur la réglementation pour développer un environnement alimentaire sain
- Promouvoir la qualité nutritionnelle des produits locaux
- Réglementer la distribution et commercialisation des produits dont la surconsommation est néfaste pour la santé
- Poursuivre les campagnes d’informations concernant l’alimentation équilibrée
","
II.2. AXE 2 : Actions spécifiques sur l’alimentation équilibrée
- Le progrès nutritionnel
- L’alimentation de base
- La réglementation
Detailed indicators by action area can be found in tables p61-97
","Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Household food security|Home, school or community gardens|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B23_2019-02-12-Programme AEAP.pdf","","WHO 2019 NCD Country Capacity Survey","" "96701","MOZ","Mozambique","","Estratégia de Alimentação Saudável, Actividade Física e Saúde 2019-2023","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2019","","2023","Ministério da Saúde","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Industry","Nutriçaõ e Saúde, Agricultura, Educação, Juventude e Desportos, Indústria e Comércio, Finanças,Acção Social, Sociedade Civil, Associação dos Consumidores, Sector Privado, Obras Públicas e Habitação","","","","","","","","","National NGOs","","","","","","","","","","","","","International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruits|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School gardens|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Media campaigns on healthy diets and nutrition|Iodine|Food fortification|Food grade salt|Conditional cash transfer programmes","","https://extranet.who.int/ncdccs/Data/MOZ_B16_s21_Estratégia Alimentação Saudável e Actividade Fisica 2019-2023 MISAU.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MOZ%202018%20Estrat%C3%A9gia%20Alimenta%C3%A7%C3%A3o%20Saud%C3%A1vel%20e%20Actividade%20Fisica%202019-2023%20MISAU.pdf" "40328","NER","Niger",""," Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles 2019-2021","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","","","2019","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Labour","Assemblée nationaleMinistère en charge de la Renaissance Culturelle","World Health Organization (WHO)","","","","","","","","National NGOs","Société Civile (ONG, Associations et Fondations)","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
E- CIBLES
1.2.3 Goal of the policy
The goal of the policy is to provide direction and guidance to all sectors for quality, inclusive, coordinated and well-funded ECD services and programs.
1.2.4 Objectives of the policy
The NIECD Policy of Uganda has three objectives;
To harmonize existing ECD policy related goals, objectives and strategies and initiatives within and across all sectors.
To set, improve and align standards for ensuring access to well- coordinated, quality, equitable and inclusive ECD services within and across sectors
To build and strengthen capacity of systems and structures to deliver integrated quality and inclusive ECD programs.
Food Security and Nutrition
Strategies
a) Promote micronutrient supplementation and diet diversification.
b) Promote and improve food security at household and community level.
c) Promote breastfeeding and optimal feeding practices for infants and young children
Priority Program Initiatives
% Stunting of children under five years
% Underweight – prevalence in under-fives
% Low birth weight - newborns less than 2.5 kg
% of children 6-59 with anemia, vitamin or other mineral deficiency
% children 6-59 who receive micro nutrient supplementation and deworming
% women 15-49 years (adolescents, expectant women and lactating mothers) with anemia vitamin or other mineral deficiency
% women (adolescents, expectant women and lactating mothers) 15-49 years who receive micro nutrient supplementation
% of families/households that are engaged in production of nutritious foods
% of families/households that have diverse sources of food
% of families/households accessing education and extension services (health, agriculture and nutrition)
% of infants who exclusively breastfeed to 6 months
% of infants who start breastfeeding within 1 hour of birth
% of infants who continue breastfeeding up to 20 -23 months
% of infants who start receiving solid, semi solids or soft foods at 6 months of age
% of infants (6-23 months) who receive minimum acceptable diet(four food groups)
% of infants who receive fortified foods
","
Promotion de l’allaitement exclusif puis complété.
Promouvoir une alimentation saine et équilibrée.
Promouvoir la consommation du sel suffisamment iodé.
4. The 2nd National Reproductive Health Development Policy and Strategy (2017-2026): Promotion of Healthy Birth and Child Development
...
5. Target group
5.1 Women and men of reproductive age
5.2 Pregnant women
5.3 Children aged 0-5 years
6. Goals
...
6.3 Promote safe motherhood, postpartum care, and childrearing in an environment that is suitable for healthy growth and appropriate development, one which will provide optimal learning and education opportunities for the child.
7. Indicators
...
7.3 Healthy newborns and child development
...
7.3.3 Percentage of low birth weight infants
7.3.4 Percentage of children aged 0-5 years who have an appropriate level of growth and development for their age
7.3.5 Percentage of children aged 0-5 years who have an appropriate height for their age.
8. Strategies, measures, indicators, goals, and responsible agencies
...
Sub-strategy 1: Improving the relevant legislation, policies, and strategies
...
Sub-strategy 2: Improving the health service system and establishing equal access to services
...
2.1 Pre-marriage and pre-pregnancy
Indicators
...
5. Percentage of women of reproductive age who want to have a child and who receive iron supplement tablets and folic acid 12 weeks before their pregnancy
6. Percentage of women of reproductive age who have anemia
7. Percentage of women of reproductive age who have an appropriate body mass index (BMI)
...
Measures
...
2. Advocate for a policy to provide iron and folic acid supplement tablets to pregnant women of reproductive age and for those who want to have a child.
...
2.2 During pregnancy
Indicators
...
4. Percentage of pregnant women who have anemia
5. Percentage of pregnant women who receive iodine, iron, and folic acid supplements
6. Pregnant women with less than 150 microgram/litres of median urine iodine
concentration
7. Percentage of pregnant women who are underweight
8. Percentage of pregnant women with a tendency to gain significant weight
Measures
...
2.3 During delivery
Indicators
...
...
2.4 Postpartum period
Indicators
...
...
Measures
...
3. Promote exclusive breastfeeding for 6 months followed by breastfeeding in combination with age-appropriate food until the child is 2 years of age or older.
4. Promote the importance of an age-appropriate diet at home, at their child care center, and at school among children aged 6 months to 5 years.
5. Provide children aged 6 months to 5 years with liquid iron supplement once a week. In the case of newborns with low birth weight, liquid iron supplement is given daily from 2 to 6 months and then the dosage is reduced to once a week.
6. Provide required immunization for children.
7.Conduct surveillance on child nutrition, oral health, and development by parents or child care givers using the Maternal and Child Health Handbook as guidance.
...
Sub-strategy 3: Improving the social welfare system
...
2.4 Postpartum period
...
4. Promote working families who want/have children.
...
","","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Maternity protection|Complementary feeding promotion/counselling|Iodine|Iron and folic acid|Family planning (including birth spacing)|Vaccination","","https://rh.anamai.moph.go.th/th/download-03/download?id=39713&filename=2nd_RH_Policy_FINALVERSION.pdf&type=pdf&url=%2Fweb-upload%2F7x027006c2abe84e89b5c85b44a692da94%2Fm_document%2F31985%2F13761%2Ffile_download%2Fa0a97d2c74aac44e3b19d99971016bbe.pdf&mid=3","","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=Documentshttps://rh.anamai.moph.go.th/th/download-03","https://extranet.who.int/nutrition/gina/sites/default/filesstore/THA%202017%20The%202nd%20National%20Reproductive%20Health%20Development%20Policy%20and%20Strategy.pdf" "41533","MNG","Mongolia","","Хүүхдийн хөгжил, хамгааллын үндэсний хөтөлбөр [National Programme of Action for the Development and Protection of Children]","Other, please specify","Child or adolescent plan with nutrition components","Mongolian","","2017","","","The Government of Mongolia","9","2017","Not adopted","","","","Cabinet/Presidency|Health|Social welfare|Labour","","","","","","","","","","","","","","","","","","Гурав.Хөтөлбөрийн хүрээнд хэрэгжүүлэх үйл ажиллагаа
3.1.Хөтөлбөрийн “хүүхдийн эрүүл, аюулгүй орчинд амьдрах эрхийг хангасан хүүхдэд
ээлтэй орчныг бүрдүүлэх”1 дүгээр зорилтын хүрээнд дараах үйл ажиллагааг хэрэгжүүлнэ:
3.1.1.хүүхдэд ээлтэй эрүүл мэндийн тусламж, үйлчилгээний чанар, хүртээмжийг
сайжруулж,хүүхдийн сэргийлж болох өвчлөл,эндэгдлийг бууруулах чиглэлээр:
...
3.1.1.2.товлолт болон сайн дурын дархлаажуулалтад5 хүртэлх насны хүүхдийн хамралтыг
нэмэгдүүлэх;
...
3.1.1.5.хөдөөгийн болон орлого багатай өрхийн хүүхдэд үзүүлэх эрүүл мэндийн тусламж,
үйлчилгээний хүртээмжийг сайжруулах арга хэмжээ авч, нэн шаардлагатай амин дэмээр
хангах, амин дэм түгээх явцад хоол тэжээлийн зөвлөгөө өгөх ажлыг хавсран явуулах;
...
3.1.1.7.цэцэрлэг, сургуулийнхүүхдийн хоол, хүнсний бүтээгдэхүүний чанар, эрүүл ахуйн
аюулгүй байдалдхяналт тавих ажлыг эцэг, эхийн оролцоотой зохион байгуулах;
3.1.1.8.хүүхдийн эрүүл мэндэд сөргөөр нөлөөлөх хүнсний бүтээгдэхүүний худалдаа,
үйлчилгээг сургууль, цэцэрлэгийн орчинд хориглох.
...
3.1.3.2.Нялх, балчир хүүхдийн хүнсний тухай хуулийг сурталчлах, хүүхдийг эхийн сүүгээр хооллохыг дэмжихэд чиглэсэн мэдээлэл,сурталчилгааг өргөжүүлэх;
...
","","","","","Breastfeeding|Breastfeeding promotion/counselling|Nutrition counselling on healthy diets|Food safety|Vaccination","","https://www.legalinfo.mn/law/details/12903","","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/MNG%202017%20Development_and_Protection_of_Children.pdf" "40696","LSO","Lesotho","","National Adolescent Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","","The Government of Lesotho","11","2006","Not adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Justice|Labour|Other","the National AIDS Commission","","","","","","","","","","","","","","","","","2.3. Objectives and priority interventions for improving the health of mothers and newborns in Georgia
...
Priority interventions:
Task 2: By 2030, the quality of maternal and neonatal medical services will be improved, services will be integrated and standardized
A) Strengthening continuous maternal and neonatal services by increasing the efficiency of antenatal, intranatal and postpartum care services and their interfering referral system
...
An important component of maternal and neonatal health and survival is the promotion of healthy nutrition before pregnancy and during pregnancy, as well as improving the effectiveness of iron, folic acid and other micronutrient supplementation programs by strengthening their supply chain systems and ensuring established protocols.
At the same time it should be noted that the support of early breastfeeding, exclusive breastfeeding and the use of depleted breast milk are extremely important for the health and survival of newborns. Effective interventions in this regard should be aimed at removing barriers to exclusive breastfeeding and promoting a hospital-friendly hospital initiative.
...
8. Action Plan for the Implementation of the National Strategy for the Promotion of Maternal and Newborn Health Care of Georgia for 2017-2019
...
Objective 2: By 2020 quality of maternal and neonatal health services will be improved and standardized along with integration of these services
Outcome 2: Quality of maternal and neonatal health services is improved and standardized, as measured by indicators listed below, that should be included in the standard monitoring system.
Indicators:
...
2. % of pregnant women who receive the recommended number of iron/folate supplements during pregnancy
Baseline: 22% (2016)
Target: ≥95%
...
14. Prevalence of low birth weight from total number of livebirth
Baseline: 6.1%
Target: 5% reduction
15. % of newborns who were exclusively breastfed at the hospital discharge
Baseline: 95%
Target: 98%
...
Output
2.1. Mechanisms for strengthening the continuum of care for MNH through enhancing preconception, antenatal, intrapartum and postpartum/ postnatal care connected with effective referral system to improve pregnancy outcomes are established
...
Activity
...
2.1.10. Promote, support and protect early and exclusive breastfeeding:
2.1.10.1. Evaluate the implementation of the Law of Georgia on Protection and Promotion of Breastfeeding;
2.1.10.2. Develop and implement the Law enforcement mechanisms.
2.1.11. Forecast demand, procure and supply essential supplies, medicines for MNH services, specifically folic acid, Iron, micronutrient supplements and surfactant
...
","","","","","Low birth weight|Breastfeeding|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Iron and folic acid|Family planning (including birth spacing)","","https://matsne.gov.ge/ka/document/view/3825285?publication=0","MCA policy survey","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/GEO%202017%20National%20Strategy%20for%20the%20promotion%20of%20MNCH%20and%20Action%20Plan.pdf" "25747","CZE","Czechia","","Zdraví 2020 Národní strategie ochrany a podpory zdraví a prevence nemocí. Akční plán č. 2: Správná výživa a stravovací návyky populace na období 2015–2020 b) Prevence obezity [Health 2020 Action Plan 2b: Obesity Prevention]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Czech","","2015","","2020","Ministry of Health","9","2015","Adopted","3","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Labour","","","","","","","","","","","","","","","","Other","Food producers and retailers","4. Předpokládané benefity APSV a jejich indikátory
Ad 1.1: Počet legislativních změn a celostátních opatření podporujících správnou výživu; Funkční systém mezirezortní odpovědnosti za správnou výživu; existence státem garantované, pro obyvatele volně přístupné databáze nutričního složení potravin.
Ad 1.2. Pokles obsahu soli v komoditách (chléb a pečivo, masné výrobky a dalších nejvíce obsahem soli a spotřebou zatěžujících komodit) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let; posílení domácí produkce vhodných potravin.
Ad.1.3. Plnění ukazatelů spotřebního koše a pestrosti v 80 % školních jídelen; pokles nabídky nevhodných potravin v doplňkovém prodeji škol a školských zařízení o 100 %; zavedení nutričních doporučení pro školní stravování, proškolení pracovníků ve školním stravování; zvýšení nabídky zeleniny ve školních obědech o 30 %.
Ad 1.4. Pokles marketingu (reklamy) nevhodných potravin v čase od 7 do 19 hod o 50 %
1. To increase access to breastfeeding support in communities and the workplace.
2. To achieve BFHI status in all institutions providing maternity and child health services.
3. To establish a sustainable mechanism for accurate, timely and comprehensive collection and dissemination of data on infant and young child feeding and related indicators to influence policy and programme development.
4. To build capacity within all relevant agencies and at different levels of the health system and community, for the promotion, protection and support of infant and young child feeding.
5. To develop and implement sustainable public education initiatives for the promotion and support of optimal infant and young child feeding practices.
","To ensure that all Jamaican children benefit, a multi-foci strategy will be employed to strengthen the infant and young child feeding programme in Jamaica. The areas of emphasis will be in five priority areas :
3.4.1 Advocacy/Legislation
3.4.2 Training
3.4.3 Health Care Delivery
3.4.4 Public Information, Education and Communication
3.4.5 Monitoring, Evaluation and Research
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Micronutrient supplementation","","http://jis.gov.jm/media/NIYCF-Policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202014%20NIYCF%20Policy.pdf" "128150","VNM","Viet Nam","","National Strategy on Nutrition for 2021-2030 and Vision to 2045","Comprehensive national nutrition policy, strategy or plan","","English","","2021","","2030","Socialist Republic of Vietnam","1","2022","Adopted","1","2022","Prime Minster, Decision No. 02/QD-TTg","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Industry|Information|Labour","","","","","","","","","","","","","","","","","","Article 1. The approval of the national nutrition strategy for the 2021 - 2030 period with a vision toward 2045 (hereinafter referred to as ""Strategy"") includes the following contents:
I. VIEWPOINTS
1. All people have the right to equally access nutrition and food in order to obtain the maximum nutritional state, improving their health.
2. Proper nutritional implementation needs to be maintained throughout each person's life so as to improve personal health and family health; thus, contributing to the improvement of protection and healthcare of the community.
3. The state is responsible for developing mechanisms and policies to promote proper nutritional implementation; arrange and allocate intervention resources to improve the nutrition for mothers and children in regions with difficulties, remote areas, ethnic minority areas, mountainous areas, and islands.
II. TARGETS
1. General targets: Implement proper nutrition to improve the nutritional state suitable for each person, locality, region, and ethnicity, contributing to the decrease of disease and increase of stature, stamina, and intelligence of Vietnamese.
2. Specific targets
a) Implementation of a varied, appropriate, and food-security diet for all ages and subjects according to the life cycle
- The percentage of children from 6 to 23-month-old that have correct and sufficient diet will reach 65% by 2025 and 80% by 2030.
- The percentage of adults who consume adequate amounts of fruit and vegetables daily will reach 55% by 2025 and 70% by 2030.
- The percentage of households that suffer from severe and moderate food insecurity will be reduced to below 8% (below 25% for households in mountainous areas) by 2025 and below 5% (below 20% for households in mountainous areas) by 2030.
- The percentage of schools that develop diets that satisfy the recommendation of the Ministry of Health on proper nutrition assurance according to the age and food diversity will reach 60% for urban areas and 40% for rural areas by 2025; strive to reach 90% for urban areas and 80% for rural areas by 2030.
-The percentage of hospitals that provide examinations, advice, and treatments via diet suitable for nutritional status and disease for patients will reach 90% for the central or provincial level; 75% for district level by 2025; 100% for central, provincial level and 80% for district level by 2030.
- The percentage of communes that provide nutritional counseling for pregnant mothers, mothers with children under 2 years old in the basic healthcare service package for primary health care, prevention, and improvement conducted by health stations of communes, wards, or commune-level towns will reach 50% by 2025 and 75% by 2030.
b) Improvement of nutritional status for mothers, children, and teenagers
- The percentage of stunted children below 5 years old will be reduced to below 17% (below 28% for stunted children in mountainous areas) by 2025 and below 15% (below 23% for mountainous areas) by 2030.
- The percentage of underweight children below 5 years old will be reduced to below 5% by 2025 and below 3% by 2030.
- The average height of 18-year-old teenagers will increase by 2 - 2,5cm for males and by 1,5 to 2 cm for females by 2030 compared to those in 2020.
- The percentage of children who are breastfed soon after birth will reach 75% by 2025 and 80% by 2030.
- The percentage of children below 6 months old who are exclusively breastfed will reach 50% by 2025 and 60% by 2030.
c) Control of overweight, prevention of non-infectious chronic diseases, related risk factors in children, teenagers, and adults
- The percentage of overweight will be controlled: below 10% for children below 5 years old (below 11% for urban areas and below 7% for rural areas); below 19% for children from 5 to 18 years old (below 27% for urban areas and below 13% for rural areas); below 20% for adults from 19 to 64 years old (below 23% for urban areas and below 17% for rural areas) by 2025 and maintain such percentages until 2030.
- The average salt consumption of the population (from 15 to 49 years old) will be reduced to below 8 grams/day by 2030.
d) Reduction of micronutrient deficiency in children, teenagers, and women of childbearing age
- The percentage of anemia in pregnant women will be reduced to below 23% (below 30% for mountainous areas) by 2025 and below 22% (below 25% for mountainous areas) by 2030.
- The percentage of anemia in female children from 10 to 14 years old in mountainous areas will be reduced to below 10% by 2025 and below 9% by 2030.
- The percentage of preclinical vitamin A deficiency in children from 6 to 59 months old will be reduced to below 8% (below 13% for mountainous areas) by 2025 and below 7% (below 12% for mountainous areas) by 2030.
- The percentage of children from 6 to 59 months old with low serum zinc levels will be reduced to below 50% (below 60% for mountainous areas) by 2025 and below 40% (below 50% for mountainous areas) by 2030.
- The percentage of households using iodized salt qualified for preventing diseases or iodized salty seasoning daily will increase to above 80% by 2025 and above 90% by 2030.
dd) Improvement of the nutritional reaction in emergency situations and enhancement of strategy implementation resource
- By 2025, 100% of provinces and cities that are potentially affected by climate change, natural disasters, or epidemics will have their response plans; evaluate and implement special nutritional intervention in emergency situations and maintain such percentage until 2030.
- By 2025, 100% of provinces, cities that are allocated the annual local budget will ensure the nutritional activities according to approved plans and maintain such percentage until 2030.
3. Vision toward 2045: All people will achieve their maximum nutritional status; non- infectious diseases related to nutrition will be controlled, thus contributing to the improvement of health and living quality.
III. MAJOR DUTIES AND SOLUTIONS
1. Complete mechanisms and policies on nutrition
a) Review, develop, amend, and complete regulations of the law on proper nutritional implementation; especially nutritional intervention in regions with difficulties, rural and remote areas, ethnic minority areas, mountainous areas, and islands. Complete the national technical nutritional standard system for food; develop financial mechanisms or policies including the payment of health insurance for nutritional activities in healthcare facilities and schools; develop regulations on nutrition labeling on the front of prepackaged products; limit advertisements for unhealthy foods, especially for children; impose excise tax for on sugary drinks.
b) Include the target to reduce stunted, underweight, or overweight children below 5 years old in the socio-economic development targets of the whole country and each administrative division.
2. Improve the inter-sectorial cooperation and social mobilization
a) Develop and conduct mechanisms of the inter-sectorial cooperation on nutrition work from the centrality to locality; focus on integrating, cooperating with programs or projects related to nutrition.
b) Mobilize organizations, individuals, and communities to participate in implementing the Strategy. Encourage social organizations, industrial communities to participate in implementing the Strategy via sponsorship for nutritional activities; ensure nutrition at workplaces; produce healthy nutritional products, and comply with regulations on production and trading of nutritional products, food.
3. Strengthen communication and education on nutrition
a) Strengthen the communication and mobilization to policy-making groups in order to incorporate nutrition work into strategies, programs, projects, or plans implemented in localities.
b) Organize the implementation of communication activities with types, methods, contents suitable for each region, group of subjects in order to improve knowledge; practice proper nutrition especially in preventing stunting malnutrition, micronutrient deficiency; controlling overweight - obesity and other non-infectious chronic diseases related to nutrition for all people.
c) Improve the efficiency of communication, education, or provision of advice on the practice of proper nutrition according to the life cycle. Focus on providing soft skill education; strengthen the cooperation between schools, families, and society to form a healthy lifestyle and habits of proper nutrition.
d) Increase the amount of time for communication and guidance on proper nutrition in the mass media especially on the Vietnam Television, Voice of Vietnam, Television and Broadcasting Station of provinces, online broadcasting system, social media, and other digital communication platforms.
4. Strengthen and improve the quality of human resources
a) Consolidate and develop nutrition staff; ensure the sustainability, especially of the network of specialized nutritionists and medical staff in rural areas; standardize clinical nutritionists.
b) Develop the curriculum; standardize training documents about nutrition in the medical school system; improve nutritional teaching or training capability for the teaching staff of schools; improve the quality of training and advanced training contents on nutrition work in schools, hospitals, and communities.
c) Improve the capability of officers of ministries, divisions, central authorities, unions, social organizations, non-governmental organizations, religious organizations in terms of integrating nutritional activities into programs or projects.
5. Enhance technical expertise for the implementation of nutritional intervention a) Improve meal quality; ensure food security and nutrition security
- Develop and disseminate dietary reference intakes, food pyramid, proper nutrition advice, menu, proportion, diet, and physical activities suitable for every subject.
- Develop regulations and provide guidelines for food labeling, nutrition labeling; enhance education and provision of advice for the people in order to create the needs of using varied, healthy, and nutritious food.
- Develop plans, nutritional agriculture models, and guidelines for food security and meal quality at households.
b) Increase the coverage and enhance the quality of essential nutritional interventions
- Develop and effectively implement programs, projects, and models of essential nutritional intervention such as: nutrition care in the first 1000 days of life (nutrition care for pregnant and breastfeeding women; exclusively breastfeeding for the first 6 months; proper additional meal and continuation of breastfeeding for children from 6 to 23 months old); monitor the children’s growth and development; manage and treat children with acute malnutrition; prevent micronutrient deficiency in mothers and children; ensure clean water, personal and environmental hygiene.
- Provide services of counseling, nutrition recovery, intervention models against obesity, prevention of non-infectious chronic diseases, and related risk factors at all levels. Strengthen the implementation of nutritional intervention for elderly people and occupational nutrition
- Promote the fortification of domestic or imported food products. Encourage people to use fortified foods. Supervise the implementation of regulations on mandatory food fortification.
- Strengthen the in-place food systems that are safe, diverse, nutritious, and sustainable in order to meet the needs of every subject in every region, especially areas affected by natural disasters and epidemics.
- Improve the service provision quality by constructing, standardizing technical procedures, guidelines for groups of nutritional intervention. Incorporate the evaluation of the quality of nutritional intervention into the annual evaluation target of healthcare facilities.
- Integrate nutritional services into other programs in terms of healthcare, education, social-economic development of mountainous areas and ethnic minority areas, new rural areas, poverty reduction, social protection in order to increase investment resources for every subject that needs interventions.
c) Implement nutritional activities at schools
- Promote and improve the quality of school nutrition education, physical education, and sports; integrate them into regular school hours, extracurricular activities; develop appropriate communication models.
- Develop communication documents and organize communication activities for parents of students about proper nutrition, healthy and safe food, prevention of non-infectious diseases, and enhancement of physical activities for children, students. Pay special attention to proper nutrition for children in pre-puberty or puberty.
- Develop guidelines and organize school meals in a manner of nutrition assurance according to age, region, and food diversity assurance (for schools that provide meals for students). Promulgate regulations in order to prevent students from approaching unhealthy food.
- Develop mechanisms for cooperation and connection between the school and families in nutrition care for children, students; inform parents about the nutritional status of children, students in the school.
- Maintain regular deworming in areas with high prevalence of worms and helminths. c) Implement nutritional activities at hospitals
- Develop and implement specialized guidelines for nutritional treatment, clinical nutrition, and dietetics at facilities that provide examination and treatment.
- Organize communication activities and provide nutritional counseling for patients, their families at healthcare facilities.
- Implement regulations on nutrition in hospitals such as nutrition targets and breastfeeding in the criteria for hospital quality.
dd) Strengthen the implementation of emergency nutritional activities
- Develop and incorporate nutrition assurance content into the response plan for natural disasters, epidemics of the central and provinces, cities.
- Improve the nutritional response capability in emergency situations of officers of all levels and related divisions, central authorities.
- Efficiently implement emergency nutritional activities both in the community and hospitals at localities affected by climate change, natural disasters, and epidemics.
6. Promote basic research and technology application research on nutrition and food suitable for Vietnamese. Enhance technical development; research high technology application model serving nutrition purposes.
7. Promote the application of information technology in management, operation, supervision, counseling, statistic, and report of nutrition work nationwide.
8. Actively integrate and strengthen international cooperation on nutrition; resolve regional and global nutrition problems.
a) Actively participate in the nutrition network or movements regional or global.
b) Promote international cooperation to utilize the support for finance, technique, training, and management skills in terms of nutrition work with other countries, international organizations.
Goals:
To contribute to improving the quality of the human resource base of the country and to reducing child and maternal mortality.
Objectives
Directions
1. Contribute to the reduction of disparities related to nutrition through a focus on population groups and areas highly affected or at-risk to malnutrition, specifically:
a. Pregnant women, infants, and children 1-2 years old
b. Families with pregnant women, children 0-2 years old, and underweight children 0-5 years old
c. Local government units (LGUs) with high levels of child undernutrition or at risk to increased levels of undernutrition
2. Increase investments and go to scale in effective interventions that could impact more significantly on undernutrition among under-fives
a. Promotion of optimum infant feeding and young child feeding practices anchored on exclusive breastfeeding in the first six months of life, the introduction and use of complementary foods that are calorie- and nutrient-dense and safe from 6th month of life onward with continued breastfeeding up to 2 years of age and beyond.
b. Promotion of sanitary practices including personal hygiene and handwashing
c. Supplementation with vitamin A, zinc in the management of diarrhea, iron-folic acid for pregnant women and infants and young children and iodine for pregnant women in areas with levels of iodine deficiency disorders and low access to adequately-iodized salt.
d. Deworming
e. Appropriate medical and dietary management of acute malnutrition as well as of other forms of nutrition-related infections
f. Iron fortification of rice and flour, vitamin A fortification of other staples, and iodization of salt
3. Revive, identify, document, and adopt good practices and models for nutrition improvement
4. Strengthen food-based approaches to address malnutrition
5. Strengthen the nutrition component of the healthy lifestyle package
6. Philippine Plan of Action for Nutrition 2011-2016
7. Strengthen the linkage of nutrition with other sectors of development and converge with existing sectoral efforts, e.g. conditional cash transfer, universal health care coverage, agriculture development, labor and employment, among others.
8. Strengthen and nurture interagency structures for integrated and coordinated implementation of nutrition and related services at national and local levels
9. Strengthen system for planning, monitoring and evaluation of nutrition plan implementation at national and local levels
10. Formulate and implement a nutrition research agenda
","Indicator, Baseline (2008), Target (2016)
Prevalence (%) of underweight under-five children, 20.6, 12.7
Prevalence (%) of stunted under-five children, 32.3, 20.9
Prevalence (%) of wasted under-five children,6.9, <5.0
Prevalence (%) of underweight children 6-10 years old (IRS), 25.6, 21.8
Prevalence (%) of thin children 6-10 years old, 8.1, <5.0
Percent of pregnant women who are nutritionally-at-risk, 26.3, 22.3
Percent of low birthweight, 19.6, <19.6
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Preschool children, 6-60 months old), 15.2. <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Pregnant Women), 9.5, <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Lactating Women), 6.4, <15
Anemia (% with hemoglobin level below recommended level)(Infants), 55.7,<40
Anemia (% with hemoglobin level below recommended level)(one-year old children), 41.0, <40
Anemia (% with hemoglobin level below recommended level)(Pregnant women), 42.5, <40
Anemia (% with hemoglobin level below recommended level)(Lactating women), 31.4, <40
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, median UIE), 132, >100
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, moderate and severe %), 19.7, <20
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Pregnant women, median UIE), 105, >150
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Lactating women, median UIE), 81, >100
Overweight and obesity (%, Children 0-5), 3.3, ≤3.3
Overweight and obesity (%, Children 6-10), 6.5, ≤6.5
Overweight and obesity (%, Adults 20+), 26.6, ≤26.6
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of fruit and vegetable intake|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Rice|Staple foods|Food grade salt|Refined sugar|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Vaccination|Water and sanitation|Conditional cash transfer programmes","","http://www.nnc.gov.ph/plans-and-programs/ppan/itemlist/tag/PPAN","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20PPAN.pdf"