"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" "43866","BEL","Belgium","","Koninklijk besluit betreffende brood en andere bakkerijprodukten [Royal Decree on bread and other bakery products]","Legislation relevant to nutrition","","Dutch","12","1986","","","Belgian Official Gazette","9","1985","Adopted","","","Volksgezondheid en Gezin Economische Zaken","Health|Women, children, families|Finance, budget and planning|Social welfare|Environment","Volksgezondheid en Gezin Economische Zaken","","","","","","","","","National NGOs","","","","","","","","","","","","
Volksgezondheid en Gezin Economische Zaken
...
Art. 3. De in dit besluit bedoelde waren moeten aan de volgende samenstellingseisen voldoen :
1° wat de in artikel 1 bedoelde waren betreft :
a) uitsluitend verkregen of gefabriceerd zijn uit meel, dat voldoet aan de bepalingen van de reglementering betreffende meel;
b) uitsluitend verkregen of gefabriceerd zijn vanaf grondstoffen of voedingsmiddelen bepaald in artikel 1;
2° wat de in artikel 1, 1° tot 3° bedoelde waren betreft : het gehalte aan keukenzout, uitgedrukt in natriumchloride, berekend op de droge stof, mag niet hoger zijn dan 2,0 pct.;
3° wat de in artikel 1, 1° bedoelde waren betreft :
_ mag de minieme hoeveelheid vetstoffen, gebruikt om het vóórsnijden mogelijk te maken, niet hoger zijn dan 0,5 pct., berekend op het gebruikte meel;
_ mag de hoeveelheid suikers, moutmeel of moutextrakt, gebruikt om de gisting te bevorderen, niet hoger zijn dan 1 pct., berekend op het gebruikte meel;
4° wat de in artikel 1, 2° bedoelde waren betreft : de hoeveelheid bijkomende ingrediënten bedoeld in artikel 1, 2° mag niet meer bedragen dan 6 pct. noch minder dan 2 pct. berekend op het gebruikte meel, met dien verstande dat de hoeveelheid vetstoffen niet meer dan 3 pct. berekend op het gebruikte meel, mag bedragen;
","Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Reformulation of foods and beverages|Mandatory reformulation|Measures to limit sodium content|Measures to limit sugars content|Measures to limit total fat content|Bread, bread products and crisp breads (Reformulation sodium)|Bread, bread products and crisp breads (Reformulation sugars)|Bread, bread products and crisp breads (Reformulation total fat)","","http://www.ejustice.just.fgov.be/eli/besluit/1985/09/02/1985013286/justel","","","" "8783","NPL","Nepal","","Mother's Milk Substitutes (Control of Sale and Distribution) Act, 2049 (1992)","Legislation relevant to nutrition","","English","8","1992","","","Parliament","8","1992","Adopted","","1992","Parliament","Education and research|Health|Industry|Social welfare","Maternal and Child Health Sector, Ministry of Supply","","","","","","","","","","","","","Private sector","Nepal Chamber of Commerce and Industries","Other","Nepal Pediatrician Association","","","","","The Act provides for the establishment of a breastfeeding protection and promotion committee, defines its internal organization and lays down its duties and powers which include: to supervise the compliance with this Act; to review and approve the labels submitted by the manufacturers and distributors which are in conformity with the provisions of this Act; and to formulate a national policy for the protection and promotion of breastfeeding. The Act further specifies the acts prohibited by manufacturers and distributors and makes provision for: the certification of products from the central food laboratory; the labelling of products; and the conformity to the standards of the Nepal Bureau of Standards. In addition the Act provides for: powers of inspectors; penalties; rule making powers of His Majesty’s Government; etc.
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Labelling: Message on superiority of breastfeeding|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","http://faolex.fao.org/docs/pdf/nep85434.pdf","Scope of the Code: 0-12 months of age","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html) / ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%201992%20Mother%27s%20Milk%20Substitues%20Control%20of%20sale%20and%20distribution%20Act%202049.pdf" "26083","FRA","France","","Arrêté du 23 juin 1993 relatif au sel alimentaire et aux substances d'apport nutritionnel pouvant être utilisées pour sa supplémentation ","Legislation relevant to nutrition","","French","","1993","","","Journal Officiel de la République française","7","1993","Adopted","6","1993","Le ministre de l’économie, Le ministre d’Etat, ministre des affaires sociales, de la santé et de la ville, Le ministre de l’industrie, des postes et télécommunications, Le ministre de l’agriculture et de la pêche.","Cabinet/Presidency|Health|Food and agriculture|Social welfare|Finance, budget and planning|Industry","","","","","","","","","","","","","","","","","","","","","","Art. 2. - Le sel de qualité alimentaire, non destiné aux industries alimentaires, peut être iodé par addition d’iodure de sodium dans la proportion de 10 à 15 mg/kg (exprimés en iode) dans les conditions ci-après :
1. Dans le but de stabiliser la teneur en iode du sel iodé, le mélange de sel et d’iodure de sodium peut être additionné de thiosulfate de sodium, à la dose maximale de 35 mg/kg.
Art. 3. - Le sel de qualité alimentaire, non destiné aux industries alimentaires et non destiné à la restauration collective, exception faite du cas prévu au point 4 du présent article, peut être fluoré par addition de fluorure de potassium dans la proportion de 250 mg/kg (exprimés en ions fluorure) dans les conditions ci-après :
4 PRINCIPIOS GENERALES
4.1 Declaración de nutrientes<
…
4.1.3 La declaración de nutrientes en el rotulo o etiqueta es voluntaria, a menos que se señale una propiedad nutricional especifica en el producto alimentario, en cuyo caso debe ser de carácter obligatorio.
5 REQUISITOS OBLIGATORIOS
5.2 Texto obligatorio
…
5.2.2 En la cara de información (véase anexo)
…
5.2.2.2 Lista de ingredients
…
5.2.2.2.9 Podrán emplearse nombres genéricos para los ingredientes que pertenezcan a la clase correspondiente según se indica a continuación.
Por ejemplo:
Clases de ingredientes - Nombres genéricos
Aceites refinados
“Aceite” seguido del término “vegetal o animal”
Calificado con el término “hidrogenado” o “Parcialmente hidrogenado” según sea el caso.
…
6 REQUISITOS OBLIGATORIOS ADICIONALES
6.1 Declaración de nutrientes
Que la República del Paraguay es Estado Parte del Mercosur.
Que es necesario adecuar las normas nacionales de conformidad con lo resuelto por el Grupo del Mercado Común del Mercosur.
Por tanto: en ejercicio de sus atribuciones constitucionales,
El Presidente de la República del Paraguay
Decreta:
…
GMC\Res\26/03 Reglamento Técnico Mercosur para Rotulación de Alimentos
Envasados (Deroga la Resolución GMC N° 21702).
…
GMC\Res\44/03 Reglamento Técnico Mercosur para la Rotulación Nutricional de
Alimentos Envasados.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Amount of available carbohydrate|Amount of dietary fibre|Amount of protein|Amount of salt/sodium|Amount of saturated fatty acids|Amount of total fat|Amount of trans fatty acids|Energy value (ND)","","http://www.vue.org.py/resoluciones/mre/69-Decreto_Nro_8064_Mercosur_M_R_EXT.pdf","https://normas.mercosur.int/public/normativas/962|https://normas.mercosur.int/public/normativas/1019","","" "8434","EST","Estonia","","Tervisekaitsenõuded toitlustamisele koolieelses lasteasutuses ja koolis [Regulation on health protection requirements for catering facilities in pre-school institutions, schools]","Legislation relevant to nutrition","","Estonian","9","2008","","","Ministry of Social Affairs","1","2008","Adopted","1","2008","Avaldamismärge: RTL 2008, 7, 81","Social welfare","","","","","","","","","","","","","","","","","","","","","","
§ 5. Nõuded menüü koostamisele
(1) Lasteasutuse toitlustaja koostab vähemalt kümneks päevaks iga päeva menüü. Õpilaskodus, erikoolis ja teistes ööpäevaringselt töötavates lasteasutuses koostatakse menüü ka laupäevaks ja pühapäevaks.
(2) Menüü koostamisel võetakse aluseks vanuserühmade keskmine ööpäevane toiduenergia- ja toitainetevajadus ning arvestatakse kümne päeva toidu keskmine toiduenergia ja põhitoitainetesisaldus lapse kohta võttes arvesse lisades 1–5 esitatut.
(3) Valkude kogus päevases toidus peab katma ööpäevase minimaalse valguvajaduse, kuid seda ei tohi üle kahe korra ületada. Valguvajadusest tuleb 1/3 katta loomsete valkudega, kuid loomsete valkude osa ei tohi katta üksnes piima ja piimavalkudega.
(4) Söögikordadel pakutakse iga päev erinevat põhitoitu. Põhitoiduna ei ole lubatud pakkuda konserve ega konservil põhinevaid toite.
(5) Lasteasutuses antakse lapsele joogiks pastöriseeritud piima. Toorpiima võib kasutada üksnes kuumtöödelduna.
(6) Lasteasutuses pakutakse toiduks mune ainult kuumtöödelduna.
(7) Laste toitlustamisel lasteasutuses peab arvestama, et:
1) toit valmistatakse võimalikult töötlemata ja värsketest toiduainetest põhiliselt aurutades, keetes ja hautades. Rohkes rasvas küpsetatud toidud on lasteasutuses keelatud;
2) suitsutatud, tugevalt soolatud, vinnutatud ja vürtsitatud toidud jäetakse koolieast nooremate laste toiduvalikust välja;
3) leib peab lasteasutuses olema saadaval iga päev ja teraviljatoite (soovitatavalt täisterajahust) pakutakse koolieelses lasteasutuses vähemalt kaks korda nädalas;
4) makarontooteid pakutakse põhitoidu lisandina mitte rohkem kui kaks korda nädalas ning soovitatav on kasutada täisterajahust ehk grahamjahust valmistatud makarontooteid;
5) köögivilju (v.a kartul) pakutakse iga päev, sh kuumtöötlemata kujul vähemalt kaks korda nädalas;
6) värskeid puuvilju pakutakse vähemalt kolm korda nädalas;
7) piim ei tohi olla lapse ainus ega põhitoit. Ööpäevaringsel ülalpidamisel olevale lapsele päevas pakutav piima kogus ei tohi olla üle 400 ml;
8) värskest kalast valmistatud toitu või kalatooteid pakutakse vähemalt üks kord nädalas;
9) liha või linnulihaga (soovitatavalt nahata) toitu pakutakse vähemalt kaks korda nädalas. Viinereid, keeduvorsti, sardelle ning nendest valmistatud kastmeid on soovitatav mitte pakkuda rohkem kui üks kord kuus;
10) maksast valmistatud toitu pakutakse koolieast nooremale lapsele mitte rohkem kui kaks korda kuus;
11) toiduvalmistamisel tuleb rasvainetest eelistada taimeõlisid;
12) hüdrogeenitud taimerasvu sisaldavate toodete kasutamist tuleb vältida;
13) majoneesi ning majoneesil põhinevaid kastmeid võib kasutada väikestes kogustes ning mitte sagedamini kui kolm korda kuus;
14) magustoiduks ei pakuta maiustusi nagu närimiskummi, puuvilja- ja müslitahvlid, kompvekid;
15) joogiks ei pakuta veepõhiseid maitsestatud jooke, sh energia- ja spordijooke, mis sisaldavad toiduvärve E 102, E 110, E 122, E 123, E 124, E 129, E 151, E 154, E 155, E 180. Koolieelses lasteasutuses ei tohi pakkuda ka oakohvi;
16) toitainete ja muude füsioloogilise mõjuga ainetega rikastatud toitu tuleb vältida;
17) toidulisandeid antakse vaid tervishoiutöötaja ettekirjutusel.
(8) Tervislikel põhjustel teisiti toituva lapse toitlustamine korraldatakse tulenevalt tervishoiutöötaja soovitustest ning koostöös lapsevanema ja lasteasutuse pidajaga, tagades määruse lisa 1 kohase lapse vanuserühmale ettenähtud toiduenergia- ja toitainetevajaduse ning osakaalu toidukordade ajal. Usulistel põhjustel või lapsevanema veendumuste tõttu teisiti toituvate laste toitlustamises võib teha muudatusi vastavalt lapsevanema soovile kooskõlas tervisekaitsenõuetega
...
lisa 4
Koolilõuna toiduenergia- ja toitainetesisaldus
...
Toiduenergia ja toitainete nimetused
Koolilõuna - 32,5% ööpäevasest toiduenergiavajadusest
1. Vanuserühm - Vanus
2. I kooliaste - 7−9
3. II kooliaste - 10−12
4. III kooliaste - 13−15
5. Gümnaasium - 16–18 ja enam
...
Rasvad
1. sh küllastunud rasvhapped ja trans-rasvhapped, %E
2. Vähem kui 10,0
3. Vähem kui 10,0
4. Vähem kui 10,0
5. Vähem kui 10,0
...
Kolesterool, mg
1. Vähem kui 100
2. Vähem kui 100
3. Vähem kui 100
4. Vähem kui 100
5. Vähem kui 100
...
sh suhkur (sahharoos), %E (g)
1. Vähem kui 10 (15,3 (16,5))
2. Vähem kui 10 (17,3 (18,6) )
3. Vähem kui 10 (9,5 (21,0)
4. Vähem kui 10 21,3 (22,9)
...
Naatrium, mg
1. Vähem kui 507
2. Vähem kui 575
3. Vähem kui 640
4. Vähem kui 715
","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Limit exists for some settings, products or areas only|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Food stores and snack bars in schools|School breakfasts or snacks|School food provided free of charge|School lunches|Vending machines in schools|Schools (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)|Fish (standards)|Unsaturated oils for cooking (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Energy and sport drinks (standards)|Flavored water (standards)|Total fat (standards)|Trans-fats (standards)|Sodium (standards)|Sugars (standards)|Portion size (standards)","","https://www.riigiteataja.ee/akt/120042012008","","NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/EST%202008%20Tervisekaitsen%C3%B5uded%20toitlustamisele%20koolieelses%20lasteasutuses%20ja%20koolis.pdf" "26173","COL","Colombia","","Ley 1355 de 2009. Por medio de la cual se define la obesidad y las enfermedades crónicas no transmisibles asociadas a esta como una prioridad de salud pública y se adoptan medidas para su control, atención y prevención","Legislation relevant to nutrition","","Spanish","","2009","","","Congreso de la República","10","2009","Adopted","10","2009","Diario Oficial No. 47.502","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Transport|Environment","Ministerios de la Protección Social, Cultura, Educación, Transporte, Ambiente y Vivienda y Desarrollo Territorial y Agricultura y Desarrollo Rural; Entidades Nacionales Públicas de orden nacional Coldeportes, el ICBF y Departamento Nacional de Planeación","","","","","","","","","National NGOs","","","","","","","","","","","","II ДИО
2. Смјернице правилне исхране у установама за дјецу и омладину (Колективна исхрана)
...
2.3. Шта треба поштовати приликом планирања исхране у предшколској и школској установи?
Препоручује се да се сви облици организоване исхране у предшколским и школским установама ускладе са принципима правилне исхране дјеце и омладине:
јеловнике треба ускладити са препорученим уносом енергије и хранљивих материја за све узрасне групе дјеце и омладине, прилагођене дневно умјереној физичкој активности (Прилог 1, Табела 1);
енергетски унос и потрошња енергије требају бити уравнотежени, што се може регулисати физичком активношћу дјеце и омладине и подстицајем школа и родитеља да се дјеци и омладини обезбиједи уз физичко васпитање и најмање
један сат дневно спортских/локомоторних активности;
припремљени оброци треба да буду састављени од препоручене комбинације различитих врста намирница из свих група пирамиде исхране, како би се уз одговарајући енергетски унос омогућио задовољавајући унос и свих потребних хранљивих материја за нормалан раст, развој и функционисање организма;
основу оброка треба да чине намирнице биљног поријекла воће и поврће, као и житарице и њихови производи као квалитетан извор угљених хидрата (нпр. цијела зрна житарица и производи од њих), потом млијеко и млијечни производи као високо квалитетна протеинска храна, као и риба, посне врсте меса и махунарке), те квалитетне масноће (нпр. маслиново, репичино, сојино уље и друга биљна уља);
у току оброка, а нарочито између оброка дјеци и омладини треба обезбиједити довољну количину текућине, нарочито хигијенски исправне воде за пиће;
ритам и организовање исхране треба ускладити са наставом и активностима те водити бригу о редовном узимању препоручених оброка (четири до пет оброка дневно), од којих је један од најважаних доручак;
како би дјеца уживала у сваком оброку треба им обезбиједити довољно времена за оброке, а оброк треба понудити у амбијенту и на начин који пружа позитиван став према јелу;
код планирања оброка треба поштовати жеље дјеце и омладине, те их ускладити с препорукама, енергетско-нутритивним потребама, квалитететом и здравственом безбједности оброка;
...
2.3.3.1. Састав јеловника
У изради јеловника треба узети у обзир:
• разнолик састав јеловника, који се не смије понављати за мање од три недјеље (21 дан);
• препоруке о учесталости конзумирања намирница;
• предност дати нутритивно богатим намирницама с довољно свјежег воћа и поврћа;
• препоруке за унос воде за пиће и других напитака;
• препоруке за смањен унос нутритивно лоше хране и пића;
• квалитет услуга.
Како бисмо помогли при изради јеловника, у Прилогу 4 дати су неки од примјера сезонских јеловника за различите узрасне групе дјеце и омладине [7].
2.3.3.1.1. Јеловници за предшколске установе и ниже разреде основне школе
Треба припремати богат јеловник са комбинацијом намирница које су различитих боја и облика, и потенцирати потребе за правилном исхраном.
За доручак треба користити производе од црног, раженог, зобеног, хељдиног и других врста брашна од цијелог зрна житарица, који су различитих „облика“: лепиње, кроасани, нарезан хљеб. Треба користити млијечне производе, на примјер млади посни сир са додатком поврћа, рибе, воћа, итд., а повремено и кисело врхње и мекани маргарин с квалитетним саставом масти. Као прилог може се понудити мрква у свјежем стању, келераба и др.
Умјесто воћних јогурта с додатим шећером, може се убацити свјеже воће нарезано у обични јогурт. Бирати разноврсно сезонско воће. Када се купује компот, треба бирати онај са мало или без шећера или га самостално припремати.
Сваки дан јеловник треба да садржи млијеко и/или млијечне производе. Због већих енергетских потреба дјеца до навршене двије године, , треба да користе пуномасно млијеко и млијечне производе. Затим, здрава дјеца до уписа у школу постепено прелазе на кориштење полуобраног млијека и млијечних производа од дјелимично обраног млијека. Све до пете године живота не препоручује се употреба обраног млијека (≤0,5% мм). Како би се олакшала организација исхране у предшколским установама се може користити пуномасно млијеко за све узрасне групе дјеце.
Ако дјеца не воле млијеко, треба им припремати храну са млијеком (бухтле са рижом, гриз, пудинг) или га замијенити с другим млијечним производима (млади сир, јогурт, павлака). Пастеризовано млијеко има предност над стерилизиованим. Термички обрађено млијеко не треба поново кувати. Такође млијеко без велике потребе не треба замрзавати.
Дјеци треба препоручити да пију углавном хигијенски исправну воду за пиће. Воћни сокови којима се додаје шећер садрже више енергије која засићује, па дјеца не једу понуђени оброк. Малој дјеци се не препоручује да пију минералну воду.
Приликом послуживања супе треба бити опрезан. У овој узрасној групи супу треба конзумирати у мањим количинама, како се дјеца не би заситила и одбила да једу другу, нутритивно гушћу храну која им се нуди иза супе, треба бити маштовит у припреми поврћа јер га дјеца тог узраста често одбац ују. Може се припремити крем супа од поврћа итд. Ако дјеца не воле укус рибе, риба се може маскирати додавањем поврћа и припремањем разних умака. Ако дјеца воле да једу рибље штапиће, не треба их пржити у масноћи него их треба пећи без масноће у рерни.
Пржена јела укључити у јеловник само повремено. Ако постоји могућност не припремати их класично, него у конвектомату. Приликом класичног пржења треба бити обазрив на којој се температури припрема и уље треба често мијењати.
Месни производи треба да су ријетко укључени у јеловник. Када их се планира у исхрани, треба бирати оне прерађевине којој је видљива структура (шунка, пилећа или чурећа прса), а не оне гдје је структура хомогена зато што је месо мљевено.
Избјегавајте десерт с пуно скривених масноћа: нпр. класичне пржене крофне и производе од лиснатог тијеста. Осим скривених масноћа, неки десерти садрже разне адитиве, који за ову узрасну групу нису дозвољени. Стога, прије него што их наручите, провјерите декларацију произвођача. Дјеци треба понудити колаче припремљене од интегралног брашна, кнедле, производе од житарица и кнедле са воћем, воћне штрудле, воћне салате.
Умјесто сладоледа, може се понудити расхлађен јогурт са воћем. Воће се може додати пудинзима, кифлицама, или бухтлама.
Обратити пажњу на ограничења у овом узрасту и на припрему јела по кулинарској технологији која онемогућава улазак хране у дисајне путеве удисањем и/или дављење храном. Избјегавати намирнице као што је риба са костима, цијели ораси, грубо мљевена зрна (нпр. пура), плодови мора, гљиве, итд. код дјеце млађе од четири године. Савјетује се не узимање кикирикија због могућности тешке алергијске реакције. Ако дијете има алергију на неке састојке у храни мора бити са тим упознат васпитач или наставник. У таквим случајевима, родитељи се договарају о одговарајућој исхрани њиховог дјетета са директором установе.
Производи припремљени од соје (нпр. хамбургери, пахуљице), се због јаког надимања, не препоручују малој дјеци [7,22].
2.3.3.1.2. Јеловници за више разреде основне и средње школе
У овом узрасту у изради јеловника не постоје специфична ограничења, осим у дијелу који укључује уравнотежену и правилну исхрану.
Јеловници треба да буду разноликог састава, добро осмишљени, тако да садрже и оно шта желе дјеца и омладина, али у складу са препорукама правилне исхране. Често се са укусима и жељама становништва не ускладе и начела уравнотежене исхране. Важно је указати на препоручену комбинацију намирница у складу са стандардима.
За пиће увијек, прије свега, понудити питку воду, или воћне сокове разријеђене водом. Треба на пажљив и одговарајући начин припремати храну: умјесто пржења у масноћи јела се могу пећи у конвектомату; користити зачине умјесто велике количине соли; колаче који се припремају у кухињи сладити медом умјесто шећером, припремити пицу с мање соли и пуно поврћа, припремити месо и поврће на жару. Ако технологија у кухињи то омогућава, треба кувати поврће на пари (конвектомат), а не у води, да не изгуби витамине и минерале.
Припремити разне салате које су привлачне изгледом, комбиновати поврће различите врсте и различитих боја.
Повремено спровести анкету исхране. То омогућава прилагођавање јеловника жељама дјеце и омладине.
2.3.4. Избор намирница и начин припреме
У табели 5. дате су препоруке у вези са избором намирница које су извор појединих хранљивих материја како би се олакшала реализација препорука у планирању исхране.
2.3. 5. Препоруке за конзумирање намирница лошег квалитета
Непрепоручљива храна није у потпуности забрањена, али у дневном јеловнику треба да је ријетко – то јест да се конзумира у великим размацима или релативно ниске учесталости (до неколико пута мјесечно), умјерено, то јест у малим количинама - то је још увијек прихватљив услов или у износу који не прелази више прихватљивих услова (у складу с препорукама нутритивног уносa), те у комбинацији с препорученом храном.
Приликом планирања јеловника треба узети у обзир препоруке за поједине групе намирница гледано у складу са групама намирница [7].
2.3. 5. 1. Непрепоручљиве намирнице
1. Пекарски и кондиторски производи, те индустријски десерти
Као по правилу, садрже висок удио масти и шећера, па се препоручује да се у случају њиховог укључивања у јеловник служи помоћу одређених производа који садрже мање масноћа и шећера, а на темељу млијека (јогурт), интегралног пшеничног брашна, уз додатак воћа, сјеменки, орашастих плодова, итд., чиме би се значајно повећала нутритивна вриједност хране.
2. Газирана и негазирана слатка пића (""""""""soft drinks"""""""")
Газирана и негазирана слатка пића су произведена на бази умјетних боја и арома воћа са доданим шећерима или умјетним сладилима, тако да се њихова употреба не препоручује.
Мање погодни су воћни сокови, који садрже мали удио воћа и додат им је шећер. Потпуно је непрепоручљиво пити пића која садрже кофеин (кола, кава, чај, енергетска пића).
Најбољи избор пића понуђен уз оброке и између њих је хигијенск и исправна вода за пиће, минералне воде (понекад), незаслађени чајеви без кофеина и природни воћни сок или сок од поврћа без доданог шећера [6,7,16,22].
3. Месо, мајонеза, крем/ чоколадни намази, чврсти маргарин (видјети декларацију)
Садрже висок удио масти и / или непожељних транс масних киселина, па се њихова употреба не препоручује. Више одговара да умјесто њих користе млијечни намази, намази на темељу махунарки (сланутак, соја, лећа), дијетни маргарини или киселу павлаку [7].
4. Храна с високим удјелом масти и масти које садрже углавном засићене и транс масне киселине
Припрема хране уз додатну употребу масноће повећава удио масноће у цјелодневном оброку, због тога се препоручује умјерено кориштење масноће. Животињске масти треба у већој мјери замијенити са квалитететним биљним уљима.
Класичним пржењем храна се натопи с прегријаном масти, због тога овакав начин припреме намирница треба ограничити. Ако се укључе у јеловник, треба обратити пажњу на употребу свјежег уља, као и на температуру уља у припреми пржене хране [7,22].
5. Месни производи
Препоручује се умјерена и повремена употреба месних производа. Треба одабрати такве код којих је видљива структура меса (као што су пршут, пилећа прса, итд..), а не оне гдје је структура хомогена због мљевења.
6. Инстант супе и супе од концентрата и слични концентровани производи
Не препоручују се због високог садржај соли и адитива. Треба ограничити употребу претјерано сланих производа.
Инсталација апрата за слатке и слане грицкалице и слатка пића је непотребна у предшколским и школским установама у којима је организована исхрана и водоснабдјевање и неоправдана са здравственог, економског и социјалног аспекта, и због тога се не препоручује. Гдје су аутомати једини могући начин снабдијевања храном треба настојати обезбједити храну у складу са препорученим намирницама.
Само у посебним приликама (на примјер, слављење рођендана, нове године...), препоручује се умјерено кориштење колача и слаткиша и/или сланих грицкалица. И у овом случају треба потицати дјецу да користе препоручене намирнице. Предлаже се на примјер користити свјеже сезонско воће или воћне салате, мање слатке колаче са додатком воћа или сендвиче од интегралног хљеба или пецива са додатком сира и поврћа [7,22].
","Dietary practice|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food fortification|Nutrition education|Food safety|Food security and agriculture|Food sovereignty|Vulnerable groups|Voluntary standards|Any foods and beverages offered in school|Schools (standards)|Procure from local sources|Use less resource-intensive food|Use seasonal produce|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Unsaturated oils for cooking (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Salt and high-sodium condiments (standards)|Carbonated or non-carbonated soft drinks (standards)|Fruit and vegetable juice drinks (<100%) (standards)|Ready-to-drink tea or coffee (standards)","","https://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/mpos/media/vijesti/Documents/Smjernice%20za%20ishranu%20dojencadi%20i%20djece%20predskolskog%20i%20skolskog%20uzrasta.pdf","","","" "25718","MKD","North Macedonia","","Правник за Стандардите и Нормативите за Врашенье на Деjноста на Установите за Деца [Rulebook on Standards and Norms for the Performance of Institutions for Children]","Legislation relevant to nutrition","","Macedonian","4","2014","","","Official Gazette of the Republic of Macedonia","2","2014","Adopted","1","2014","Minister of Labor and Social Policy","Education and research|Social welfare|Industry","","","","","","","","","","","","","","","","Other","Public kindergartens; Early Childhood Development Centers; Child Care Facilities","","","","","IX. НОРМАТИВИ ЗА ИСХРАНА НА ДЕЦАТА ВО ДЕТСКА ГРАДИНКА
Член 66
Член 67
2.2 But
Le but de la Politique et Stratégie Nationales d’Alimentation Scolaire est de définir les contours du programme d’alimentation scolaire, sa vision, ses objectifs, les critères de ciblage et de sélection des écoles, les normes nutritionnelles, les modalités de mise en œuvre et le rôle des acteurs, les mécanismes de financement et, ainsi, de créer consensus autour du programme et de galvaniser une approche harmonieuse et coordonnée pour l’alimentation scolaire sur l’ensemble du pays. L’alimentation scolaire contribue à la vision d’Haïti comme pays émergent à l’horizon 2030.
2.3 Objectifs
Objectif Général 1 : Prestation de services alimentaires de qualité
Objectif Spécifique 1.1 : Conception et mise en œuvre
Élaboration et mise à jour du manuel d’opération du PNCS
Ciblage géographique et individuel pour la mise à l’échelle de l’alimentation scolaire
Contractualisation d’ONG pour la mise en œuvre
Élaboration d’un document de stratégie de mise en œuvre plaçant au centre opérationnel les Collectivités territoriales
Contractualisation de Collectivités pour la gestion de l’alimentation scolaire au niveau des territoires
Harmonisation des modèles et modalités de mise en œuvre
Objectif Spécifique 1.2 : Interventions de santé nutritionnelles complémentaires
Élaboration d’une annexe au manuel d’opération du PNCS
Élaboration du matériel d’éducation nutritionnelle et sanitaire
Objectif Spécifique 1.3 : Interventions facilitant la réouverture des classes suite à un choc
Élaboration d’une annexe au manuel d’opération du PNCS
Inclusion du PNCS dans le Plan de contingence du MARNDR
Objectif Spécifique 1.4 : Environnement
Analyse coûts-bénéfices des principales énergies utilisées pour la préparation des repas
Élaboration d’une annexe au manuel d’opération du PNCS et note d’orientation à l’attention des partenaires du PNCS
Promotion des énergies les plus adaptées
Objectif Général 2 : Soutien à l’économie locale et la production d’aliments locaux
Grâce à l’achat de produits alimentaires locaux et l’implication du secteur privé et associatif, les économies locales sont redynamisées et les producteurs augmentent leur production vivrière de façon durable et bénéficient des services agricoles et d’agro-business spécifiquement orientés vers ceux approvisionnant les écoles.
Objectif Spécifique 2.1 : Achats locaux
Renforcement de toutes les modalités d’achats locaux
Arrêté régulant l’importation de nourriture et l’acquisition de nourriture importée pour l’alimentation scolaire
Définition de standards de contrôle de qualité des aliments
Établissement de partenariats avec des laboratoires pour le contrôle de qualité des aliments
Objectif Spécifique 2.2 : Services agricoles et d’agro-business
Établissement de partenariats avec les principaux de services
Orientation des services aux acteurs participants à l’approvisionnement des écoles
Objectif Spécifique 2.3 : Secteur privé et associatif
Contractualisation du secteur privé et associatif pour la livraison de snack/repas à l’école par les partenaires du PNCS
Renforcement du secteur privé et associatif
Contractualisation du secteur privé/associatif pour la livraison de snack/repas à l’école par le PNCS ou les Collectivités
Objectif Général 3 : Développement des capacités nationales
Objectif Spécifique 3.1 : Renforcement des institutions nationales
Construction des nouveaux locaux du PNCS
Élaboration d’un document de réforme institutionnelle du PNCS
Mise en œuvre d’un nouvel organigramme interne
Élaboration et mise en application du manuel de procédures administratives et financières X
Renforcement des compétences sectorielles des Collectivités territoriales
Mise en place des Commissions Municipales d’Éducation par le MENFP
Objectif Spécifique 3.2 : Financement
Création d’une ligne budgétaire ‘Alimentation Scolaire’ au MENFP et identification de fonds spéciaux pour son approvisionnement (FNS, taxe sur les produits importés)
Ouverture d’un compte multi-bailleurs au PNCS
Confirmation de l’institution internationale mandatée de la cogestion du compte multi-bailleurs
Préparation d’un document sur les modalités et le niveau de contributions des Collectivités territoriales aux coûts de l’alimentation scolaire
Préparation d’un document sur les modalités et le niveau de contribution des parents d’élèves
Mise en place d’une stratégie de financement social ciblant le secteur privé et la diaspora en particulier
Objectif Spécifique 3.3 : Coordination
Tenue des rencontres de la CNAS
Tenue des rencontres de la Table sectorielle
Objectif Spécifique 3.4 : Redevabilité
Mise en place et fonctionnement du centre d’appel par tous les acteurs du secteur
Renforcement du suivi des activités de l’ensemble du secteur
Contractualisation d’une firme de vérification par le PNCS
Mise en place et réalisation d’audits sociaux
Objectif Spécifique 3.5 : Communauté
Redéfinition des TDR/attributions des comités de parents d’élèves
Opérationnalisation des attributions des comités de parents d’élèves
...
CAPÍTULO II DE LA FINALIDAD Y SUS OBJETIVOS
Artículo 5. Este Reglamento tiene la finalidad de regular la organización, funcionamiento, suministro y comercialización de alimentos en los centros educativos, estableciendo las normas pertinentes que garanticen una seguridad alimentaria nutricional a docentes y educandos.
Artículo 6.- Este reglamento tiene como objetivos:
a) Promover que las cafeterías escolares en los Centros Educativos regulados por la Secretaría de Estado en el Despacho de Educación preparen y comercialicen alimentos sanos.
b) Promover un estilo de vida saludables, hábitos alimenticios saludables en las y los educandos de todos los niveles educativos, en los centros educativos gubernamentales y no gubernamentales, que faciliten el desarrollo de aprendizajes hacia una vida más sana y una actitud crítica ante las prácticas que tienen efectos negativos en la salud individual y colectiva.
c) Propiciar la reflexión y el análisis de los miembros dela comunidad educativa, para tomar conciencia que la salud es un componente básico en la formación integral de las y los educandos y una forma de contribuir al mejoramiento de su calidad de vida.
d) Coordinar con otras Instituciones del Estado relacionadas, a la atención en el cumplimiento de las medidas de higiene, seguridad alimentaria y nutricional que se implementan en las cafeterías escolares de los centros educativos gubernamentales y no gubernamentales a nivel nacional.
e) Asegurar la transparencia en el proceso de selección, contratación, ingreso y uso correcto y útil de los fondos provenientes del arrendamiento de las cafeterías escolares, para que contribuyan al logro de la calidad en el proceso educativo de las y los educandos.
…
CAPÍTULO VII DE LAS CAFETERÍAS ESCOLARES
…
Artículo 32. Las cafeterías escolares deben ofrecer alimentos sanos, para lo cual los y las docentes orientarán a los responsables de las mismas como también a las y los educandos acerca de la importancia de una sana alimentación como un estilo de vida.
CAPÍTULO VIII DE LA OFERTA ALIMENTARIA
Artículo 33.- En los servicios de alimentos de las cafeterías escolares, se debe comercializar alimentos que propicien una alimentación saludable, en todas las cafeterías escolares debe existir una oferta diaria de frutas y vegetales frescos, como componente básico de la dieta alimenticia que se ofrezca.
Todos los alimentos preenvasados utilizados como materia prima en la preparación de alimentos y los que se comercialicen en las cafeterías escolares, deben contar con el Registro Sanitario de la Secretaría de Estado en el Despacho de Salud.
Artículo 34.- Preparación de alimentos. - Para la preparación de alimentos que se comercializan en las cafeterías escolares de los centros educativos gubernamentales y no gubernamentales, se debe utilizar los siguientes criterios:
a) En la preparación de los alimentos la utilización de las grasas, azucares y sodio debe de procurarse sea de uso moderado.
b) Siempre que sea posible, sustituir la fritura por la cocción, el asado al horno, a la plancha, parrilla o comal.
c) Las materias primas a utilizar deben ser frescas.
","Overweight in school children|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Schools (standards)|Foods high in fats (standards)|Fried foods (standards)|Monitoring mechanism established|Sanctions exist","","https://www.se.gob.hn/media/files/leyes/REGLAMENTO_DE_VENTA_DE_ALIMENTOS_EN_CENTROS_EDUCATIVOS.pdf","","","" "57284","PRY","Paraguay","","Resolución S.G. N° 792/2015. Por la cual se reglamenta el contenido de sal (Cloruro de sodio) en productos panificados de uso masivo ","Legislation relevant to nutrition","","Spanish","2","2016","","","Instituto Nacional de Alimentación y Nutrición, INAN","10","2015","Adopted","10","2015","Ministro de Salud Pública y Bienestar Social","Food and agriculture|Health|Social welfare","Ministry of Public Health and Social Welfare; the National Institute of Food and Nutrition (INAN)","","","","","","","","","National NGOs","","","","","","","","","","","","POR TANTO, en ejercicio de sus atribuciones legales;
EL MINISTRO DE SALUD PÚBLICA Y BIENESTAR SOCIAL RESUELVE:
Artículo 1°
Disponer que los productos panificados afectados por la presente Resolución son: pan tipo francés, pan felipe, galletas, palito, coquito, rosquita, y otros panificados de composición similar elaborados con harina de trigo tipo 00 y 000, en sus diversas presentaciones, incluyendo la de granel.
Artículo 2°
Determinar que la sal agregada para la preparación de los productos citados en el artículo anterior será de 15 gramos de sal como máximo por cada kilogramo de harina de trigo.
Artículo 3°
Establecer que el contenido de sodio en productos panificados no debe ser mayor a 600 mg de sodio por cada 100 gramos de producto, incluyendo la sal agregada, los ingredientes propios del panificado y los aditivos agregados.
Artículo 4°
Disponer que los establecimientos elaboradores de productos panificados que operen dentro del territorio nacional deberán adecuar la preparación de sus productos a la presente Resolución.
Artículo 5°
Establecer que las actualizaciones de los Registros Sanitarios de Productos Alimenticios, R.S.P.A., vigentes, de los productos panificados, serán exonerados de abonar el arancel correspondiente a la figura de ACTUALIZACION DE REGISTRO SANITARIO, de forma que las empresas titulares de los mismos adecuen su composición cuantitativa y se realicen los ajustes correspondientes a la Información Nutricional en las etiquetas de los productos afectados por la presente resolución.
Artículo 6°
Disponer que el Instituto Nacional de Alimentación y Nutrición - INAN, en uso de sus atribuciones, tendrá a su cargo:
- Realizar la vigilancia del contenido de sodio en panificados elaborados y comercializados en el territorio nacional.
- Coordinar alianzas estratégicas con industrias de alimentos, universidades, sociedades científicas y otros entes involucrados, para la promoción de la reducción de sal (cloruro de sodio) en productos alimenticios.
- Fomentar el uso de Información Nutricional Complementaria (INC) en productos panificados envasados referente a la reducción de sodio.
- Intensificar campañas de sensibilización sobre los beneficios que representa para la salud, la reducción de sal (cloruro de sodio) en la alimentación.
- Cualquier acción que sea necesaria para el mejor cumplimiento de la presente resolución enmarcada en las potestades institucionales.
Artículo 7°.
Establecer un plazo de 120 (ciento veinte) días a partir de la fecha de la presente Resolución para que las empresas elaboradoras de productos panificados adecuen la composición y etiquetado de sus productos a los límites de Sodio en los productos panificados establecidos.
Artículo 8°.
Disponer que el incumplimiento de lo dispuesto en la presente Resolución será considerada infracción de orden sanitario, siendo pasible de las sanciones dispuestas en la Ley N° 836/80 Código Sanitario, y demás reglamentaciones legales vigentes en la materia.
Artículo 9°.
Dejar sin efecto toda disposición ministerial anterior contraria a lo establecido en la presente Resolución.
Artículo 10°.
Comunicar a quienes corresponda y cumplido, archivar.
","Dietary practice|Sodium/salt intake|Reformulation of foods and beverages|Salt/sodium|Reformulation of foods and beverages|Mandatory reformulation|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)|Savoury snacks (Reformulation sodium)","","https://www.inan.gov.py/site/?page_id=32","","","" "8203","CRI","Costa Rica","","Plan Nacional para la Prevención y abordaje Obesidad","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2017","","2020","","","2017","","","","","Education and research|Health|Social welfare","Ministerio Educación Pública. (MEP), Ministerio de Salud, Caja Costarricense de Seguro Social","","","","","","","","","","","Research/academia","Universidad de Costa Rica (U.C.R.)","","","","","","","","","","Overweight and obesity in school age children and adolescents|Diet-related NCDs","","https://www.fao.org/faolex/results/details/es/c/LEX-FAOC211094/","","","" "36046","GEO","Georgia","","ტექნიკური რეგლამენტის − „ადრეული და სკოლამდელი აღზრდისა და განათლების დაწესებულებებში კვების ორგანიზებისა და რაციონის კვებითი ღირებულების ნორმების“ დამტკიცების შესახებ ¨[Technical Regulations - Nutrition in Early, Pre-school and Education Institutions]","Legislation relevant to nutrition","","Georgian","1","2018","","","საქართველოს მთავრობის","10","2017","Adopted","10","2017","პრემიერ-მინისტრი, დადგენილება №487","Food and agriculture|Social welfare|Labour","მუნიციპალიტეტების შესაბამისი სამსახურები, საქართველოს შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო, საქართველოს სოფლის მეურნეობის სამინისტრო","","","","","","","","","","","","","","","","","","","","","These Nutrition Standards have been created for those involved in providing food to schools or organisations in receipt of funding from the School Meals (Local Projects) Scheme.
...
5. Standards that apply to all meals and snacks
Foods and drinks high in fat, sugar and salt
Standard
• Jam, marmalade and honey, which have a high sugar content, should not be offered as a breakfast option.
• Low fat spreads to be used for sandwiches or toast.
• Sugar, including honey and brown sugar, must NOT be available to add to cereals or porridge.
• Confectionery, such as crisps, chocolate, cakes and biscuits, must NOT be served and will NOT be funded. Fried and other high fat food products, such as chips, roast potatoes, fried potatoes, products fried in the manufacturing process, garlic bread, fried fish or meal choices containing pastry, should only be served a maximum of one day per week.
Notes
• Processed meat or chicken products (such as burgers, sausages, chicken nuggets etc.) should only be served a maximum of once a week.
• Processed meat and chicken products are manufactured products that have been processed and are ready for cooking or reheating.
• On days where processed meat or chicken products are served, schools should aim to provide 50% of the meal offering as a healthy option to allow a choice for pupils.
• Limiting fried and other high fat options helps to limit the overall fat content of lunches.
Salt : Table salt must not be available to add to food.
6. Standard for drinks
Current status:
Funding must NOT be spent on sugar-sweetened drinks or juices. Milk and water are the best drinks to serve; fruit juice (unsweetened) should not be served more than once per day.
","Overweight in school children|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School meal standard|Mandatory standards|Any foods and beverages offered in school|School breakfasts or snacks|School food subsidized|School lunches|Schools (standards)|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Water (standards)|Whole grain bread and cereals (standards)|Limited or prohibited food|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Salt shakers should not be available|Total fat (standards)|Energy (standards)|Micronutrients (standards)","","https://health.gov.ie/blog/publications/food-nutrition-guidelines-for-primary-schools-2/","https://www.gov.ie/en/publication/a9bfb-school-meals/","","" "74261","MDA","Republic of Moldova","","ORDIN Nr. 622 din 21-05-2018 privind implementarea Recomandărilor pentru un regim alimentar sănătos şi activitate fizică adecvată în instituţiile de învățământ [Healthy diet and adequate physical activity in educational institutions]","Legislation relevant to nutrition","","Romanian; Moldavian; Moldovan","5","2018","","","Ministerul Sănătății, Muncii și Protecției Sociale","5","2018","","","","","Health|Social welfare|Labour","Ministry of Health, Labor and Social Protection","","","","","","","","","","","","","","","","","","","","","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" "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","","","" "96706","TUR","Türkiye","","Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı. Yetişkin ve Çocukluk Çaği Obezitesinin Önlenmesi ve Fiziksel Aktivite Eylem Plani 2019-2023 [Adult and Childhood Obesity Prevention and Physical Activity Action Plan]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Turkish","","2019","","2023","Ministry of Health","10","2019","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Finance, budget and planning|Trade","Ministry of Health; General Directorate of Public Health; Department of HealthyNutrition and Active Life; Ministry of Agriculture and Forestry; Ministry of Finance; Ministry of Commerce: Ministry of Labor; Social Services and Family;","","","","","","","","","","","","","Private sector","the industry sector","","","BÖLÜM I. YETİŞKİNLERE YÖNELİK EYLEM PLANI
…
2. HEDEF VE STRATEJİLER
A. Bütünsel sağlık yaklaşımı için yönetişim ve iş birliklerinin güçlendirilmesi
Ana Öncelik:
Önemli bir halk sağlığı sorunu olan obezitenin önlenmesi ve azaltılması için ilgili kurum ve kuruluşlarla iş birliği içinde obezite ile mücadele eylem planının uygulanmasını sağlayarak obezite ile etkin mücadele etmek.
B. Sağlıklı beslenme çevreleri oluşturulması
Ana Öncelik:
Toplumda yeterli ve dengeli beslenme ve fiziksel aktivite alışkanlığını kazandırmak ve obezite riskini azaltmak.
C. Özellikle dezavantajlı gruplar başta olmak üzere yaşam boyu sağlıklı beslenmenin kazanımlarının desteklenmesi
Ana Öncelik:
Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı kapsamında bütün vatandaşlar için dengeli ve sağlıklı beslenme için sağlıklı gıdaya erişimini sağlamak.
D. Sağlık hizmetlerinin reorganizasyonu; entegre sağlık hizmeti sunumu (beslenmeyle ilgili bilgi ve danışmanlık verilmesi, erken tanı, tedavi rehabilitasyon hizmetleri)
Ana Öncelik:
Sağlık kuruluşlarına başvuran bireyleri fazla kiloluluk ve obezite açısından değerlendirmek, obezite teşhisi konan hastaların erken tanı, danışmanlık ve tedavilerini (tıbbi ve cerrahi tedaviler dâhil olmak üzere) yapmak, obezite ve obezite ile ilişkili kronik hastalıkların tedavisinin yol açtığı sağlık harcamalarını ve obezite sıklığını azaltmak.
…
BÖLÜM II. ÇOCUKLUK ÇAĞIOBEZİTESİNİN ÖNLENMESİ EYLEM PLANI (2019-2023)
…
2. HEDEF VE STRATEJİLER
Programda yer alan eylem alanları ve ana öncelikler aşağıda yer almakta olup eylemlere ilişkin detaylı aktiviteler ve izleme göstergeleri tablolarda yer almaktadır.
A. Hayata sağlıklı bir başlangıcın desteklenmesi
“Çocukluk çağı obezitesi riskinin azaltılması ve BOH’ların önlenmesi için mevcut doğum öncesi ve gebelik öncesi bakım rehberliklerinin güçlendirilerek entegre edilmesi”
Ana Öncelik:
Mümkün olabildiğince erken yaşta/aşamada etkili bir yaklaşımı sağlamak.
B. Okullarda ve okul öncesinde daha sağlıklı çevrelerin teşvik edilmesi
“Sağlıklı davranışların geliştirilmesi ve çocukların uygun büyümelerinin sağlanması, erken çocukluk döneminde sağlıklı beslenme, uyku ve fiziksel aktivitenin desteklenmesi ve rehberlik sağlanması”.
“Okul çağı çocuklar ve ergenlerde sağlık ve beslenme okuryazarlığı, fiziksel aktivitenin geliştirilmesine yönelik sağlıklı okul çevrelerinin geliştirilmesi için kapsamlı programlar uygulanması”.
Ana Öncelik:
Okullarda çocukların sağlığını öncelik olarak belirlemek.
C. Ailelerin bilgilendirilmesi ve güçlendirilmesi
“Obez olan çocuk ve gençler için yaşam tarzı ağırlık yönetimi üzerine çok bileşenli aile tabanlı hizmet sağlanması”.
Ana Öncelik:
Çocuklu aileleri günlük besinleri ve sağlıklı seçenekler hakkında bilgilendirmek.
D. Sağlıklı seçeneklerin kolay seçenek olmasının sağlanması
“Çocuk ve ergenler tarafından şekerli ve sağlıksız gıdaların alımını azaltan ve sağlıklı gıdaların alımını teşvik eden kapsamlı programların uygulanması”.
Ana Öncelik:
Çocuklara sağlıklı gıda seçeneklerinin geniş bir şekilde sunulmasını / erişilebilirliğini sağlamak.
E. Çocuklara yönelik pazarlama baskısının azaltılması
Ana Öncelik:
Çocukların yüksek yağ, tuz ve şeker içeren gıda /içecek reklamlarına maruz kalmalarını sınırlamak, konuyla ilgili mevzuat ve düzenlemeler geliştirmek gibi etkili önlemler almak ve mevzuatın etkin bir şekilde uygulanabilmesi için mekanizmalar oluşturmak.
“Sağlıksız gıdaların pazarlanma gücü ve çocuk ve ergenlerin pazarlama maruziyetinin azaltılması için alkolsüz içecekler ve gıda pazarlamaları üzerine DSÖ öneri setlerinin uygulanması”.
…
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Maternity protection|Stunting in children 0-5 yrs|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|School fruit and vegetable scheme|School milk scheme|School gardens|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Menu labelling|Fats|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Folic acid|Iodine|Iron|Vitamin D|Home, school or community gardens|Water and sanitation|Vulnerable groups","","https://hsgm.saglik.gov.tr/tr/beslenmehareket-yayinlar1/beslenmehareket-programlar/585.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUR%202019%20T%C3%BCrkiye%20Sa%C4%9Flikli%20Beslenme%20ve%20Hareketli%20Hayat%20Programi.pdf" "126213","HTI","Haiti","","Décret Etablissant le Budget Général de la République d'Haïti, Exercice 2020-2021","Legislation relevant to nutrition","","French","","2020","","","LE MONITEUR Spécial No 30 - Lundi 5 Octobre 2020","10","2020","Adopted","9","2020","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 27.- L’article 13 du Budget Général 2019-2020 est ainsi modifié :
…
Les droits d’accises à l’importation sur les boissons non alcoolisées, sauf eau, eau minérale, glace, neige, sont calculés au taux de 10% sur la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes.
Article 28.- Les droits d’accises sur la pâte concentrée de concentrée de tomate conditionnée ou non pour la vente au détail, le ketchup et autre sauce de tomates des positions tarifaires 20029011, 20029019, 2103200 sont fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "66548","TGO","Togo","","Loi n° 2020-007 relative à l’alimentation scolaire","Legislation relevant to nutrition","","French","6","2020","","","Journal Officiel de la République Togolaise 65e Année N° 21 Numéro Spécial du 26 juin 2020","6","2020","Adopted","6","2020","L’Assemblée nationale","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sub-national|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","Les mamans/papas cantines","","","","","Article premier : La présente loi a pour objet de garantir à terme, à chaque élève de l’enseignement de base, particulièrement aux élèves situés dans les zones les plus vulnérables, l’accès à une alimentation scolaire suffi sante et équilibrée et à promouvoir le développement de la production locale.
…
Section 2 : Principes directeurs et champ d’application
Art. 3 : Les principes qui soutiennent les interventions en matière d’alimentation scolaire sont décrits ci-après :
- le droit à l’alimentation est fondamental et l’alimentation des enfants est saine, équilibrée et diversifiée pour leur épanouissement ;
- l’alimentation scolaire assure l’équité entre les sexes et contribue à la réduction des disparités entre les filles et les garçons en milieu scolaire ;
- l’alimentation scolaire est multisectorielle ;
- l’alimentation scolaire assure durablement la promotion des produits locaux ;
- l’alimentation scolaire implique et responsabilise les collectivités territoriales et les communautés à la base ;
- l’alimentation scolaire intègre l’éducation alimentaire et nutritionnelle dans les programmes d’enseignement.
La couverture nationale se fait de manière progressive à travers l’utilisation des ressources techniques et fi nancières disponibles ou mobilisables aux niveaux central, régional et local.
Art. 4 : La présente loi s’applique à tous les acteurs et bénéficiaires de toute initiative en matière d’alimentation scolaire au Togo, qu’elle soit publique ou privée.
…
Art. 11 : Les menus des cantines scolaires sont élaborés en tenant compte des denrées alimentaires de base, des besoins nutritionnels et des habitudes alimentaires locales. Ils respectent un équilibre et une diversité nutritionnelle. La taille des portions alimentaires est adaptée au type de plat et à la tranche d’âge.
","Right to food|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Deworming|Mandatory standards|School lunches|Schools (standards)|Procure from local sources|Sanctions exist","","https://jo.gouv.tg/sites/default/files/JO/JOS_26_06_2020%20-%2065%20E%20ANNEE%20N%C2%B021.pdf","","","" "126214","HTI","Haiti","","Décret Établissant le Budget Général de la République d'Haïti, Exercice 2021-2022","Legislation relevant to nutrition","","French","","2022","","","LE MONITEUR Spécial No 13 - Lundi 16 Mai 2022","5","2022","Adopted","5","2022","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 28.- L’Article 27 du Budget Général 2020-2021 est ainsi modifié :
«…
Les droits d’accises sur les boissons énergisantes de la position tarifaire 22021011, sont calculés au taux de 30% de la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes pour les produits importés.
Les droits d’accises sur les boissons énergisantes fabriquées localement sont calculés au taux de 15% sur le prix ex-usine».
Article 29.- Les droits d’accises sur la pâte concentrée de tomate conditionnée ou non pour la vente au détail,
le ketchup et autres sauces de tomates des positions tarifaires 20029011, 20029019, 2103200 sont
fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Energy drinks (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "8754","IND","India","","National Plan of Action on Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","2000","Food and Nutrition Board. Department of Women and Child Development. Ministry of Human Resource Development","","1995","Adopted","","1995","Interministerial Coordination Committee","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Information|Other","Food and Nutrition Board and others","","","","","","","","","","","","","","","","","National Nutrition Goals to be reached by 2000
1) to reduce moderate/severe malnutrition among pre-school children by half
2) to reduce chronic under nutrition and stunted growth in children
3) to reduce incidence of low birth weight to less than 10%
4) to eliminate blindness due to vitamin A deficiency
5) to reduce iron deficiency anaemia among pregnant women to 25%
6) to ensure universal iodization of salt to reduce iodine deficiency disorders (goitre prevalence) to 10%
7) to give due emphasis to Geriatric Nutrition
8) to produce 250 million tonnes of food grains
9) to improve household food security through poverty alleviation programmes
10) to promote appropriate diets and healthy lifestyles
11) to ensure national level food and security including adequate buffer stocks and national considerations in Agriculture Policy
12) to ensure food security at the household level by making the essential food available through the Public Distribution System to the people, particularly to the disadvantaged sections.
13) to provide convergent services under Education sector to enhance the nutrition and health status of the community with special emphasis on girls education and improved status of women
14) to popularize the growing of plants/trees supplying foods/ fruits with special emphasis on B-carotene(vitamin”A”) rich species in the Social Forestry Programmes with a view to create nutritional awareness and promote the consumption of nutritious foods
15)to improve the nutritional status of women and children through nutrition prophylaxis programmes, health and nutrition education and public health measures, besides achieving a small familynorm
16) to ensure Food Security in the country
17) to meet the nutritional needs of the people by giving nutrition orientation to the projects in food processing sector
18)to achieve health for all by 2000 A.D. through prevention and control of various forms of malnutrition, diseases related to inappropriate diets, creating health awareness among the people and ensuring adequate primary health care for all
19) to create a climate of awareness in the country about the importance of nutrition for the well-being of the people and ways and means of preventing various forms of malnutrition through its different units
20) to protect and promote the nutrition of various types of labor-agricultual, construction, industrial etc., with special emphasis on children and women at work, through formulation and enforcement of appropriate labor laws
21) to improve purchasing power of the people in rural areas through employment generation and poverty alleviation programmes with a view to improve food security at the household level
22) to ensure access to social services relating to Health Care, Nutrition, Women & Child Development , Pre-school and Non-Formal Education and Physical amenities like potable water supply, sanitation, sewerage, drainage etc. ; with view to improve the nutrition level of the urban poor
23) to promote nutrition of the disadvantaged sections of society by ensuring nutritional components in various welfare programmes
24) to ensure appropriate development of human resources both through direct nutrition interventions for specially vulnerable groups as well as through various development policy instruments for improved nutrition as laid down in National Nutrition Policy. To improve nutrition and health of women and children through strengthening and expansion of ICDS programme and setting up of appropriate systems for monitoring the follow-up actions under National Plan of Action for Children
General and specific objectives included in the 14 sectoral plans inside the National Plan of Action on Nutrition (i.e. Agriculture, Civil supplies, Education, Environement and Forests, Family welfare, Food, Food processing industries, Health, Information and broadcasting, Labour, Rural development, Urban development, Welfare and Women and child development).
","Sectoral plan Agriculture
Activities
1 Ensure the production of 208 million tonnes of food grains by 1997 and 250 million tonnes by 2000 through appropriate planning and improved technology
2 Establish a Nutrition Cell in the Agriculture sector to incorporate nutritional objectives as explicit objectives of Agriculture Policy and Programmes
3 Diversify crop pattern in agriculture by augmenting the production of pulses, millet/coarse grains, oilseeds, vegetables and fruits
4 Implement Livestock Policies to improve production and productivity of livestock and poultry to enhance availability of milk, fish, eggs, etc.
5 Evolve District/Block strategies for nutrition oriented horticultural interventions to promote production of β-carotene, iron and vitamin C rich foods and to identify local varieties for propagation
6 Emphasize production and distribution of quality planting materials, areas expansion, improvement in quality and increase in productivity of horticultural crops
7 Strengthen infrastructural facilities for grading, sorting, storage, packing and marketing of horticultural produce together with the propagation of post-harvest technology
8 Distribute to the households seeds, saplings and plant materials of species rich in -carotene, iron, vitamin C etc. and also dark green leafy vegetables
9 Identify local fruits and vegetables with -carotene content and promote them at regional levels through educational campaigns with a special focus on women
10 Promote production and consumption of non-conventional foods to combat vitamin A deficiency
11 Management and emphasis good quality seeds, encourage bio-fertilizers and minimize use of chemical fertilizers and pesticides to avoid micronutrient loss, to improve agricultural implements, irrigation, credit and transfer of technology, soil/water management projects
12 Adopt policy decisions to incorporate basic information concerning food, nutrition and population issues in syllabi of degree courses in agriculture as well as orientation training of extension personnel at all levels
13 Widen the scope of agricultural extension by including disciplines like horticulture, sericulture, agroforestry, etc.
14 Promote the planting of nutritionally rich plants, shrubs, trees and creepers and create awareness to improve the consumption of fruits and vegetables with specific emphasis on green leafy vegetables
15 Intensify programmes to upgrade skills and knowledge of women farmers to increase their productivity thereby increasing their economic condition and standard of living
16 Mobilize farm women to be organized into viable groups for channelling agricultural support through them
17 Besides regular training in agriculture and allied sectors, provide women farmers with appropriate training in managerial organization and enterprising skills
18 Emphasize four areas of activities namely demonstration, vocational training, in-service training and on-farm research to promote the production and consumption of micronutrient rich foods through the network of Krishi Vigyan Kendras in the country
19 Strengthen linkages between agriculture, nutrition and health to ensure effective integration of services provided to the community
Sectoral plan Civil Supplies & Public Distribution
Activities
1 Ensure effective management of essential food grain supplies and maintenance of their uninterrupted flow at affordable prices to the public in rural/urban areas in the Public Distribution System (PDS) to ensure food security at household level
2 Ensure sustained expansion of the network of Fair Price Shops with an emphasis on remote and inaccessible areas
3 Launch a special drive for speedy implementation of Revamped PDS in identified areas to bring the essential food grains to the poor and disadvantaged
4 Ensure availability of ORS packets in remote areas through PDS infrastructure
4 Give due emphasis to nutritional considerations in selecting commodities for the PDS and promote the distribution of pulses, edible oil, coarse grains, iodized salt, etc.
6 Making additional allocations to meet the demand of Revamped PDS areas during lean periods
7 Create adequate infrastructure like additional Fair Price Shops and storage capacity in the identified areas
8 Issue ration cards to families in identified areas who have not yet been issued family cards
9 Set up Vigilance Committees by States/UTs comprising local people at the Fair Price Shops and other levels to ensure effective delivery of PDS commodities
10 Ensure easy availability of essential foods to protect them from exploitation by the traders
Sectoral plan Education
Activities
1 Enlist support Village Education Committees with adequate representation of women and disadvantaged groups to ensure regular participation of children in the educational process
2 Attempt convergence between primary school system and ECCE activities in terms of timing, use of school building, training of personnel and resource sharing
3 Identify MLLs in the areas of health, sanitation and nutrition for primary and upper-primary stages
4 Identify capable and committed NGOs to provide them the necessary assistance and encouragement to take up programmes of nutritional relevance
5 Review existing curricula of formal and non-formal education programmes at elementary levels to incorporate nutrition, health and sanitation components
6 Train teachers in the areas of health and nutrition education through DIETs, allocate time for this purpose and reflect the concern in pre- and in-service training curricula
7 Sensitize District/Block and Village level officials through DIETs on the need and significance of convergence of the service under Education sector for improved nutritional status
8 Disseminate messages on health, sanitation and nutrition through Total Literacy Campaigns and other programmes of continuous education
9 Improve infrastructure at schools by providing safe drinking-water, sanitation and a hygienic environment as well as facilities for regular health and nutrition status check ups
Sectoral plan Forestry
Activities
1 Popularize raising of plans/trees supplying food/fruits with special emphasis on ¯-carotene rich species in the Social Forestry Programme
2 Coordinate with concerned departments to create facilities for processing, transportation, marketing and storage at grass root level to make the raising of such plants economically feasible
3 Develop a framework for intersectoral coordination with Integrated Child Development Services (ICDS), Food and Nutrition Board (FNB), Health, KVK, Horticulture, Urban Basic Services (UBS) and Adult Education Programmes for technical support and utilizatio
4 Organize training and demonstration programmes for farmers, extension personnel of the Forestry sector and the rural community for their information and skills development
5 Involve the use of media to promote campaigns to create an awareness within rural households and to improve consumption
6 Provide the list of forest species identified by ICFRE which are rich in different nutrients for guidance and adoption in the Social/Farm Forestry Programmes
7 Strengthen extension machinery for micro-planning and joint forestry management to assist local people in the selection of species and planting programmes
Sectoral plan Maternal & Child health
Activities
1 Strengthen MCH infrastructure and services and adopt the strategy of a holistic approach aimed at better health and nutrition for women and children with emphasis on girls
2 Ensure universal coverage through interventions like iron and folic acid supplementation for pregnant women and vitamin A administration to children from 9 months to 3 years of age
3 Improve management of diarrhoeal diseases and acute respiratory infections at home
4 Intensify Child Survival and Safe Motherhood Programme for universal coverage by 1997
5 Ensure that health care providers receive high quality training on breastfeeding and appropriate complementary feeding practices, lactation management, etc. using up-to-date training material and techniques
6 Ensure that the information disseminated on the feeding of infants and young children is consistent and in line with current scientific knowledge and provisions of the Infant Milk Substitutes Act, 1993
7 Empower all mothers to breastfeed their children exclusively for the first 4-6 months and to continue breastfeeding with complementary food well into the second year
8 Ensure effective collaboration with infrastructure of Integrated Child Development Services (ICDS), Food and Nutrition Board (FNB), Urban Basic Services (UBS) and Development of Women and Children in Rural Areas (DWCRA) to reach young children and women
9 Promote birth spacing measures as part of health intervention measures for mother and child by ensuring access by all couples to information and services on family planning
Sectoral plan Food
Activities
1 Ensure food security is the fundamental objective of the Food Policy
2 Maintain the price of food grains at a level within the reach of the vulnerable groups
3 Build up and maintain buffer stocks to ensure stability in supply and price for the entire year and provide food security to the country especially during natural and other calamities
4 Ensure nutritional considerations are important in import and export of food grains
5 Increase grain storage structures, research and extension activities
6 Accelerate measures to ensure quality and safety of food grains during storage and transportation
7 Reduce post-harvest losses through application of up-to-date technology
8 Consider utilization of surplus food grains for supplementary nutrition programmes for weaker sections
Sectoral plan Food Processing Industries
Activities
1 Give nutrition orientation to various food processing projects through effective coordination with the Nutrition Cell
2 Ensure conservation of nutrients in various rice milling, roller flour milling and pulse milling industries
3 Set up agro-industrial complexes utilizing local fruits and vegetables in remote areas and develop linkages with khadi village industries, sale counters of State Government Institutes to facilitate marketing of their products
4 Produce low cost processed nutritious food to meet the needs of supplementary feeding programmes, school children and the general public
5 Promote traditional foods with good shelf life by setting up small production units at community level
6 Produce high quality nutritious beverages containing vegetable proteins
7 Fortify usual foods with nutrients like vitamin A, iron, iodine, protein, etc.
8 Enrich various processed foods with essential nutrients
9 Produce special supplements like Amylase Rich Flour for supplementing the diets of severely malnourished children, 6-36 months old beneficiaries in supplementary feeding programme and sick and aged people
10 Provide training on nutrition concepts to the Food Processing Industry
Sectoral plan Health
Activities
1 Expand and improve the utilization of Primary Health Care Services
2 Strengthen the National IDD Control Programme and effective monitoring of salt iodization
3 Strengthen the application of the Food Adulteration Act, 1954 and Infant Milk Substitutes Act, Rules and Central and State Food Laboratories and ensure quality check on street foods
4 Accelerate programmes to control noncommunicable diseases related to unhealthy lifestyles and inappropriate diets like obesity, hypertension, cardiovascular diseases, diabetes mellitus, osteoporosis, dental caries, AIDS and some cancers, etc.
5 Trigger appropriate behavioural changes among people through health education involving communication experts and the Central Health Education Bureau
6 Provide sustainable assistance to victims of natural calamities and ensure their nutritional well-being by giving priority to the control of diseases and prevention of malnutrition
7 Ensure health and nutrition education is an important component of the job responsibilities of all medical and paramedical personnel of the Primary Health Care Services to promote appropriate diets and healthy lifestyles
Sectoral plan Information& Broadcasting
Activities
1 Involve advertising agencies and communication experts in IEC programmes
2 Use a social marketing strategy to convey nutrition and health messages
3 Create adequate software to highlight nutrition issues
4 Arrange preparation of various programmes on nutrition with special reference to prevention and control of protein-energy and micronutrient malnutrition
5 Telecast/broadcast these programmes regularly to communicate the essential messages
6 Overview the activities concerning mass media communication on nutrition through a screening committee
7 Create nutritional awareness among people with the help of different units of information broadcasting like Publication Division, Depts. of Advertising and Visual Publicity, Research and Reference Division, Photo Division, AIR, Doordarshan, Press Informat
8 Incorporate nutrition education programmes in Educational Programmes on AIR, in Special Campaigns, Rural Programmes, Educational Programmes and Social Awareness Programmes on Doordarshan
Sectoral plan Labour
Activities
1 Provide non-formal education to workers and elementary education to their children
2 Create nutritional awareness among workers and their families through interpersonal communication, distribution of printed literature and mass media communication
3 Implement ""The Child Labour (Prohibition & Regulation) Act, 1986"" with special focus on preventing child employment below the age of 14 years in hazardous conditions
4 Expand network of voluntary organizations to provide services to working children and women like non-formal education, supplementary nutrition, health care and vocational and skill training
Sectral plan Rural Development
Activities
1 Strengthen effective implementation of the restructured poverty alleviation programmes as well as employment generation schemes
2 Undertake area development programmes, etc.
3 Encourage involvement of people and local Panchayati Raj Institutions at different levels to ensure effective rural development strategy and its implementation
4 Create greater job opportunities in rural areas through infrastructural development
5 Utilize the substantial increase in the rural development outlay during the 8th Five Year Plan period to improve access of the poorest groups to a means to generate income and secure their livelihood
6 Regard land reform measures as an intrinsic part of the anti-poverty strategy
7 Improve linkages with other sectors implementing nutrition, health and welfare schemes to converge services for the beneficiaries
8 Consider the importance of safe drinking-water to ensure nutritional well-being of the people, accelerate efforts to provide universal access to potable water and make the water sources sustainable, take into account quality problems of water like guineaworm
9 Consider the importance of environmental sanitation in promoting health of the community and in accelerating rural sanitation programmes
10 Implement schemes to upgrade skills
11 Monitor women's participation in various income generation and poverty alleviation programmes
Secoral plan Urban Development
Activities
1 Strengthen the Urban Basic Services for the Poor (UBSP) systems especially at community and neighbourhood levels to achieve its objectives through data collection and analysis related to the nutritional status of urban poor, training of volunteers and programme
2 Support system of improved municipal planning in the light of 74th CAA to ensure that the urban poor are targeted in a cost effective manner through convergence of various available inputs under other sectoral programmes contributing to the nutritional goals
3 Support the efforts towards universalizing ICDS in all slum areas through appropriate linkages to the UBSP Community networks, use of community halls for the programme and other necessary adjustments required for the successful implementation of the programmme
4 Expand income generating activities and saving/credit mechanisms as essential elements towards sustainability related to NPA Goal achievement among the urban poor in convergence with NRY, Environmental Improvement of Urban Slums (EIUS) and other UPA programmes
5 Revitalize Environmental Improvement of Urban Slums (EIUS) linking it directly to UBSP community participatory systems through the city level Urban Poverty Alleviation cell to improve the environmental conditions contributing to infections and other underlying
6 Expand UBSP programme coverage by 2000 aiming at universal coverage of the target groups, i.e. urban poor to improve nutrition/health of urban poor by joint provision of social services
7 Improve access to safe drinking-water to the recommended per litre/head norms for urban poor by 2000
8 Ensure that all maternity homes under municipal and district administration are classified as ""baby friendly"" by 1995, and have complementary community-based efforts promoting breastfeeding and improved weaning practices and implement appropriate disease
9 Strengthen/expand the centrally sponsored scheme of low cost sanitation to ensure access to sanitary means of excreta disposal and liberation of scavengers
10 Organize workshops based on priority nutrition goals regarding status of city specific needs in cooperation with State Department of Women and Child Development (DWCD) and NGOs to identify specific strategies and activities in association with UBSP system
Sectoral plan Welfare
Activities
1 Review various welfare programmes for the disadvantaged and give nutrition orientation through effective coordination with the Nutrition Cell
2 Give importance to the nutritional needs and care of children in orphanages, tribal people, disabled, street children, etc.
3 Provide nutrition and health education programmes as part of various welfare programmes
4 Provide short-term educational programmes on mother and child care, home-scale preservation of fruits/vegetables, family welfare etc. for tribal girls
5 Converge nutrition and health services with welfare programmes to prevent disability due to nutritional deficiencies
6 Highlight nutritional needs of the elderly in programmes for welfare of aged
7 Give importance to the nutritional aspects of drug counselling and de-addiction services
Sectoral plan Women and Child Development
Activities
1 Set up a Nutrition Cell in the DWCD to function as a focal point for implementation of the National Nutrition Policy and the NPAN
2 Expand ICDS to cover all Community Development Blocks and 50% of urban slums by 2000
3 Strengthen nutrition and health education component of ICDS by expanding and strengthening the FNB infrastructure and involving NGOs working in the field
4 Give emphasis to young children (0-3 years) and severely malnourished children by improved referral services
5 Intensify the recent initiative of including adolescent girls in the field of ICDS to improve their status of awareness and to trigger appropriate behavioural changes
6 Ensure better coverage of pregnant and lactating women for better child survival and development by empowering women to look after themselves and their children
7 Enlist better community participation through health and nutrition education
7(1) Create community awareness of malnutrition, its causes and strategies to monitor it through health and nutrition education
7(2) Involve the community, through their Panchayati Raj Institutions and community-based monitoring system, in the management of nutrition and child-mother-care programmes with a special focus on young child (0-3 years) programmes
7(3) Provide training and education to people, especially women, on various aspects of food production and processing activities and their impact on the nutritive value, and include nutrition messages in the primary and secondary school and non-formal education curriculum
7(4) Promote schemes relating to kitchen gardens, food preservation, preparation of weaning foods and other food processing units at home and in the community through health and nutrition education
7(5) Create effective demand at community level for all services relating to nutrition through health and nutrition education
8 Improve the economic and social status of women through awareness generation, education and economic activities like thrift, credit and income generation.
9 Control micronutrient deficiencies by
9(1) creating awareness by the organization of workshops, seminars and campaigns at National/State/District/Block level, etc.
9(2) improving the dietary pattern by extensive nutrition education and use of local foods
9(3) increasing the availability of micronutrient-rich foods by promoting their production in kitchen, school and community gardens etc.
10 Intensify linkages with horticultural interventions to promote vitamin A status
11 Universalize fortification of milk with vitamin A
12 Continue research into double fortification of salt with iron and iodine
13 Accelerate efforts for the development and production of nutritious food (using local foods) for children through women's groups, NGOs, State Governments, etc.
14 Strengthen infrastructure for mass media communication and interpersonal communication
15 Establish a national nutrition surveillance system to periodically monitor the nutritional situation at all levels through the involvement of grass root level workers and communities
16 Sponsor operational research into nutrition issues of national importance
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Monitoring of children’s growth in school|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Milk|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|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)|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "8715","SDN","Sudan","","National Plan of Action for Nutrition (NPOAN) -Sudan","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","","Government of Sudan","4","1995","Adopted","","1995","Council of Ministers","Education and research|Finance, budget and planning|Food and agriculture|Health|Information|Justice|Other|Social welfare|Sport|Trade|Labour","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN%201995%20National%20Plan%20of%20Action%20for%20Nutrition%28NPOAN%29Sudan.pdf" "8639","COG","Congo","","Plan d'Action National pour la Nutrition du Congo","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","2001","Direction de la Santé Familiale","6","1996","Adopted","","1996","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Other","législationtravaux publics","Food and Agriculture Organisation (FAO)","","Other","Organismes multilatéraux","","","","","National NGOs","ONG Associations","","","Private sector","","Other","collectivités locales","III. Objectifs
IV. Stratégies et programmes
Surveillance nutritionnelle (detailed activities p.86)
- Stratégies
- Activités
Promotion de l’allaitement maternel et amélioration de l’alimentation de complément (detailed activities p. 96)
- Objectifs spécifiques
Amélioration du suivi et de la promotion de la croissance des enfants (detailed activities p.100)
- Objectifs spécifiques
Traitement des malnutritions protéino-énergétiques sévères
- Objectifs spécifiques
- Activités
Développement d’une stratégie alimentaire dans les zones à risque de malnutrition protéino-énergétique
- Activités
Lutte contre les anémies chez les femmes et les jeunes enfants
- Objectifs spécifiques
- Activités
Lutte contre les troubles dus à la carence en iode
- Objectif
- Activités
Lutte contre la carence en vitamine A
- Objectifs
- Activités
THE OVERALL OBJECTIVE
By the year 2010, this strategy aims to ensure the significant improvement of nutritional status of the country’s population; it will focus on nutrition and care improvement for all families, primarily children and mothers; it will also concentrate on giving access to all ethnic minority groups in the country to adequate dietary intake (quantitatively sufficient, qualitatively balanced, hygienic and safe). It will also attempt to minimize emerging nutrition-related health problems.
SPECIFIC OBJECTIVES
","
I. FOOD AND NUTRITION INTERVENTIONS TO IMPROVE NUTRITIONAL STATUS, FOOD QUALITY, HYGIENE AND SAFETY
1. Universal nutrition education
1.1 Universal nutrition training
1.2 Nutrition education and communication
1.3 Staff training and research
2. Ensured household food security
This is a very important approach, mainly for the regions prone to food shortages, poor areas and low-income populations. Based on specific situation, VAC development should be introduced and promoted so that every family will have their own VAC system, providing an available food source. The production and consumption of nutritive foods such as beans, peanuts, sesame and soybeans should be promoted. Providing loans to poor households is also needed in order to create more jobs to improve their income. Agricultural services need to be improved, e.g. providing new seeds and seedlings with higher yield, minimizing the use of chemical fertilizers and increasing the use of organic or microbiological fertilizers, improving local food processing and preservation at community and household level, finding or creating new markets, etc. Ensuring equal access to food for every household members is also a key intervention.
3. Control of protein energy malnutrition among children and mothers
4. Control of micro-nutrient deficiencies
5. Prevention of non-communicable nutrition-related chronic diseases
6. Integration of nutrition activities into Primary Health Care
Along with the implementation of the Expanded Program of Immunization, the prevention of infectious diseases (ARI and diarrhea), the promotion of exclusive breastfeeding in the first 4 months and improved complementary feeding practices thereafter, the Integrated Management of Childhood Illnesses (IMCI) be strengthened. The implementation of Reproductive Health Care has to go hand in hand with nutrition and healthy lifestyle education, especially for vulnerable groups.
7. Ensuring Food quality and food safety
Food safety is an important aspect supported by the Government in a separated program. There is a close relation between food hygiene and safety, and nutrition. The main proposed approaches focus on the following points:
8. Monitoring, evaluation and surveillance of nutrition
9. Piloting of Nutrition Models
II. NUTRITION-RELATED AREAS
1. Ensuring National Food Security: The Government needs to have appropriate policies and solutions to diversify agriculture production, increase productivity and decrease manufacturing price. Proper farming patterns should adjust to actual situations of different areas to meet their food demand. Production plans need to be based on actual requirements to ensure food security in parallel with the regulation given by the market and reasonable price policies. Investments in processing and storage of agricultural products and the promotion of safe food production should be paid more attention.
2. Promotion of Hunger Eradication and Poverty Alleviation: This is one of the important policies of the party and government affecting nutrition. It is considered necessary to give prioritized support to the infrastructure of food production in the areas at risk of food insecurity, with high prevalence of malnutrition. For urban areas, support is given to employment in order to increaseincome, which will result in increased food accessibility for the poor and high-risk groups. Nutrition objectives should be incorporated into the program’s objectives.
3. Improved infrastructure and basic service for maternal and child care.
III. SUPPORTIVE POLICIES TO NUTRITION
Based on the national objectives of this strategy, each of the different sectors, social agencies and mass organizations needs to develop practical and specific implementation plans to achieve both their own specific objectives as well as the objectives of this nutrition strategy. Quarterly review meetings will be called by the MOH to review the implementation of this strategy with the participation of related ministries/branches. Semi-annual reports from all provinces/major cities must be sent to the MOH, who will be responsible for reporting the progress to the Prime Minister. A multidisciplinary approach should be strengthened at all levels. Local and central steering committees need to closely communicate.
1. To improve the population's appropriate nutrition knowledge and practices.
2. To reduce maternal and child malnutrition prevalence
3. To reduce micro-nutrient deficiencies
4. To reduce proportion of household with low energy intake
5. To improve food quality and food safety
Health
Agriculture and Food
Rural Infrastructure: Improvement of potable water, sewages, and rural transport infrastructure
","Health: Improvement of a regional surveillance system (laboratories, equipment, training), which will secure quality control of potable water and foodstuffs.
Education: Support for children of poor families by offering them scholarships and textbooks free of charge or at low prices, and free food
Agriculture and Food
Rural Infrastructure: Construction of water supply lines and sewages in the most critical rural areas to fulfill needs for potable water and to improve hygiene in these areas
","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.
","
","Outcome indicators","","Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Tajikistan_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202002%20Tajikistan_PRSP.pdf" "23546","ARM","Armenia","","Strategy on maternal and child health care","Health sector policy, strategy or plan with nutrition components","","English","","2003","","2015","Government of Armenia","7","2015","Adopted","7","2003","Government of Armenia","Health|Social welfare|Finance, budget and planning|Sub-national","","","","","","","","","","National NGOs","National NGOs","","","Private sector","Institutions providing medical assistance","","","
Objectives of Maternal and children health care (by 2015 within defined terms)
The above mentioned key issues could be solved through elaborated strategies and continuous implementation of target programs, and given the objectives, development of new programs and accomplishment of the objectives within the framework of the program. It could be accomplished through close inter-department and international cooperation, with extensive involvement of communities and mobilization of all the possible resources.
Government of the Republic of Armenia: -recognize through annual budget allocations the prevailing importance of the programs for maternal and children healthcare, and approve normative documents related to the core issues of motherhood, childhood and reproductive health (“ Preventive immunization”, “ Ratification of international code on marketing of milk supplements”, and take a decision on the approval of Laws of RA “ Mandatory iodination of salt used for food for population”...)
Main indicators for the assessment of the level of socio-economic development, population health and effective maternal and children health care are as follows:
• Mortality rate in infants (0-28 days), children (0-1 year) and children under age of 5 /per 1000 live-births/
• Mortality cases with diarrhea and diseases of respiratory ways (‰) in infants under age of 1
• Prenatal mortality rate/ per 1000 births/
• Maternal mortality /100.000
• Exclusive breast feeding indicator (%)
• Number of low weight and prematurely born infants (per 100 births)
• Level of malnutrition in infants under age of 0-5 (weight-age index deficiency in %)
• Spread ness of anemia in children and pregnant women (%)
• Early registration of pregnant women ( under 12 weeks, per 100 pregnants)
The analysis of the date is carried out by the Ministry of Health of Armenia who conducts reassessment of needs and shifts emphasis in the strategic planning.
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Food fortification|Nutrition & infectious disease|Food safety|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/ARM","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202003-2015%20STRATEGY%20ON%20%20MATERNAL%20%20AND%20CHILD%20%20HEALTH%20CARE.pdf" "14886","ARM","Armenia","","Poverty Reduction Strategy Paper","Multisectoral development plan with nutrition components","","English","","2003","","","World Bank","","2003","Adopted","","2003","Government of Armenia","Finance, budget and planning|Health|Social welfare","Ministry of Finance and Economy, Ministry of Health, Ministry of Social Security","","","","","","","","","","","","","","","","","Mother and Child Health Care
It is necessary to reiterate the priority of women’s and children’s health at the national level by ensuring continued improvement of health conditions of pregnant and nursing women and the nutrition of children up to the age of 5. Furthermore, breastfeeding should be encouraged, as well as the provision of prenatal and postnatal quality medical service.
","Number of under-weight children, % of total number of children below the age of 5 (2004 = 2,8%; 2006 = 2,7%; 2009 = 2,3%; 2012 = 1,8%; 2015 = 1,4% )
Number of under-height children, % of total number of children below the age of 5 (2004 = 12,0%; 2006 = 11,5%; 2009 = 9,5%; 2012 = 8,0%; 2015 = 6,0%)
","Outcome indicators","","Breastfeeding|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Vaccination","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Armenia_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ARM%202003%20Poverty%20Reduction%20Strategy%20Paper.pdf" "8419","HUN","Hungary","","Johan Bela' National Programme for the Decade of Health","Health sector policy, strategy or plan with nutrition components","","English","","2003","","","Policy Documentation Center","","2003","Adopted","","2003","Ministry of Health, Social and Family Affairs","Health|Food and agriculture|Women, children, families|Social welfare|Sub-national","","","","International Committee of the Red Cross (ICRC)","","","","","","National NGOs","","","","","","Other","Religious Communities; Media; NPHMOS; Activists","
HEALTHY YOUTH
HEALTH PROMOTION IN SETTINGS OF DAILY LIFE
HEALTHY NUTRITION AND FOOD SAFETY
The Goal: To reduce the prevalence of nutritionrelated disorders and to improve the general state of health through healthy nutrition
REDUCING MORBIDITY AND MORTALITY DUE TO CORONARY HEART DISEASES AND CEREBROVASCULAR DISEASES
HEALTHY YOUTH
HEALTH PROMOTION IN SETTINGS OF DAILY LIFE
HEALTHY NUTRITION AND FOOD SAFETY
HEALTHY YOUTH
HEALTHY NUTRITION AND FOOD SAFETY
If the sub-project is implemented successfully, the following results can be expected:
","Outcome indicators|Process indicators","","Low birth weight|Iodine deficiency disorders|Fat intake|Sodium/salt intake|Fibre|Added sugars|Fruit and vegetable intake|Vegetables|Right to health|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Vulnerable groups","","http://pdc.ceu.hu/archive/00002882/","","WHO 2nd Global Nutrition Policy Review; NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HUN%202003%20National%20Health%20Programme.pdf" "41854","COL","Colombia","","Resolución Numero 005109 DE 2005 por la cual se establece el reglamento técnico sobre los requisitos de rotulado o etiquetado que deben cumplir los alimentos envasados y materias primas de alimentos para consumo humano","Legislation relevant to nutrition","","Spanish","","2005","","","Ministerio de la Protección Social","12","2005","Adopted","12","2005","El Ministro de la Protección Social,","Social welfare","","","","","","","","","","National NGOs","","","","","","","","","","","","
Artículo 1º. Objeto. La presente resolución tiene por objeto establecer el reglamento técnico a través del cual se señalan los requisitos que deben cumplir los rótulos o etiquetas de los envases o empaques de alimentos para consumo humano envasados o empacados, así como los de las materias primas para alimentos, con el fin de proporcionar al consumidor una información sobre el producto lo suficientemente clara y comprensible que no induzca a engaño o confusión y que permita efectuar una elección informada.
…
Artículo 4º. Requisitos generales. Los rótulos o etiquetas de los alimentos para consumo humano, envasados o empacados, deberán cumplir con los siguientes requisitos generales:
1. La etiqueta o rótulo de los alimentos no deberá describir o presentar el producto alimenticio envasado de una forma falsa, equívoca o engañosa o susceptible de crear en modo alguno una impresión errónea respecto de su naturaleza o inocuidad del producto en ningún aspecto.
2. Los alimentos envasados no deberán describirse ni presentarse con un rótulo o rotulado en los que se empleen palabras, ilustraciones u otras representaciones gráficas que hagan alusión a propiedades medicinales, preventivas o curativas que puedan dar lugar a apreciaciones falsas sobre la verdadera naturaleza, origen, composición o calidad del alimento. Si en el rótulo o etiqueta se describe información de rotulado nutricional, debe ajustarse acorde con lo que para tal efecto establezca el Ministerio de la Protección Social.
…
Artículo 5º. Información que debe contener el rotulado o etiquetado. En la medida que sea aplicable al alimento que ha de ser rotulado o etiquetado; en el rótulo o etiqueta de los alimentos envasados o empacados deberá aparecer la siguiente información:
…
5.2. Lista de ingredients
","Food labelling|Ingredients list","","https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/Resolucion%205109%20de%202005.pdf","","","" "8341","EST","Estonia","","National Strategy for Prevention of Cardiovascular Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2005","","2020","Government","","2005","Adopted","","2005","Government","Cabinet/Presidency|Health|Food and agriculture|Social welfare","","","","","","","","","","","","Research/academia","University of Tartu","","","Other","Non-profit Associations; Professional Associations.","The overall goal of the strategy is: The premature CVD morbidity and mortality of the population will decline steadily
3.1. AREA: PHYSICAL ACTIVITY
Strategic subgoal: The physical activity of the population will increase
3.2. AREA: FOOD AND NUTRITION
Strategic subgoal: The nutrition habits of the population will improve
","Measure 3. Facilitating the healthy nutrition choices of the population and improving knowledge of balanced nutrition
Activities
Measure 4. Ensuring compliance with the principles of balanced nutrition in institutional catering
Activities
Measure 11. Development of health sustaining attitudes to life
3.6. Research related to the strategy and statistical databases
Outcome indicators
Estrategia para la Reducción de la Pobreza (ERP): En el pilar 4 “Invirtiendo en capital humano” la sub-área dos establece mayor y mejor acceso a servicios de salud con el objetivo de “Garantizar el acceso con calidad y equidad a servicios de salud, preferentemente en atención primaria y vigilancia nutricional a favor de la población pobre” con tres medidas de políticas: - Fortalecer la atención en salud primaria y preventiva. - Proporcionar mayor atención a las condiciones de salud de la mujer. - Lograr una mayor eficiencia y calidad en la prestación de servicios de salud.
Plan de Gobierno para el sector salud 2002-2006: Este documento es congruente con las metas de la ERP referentes a la reducción de las tasas de mortalidad materna, mortalidad infantil y en menores de cinco años y la tasa de desnutrición en menores de cinco años.
Política nacional de nutrición: Es una política de estado que trasciende a la Secretaría de Salud e involucra a otros sectores que tienen participación en el mejoramiento de la nutrición de los individuos.
","
2.0 POLICY GOALS AND OBJECTIVES
2.1 Overall Goal of Food and Nutrition Security Policy
The long-term goal of this policy is to significantly improve the food and nutrition security of the population. The goal implies a rapid and substantial reduction in the degree and severity of malnutrition, in all its forms, i.e., chronic and acute malnutrition and micronutrient deficiencies among the men, and women, boys and girls, especially under-fives, expectant and lactating mothers of the population.
2.1.1 The concept of food security implies that:
(a) All Malawians at all times have both physical and economic access to enough nutritious food for an active, healthy life;
(b) The ways in which food is produced and distributed should be environmentally friendly and sustainable;
(c) Both the production and consumption of food are governed by social values that are just and equitable as well as moral and ethical;
(d) The ability to acquire food is ensured;
(e) The food is nutritionally adequate and personally and culturally acceptable;
(f) The food is obtained in a manner that upholds human dignity.
2.1.2 Primary Objective of Food Security
The primary objective of Food Security, is to guarantee that all men, women, boys and girls, especially under-fives in Malawi have, at all times, physical and economic access to sufficient nutritious food required to lead a healthy and active life.
2.1.3 The concept of nutrition security implies that:
a) Healthy food choices and lifestyles, are easy choices for all Malawians;
b) There is absence of all forms of malnutrition that is, protein-energy, micronutrient and over-nutrition;
c) All Malawians should have access to services for the prevention, timely treatment and proper management of malnutrition and infectious diseases;
d) Good nutrition and its role in the context of a healthy lifestyle is a fundamental part of achieving social justice and poverty reduction.
2.1.4 Primary Objective of Nutrition Security
The primary objective of Nutrition Security is to significantly improve health and nutritional status to lead an active healthy life and reduce the burden of diet-related, illness, deaths and disability among men, women, boys and girls living in Malawi.
4.0 SUSTAINABLE ACCESS TO FOOD
4.1 Food Access
Access by individuals to adequate resources (entitlements) to acquire appropriate food for a nutritious diet. Entitlements are defined as the set of all those commodity bundles over which a person can establish a command given the legal, political, economic and social arrangements of the community in which he/she lives including traditional rights, for example, access to common resources.
4.2 To guarantee physical, social and economic access to adequate food at all times
4.2.1 Promote sustainable access to adequate nutritious food and other resources at household and national level
Strategies
4.2.1.1 Formalize trade in foods and other economic products in line with bilateral, regional and international trade agreements without compromising sanitary and phytosanitary issues
4.2.1.2 Promote traditional and cultural practices that improve food and nutrition security for women and men, girls and boys and food technology
5.2.3 Promote the control, prevention and treatment of micronutrient deficiency disorders particularly those caused by Vitamin A, iodine and iron deficiencies.
Strategies
5.2.3.1 Encourage production and consumption of micronutrient rich foods.
5.2.3.2 Develop and enforce mandatory guidelines on food fortification
5.2.3.3 Strengthen supplementation of micronutrients in under-five children, school-aged children, and pregnant and postpartum mothers
5.2.3.4 Promote community based technologies for fortification
5.2.4 Promote control, prevention and treatment of diseases that have direct impact on nutrition and health status
Strategies
5.2.4.1 Facilitate the implementation of the Essential Health Package
5.2.4.2 Strengthen counselling services for management of nutrition related diseases especially for symptoms of common HIV and AIDS related illnesses
5.2.4.3 Provide counselling services on infant and young child feeding especially in the context of HIV and AIDS
5.2.4.4 Encourage early health care seeking behaviours among all people who are sick, especially those living with HIV and AIDS
5.2.4.5 Facilitate dissemination of information and support to clients on medical treatment (including ARV) to ensure adherence
5.2.4.6 Facilitate implementation of water supply and sanitation programmes
5.2.4.7 Promote and support palliative care and community coping mechanisms for HIV-positive and affected households
5.2.4.8 Promote implementation of national guidelines for management of moderate and severe malnutrition
5.2.5 Increase access and availability of services and information to prevent consumers from health hazards
Strategies
5.2.5.1 Review and enforce national legislation and regulations according to the international Sanitary and Phytosanitary (SPS) agreements
5.2.5.2 Establish comprehensive food-control systems at all levels that include risk analysis to ensure safety in the entire food chain
5.2.5.3 Regulate development and use of modern biotechnology including Genetically Modified Organisms (GMOs) and Genetically Engineered Seeds and Substances (GESS) in order to enhance bio safety
5.2.6 Promote the consumption of adequate food in both quality and quantity to meet nutritional needs for rural and urban households with special emphasis on vulnerable groups
Strategies
5.2.6.1 Facilitate the implementation of the national nutrition strategy.
5.2.6.2 Strengthen the implementation of the School Health and Nutrition< programme
5.2.6.3 Build capacity for communities to adequately care for the socioeconomically deprived and the nutritionally vulnerable groups
CHAPTER 6
6.0 STABILITY IN FOOD AND NUTRITION
6.1 Food stability
To be food secure, a population, household, or individual must have access to adequate food at all times. They should not be at risk of losing access to food as a consequence of an economic or climatic crisis or seasonal food variations. The concept of stability can therefore refer to both availability and access to food.
6.2 To guarantee that every individual has adequate and nutritious food that is accessible at the required time and in useable form.
6.2.1 Improve the management of disasters
Strategy
6.2.1.1 Promote a coordinated approach to disaster preparedness and management
6.2.1.2 Ensure allocation of adequate resources to disaster management
6.2.1.3 Improve system of assessing possibilities of a shock
7.0 FOOD AND NUTRITION INFORMATION SYSTEMS, MONITORING ANDEVALUATION
7.2 To harmonise and improve Food and Nutrition Security Information Systems(FNSIS) for evidence based interventions
7.2.1 Enhance monitoring and evaluation through proper management of information systems at all levels
Artikel 1
Artikel 3
Disminuir la obesidad al 2021 en un mínimo del 15% en niños y adolescentes, y en el adulto un rango del 5 al 8%.
","La Política Nacional de Alimentación y Nutrición 2006-2010 busca mejorar la alimentación y la nutrición de la población en general, con énfasis en los mas vulnerables.
Política 1
Ejercicio efectivo de la rectoría en alimentación y nutrición.
Lineamiento de área de acción
Definición multisectorial de la rectoría en alimentación y nutrición.
Estrategias:
Política 2
Prevención y control de la desnutrición infantil, población menor de siete años, en familias pobres.
Lineamiento de área de acción
Fortalecimiento de la nutrición preventiva: hacia la erradicación de la desnutrición infantil en familias pobres y la prevención y control de la obesidad, una urgencia de salud pública.
Estrategias:
Política 3
Prevención y control de la obresidad.
Lineamiento de área de acción
Fortalecimiento de la nutrición preventiva: hacia la erradicación de la desnutrición infantil en familias pobres y la prevención y control de la obesidad, una urgencia de salud pública.
Estrategias
Política 4
Fortalecimiento y modernización de los Centros de Educación y Nutrición y de Centros Infantiles de Atención Integral (CEN-CINAI).
Lineamiento de área de acción
Fortalecimiento de la nutrición preventiva: hacia la erradicación de la desnutrición infantil en familias pobres y la prevención y control de la obesidad, una urgencia de salud pública.
Estrategias
Política 5
Defensa y cumplimiento efectivo del derecho a una alimentación saludable y digna, desde una perspectiva de equidad en los adultos mayores
Lineamiento de área de acción
Fortalecimiento de la nutrición preventiva: hacia la erradicación de la desnutrición infantil en familias pobres y la prevención y control de la obesidad, una urgencia de salud pública.
Estrategias
Política 6
Procesos integrales e intersectoriales orientados a garantizar la seguridad alimentaria y nutricional, como eje esencial para combatir pobreza y contribuir a la calidad de vida
Lineamiento de área de acción
Promoción de la seguridad alimentaria y nutricional en el nivel local, un reto para combatir pobreza en los municipios.
Estrategias
Política 7
Fortalecimiento y modernización de la educación y comunicación alimentaria nutricional.
Lineamiento de área de acción
La educación alimentaria y nutricional para el desarrollo humano y protección del consumidor.
Estrategias
Política 8
Procesos integrales e intersectoriales orientados a garantizar la inocuidad de los alimentos.
Lineamiento de área de acción
Inocuidad de alimentos, una obligación con la producción y la salud, ratificado internacionalmente.
Estrategias
Política 9
Gestión e investigación para la regulación y vigilancia de la bioseguridad y biotecnología en alimentos.
Lineamiento de área de acción
Inocuidad de alimentos, una obligación con la producción y la salud, ratificado internacionalmente.
Estrategias
Política 10
Promoción de la seguridad alimentaria nutricional en situación de desastres naturales y causados por la actividad humana.
Lineamiento de área de acción
Prevención de la inseguridad alimentaria y nutricional en situación de desastres.
Estrategias
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" "24713","SEN","Senegal","","Plan Stratégique pour la Fortification des Aliments en Micronutriments au Sénégal (PSFAMS)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2006","","2011","","6","2006","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Industry|Information","Institut de Technologie Alimentaire (ITA), Association Sénégalaise de Normalisation (ASN)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Global Alliance for Improved Nutrition (GAIN)|Helen Keller International (HKI)|Other|World Vision International","ABT ASSOCIATES","US Agency for International Development (USAID)","","","","National NGOs","OSDIL, CONGAD, UNAFA.","Research/academia","Université Cheikh Anta Diop de Dakar : Faculté de Médecine et Pharmacie etEquipe de Nutrition de la Faculté des Sciences et Techniques.","Private sector","Conseil National des Employeurs du Senegal, Syndicat Patronal des Industries Alimentaires (SPIDS), Société Nationale des Oléagineux du Sénégal (SONACOS), Grands Moulins de Dakar (GMD),Nouvelles Minoteries de l’Afrique (NMA), Nestlé Sénégal, Sosagrin, Oasis International, Mamelles Jaboot, Sonia, SelSine, Sedima, Eurogerm","Other","l’Association Nationale des Consommateurs du Sénégal (ASCOSEN), l’Union Nationale des Consommateurs du Sénégal (UNCS), SOS-consommateurs","2. OBJECTIF GLOBAL DU PROGRAMME
L’objectif global du programme est de contribuer à améliorer la santé des populations pour la survie et le développement humain durable
3. BUT DU PROGRAMME
Le but du programme est de réduire les prévalences des carences en micronutriments (fer, vitamine A, iode), chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
4. OBJECTIFS SPECIFIQUES
En termes d’objectifs spécifiques, le programme se propose de :
5. 1. Enrichissement en fer et vitamine A des aliments dont la technologie est bien maitrisée
5. 2 Accélération de l’iodation du sel et utilisation des acquis comme référence pour les autres micronutriments
5.3 – Partenariat
","See document table ANNEX1, pages 33-43
","","Outcome indicators|Process indicators","Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Wheat flours","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202006%20Plan%20Strat%C3%A9gique%20pour%20la%20Fortification.pdf" "8165","TUN","Tunisia","","Politique nationale de la santé de l’enfant de moins de 5 ans dans les soins de santé de base [National Child Health Policy: children under-five at Primary Health Care]","Health sector policy, strategy or plan with nutrition components","","French","","2006","","","Primary Health Care Directorate","","2005","Adopted","","2006","Ministry of Health","Health|Social welfare|Development|Justice","Primary Health Care Directorate Ministry of Health: Primary Health Care Directorate","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","WHO","","","","","","","National NGOs","Les ONG (scouts tunisiens, association tunisienne des droits de l’enfant…)","Research/academia","L’université","","","","","D- Principaux programmes nationaux de santé de l’enfant :
2. Surveillance de la croissance :
L’objectif du programme de surveillance de la croissance est de surveiller de façon continue la croissance des enfants de moins de cinq ans et de détecter de manière précoce les troubles de la croissance.
4. Stratégie PCIME :
Les objectifs de cette stratégie sont les suivants:
1. Améliorer la qualité de la prise en charge des pathologies courantes de l’enfantn(diarrhée, infections respiratoires aiguës, fièvre et anémie).
2. Favoriser un meilleur développement psychologique, moteur, sensoriel et staturo pondéral de l’enfant à travers:
* Le dépistage précoce de certains troubles sensoriels.
* La surveillance systématique du développement psychomoteur.
* La surveillance systématique de la croissance dans le but de prendre en charge les cas de malnutrition.
* Le dépistage systématique de l’anémie.
* La promotion de l’allaitement maternel et des bonnes pratiques d’introduction des aliments de complément.
","
En matière de promotion de l’allaitement maternel (…)
Trois axes stratégiques sont envisagés :
1- Une stratégie de formation : elle concerne le personnel médical et paramédical dans les structures de santé publique (PMI, maternité , etc . ) et dans les cliniques privées ainsi que les médecins de libre pratique .
2- Une stratégie d'accompagnement dans les structures de santé immédiatement avant et après l'accouchement ainsi que tout au long de la période d'allaitement à domicile , par l'entourage familial , par d'autres moyens comme les numéros verts d'appel gratuits ou les groupes de soutien entre mères allaitantes et l'encouragement des créations de crèches dans les lieux de travail.
3- Une stratégie de communication visant la sensibilisation des futures mères, de leur entourage immédiat, du personnel de santé et du grand public . Cette stratégie doit intégrer deux idées principales :
• renforcer une pratique sociale déjà répandue tout en positivant l'image de l'allaitement au sein .
• rectifier les connaissances, attitudes et pratiques qui risquent de faire reculer la fréquence de l'allaitement maternel .
b- Composantes de la stratégie PCIME
Cette stratégie a trois composantes :
* L’amélioration des capacités des personnels de santé par l’élaboration de directives en matière de PCIME et leur assimilation lors de cours de formation.
* L’amélioration du système de santé pour assurer dans les meilleures conditions cette prise en charge intégrée par la planification des activités, une meilleure organisation du travail au niveau des structures de santé, une amélioration du système de recueil des données, la supervision et l’usage rationnel des médicaments.
* L’implication à un degré élevé de la communauté et l’amélioration des pratiques familiales et communautaires en vue de l’habilitation des familles pour une prise en charge correcte de l’enfant à domicile.
","","","","Baby-friendly Hospital Initiative (BFHI)|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|Overweight in children 0-5 yrs|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Management of moderate acute malnutrition|Management of severe acute malnutrition|Vaccination","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202006%20Politique%20nationale%20de%20la%20sant%C3%A9%20de%20l%E2%80%99enfant%20de%20moins%20de%205%20ans.pdf" "8431","TZA","United Republic of Tanzania","","National Population policy","Multisectoral development plan with nutrition components","","English","","2006","","","Ministry of Planning Economy and Empowerment (Ministry of Finance and Economic Affairs)","","2006","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Social welfare|Sport|Sub-national","Ministry of Finance and Economic Affairs, Ministry of Planning, Economy and Empowerment, National Population Technical Committee, Tanzania Council on Population and Development, Ministry of Community Development, Gender and Children","","","","","","","","","","","","","","","","","4.9 Agriculture, Food and Nutrition:
Policy Objectives:
a) Promote and improve nutrition status of learners in order to enhance and sustain their physical, social and mental well-being.
b) Promote and maintain the health status of learners through the initiation of effective health promoting activities.
c) Improve collaboration among line ministries in planning and implementation of SHN interventions.
d) Strengthening school and community based health and nutrition activities.
e) Provide health and nutrition education and promotion of activities at all levels of the education system.
f) Promote and sustain a safe and healthy learning environment.
g) Ensure capacity building among stakeholders.
POLICY STATEMENTS:
Health:
a) a regular physical examination, treatment and referral systems in all learning institution are re-established and sustained;
b) all eligible learners are immunized;
c) guidance and Counselling services are strengthened;
d) appropriate protective clothing is provided to learners;
e) appropriate facilities for learners with Special Education Needs (SEN) are provided;
f) physical Education in all learning institutions is strengthened;
g) adequate clean and safe water is available;
h) regular personal hygiene inspections on learners are carried out;
i) appropriate and adequate sanitary facilities are available;
j) the school environment and structures are safe, clean and maintained;
k) family Life and Sexuality Education is promoted in all schools;
l) initiatives aimed at controlling, preventing and mitigating the spread and impact of STIs/HIV AND AIDS on the school community are established and strengthened;
m) preventive and control measures against communicable and non-communicable diseases are instituted;
n) school based anti-substance abuse programmes in all schools are intensified; and
o) collaboration and partnership with relevant stakeholders are promoted and strengthened;
Nutrition:
a) health and nutrition education is institutionalised at all levels of the school system;
b) eligible learners receive micronutrient supplements;
c) a school de-worming programme is established;
d) food production units are revitalised in all learning institutions;
e) the school feeding services are initiated and communities are involved; and
f) growth monitoring and promotion is institutionalised and implemented;
Institutional Framework:
a) SHN focal persons at all levels in the MoE, MoH, MACO and MCDSS are appointed;
b) SHN monitoring and evaluating systems are established; and utilized;
c) partnerships with all stakeholders in SHN activities are strengthened;
d) SHN is institutionalised at all levels of the Education system;
e) a procurement and distribution system for drugs, micronutrients supplements and supplies is established; and sustained and;
f) networking and sharing information between learning institutions, districts and provinces is initiated and strengthened at all levels;
Legal Framework:
(a) SHN activities are implemented as provided for within the existing pieces of legislation.
(b) United Nations and the African Union Children’s Charters and any other relevant Charters are incorporated into SHN activities.
OBJETIVOS DE LAS PRIORIDADES NACIONALES EN SALUD PARA EL PERIODO 2007 – 2010:
1. Mejorar la salud infantil.
2. Mejorar la salud sexual y reproductiva.
3. Mejorar la salud oral.
4. Mejorar la salud mental.
5. Disminuir las enfermedades transmisibles y las zoonosis.
6. Disminuir las enfermedades crónicas no transmisibles y las discapacidades.
7. Mejorar la situación nutricional.
8. Mejorar la seguridad sanitaria y ambiental.
9. Mejorar la seguridad en el trabajo y disminuir las enfermedades de origen laboral.
10. Fortalecer la gestión para el desarrollo operativo y funcional del Plan Nacional de Salud Pública.
","ESTRATEGIAS PARA DISMINUIR LOS RIESGOS PARA LAS ENFERMEDADES CRÓNICAS NO TRANSMISIBLES
Línea de política número 1. Promoción de la salud y la calidad de vida
a. Fomentar estrategias intersectoriales para mejorar la seguridad vial en áreas rurales y urbanas y el fomento de espacios temporales de recreación como ciclo rutas recreativas.
b. Impulsar estrategias para la promoción de la actividad física en escenarios educativos, redes y grupos comunitarios, laborales.
c. Desarrollar y evaluar estrategias de educación, información, comunicación y movilización social con enfoque etno-cultural, para promoción de estilos de vida saludable, uso racional de medicamentos, y prevención de las enfermedades crónicas no transmisibles.
d. Promover estrategias de información, educación, comunicación y asesoría para desestimular el hábito de fumar y la cesación del hábito del tabaco en las escuelas de básica primaria, secundaria, universidades y lugares de trabajo.
e. Difundir, vigilar y regular el cumplimiento de la normativa de rotulado general y nutricional de alimentos para controlar el consumo de sal en alimentos procesados, colesterol y azúcar y promover el consumo de frutas y verduras (etiquetas visibles y otros refuerzos).
f. Promover la dieta saludable en comedores y restaurantes de las empresas e instituciones de trabajo.
g. Realizar abogacía para la reglamentación del convenio marco de lucha anti-tabáquica, y ajustar la regulación sobre la comercialización y publicidad del tabaco.
h. Promover la implementación de las estrategias de Instituciones Educativas, Espacios de Trabajo y Espacios Públicos Libres de Humo de tabaco y de combustibles sólidos, en coordinación con las direcciones territoriales de salud, entidades promotoras de salud - EPS, administradoras de riesgos profesionales - ARP, el sector educativo, trabajo, cultura y deporte y otros sectores.
i. Promover acciones de inducción a la demanda a los servicios de promoción de la salud, prevención de los riesgos y atención de los daños en salud visual, auditiva y cognitiva en los espacios educativos, laborales, culturales, deportivos y otros espacios cotidianos.
j. Ejercer abogacía para incluir en el Plan Decenal de Educación, programas dirigidos a incrementar el acceso al consumo de alimentos saludables en el ámbito educativo y para sustituir la clase de educación física de conceptos de deportes a clases de actividad física.
k. Promover acciones de protección de los derechos del consumidor y las condiciones ambientales y de salud que favorezcan el aprovechamiento biológico de los alimentos y un adecuado estado nutricional de la población entre el Ministerio de la Protección Social, agricultura y comercio, superintendencia del consumidor y ministerio de educación.
l. Impulsar políticas que propicien sistemas de transporte que promocionen desplazamientos activos o el uso de vehículos no motorizados.
m. Realizar abogacía para la sustitución del enfoque del deporte centrado en deportistas de alto rendimiento hacia la actividad física, que sea incluya la actividad física en espacios de la vida cotidiana y los discapacitados.
OBJETIVO 7. MEJORAR LA SITUACIÓN NUTRICIONAL
ESTRATEGIAS PARA MEJORAR LA SITUACIÓN NUTRICIONAL
Línea de política número 1. Promoción de la salud y la calidad de vida
a. Concertación intersectorial para la ejecución y seguimiento del Plan Nacional Seguridad Alimentaria y Nutricional y de los Planes Territoriales de Seguridad Alimentaria y Nutricional.
b. Desarrollar y evaluar estrategias de educación, información, comunicación y movilización social con enfoque etno-cultural, para promoción de estilos de vida saludable, patrones alimentarios adecuados, fomento y protección de la lactancia materna.
c. Fortalecer e implementar la inspección, vigilancia y control de los riesgos fitosanitarios de la cadena de producción, procesamiento, distribución y comercialización de alimentos dentro del marco de los sistemas salud internacional.
d. Fortalecer los sistemas de garantía de la calidad para los alimentos fortificados.
e. Promover la protección de los derechos del consumidor en espacios comunitarios.
Líneas de política números 2 y 3. Prevención de los riesgos y recuperación y superación de los daños en la salud
a. Desparasitación y suplementación con micronutrientes a grupos de más alta vulnerabilidad.
b. Desarrollar estrategias para la prevención de las deficiencias de micronutrientes.
c. Implementar acciones de fomento, protección y apoyo a la lactancia materna.
d. Desarrollar estrategias de complementación nutricional a grupos de más alta vulnerabilidad.
e. Fortalecer las alianzas estratégicas entre aseguradoras y prestadores de servicios de salud públicos y privados para garantizar el desarrollo de las acciones de promoción de la salud, protección específica, detección temprana y atención integral de las alteraciones nutricionales, según ciclo vital (institucional y comunitario).
f. Promover en los espacios laborales, educativos y comunitarios estrategias de recuperación y preparación de alimentos sanos tradicionales en la dieta cotidiana.
","METAS NACIONALES EN NUTRICIÓN
1. Reducir a 5% el porcentaje de desnutrición global en niños menores de 5 años con desnutrición global. (Línea de base: 7%. Fuente: ENSIN 2005).
2. Reducir por debajo de 6,7 por cien mil la tasa de mortalidad por desnutrición crónica en menores de 5 años (Línea de base: 6,7 por cien mil menores de 5 años. Fuente: DANE 2004).
3. Incrementar en un mes la mediana de duración de la lactancia materna exclusiva (Línea de base: mediana 2,2 meses ENSIN 2005).
","Outcome indicators","ARTÍCULO 1º. PLAN NACIONAL DE SALUD PÚBLICA. Adóptase el Plan Nacional de Salud Pública para el cuatrienio 2007-2010, contenido en el documento que forma parte integral del presente Decreto.
El Plan Nacional de Salud Pública 2007-2010 será de obligatorio cumplimiento, en el ámbito de sus competencias y obligaciones por parte de la Nación, las entidades departamentales, distritales y municipales de salud, las entidades promotoras de salud de los regímenes contributivo y subsidiado, las entidades obligadas a compensar, las entidades responsables de los regímenes especiales y de excepción y los prestadores de servicios de salud.
ARTÍCULO 2º. IMPLEMENTACIÓN. El Ministerio de la Protección Social deberá desarrollar, adoptar o ajustar los documentos técnicos y expedir los actos administrativos que se requieran para facilitar la implementación del Plan Nacional de Salud Pública 2007-2010 atendiendo las diferencias regionales, étnicas y culturales.
ARTÍCULO 3º. VIGENCIA. El presente Decreto rige a partir de la fecha de su publicación.
A. Objetivo General
Promover el desarrollo integral de los niños y niñas desde la gestación hasta los 6 años de edad; respondiendo a sus necesidades y características específicas, y contribuyendo así al logro de la equidad e inclusión social en Colombia.
B. Objetivos específicos
1. Fortalecer y aumentar las coberturas de educación inicial en sus modalidades de atención integral en los entornos comunitario, familiar e institucional; garantizando su sostenibilidad financiera.
2. Posicionar el tema de primera infancia para sensibilizar y movilizar al país sobre la importancia crucial de los primeros años de vida en el desarrollo humano y como factor de progreso y desarrollo de la nación.
3. Promover la salud, la nutrición y los ambientes sanos desde la gestación hasta los 6 años, prevenir y atender la enfermedad, e impulsar prácticas de vida saludable y condiciones de saneamiento básico y vivienda.
4. Promover prácticas socioculturales y educativas, que potencien el desarrollo integral de los niños y niñas menores de 6 años.
5. Garantizar la protección integral y la restitución de los derechos de los niños y niñas que hayan sido vulnerados, especialmente aquellos pertenecientes a grupos y/o poblaciones en riesgo.
6. Potenciar a las familias y cuidadores primarios para relacionarse con los niños y las niñas de manera más equitativa e inclusiva, e igualmente a los centros de desarrollo infantil y la comunidad, partiendo del respeto por la diversidad cultural en las pautas de crianza.
7. Crear y fortalecer los mecanismos necesarios para el diseño, ejecución, seguimiento y evaluación de la política de primera infancia, para que tanto el Estado como la Sociedad puedan realizar análisis periódicos para garantizar una eficiente y eficaz gestión de la política.
","
VII. LÍNEAS ESTRATÉGICAS
Con el fin de orientar las acciones de política en los ámbitos nacional y territorial, y en el marco de los derechos, de la atención integral y del Sistema de Protección Social; se establecen las siguientes líneas estratégicas que permitirán, tanto a los responsables de la formulación como de la ejecución de las políticas, dirigirlas y priorizarlas, para el desarrollo integral de la primera infancia:
1. Ofrecer atención integral a la primera infancia
• Fortalecer la implementación y ampliar la cobertura de las modalidades de atención integral en los entornos comunitario, familiar e institucional.
• Garantizar la sostenibilidad financiera de los programas de atención integral.
2. Mejorar la supervivencia y la salud de los niños y niñas de 0 a 6 años y de las madres gestantes y en periodo de lactancia
• Incrementar progresivamente la afiliación a la seguridad social en salud, promoviendo la focalización de los subsidios en los niños y niñas menores de 6 años, a las mujeres gestantes, madres en lactancia y en edad fértil, y la prestación de los servicios con calidad.
• Coordinar intersectorial e interinstitucionalmente, la implementación de las estrategias dirigidas a promover la salud y estilos de vida saludables para la primera infancia en la familia, y al mantenimiento y mejoramiento de las condiciones de salud y del entorno (escuela, instituciones, parques, vecindario) en que se desarrollan los niños y niñas de 0 a 6 años.
• Abordar de manera integral la implementación de las estrategias Instituciones Amigas de la Mujer y la Infancia –IAMI- y Atención Integrada a las Enfermedades Prevalentes de la Infancia – AIEPI, para incidir en el seguimiento, la prevención y la atención de las condiciones de salud de los niños y niñas menores de 6 años, y de las mujeres gestantes y madres en lactancia.
3. Mejorar los procesos de identificación en la primera infancia
Todos los niños y niñas tienen el derecho a ser reconocidos por sus padres, para tener una identidad y los elementos que la constituyen: nombre, nacionalidad y filiación y poder acceder a los derechos y servicios que garantiza tener una ciudadanía 52. Para tal fin:
La Registraduría Nacional del Estado Civil, implementará estrategias a nivel nacional y local para que todos los niños y niñas, inmediatamente después de su nacimiento, sean registrados. Además, se fortalecerán convenios con otras entidades, como el Ministerio de la Protección Social, que garanticen registrar a los recién nacidos en los hospitales.
4. Promover el desarrollo integral de la primera infancia
Para posibilitar el acceso con calidad a los servicios que garanticen el desarrollo integral de la primera infancia, las principales estrategias a implementar serán:
• Implementar la política de educación inicial como una estrategia para potenciar el desarrollo integral de los niños y niñas de 0 a 6 años, en las modalidades de entorno familiar, comunitario e institucional establecidas por el MEN y el ICBF. Operativamente, el país iniciará la implementación de la política de educación inicial con los niños y niñas de 3 a 4 años. La educación inicial tendrá como marco conceptual el enfoque de competencias para la primera infancia y orientaciones pedagógicas, las cuales favorecerán la creación de ambientes tempranos de aprendizaje no escolarizados, que incluyan como elemento fundamental el juego, el arte, la literatura y demás lenguajes expresivos, el papel de la familia, el afecto y la promoción del buen trato.
• Garantizar a todos los niños y niñas de 5 y 6 años el acceso al grado de transición y desarrollar acciones de articulación educativa, interinstitucional e intersectorial que permitan el adecuado tránsito de los niños y las niñas a la básica primaria y su permanencia en el sistema educativo.
• Aumentar la asistencia y permanencia en el grado de transición de los niños y niñas de 5 y 6 años, con el fin de garantizar el acceso a la básica primaria.
• Fortalecer la capacidad institucional de las entidades territoriales a través del acompañamiento y la asistencia técnica en los procesos de participación, diseño y gestión local para la implementación de la política de educación inicial.
• Fortalecer en las Entidades Territoriales la implementación de los diferentes programas de salud infantil que orienta el Ministerio de la Protección social.
5. Garantizar la protección y restitución de los derechos
Coordinar y fortalecer, entre las entidades responsables, los programas existentes orientados a la protección de los niños y niñas en situación de abandono, desnutrición, discapacidad, desplazamiento forzado, maltrato, abuso y peligro, para restituir sus derechos haciendo énfasis en sus características y necesidades específicas.
6. Mejorar la calidad de la atención integral
• Definir los requerimientos básicos de un servicio de calidad para la prestación de servicios de cuidado y educación, o de atención integral dirigidos a la primera infancia
• Cualificar a agentes prestadores de servicios para la primera infancia.
• Fortalecer la articulación entre la educación inicial y la básica primaria.
• Impulsar iniciativas nacionales y locales para la formación de agentes educativos (padres de familia, cuidadores y docentes) que permitan mejorar la calidad de la interacción con los niños y niñas, en relación con la protección de la vida, la salud, la nutrición y la generación de las condiciones necesarias para el adecuado desarrollo emocional, físico, cognitivo y social de los niños y las niñas en la primera infancia.
• Fortalecer el uso de medios y nuevas tecnologías para fomentar la adquisición de competencias de los niños y niñas, y brindar herramientas de formación y apoyo a los agentes educativos con el fin de facilitar adecuadas prácticas de crianza para el armónico desarrollo de los niños y las niñas.
• Promover la descentralización y el fortalecimiento de las estrategias de Instituciones Amigas de la Mujer y la Infancia y la Estrategia de Atención Integrada a las Enfermedades Prevalentes de la Infancia en sus cuatro componentes (clínico, neonatal, comunitario y gestión local).
7. Fomentar la participación
• Fomentar la participación de los niños y las niñas hasta los 6 años, de acuerdo con su nivel de desarrollo, y la inclusión por parte de los hacedores de políticas públicas en el desarrollo de programas y proyectos dirigidos a la primera infancia.
8. Realizar seguimiento y evaluación
En coordinación con la Dirección de Seguimiento y Evaluación de Políticas del DNP, el MPS, el MEN y el ICBF, se diseñará la estrategia para evaluar la implementación y el impacto de la política en los niños y niñas de 0 a 6 años.
• Fortalecer e implementar Sistemas de información, monitoreo y evaluación
9. Promover la comunicación y movilización por la primera infancia
Dirigida a promocionar y fortalecer cada una de las estrategias de la política. Entre otras, busca:
• Sensibilizar a la comunidad sobre la importancia de la primera infancia, el desarrollo y la protección de los niños en esa fase del ciclo de vida.
• Promover la corresponsabilidad social y comprometer a grupos específicos de la población, como garantes de los derechos de la primera infancia.
• Posibilitar la expresión de los niños y niñas menores de 6 años.
10. Promover la formación del talento humano y la investigación
Diseñar e implementar un sistema para la formación del talento humano53 que promueva la investigación y el reconocimiento de experiencias significativas en primera infancia. Dicho sistema, inicialmente será responsabilidad del MPS, MEN, ICBF, Conciencias, MINCULTURA y el SENA, quienes liderarán a las acciones de coordinación y articulación intersectorial, interinstitucional, vinculando inicialmente agencias de cooperación internacional, universidades y centros de investigación.
","X. METAS E INDICADORES
Las entidades vinculadas con la implementación de la política de primera infancia establecieron una serie de metas e indicadores que dan cuanta de los avances e impacto de las acciones de política (ver anexo).
A continuación se presentan algunas de las metas e indicadores, que orientan la implementación de la Política de Primera Infancia para el logro de sus objetivos:
1. Los niños y niñas menores de 5 años prioritariamente de niveles 1 y 2 de SISBEN que así lo requieran, pueden acceder y permanecer en las modalidades de atención integral
Indicadores:
• Número de niños y niñas menores de 5 años beneficiarios de HCB que son atendidos en la modalidad de Entorno Comunitario Convenio MEN- ICBF.
• Número de niños y niñas de 5 años que son atendidos en las modalidades de Entorno Institucional y Familiar Convenio MEN- ICBF.
• Porcentaje de niños y niñas menores de 5 años que son atendidos por las modalidades de Atención Integral convenio MEN - ICBF que acceden al grado de transición.
2. Los niños y niñas de 5 o 6 años asisten al grado de transición
Indicador: Cobertura bruta: Número niños y niñas que asisten al grado de transición/Promedio de niños de 5 y 6 años.
3. Tasas de abandono, maltrato y abuso sexual en niños y niñas menores de 6 años reducidos
Indicadores:
• Tasa de abandono de niños y niñas menores de 6 años por cada 100.000 niños y niñas menores de 6 años.
• Tasa de niños y niñas menores de 5 años victimas de maltrato infantil por cada 100.000 habitantes.
• Tasa de abuso sexual en niños y niñas menores de 5 años por cada 100.000 habitantes.
4. Entornos de atención institucional para el desarrollo integral de los niños y las niñas mejorados
Indicadores:
• Numero de hogares múltiples operando
• Numero de jardines sociales operando
• Numero hogares comunitarios con infraestructura mejorada
5. Condiciones alimentarias y nutricionales de madres gestantes y en lactancia, y de niños y niñas menores de 6 años mejoradas
Indicadores:
• Desnutrición crónica en menores de 5 años (Número de niños y niñas menores de 5 años con baja talla para la edad / Total de niños y niñas menores de 5 años).
• Tasa de bajo peso al nacer: #. de casos con peso menor a 2.500 grs./ total de nacidos vivos.
• Índice de masa corporal clasificado como normal en el primer trimestre de la gestación
6. Todos los niños y niñas de 0 a 6 años cuentan con registro civil
Indicador: Número de niños y niñas entre 0 y 6 años registrados / Total de niños y niñas entre 0 a 6 años.
7. Mortalidad neonatal reducida
Indicador: Número de niños y niñas que mueren durante los primeros 28 días de nacidos x 1000 / Número de niños nacidos vivos.
8. Todos los niños y niñas menores de 5 años con esquemas de vacunación completos
Indicador: Número de niños y niñas menores de 5 años con esquema de vacunación completo / Total niños y niñas menores de 5 años.
","","","Breastfeeding|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women","","http://www.mineducacion.gov.co/primerainfancia/1739/articles-177832_archivo_pdf_Conpes_109.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%208249%20-%20Politica%20Publica%20Nacional%20de%20la%20Primera%20Infancia.pdf" "8046","CRI","Costa Rica","","Estrategia 5 al Día Costa Rica","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2007","","","Ministerio de Salud","","2007","","","","","Health|Food and agriculture|Education and research|Social welfare|Other","Consejo Nacional de Producción (CNP), Comité Ejecutivo 5 al Día, Caja Costarricense de Seguro Social","World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Food fortification","","http://www.rafapana.org","http://www.paho.org/cor/index.php?option=com_docman&view=download&category_slug=alimentacion-y-nutricion&alias=27-informe-lanzamiento-estrategia-5-al-dia-costa-rica&Itemid=222","WHO Global Nutrition Policy Review 2009-2010","" "22961","GMB","Gambia","","Poverty Reduction Strategy: 2007-2011","Multisectoral development plan with nutrition components","","English","","2007","","2011","Intentional Monetary Fund","9","2007","Adopted","11","2006","Department of State for Finance and Economic Affairs","Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Other","Department of Fisheries and Marine Resources; National Nutrition Agency (NaNA)","","","","","Other","IMF","","","","","","","","","","","PRSP II pillars
4.1 Agriculture
4.1.2 Priorities and Strategies for the Agricultural Sector
6. Improve soil fertility maintenance and soil conservation.
11. Increase government support to post-harvest and storage facilities with a focus on value added on local products.
5.1 Health
5.1.4 Strategies and Priorities for the Health Sector
7.1 Gender
7.1.4 Planned Interventions
2. Improving women and girls entrepreneurial skills and opportunities in all productive sectors by
e. Providing women with labour saving devices, support to land development and rehabilitation of community vegetable gardens.
3. Providing laws that will effectively protect women’s rights through:
b. Promoting women health and access to health services and control over their reproductive rights.
c. Advocating and sensitizing all stakeholders to effective of high maternal and child mortality as well as the effects of malnutrition and HIV/AIDS amongst women, girls and children.
d. Ensuring that polices on gender and HIV/AIDS are adequate for the protection of women. Ensuring adequate budgets for prevention, care and treatment of HIV/AIDS
7.4 Nutrition
7.4.2 Priorities for Nutrition
Under five mortality
Infant mortality
Maternal mortality
Proportion of population with sustainable access to an improved water source, urban and rural
","","","Food security and agriculture|Vulnerable groups","","https://www.imf.org/external/pubs/ft/scr/2007/cr07308.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GMB%202006%20Poverty%20Reduction%20Strategy%202007-2011.pdf" "8326","MLT","Malta","","Healthy Eating Lifestyle Plan (HELP)","Comprehensive national nutrition policy, strategy or plan","","English","","2007","","","Ministry of Education, Youth and Employment","","2007","Adopted","","2007","Ministry of Education, Youth and Employment","Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Labour|Other","Healthy Eating Lifestyle Plan - HELP working group","","","","","","","","","National NGOs","Federation of Industry;","Research/academia","Faculty of Education","","","Other","Healthy School Nutrition Audit Board; Home Economics Seminar Centre [HESC]; Chamber of Commerce","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:
","
Goal:
Ensure a dependable sustained food security for all people at all times
Core Objective 1: Adequate and stable supply of safe and nutritious food
Specific Objectives:
1. Sustained increase in food production
2. Efficient food markets
3. Non-distortionary food grain market intervention for price stabilization
Targets:
Core Objective 2: Increased purchasing power and access to food of the people
Specific objectives:
1. (Effective) Transitory shock management
2. Effective implementation of targeted programmes to improve food security
3. Employment generating income growth
Targets:
Core Objective 3: Adequate nutrition for all individuals, especially women and children
Specific Objectives:
1. Long-term national plan for ensuring balanced food in building a healthy nation
2. Supply of sufficient nutritious food for vulnerable groups
3. Balanced diet containing adequate micronutrients
4. Safe drinking water and improved sanitation
5. Safe quality and food supply
6. Adequate health status
Targets:
Key areas of intervention/Program areas:
1.1: Agricultural Research and Extension
1.2: Use and Management of Water Resources
1.3: Adequate Supply and Sustainable Use of Agricultural Inputs
1.4: Agricultural Diversification
1.5: Agricultural Credit and Insurance
1.6: Physical Market Infrastructure Development
1.7: Agricultural Marketing and Trade
1.8: Policy and Regulatory Environment
1.9: Early Warning System Development
1.10: Producer Price Support
1.11: Public Stock Management / Price Stabilization
2.1: Agricultural Disaster Management
2.2: Emergency Distribution from Public Stock
2.3: Enabling Environment for Private Food Trade and Stock
2.4: Effectiveness of Targeted Food Security Programs and Other Safety Nets
2.5: Income Generation for Women and the Disabled
2.6: Promotion of Agro-based/Agro-processing and Micro/Small Rural Enterprises
2.7: Market-driven Skill Development
3.1: Long-term Planning for Balanced Nutrition
3.2: Balanced and Nutritious Food at Minimal Costs for Vulnerable Groups
3.3: Nutrition Education for Dietary Diversification
3.4: Supplementation and Fortification for Balanced Nutrition
3.5: Safe Drinking Water and Improved Sanitation
3.6: Safe, Quality Food Supply
3.7: Women and Children’s Health
3.8: Promotion and Protection of Breastfeeding and Complementary Feeding
","Goal - Outcome-target indicators:
WFS (number of undernourished people) – Target: reduced from 39.3 million (1990-1992) to 19.65 by 2015
MDG (prevalence of undernourished) – Target: reduced from 35% (1990-2002) to 17.5 % by 2015
Objective 1 - Outcome/impact indicators:
Availability/Adequacy of supply: Agricultural GDP; food supply (domestic production, net imports, variation in stocks) compared to national requirements, food production and consumption requirements disaggregated by regions
Stability of supply: Variability of food production; food import dependency ratio, variability of food prices
Objective 2 - Outcome/Impact Indicators:
Proportion of people below the poverty line – MDG1 Target: Reduced proportion of people below US$1 per day (PPP) from 58.8% in 1991 to 29.4% by 2015
Proportion of people in extreme poverty – MDG1 Target: Proportion of people in extreme poverty reduced from 28% in 1991 to 14% by 2015
% increase in average HH cash income from on-farm and off-farm income generating activities
# HH with no food gap – have sufficient food to meet HH needs in all 12months of the year
# income sources per HH
% of HH income spent on food
Food price index; variability in food price
Objective 3 - Related Outcome/Impact indicators/Targets:
Low Birth Weight (Birth wt. <2.5 kg) – Target: reduced from 36% (2004) to 30% by 2010 and < 20% by 2015
Weight gain during pregnancy – Target: increased from 6.7 kg (2004) to 9-10 kg by 2010 and 11-12 kg by 2015
U-5 underweight (weight for age <-2SD) – Target: reduced from 51% (2000) to 38% by 2010 and 33% by 2015
U-5 stunting (height for age <-2SD) – Target: reduced from 49% (2000) to 37% by 2010 and 33% by 2015
U-5 wasting (Weight for height <-2SD) – Target: reduced from 12% (2000) to 10% by 2010and 7% by 2015
Rural-urban difference in U-5 (PEM) – Target: reduced from 10-12% point (2000) to 7-8% points by 2010 and 5-6% points by 2015
Chronic Energy Deficiency (CED) (Body Mass Index (BMI) <18.5 kg/m2) in women (including adolescent girls) – Target: reduced from 45% (2000) to 20% by 2010 and <20% by 2015
Vitamin A deficiency among children and women – Target: reduced from 30% (2000) to 15% by 2010 and to <10% by 2015
Iodine deficiency in children (6-12 years) and women (15-44 years) – Target: reduced from 34-38% (2005) to 25% by 2010 and to <10% by 2015
Iron deficiency anaemia (IDA) – Target: in infants (6-11 months), reduced from 77% (2003) to 60% by 2010 and to 40% by 2015; in adolescent girls (13-19 years) from 30% (2003) to 25% by 2010 and <20% by 2015; in pregnant women from 46% (2003) to 35% by 2010 and to 25% by 2015
Anthropometric indicators: height and weight of under-5 children – Target: increased to at least 80% of WHO standards by 2015
Others:
Per capita calorie intake – Target: Increased from 2238 (BBS, 2006) to 2400 (kcal/person/day)(provisional) by 2015
Dietary energy supply (DES) from cereals (%) – Target: decreased from the current 70% to 60% by 2015
Prevalence of food contamination and food adulteration (physical, chemical, microbiological) (%)
Incidence of food-borne illnesses (number of cases reported)
Objetivo general
Garantizar que toda la población colombiana disponga, acceda y consuma alimentos de manera permanente y oportuna, en suficiente cantidad, variedad, calidad e inocuidad.
Objetivos específicos
3. Estrategias
Para el abordaje de la problemática en torno a la seguridad alimentaria y nutricional esta Política plantea algunas estrategias encaminadas a su intervención desde la producción hasta el aprovechamiento biológico de los alimentos:
La seguridad alimentaria y nutricional requiere de una estructura institucional moderna, multisectorial y dinámica que garantice eficiencia y eficacia en la orientación, la coordinación, la planeación, el seguimiento y la evaluación de las políticas y programas.
La estrategia consiste en fortalecer, sensibilizar y desarrollar una estructura institucional local, regional y nacional, de tal manera que constituya un sistema institucional articulado para la SAN, que facilite la elaboración y ejecución de planes y programas quinquenales de seguridad alimentaria y nutricional, en armonía con esta Política. Esta estructura deberá crear las condiciones para que las comunidades participen en el diseño de los programas y proyectos y se apropien de ellos, y asimismo, para que se genere una conciencia nacional, y una visión sobre la necesidad de contar de manera permanente con programas de seguridad alimentaria y nutricional y de lucha contra la pobreza en todos los niveles territoriales.
La estrategia contempla el diseño y aplicación de normas, de reglas de juego, la generación de incentivos, el fortalecimiento y desarrollo de las organizaciones públicas y privadas pertinentes a la seguridad alimentaria y nutricional, entre ellas la organización de los consumidores en los ámbitos locales y regionales, y la creación de condiciones de confianza para la implementación de las políticas, los acuerdos y alianzas.
La implementación de la Política se realizará mediante el Plan Nacional de Seguridad Alimentaria y Nutricional (PNSAN), planes y programas departamentales, municipales, distritales o regionales de seguridad alimentaria y nutricional, que garanticen su continuidad en armonía con esta Política, y se expresen en los planes de desarrollo, planes de inversión y los planes de acción de cada entidad. Tanto el PNSAN como los territoriales se deben ajustar y actualizar para que estén acordes con los planes de desarrollo y las políticas de cada gobierno. Igualmente, los planes y programas de seguridad alimentaria y nutricional deben estar en armonía con los Planes de Ordenamiento Territorial -POT-TPF
Los diseñadores y ejecutores de los planes y programas del orden nacional y territorial deberán contemplar en el diseño y puesta en marcha de los planes y programas, la aplicación de criterios de entrada, permanencia y egreso de las familias, conforme al Conpes Social 100 de 2006.
El abordaje de la seguridad alimentaria y nutricional requiere la articulación de los distintos sectores involucrados, mediante la conformación de alianzas, resultado de un proceso de concertación pública y privada en los niveles local, regional, nacional e internacional. Estas alianzas contemplan la planeación y ejecución de programas o proyectos para promover el desarrollo rural y urbano, generar condiciones para el acceso de los pobladores a los bienes y servicios básicos, a los factores productivos y a la canasta básica de alimentos.
Las alianzas contribuirán a fortalecer los programas o proyectos en educación, salud y fortalecimiento de la asistencia alimentaria para grupos vulnerables utilizando diversos mecanismos como los bancos de alimentos, bonos alimentarios, comedores populares y similares.
La participación comunitaria es indispensable para el logro de los objetivos de la Política; se requiere la apropiación de la misma por parte de los ciudadanos y los sectores sociales y su empoderamiento en los diferentes ámbitos con el fin de hacer realidad el derecho a la alimentación.
Esta estrategia promueve la sensibilización entorno a la inseguridad alimentaria y nutricional, la conformación de redes comunitarias y el ejercicio del control social. Se fomentará la participación ciudadana para la ejecución de la política mediante su vinculación desde la planeación hasta el desarrollo, seguimiento y evaluación de planes y acciones, acorde a lo establecido en el artículo 103 de la Constitución Política de Colombia.
Promoción de la seguridad alimentaria y nutricional en el sistema educativo formal e informal para mejorar las prácticas de producción, alimentación, nutrición, salud, higiene, manipulación y preparación de alimentos. Se estructurará una red de comunicaciones para la divulgación masiva de información sobre alimentación y nutrición a la población, que permita orientar la decisión de compra y consumo de productos alimenticios.
Actualización y difusión permanente de instrumentos de programación y orientaciones alimentarias y nutricionales, como la tabla de composición de alimentos colombianos, las recomendaciones de energía y nutrientes, y las guías alimentarias para la población colombiana.
El seguimiento y evaluación se consideran fundamentals para el logro de los objetivos propuestos en la Política de SAN a fin de que aporte elementos para el análisis de la situación a nivel nacional y territorial.
Parte del proceso de apropiación social de la SAN implican el establecimiento y desarrollo de la cultura en favor de la disponibilidad permanente de información acerca del avance de los compromisos sociales, planes, programas y proyectos, de manera que los ciudadanos, los medios de comunicación, la academia, las organizaciones sociales, los tomadores de decisiones etc., puedan participar, analizar y expresarse para que se ajusten a los objetivos acordados. Para tal efecto, es necesario el establecimiento y desarrollo de un sistema de seguimiento, evaluación y control. Es indispensable el fortalecimiento, ampliación, y articulación de los sistemas, estructuras y de las fuentes de información oportunas y veraces, a nivel nacional y territorial, a fin de que orienten los procesos de evaluación y la toma de decisiones de todos los actores relacionados con la SAN. Es necesario apoyar el proceso de evaluación con un Observatorio Nacional de SAN independiente de las entidades ejecutoras, que tenga incidencia en la reformulación de la política y en el seguimiento de sus resultados sociales.
Adicionalmente se establecerán mecanismos de control social, para lo cual se debe contra con un sistema de difusión de sus resultados que permita al Gobierno y a los ciudadanos evaluar el avance en los diferentes ejes de la Política así como los recursos asignados. Para esto se debe vincular organizaciones de la sociedad civil en el nivel territorial, medios de comunicación, iglesia, academia, veedurías, grupos o mesas de seguridad alimentaria y nutricional que existen actualmente en algunos departamentos.
","Metas de política en el PNSAN
El PNSAN deberá establecer, como mínimo las siguientes metas concretas:
a. Aumentar la cobertura de los niños y niñas de 6 meses a 5 años de edad beneficiados con el programa de desayunos infantiles a 1.306.074 (acum.) en 2010. Línea de base:
1.006.640 en 2006 (acum.)
b. Lograr que en los establecimientos educativos oficiales que atiendan mayoritariamente a la población pobre y vulnerable, según lo defina el Sisben, se alcance la cobertura universal con programas de alimentación escolar en 2015.
c. Mantener la cobertura de Adultos mayores beneficiados con complemento alimentario.
Línea de base 2006: 395.925 Meta 2010: 400.000
d. Reducir la desnutrición global de niños y niñas menores de 5 años a 4.9% en 2010 y a
2.1% en 2015, a nivel nacional. Línea de base 7% en 2005.
e. Reducir la desnutrición crónica de niños y niñas menores de 5 años a 9.6% en 2010 y a
6% en 2015, a nivel nacional. Línea de base 12% en 2005.
f. Disminuir la prevalencia de la desnutrición aguda en niños y niñas menores de 5 años a
1% en 2010 y a 0.7% en 2015. Línea de base 1.3% en 2005.
g. Reducir el número de muertes por desnutrición de niños y niñas menores de 5 años. Línea de base 1998- 2002: 251 niños y niñas por 100.000 nacidos vivos (DANE). (Es necesario monitorear este indicador con el fin de establecer una meta concreta en el PNSAN.)
h. Reducir a 20% en 2015 la anemia en niños y niñas menores de cinco años y en mujeres de 13 a 49 años, en las áreas urbanas y rurales. Línea de base 33% en 2005.
Con base en el número de días y la composición de costos que se tienen actualmente.
i. Incrementar en 2 meses la duración media de la lactancia materna exclusiva en menores de 6 meses y con alimentación complementaria adecuada a 2015. Línea de base 2.2 meses en 2005.
j. Reducir el promedio de escolares entre 5 y 12 años con anemia nutricional a 32% en
2010 y a 23.9% en 2015. Línea de base 37.6% en 2005.
k. Reducir a 19.2% el promedio de gestantes con bajo peso en el 2010 y a 16.5% al 2015 a nivel nacional. Línea de base gestantes con bajo peso 20.7% en 2005.
l. Reducir la proporción de gestantes con obesidad en el 2010 a 6% y 4% al 2015. Línea de base gestantes con obesidad 7% en 2005.
m. Incrementar la superficie agrícola cosechada en 6,6 % al 2010 y en 13% al 2015. Línea de base 3,9 millones de hectáreas en 2006.
n. Consolidar como mínimo una red territorial de seguridad alimentaria y nutricional en cada departamento a 2015.
o. Disminuir la prevalencia de sobrepeso y obesidad en hombres de 18 a 64 años a 35.9%, en mujeres de 18 a 64 años a 44.6% y en mujeres de 13 a 49 años a 30.2% en 2015. Línea de base: hombres de 18 a 64 años 39.9%, para mujeres de 18 a 64 años 49.6% y 33.65% para mujeres de 13 a 49 años en 2005.
","Outcome indicators","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Overweight, obesity and diet-related NCDs|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Complementary foods|Nutrition sensitive actions|Food safety|Food security and agriculture|Household food security","","http://www.minproteccionsocial.gov.co/entornoambiental/library/documents/DocNewsNo16980DocumentNo6771.PDF","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202007%20Politica%20Nacional%20de%20Seguridad%20Alimentaria%20Nutricional%20PSAN.pdf" "8043","CRI","Costa Rica","","Plan Nacional Desnutrición Erradicación Infantil","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2008","","2012","Ministerio de Salud","","2008","Adopted","","2008","Dra. María Luisa Ãvila AgüeroMinistra de SaludPresidenta Consejo Ministerial de la Secretaría de la Política Nacional de Alimentación y Nutrición (SEPAN)","Education and research|Food and agriculture|Health|Other|Social welfare|Women, children, families","Ministerio de Salud Education and research, Food and agriculture, Health, Social welfare, Social welfare, Women, children, families: Ministerio de Educación, Ministerio de Agricultura, Ministerio de Salud / Secretaría de la Política Nacional de Alimentaci","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Inter American Development Bank","Bilateral and donor agencies and lenders: Inter American Development Bank","","","","","Research/academia","Research/academia: Universidad de Costa Rica","","","","","","","","","","Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO Global Nutrition Policy Review 2009-2010","" "8255","SLV","El Salvador","","Estrategia para el aborgaje integrado sobre prevención y control de las enfermedades crónicas","Health sector policy, strategy or plan with nutrition components","","Spanish","","2008","","","Instituto Salvadoreño del Seguro Social ISSS","","2008","Adopted","","2008","Instituto Salvadoreño del Seguro Social ISSS","Social welfare","Instituto Salvadoreño del Seguro Social ISSS","","","","","","","","","National NGOs","Red de Vigilancia de Enfermedades Cronicas de las Américas.","","","","","","","","","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Nutrition & infectious disease","","https://www.iccp-portal.org/sites/default/files/plans/El%20Salvador%20-%20Plan%20estrategico%202010‐2014%20de%20la%20promocion%20de%20la%20salud%20-%20prevencion%20y%20control%20de%20las%20enfermedades%20cronicas%20no%20transmisibles.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "8008","DEU","Germany","","Strategie der Bundesregierung zur Förderung der Kindergesundheit","Health sector policy, strategy or plan with nutrition components","","German","","2008","","","Federal Ministry of Health","5","2008","Adopted","","2008","Federal Ministry of Health","Consumer affairs|Education and research|Food and agriculture|Health|Social welfare|Urban planning|Women, children, families","Federal Ministry of Food, Agriculture and Consumer Protection, Federal Ministry of Education and Research (BMBF), Federal Environment Ministry, Centre for Health Education (BZgA), Federal Ministry of Health, Federal Ministry of Labour and Social Affairs, Federal Ministry of Transport, Building and Urban Development (BMVBS), Federal Ministry of Family Affairs, Senior Citizens, Women and Youth (BMFSFJ)","","","","","","","","","National NGOs","Deutsche Gesellschaft für Ernährung e. V. (DGE), Robert Koch Institut (RKI)","","","","","","","
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" "8022","LAO","Lao People's Democratic Republic","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","","","2008","","","Ministry of Health","","2008","Adopted","","2008","Prime Minister of Lao PDR","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Other|Social welfare|Trade","Ministry of Health Cabinet/Presidency, Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Industry, Information, Social welfare, Trade: National Science Council at the Prime Minister's Office, MOE an","","","","","","","","","National NGOs","","","","","","","","General objective:
The National Nutrition Policy serves as a legally binding document to substantially reduce levels of malnutrition, especially of vulnerable groups, and to mainstream nutrition in National Socio-Economic Development Plans (NSEDPs) in line with the implementation of the National Growth and Poverty Eradication Strategy (NGPES).
Specific objectives:
The National Nutrition Policy formulates ten specific objectives as follows:
1) Improve nutrient intake;
2) Prevent and reduce food and vector borne diseases;
3) Improve food access and food availability;
4) Improve mother and child care and education in nutrition and health;
5) Improve environmental health;
6) Improve nutrition programming with participatory management and M+E;
7) Make nutrition central in socio-economic development;
8) Priority investment in nutrition;
9) Strengthen the nutritional capacity within all levels and sectors of the GoL;
10) Facilitate action-oriented research and information systems.
Strategic principles
For the successful implementation of the policy the following strategic principles will be applied:
• Decentralization: bottom-up planning supported by increased implementation at provincial and district level;
• Prioritized targeting: focus on immediate needs and vulnerabilities
- Rural: Those groups living in remote upland areas with high levels of stunting
- Urban: Those groups with low educational status
- In transition: Those groups who have recently been resettled, who have been relocated from the uplands to the lowlands, and/or whose wild food resources have been destroyed
- Women of reproductive age: Women of reproductive age (focus will be women experiencing pregnancy, puerperium, and lactation) and children (focus will be children under 2 years, children under five years, and school age children)
• Integration and effective cooperation: integrating nutrition interventions into all relevant sectors;
• Institutionalizing nutrition within GoL: establishing coordination mechanisms for planning, implementation, management and M+E of the nutrition program;
• Capacity building and cultural sensitivity: providing technical skills and acknowledging cultural identity;
• Empowerment of women and vulnerable groups: ensure that women and vulnerable groups play an active decision-making role in the planning and implementation of nutrition interventions;
• Sustainability and resilience: sustainable production, harvest and consumption of nutritive plant and animal foods;
• Prevention and treatment: provide continued sufficient and adequate support for preventive and curative interventions;
• Principle of ‘no-harm’: control of adverse impacts on nutrition from other development sectors;
• Accountability for nutrition: ensure the signing of agreements between national or foreign investors and the GoL - particularly in the fields of agro-based industries, hydropower and mining - are in line with the recommendations of environmental and social impact assessments (EIA, SIA);
• Nutrition surveillance: establishing and strengthening participatory monitoring and evaluation systems.
Roles and responsibilities of Ministries and equivalent organizations accountable for nutrition
Health Sector
• MoH as the lead agency for the GOL on nutrition in coordination with National Science Council/Prime Minister’s Office;
• Develop a National Nutrition Strategy and National Plan of Action on Nutrition;
• Establish a Nutrition Centre or Nutrition Institute;
• Facilitate and coordinate the implementation of nutrition activities;
• Mobilize national and international funds to implement the nutrition program;
• Build and upgrade capacity in nutrition for technical staff at all administrative levels;
• Advocate for nutrition and increase public awareness of nutrition;
• Increase public awareness of the adverse impact on nutrition of tobacco and alcohol consumption;
• Focus on food quality control and food safety;
• Conduct surveys and operational research with appropriate indicators and dissemination of findings;
• Establish an inter-sectoral nutrition surveillance system together with other GoL key stakeholders;
• Report to the GoL (through NCMC) on the implementation of the nutrition program;
• Develop nutrition legislation in cooperation with the Ministry of Justice.
National Science Council at the Prime Minister’s Office
• Supervise and establish a National Nutrition Council with the Ministry of Health and in cooperation with other relevant sectors;
• Incorporate findings of scientific research into GoL actions plans leading to the improvement of the national nutrition status;
• Facilitate the coordination of the technical cooperation of all relevant Ministries and equivalent organizations on nutrition;
• Promote, coordinate, and monitor nutrition-related interdisciplinary scientific research activities;
• Supervise and facilitate the establishment of a Nutrition Information Unit in the Nutrition Center in cooperation with other relevant sectors.
Planning and Investment Sector
• Review and approve nutrition and related development strategies and plans to be incorporated into national socio-economic development plans;
• Advocate for nutrition and fundraise from the national budget, international donors and the private sector to implement the nutrition program;
• Manage, monitor and evaluate the nutrition program in collaboration with MoH and other key GoL stakeholders;
• Develop directions for the nutrition program by forecasting development trends;
• In cooperation with the Ministry of Justice, enforce State laws and regulations to ensure national or foreign direct investments (especially in the fields of mining, hydropower and agro-based industries) and other development programs or projects will not have adverse impacts on nutrition.
Agriculture and Forestry Sector and associated Research Institutes (NAFRI, NAFES)
• Expand the concept of and strategies for food security to encompass also nutrition security (with focus on dietary diversity);
• Plan and ensure food production at national level according to nutritional needs,
• Increase support for stable food security at household level;
• Encourage sustainable planning, usage and management of biodiversity resources for increased household food security;
• Facilitate the implementation of operational research in agriculture and forestry related to nutrition;
• Manage and promote safe food production (e.g. usage of pesticides and other chemicals);
• Build capacity in nutrition for technical staff at all administrative levels;
• Monitoring and evaluation of activities related to food security in cooperation with other key GoL stakeholders.
National Land Management Authority: Promote and implement the Law on Land and related regulations and expand to full coverage the correct allocation and titling (registration) of land to mitigate adverse impacts on nutrition.
Water Resource and Environment Agency, Committee for Forest Conservation and Committee for Water and Natural Resources
• Manage natural resource exploitation while focusing on the reduction of environmental contamination and mitigating adverse effects on nutrition;
• Promote and enforce environmental regulations for stable household food security (e.g. arresting illegal wildlife trade).
Energy and Mining Sector, National Energy Committee and Lao National Mekong Committee
• Develop social safeguard procedures under the “user pays” principle for mining and hydropower schemes with regard to adverse impacts on nutrition;
• Expand environmental and social impact assessment procedures with regard to long-term effects on nutrition;
• Prevent adverse impacts on nutrition due to mining and hydropower development.
Educational Sector
• Develop and incorporate nutrition into existing formal school curricula and into the non-formal education system;
• Improve teachers’ knowledge on nutrition;
• Increase nutrition awareness, campaigning and advocacy for the mobilization and propagation of nutritional messages (at all administrative level as well as for all staff members of MoE);
• Monitor and evaluate teaching skills and materials in nutrition;
• Assess the nutritional status of school children in collaboration with relevant agencies.
Industrial and Commercial Sector
• Manage and promote the production, transfer and distribution of food products to all regions;
• Manage the import and export of food products and maintain food stocks according to national regulations and needs;
• Build capacity in nutrition comprehension for technical staff at all administrative levels;
• Monitor and evaluate food quality, hygiene, and safety according to international standards in cooperation with MoH and other relevant institutions.
Information and Cultural Sector
• Manage and support of the mass media with the aim of disseminating information on nutrition and its relation to other development sectors and policies;
• Facilitate research on the different food cultures of the various ethnic groups in cooperation with the Lao Front for National Construction.
Labor and Social Welfare Sector
• Develop a National Natural Disaster Preparedness Plan in cooperation with the Ministry of Defense;
• Mobilize funds and allocate budget for the implementation of charitable activities to provide food.
Financial Sector
• Allocate the necessary budget to ensure that the implementation of the National Nutrition Policy will reach its targets;
• Ensure financial management in compliance with State laws and regulations in the financial sector;
• Enable the reinvestment of economic revenues into the nutrition program (in cooperation with MPI).
Mass organizations (Lao Women’s Union, Lao People’s Revolutionary Youth Union, Lao Federation of Trade Unions and Lao Front for National Construction)
• Include nutrition in their action plans;
• Mobilize the dissemination of nutrition information to villages (with special focus on non Lao-Tai ethnic groups).
Ministry of Foreign Affairs
• Coordinate and facilitate international and national multi-sectoral cooperation;
• Advocate for nutrition and mobilize national and international funds.
National Commission for Mother and Child
• Establish a National Committee on Nutrition;
• Support MoH in leading the nutritional activities in all relevant sectors;
• Support the implementation of the nutrition program at both central and local level;
• Mobilize national and international funds to implement the nutrition program;
• Manage, monitor and evaluate the nutrition program together with MoH.
","Targets by 2020
Stunting (CU5): 28%
Wasting (CU5): 2%
Underweight (CU5): 15%
Anemia (CU5): 20%
Anemia (WRA): 15%
Iodine deficiency (SAC): 10%
Iodine deficiency (WRA): 5%
Vitamin A deficiency (CU5): 20%
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in schools|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition","","http://www.moh.gov.la/index.php?option=com_phocadownload&view=category&id=8%3Apolices-and-strategies&download=47%3Afinal-version-of-nnp-in-english-30122008.pdf&Itemid=59&lang=en","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202008%20National%20Nutrition%20Policy.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
Objectives
Initiatives
Accelerate public education and awareness on prevention, early detection and treatment of communicable and non-communicable diseases
Reduce malnutrition
Decrease morbidity rate
Incidence of non-communicable diseases
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" "36126","SRB","Serbia","","Strategy on Prevention and Control of Chronic Noncommunicable Diseases","NCD policy, strategy or plan with healthy diet components","","Serbian","","2009","","","Official Gazette of the Republic of Serbia","","2009","Adopted","","2009","Government of Republic of Serbia","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Other","Official Gazette of the Republic of Serbia; National Statistical Office","","","","","","","","","National NGOs","","Research/academia","'Republički zavod za statistiku Institut za javno zdravlje Srbije'; Schools of medical and health related sciences.","Private sector","Food Producers","","Health Institutions; Health Insurance Fund; Professional Associations.","Strateški pristup
Strategija je usmerena i na prevenciju i na kontrolu HNB. Njen cilj je da uravnoteži akciju usmerenu na uzroke bolesti koje je moguće izbeći, invaliditet i prevremeno umiranje, sa akcijom usmerenom na poboljšanje ishoda i kvaliteta života obolelih od HNB. Strategija teži da prevenira ili modifikuje delovanje faktora rizika, da prevenira početak ili progresiju bolesti, invaliditet i prevremeno umiranje. Strategija obuhvata sve one HNB koje imaju zajedničke faktore rizika, socijalnoekonomske determinante, kao i mogućnosti za prevenciju, što se smatra efektivnim i efikasnim pristupom imajući u vidu multifaktorsku etiologiju HNB i čestu udruženost faktora rizika i bolesti (komorbiditeta) kod pojedinaca, posebno pripadnika vulnerabilnih grupa.
2.2.1 Goal:
To operationalize the nutrition component of the Child Survival Strategy (CSS) in order to accelerate the reduction of under-five mortality, and thus contribute to the National Development Plan (NDP), the Health Sector Strategic Plan (HSSP) III, and the MDGs.
2.2.2 Overall Objective
To strengthen the implementation of a defined package of proven nutritional interventions that are cost effective and to achieve and sustain high coverage.
2.2.3 Specific Objectives
1. To implement cost effective nutrition interventions through community, population/scheduled, and clinical services.
2. To scale up proven nutrition interventions through community, population /scheduled and clinical services.
3. To sustain high coverage of proven interventions through community, population/scheduled and clinical services.
","Thematic Objective 1: Mainstreaming maternal nutrition interventions designed to ensure
adequate pregnancy outcomes and healthy infancy
Interventions
1. Providing iron and folic acid tablets to adolescents in and out of school, and to pregnant and
lactating mothers
2. Encouragement and support of antenatal care services through health education
3. Promotion of adequate intake of nutrient dense foods by the mother during pregnancy and
lactation, and of more daytime rest during pregnancy
4. Post-partum supplementation with vitamin A, iron and folate
5. Consideration of maize meal fortification with folic acid to help assure maintenance of
adequate serum folate prior to conception
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 2: Mainstreaming infant and young child nutrition interventions to ensure
growth and development
Interventions
1. Counselling during ante-natal and post-natal care to promote and support exclusive
breastfeeding.
2. Continued and intensified growth monitoring and promotion with intensive counselling to
address needed behavioural change, and referral as necessary for facility-based attention.
3. Promotion and support for exclusive breastfeeding for six months, timely introduction of
adequate complementary feeding, and continued breastfeeding to at least 24 months
4. Semi-annual Vitamin A supplementation to infants and children 6 to 59 months
5. Semi-annual deworming of children aged 1 to 14 years
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 3: Mainstreaming nutrition to ensure control and prevention of micronutrient
deficiencies
Interventions
1. Establishment of a comprehensive policy framework for micronutrient deficiency control
2. Support for implementation of a consolidated policy on micronutrient deficiency control
3. Advocacy for the control and prevention of micronutrient deficiencies
4. Control of iodine deficiency disorders
5. Vitamin A supplementation for children and post partum women
6. Iron supplementation for anaemic children and non pregnant women
7. Iron and folic acid supplementation for adolescent girls and for pregnant and lactating
women
8. Deworming of young children, school children and pregnant women
9. Food fortification, particularly of complementary foods with vitamin A, iron and other
micronutrients
10. Control of zinc deficiency through food fortification and supplementation as part of diarrhea
management
11. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 4: Mainstreaming the treatment of acute malnutrition into the health delivery
system with nutrition interventions to control for co- morbidities
Interventions
1. Identification, referral and management of cases of acute malnutrition
2. Nutrition management and support of sick children following IMCI protocols.
Thematic Objective 5: Mainstreaming nutrition into the treatment and management of HIV/AIDS
Interventions:
1. Providing nutritional services and supplements in the context of HIV/AIDS
2. Support for Infant and Young Child Feeding (IYCF) in the context of HIV
3. Prevention of mother to child transmission of HIV.
Thematic Objective 6: Mainstreaming nutrition interventions into emergency planning,
preparedness and response
Interventions
1. Providing nutrition services in emergencies
2. Support for Infant and Young Child Feeding in emergencies.
Thematic Objective 7: Cross cutting issues
Interventions
1. Operational research
2. Human capacity strengthening
3. Linking services across ministries
4. Family Care Practices.
Thematic Objective 8: Development of a comprehensive communication strategy to support all
nutrition interventions
Interventions
1. Development of an effective and comprehensive communication strategy designed to
encourage optimal IYCN for use at all levels
2. Production of appropriate information, education and communication materials at all levels
3. Development of advocacy packages for policy makers, program managers and communities.
","M&E indicators are available.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Capacity building for the Code|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","http://www.health.go.ug/nutrition/docs/infant/Operational_Framework.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202009%20The%20Operational%20Framework%20for%20Nutrition%20in%20the%20National%20Child%20Survival%20Strategy.pdf" "14851","YEM","Yemen","","National Nutrition Strategy for Yemen","Comprehensive national nutrition policy, strategy or plan","","English","","2009","","","Ministry of Public Health and Population Primary Health Care","","2009","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Sub-national","Ministry of Public Health and Population Primary Health Care Education and research, Environment, Food and agriculture, Health, Health, Industry, Nutrition council, Social welfare, Sub-national, Women, children, families: National Health Education Center,","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Japan International Co-operation Agency (JICA)","Bilateral and donor agencies and lenders: Japan International Co-operation Agency (JICA)","","","National NGOs","National NGOs","","","","","Other","Other: EPI section,Family Health Doctor, Midwives, Health Workers, Volunteers","Overall goal: Health status of Yemeni people is improved through strengthening nutritional intervention by 2020.
Targets: Serious nutritional problems to be solved in this moment are malnutrition/under nutrition; including anemia, vitamin A deficiency, iodine deficiency, rickets, zinc deficiency and household insecurity.
","Conduct the following nutrition interventions:
Control of child undernutrition
- Reduce of the prevalence rate of undernutrition among infant and young children
- Improve infant and young child feeding
- Improve dietary habit affecting nutritional status of infant and children
- Contribute improving household food security
- Improve dietary habit affecting nutritional status of infant and children
- Reduce the risk of infectious diseases
- Reduce the prevalence of LBW
- Prevent the deterioration of malnutrition cases at early stage
Control of low birth weight
- Reduce the prevalence of low birth weight
- Reduce the prevalence of malnourished pregnant women
- Reduce cases of early and frequent pregnancies
- Reduce number of pregnant women having habit of smoking cigarette /shisha and chewing qat
- Improve the services of nutrition screening and counseling for pregnant women
- Increase the access rate of monitoring and providing special care for low-birth weight babies
Control of maternal undernutrition
- Reduce the prevalence of undernutrition among women of reproductive age
- Improve dietary diversity and modification for pregnant and lactating mothers
- Detect under-nutrition of pregnant mothers at early stage and provide appropriate counseling
- Prevent early pregnancy and frequent pregnancy
- Improve the life custom of women which can be a risk factor of maternal health and nutrition such as heavy work load, smoking and chewing qat
Control of rickets
- Eliminate the prevalence of rickets among children under five
- Increase the rate of children exposure to sunlight for children and pregnant mother
- Increase the consumption of foods rich with vitamin D and calcium in children and pregnant mothers
- Increase the rate of detection and treatment cases for children with rickets symptoms at early stage
Control of iron deficiency anemia
- Reduce the prevalence of anemia among children under five and women of reproductive age
- Improve the quality and diversity of diet to increase the intake and bioavailability of iron
- Promote the use of iron fortified food
- Increase the access of iron/folate tablets among pregnant and lactating women
- Reduce the risk factor of parasitic infestation (Malaria, Schistosomiasis, Helminthes)
Control of vitamin A deficiency
- Decrease the prevalence rate of vitamin A deficiency disorder among children under five and mothers
- Increase the consumption of vitamin A rich food
- Increase the covering of foods fortified with vitamin A
- Increase the coverage of vitamin A capsule for children and mothers
Control of iodine deficiency
- To eliminate Iodine Deficiency Disorders in Yemen
- To ensure all the people can access iodized salt
Control of zinc deficiency
- Reduce of the prevalence of zinc deficiency
- Clarify the severity and the target group/area of zinc deficiency
- Increase the zinc intake among people with high risk of zinc deficiency
- Reduce the risk factor of high excretion of zinc
School nutrition
- Reduce the prevalence of undernutrition among school children aged from 6 to 15 years
- Improve food intake of school children quantitatively and qualitatively
- Decrease the incidence of infectious diseases which interrupt the nutritional status of school children
- Reduce the prevalence of malnutrition at early stage
Nutrition for emergency situation
- Reduce the critical risk of death and malnutrition during emergency situation
- Improve the situation of food shortage in the people who suffer from natural or man-made disasters (flood, drought, earthquake, war, food price crisis, etc)
- Prevent death cases from malnutrition under emergency situation
","Objetivos generales y específicos
El Plan Decenal, de acuerdo con lo definido en el enfoque estratégico de estrategias y objetivos, centra su actuación en tres objetivos generales que se complementan para garantizar no sólo logros institucionales y programáticos, sino un fortalecimiento comunitario y social amplio, acompañado de una apuesta pública consolidada a favor de las mejores condiciones de los niños y las niñas menores de dos años de edad.
Desarrollo de actuación relacionado con el fortalecimiento de capacidades y competencias institucionales
Desarrollo de actuación relacionado con las transformaciones sociales a favor de la lactancia materna
Desarrollo de actuación relacionado con la gestión política para el apoyo, promoción y protección de la lactancia materna
Indicadores
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
IV. A cselekvési területeken végzett tevékenységek eredményeinek, illetve a megtett intézkedéseknek előrehaladásának vizsgálata és értékelése
Food Security and Development of the Agricultural Sector
To increase gross agricultural output volume, ensure food security and allow achieving the MDGs and the priorities of the NDS, including poverty reduction, particularly in the rural areas.
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Food Security and Development of the Agricultural Sector
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Task 6, which relates to ensuring proper nutrition, aims at reducing the incidence of food related illnesses and strengthening the legislative and laboratory bases. It includes the following package of measures: drafting and/or adapting the recommended, temporary, national, physiological and sanitation standards for food quality and safety; providing equipment for information collection and evaluation in order to implement the Law “On salt iodization”; enriching processed flour with iron; addressing medical problems related to nutrition; supporting scientific research to supply laboratory equipment for food safety assessment; and supporting scientific and practical research to ensure proper nutrition, taking steps to prevent and treat malnutrition
","
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Organization of healthy nutrition
5.2.1.2 Contribute to the attainment of a significant reduction of morbidity and mortality due to environmental health and unhygienic practices and other environmental health related conditions.
o Disseminate the food hygiene and safety, safe water chain and hand washing guidelines.
o Support local governments to enforce food hygiene and safety, safe water chain and hand washing standards.
o Establish early warning systems on environmental health related risk factors e.g water quality, food safety and sanitation and hygiene related disease out breaks.
5.2.1.4 Improve the health status of the school children, their families and teachers and to inculcate appropriate health seeking behaviour among this population.
• Expand the coverage of the school health and nutrition programme to include more schools
• Strengthen the policy and legal environment for provision of school health services.
o Develop the missing health standards (e.g. nutrition and screening) and operationalise all standards
• Expand the provision of clean water and improved sanitation to schools, with special emphasis on primary schools
5.2.1.7 Scale up delivery of nutrition services:
Strategy 1: To reduce the incidence and prevalence macro- and micro-nutrient deficiencies and associated mortality among vulnerable groups.
• Strengthen maternal nutrition interventions to ensure optimal pregnancy outcomes and healthy infancy:
o Provide micronutrient supplements (iron, folic acid, vitamin A and other relevant) to target groups.
o Encourage and support antenatal care services through health and nutrition education.
o Promote the consumption of high nutrient density local foods
• Integrate infant and young child nutrition interventions into maternal, infant and young child services to ensure growth and development:
o Provide infant and young child feeding counselling services during ante-natal and post-natal care.
o Strengthen growth monitoring and promotion services at facility and community levels.
o Support infant and young child feeding in the context of HIV.
o Provide bi-annual Vitamin A supplementation and deworming to targeted groups.
• Scale up micronutrient initiatives:
o Develop a comprehensive policy framework for micronutrient deficiency control.
o Provide support for implementation of a consolidated policy on micronutrient deficiency control.
o Promote food fortification by working with relevant public and private stakeholders.
o Promote food supplementation
• Promote good quality diets through diet diversification:
o Conduct nutrition education and counselling at facility, family and community levels.
o Promote consumption of locally produced fortified foods.
o Encourage the production and preparation of a variety of locally available nutritious foods.
• Integrate the management of malnutrition into the health delivery system:
o Integrate identification, screening, referral and management of acute malnurished children into routine service delivery at facility level and community levels using national IMAM protocols.
o Support and promote national procurement of therapeutic feeds and supplies.
o Promote local production of therapeutic feeds.
• Integrate nutrition into the treatment and management of HIV/AIDS, TB and malaria:
o Incorporate nutrition support into the management and treatment of HIV/AIDS, TB and malaria interventions.
o Establish coordination mechanisms among partners involved in food and nutrition and HIV, TB and malaria interventions.
o Support community involvement in provision of nutrition support to HIV/AIDS and TB patients.
Strategy 2: To improve access and quality of nutrition services at facility and community levels.
• Support institutional feeding:
o Procure equipment for nutrition management like weighing scales, MUAC tapes, height meters, demonstration meters and food preparation equipment.
o Conduct pre- and in-service training for service providers to promote nutrition interventions.
o Develop curricula and training manuals for nutrition training.
o Determine the human resource needs for nutrition services.
o Train trainers and equip the VHTs, community resource persons and other community based organizations with nutrition knowledge and skills.
o Provide technical support supervision and mentoring of health workers.
o Support nutrition response in emergency
Strategy 3: To review, formulate, enforce and coordinate nutrition related policies, regulations, standards and programmes in consultation with other relevant sector stakeholders.
• Develop and disseminate nutrition policy and implementation guidelines:
o Initiate the review and up-date of the 2002 Uganda National Food and Nutrition Policy.
o Develop implementation guidelines for the reviewed Uganda National Food and Nutrition Policy and other related nutrition policies.
o Orient stakeholders on the revised Uganda National Food and Nutrition Policy.
• Strengthen nutrition related standards and regulations:
o Review the regulations on salt iodization.
o Review regulations on maternity protection.
o Support the development of the Codex on complementary foods and food supplements.
o Develop a regulatory framework for food fortification.
• Strengthening inter-sectoral collaboration and public-private partnership in the designing and implementation of nutrition programs:
o Operationalise the National Food and Nutrition Council and its secretariat.
o Conduct national, regional and district coordination and planning meetings.
Strategy 4: To strengthen advocacy and social mobilization for behavioural change.
• Strengthen advocacy, social mobilization and communication at all levels:
o Develop a comprehensive nutrition communication strategy.
o Develop and disseminate nutrition IEC materials using mass media including audio, visual and print media.
o Promote nutrition campaign initiatives.
Strategy 5: Strengthen nutrition information management systems for monitoring and evaluating nutrition interventions programs.
• Strengthen the regular collection of nutrition indicators in HMIS and other systems:
o Operationalise the Uganda Nutrition Information System.
o Establish nutrition sentinel sites to assess nutrition trends.
o Conduct basic and operational nutrition research.
o Collaborating with UBOS in collection of nutrition indicators during annual food consumption surveys.
o Conduct periodic nutrition surveys.
","5.2.1.2:
Percentage of households with access to safe water.
5.2.1.4:
The % of schools in Uganda that provide basic health and nutrition services increased to 25 % by 2015.
The % of primary and secondary schools with safe water source within 0.5 km radius of the school increased from 61% and 75% resp. to 80% by 2015.
5.2.1.7:
The proportion of underweight in under five year children reduced from 16% to 10%.
Vitamin A deficiency among children 6-59 months reduced from 20% to 10% and women of reproductive age from 19% to 9%.
The proportion of stunted children below 5 years reduced from 38% to 32%.
Vitamin A supplementation coverage increased for children aged 6-59 months from 60% to 80%.
Deworming coverage for children 1-14 years increased from 60% to 80%.
Iodine deficiency eliminated.
The proportion of the households consuming iodised salt increased from 95% to 100%.
The prevalence of anaemia among children decreased from 73% to 60%, women from 49% to 30% and men from 28% to 15%.
The proportion of underweight women of reproductive age decreased from 12% to 6%
Exclusive breastfeeding at 6 months increased from 60% to 80%.
Timely complementary feeding increased from 73% to 80%
Accessibility to appropriate and gender sensitive nutrition information and knowledge increased to 100%
Nutrition services to health units and the community scaled up to 100%.
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/HSSIP_Final.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202010%20Health%20Sector%20Strategic%20%26%20Investment%20Plan.pdf" "14952","UZB","Uzbekistan","","National Program ‘Year of Harmoniously Developed Generation’ / Государственная программа «Год гармонично развитого поколения»","Health sector policy, strategy or plan with nutrition components","","Russian","","2010","","","Ministry of Health","1","2010","Adopted","1","2010","President of Uzbekistan","Health|Education and research|Social welfare|Finance, budget and planning","","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","Association of Salt Producers, Fund for Support of Social Initiative, Soglom Avpodychun Fund, Mahalla Fund, Fund for Development of Sports for Chi","Research/academia","","","","Other","Mass Media","В целях осуществления широкого комплекса целенаправленных мер по созданию в стране необходимых возможностей и условий для воспитания здорового, гармонично развитого поколения, реализации молодежью своего творческого и интеллектуального потенциала, формированию юношей и девушек нашей страны всесторонне развитыми личностями, в полной мере отвечающими требованиям XXI века
","Проект постановления Кабинета Министров Республики Узбекистан «О мерах по обеспечению условий для здорового питания учащихся в образовательных учреждениях».
Проекты постановлений Кабинета Министров Республики Узбекистан: «О дальнейшем совершенствовании деятельности внешкольных спортивных учреждений»; «О дальнейшем совершенствовании системы материального стимулирования труда тренеров — преподавателей внешкольных спортивных учреждений».
Введение бесплатного обеспечения (по назначению врача СВП) беременных женщин, проживающих в сельских районах, специальными комплексами общеукрепляющих поливитаминов, содержащих в том числе, фолиевую кислоту.
Дальнейшая реализация программы по улучшению качества питания населения, направленной на:
Усиление работы в сфере физического воспитания подрастающего поколения и детского спорта, широкое вовлечение в регулярные занятия спортом молодежи, строительство и оснащение новых спортивных комплексов, укрепление их высококвалифицированными тренерскими кадрами и наставниками
","
Контроль за исполнением настоящего постановления возложить на Премьер-министра Республики Узбекистан Ш.М. Мирзиёева.
","","","Maternity protection|Vitamin A deficiency|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vulnerable groups","","http://www.minzdrav.uz/documentation/detail.php?ID=15245&sphrase_id=1085513","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "11511","BLZ","Belize","","Reduction of Chronic Malnutrition in Belize","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2015","Ministry of Health","","2010","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Development|Other","Ministry of Health, Nutrition council, Development, Education and research, Food and agriculture, Health, Social welfare: Ministry of Rural Development, Ministry of Education and Youth, Belize Bureau of Standards, Ministry of Human Development and Social Transformation","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Other","International NGOs: Other - Archer Daniels Midland Belize; Belize Family Life Association; Youth Enhancement Services","","","","","","","Research/academia","Research/academia: University of Belize, National Association of Village Councils; Statistical Institute of Belize","Private sector","Private sector","Other","","Objective 1:
To develop, strengthen and implement interministerial policies, plans, and programs for nutrition, health, and development that meet the following requirements:
a) a social determinants approach;
b) resource allocation;
c) interministerial coordination and planning;
d) active national, municipal, and local government involvement;
e) surveillance, evaluation, and accountability of programs and interventions.
Objective 2:
To incorporate indicators of nutritional status and its social determinants into health surveillance systems that are not limited simply to compiling health information but include the analysis of this information by gender, ethnicity, and geographical area and permit forecasting and the timely prevention of nutritional problems.
Objective 3:
To increase the number of integrated, intersectoral, evidence-based programs and interventions—rooted in the principles of primary health care renewal, health promotion, universal access, human rights, gender mainstreaming, and interculturalism—in the areas of food, nutrition, health and development
Objective 4:
To boost the technical/administrative and decision-making capacity of health workers and personnel from other sectors for the implementation of integrated intersectorial life-course interventions in the areas of food, nutrition, health, and development.
Objective 5:
To achieve empowerment of caregivers (with a focus on women) and community participation in health and development planning processes.
Objective 6:
To improve intersectorial alliances with strategic partners, at the various levels of government to prioritize and advocate for nutrition, health, and development in national plans and budgets.
Objective 1 Actions:
Remove barriers to education (high cost)
Update public policies on malnutrition determinants
Number of classrooms increased at all levels
Conduct intersectoral planning sessions
Develop intersectoral AWP at 5 most affected localities with undernutrition (stunting rates)
NFNSC to oversee implementation of policy and plan
Conduct yearly evaluation session
Produce quarterly reports on AWP implementation
Objective 2 Actions:
Develop nutrition surveillance policy
Train relevant staff in nutrition surveillance protocols
Finalize nutrition surveillance manual
Develop nutrition surveillance protocols
Develop metadata of malnutrition determinants indicators
Define nutrition related data to be obtained through existing HH surveys
Include the WHO growth standards into the BHIS
Objective 3 Actions:
Develop food fortification policy based on regional recommendations (food fortification as a regional public good, regional initiative in Central America, Panama and Dominican Republic)
Approve nutrition through the life cycle policy
Implement BOOST, Food pantry and public assistance programs
Implement community and parenting rehabilitation program
Implement roving care givers program
Review self sustainable agricultural programs
Increase nutrition related interventions at primary health care level
Implement age specific nutrition through the life cycle curricula in schools
Increase implementation rate of the SRH national strategic plan
Objective 4 Actions:
Review status of policies with a view to strengthen and enforce existing policies
Strengthen the implementation of existing plans on food security and nutrition
Institute supplemental feeding programs targeted to prioritized areas where the need has been identified
Review National Health Agenda
Plan of Action for human resource development in nutrition (national)
Completion of primary health care staff
Develop clinical protocols for the management of cases in secondary care level
Train staff in clinical protocols for the management of malnutrition in children
Objective 5 Actions:
Strengthen gender policy to provide for input in decision making in health and development
Empowerment programs for women in health and development planning processes
Remove barriers for girls and women to have access to education
Objective 6 Actions:
Update NFNSC policy and strategic plan
Develop national advocacy campaign to develop awareness of chronic malnutrition in Belize and importance of nutrition to country development
Increase the number of fortified food items
Prioritize projects benefitting poorest and vulnerable communities
","
Expected results included in the Action Plan
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Growth monitoring and promotion|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLZ%202010%20Action_Plan_Chronic_Malnutrition_in_Belize%2C2011-2015%5B1%5D.pdf" "25371","COL","Colombia","","Resolución Numero 333 DE 2011(10 de Febrero de 2011)Por la cual se establece el reglamento técnico sobre los requisitos de rotulado o etiquetado nutricional que deben cumplir los alimentos envasados para consumo humano","Legislation relevant to nutrition","","Spanish","","2011","","","Ministerio de la Protección Social","2","2011","","","","","Social welfare","","","","","","","","","","","","","","","","","","","","","","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" "14866","KAZ","Kazakhstan","","National Program for Development in Health of the Republic of Kazakhstan ""Kazakhstan Salamatty 2011 - 2015"" / Государственная программа развития здравоохранения Республики Казахстан «Саламатты Қазақстан» на 2011 – 2015 годы","Health sector policy, strategy or plan with nutrition components","","Russian","","2011","","2015","Government of Kazakhstan and Kazakh Academy of Nutrition","11","2010","Adopted","11","2010","President of Kazakhstan","Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Other|Social welfare|Sub-national","Ministry of Education and Science, Ministry of Economic Development and Trade, Ministry of Agriculture, Ministry of Environment Protection, MOH, Kazakh Academy of Nutrition, Ministry of Industry and New Technologies, Ministry of Communication and Information, Ministry of Tourism and Sport, Ministry of Culture, Ministry of Justice, Ministry of Internal Affairs, Ministry of Labor and Social Protection of Population, Ministry of Defense, Ministry of Emergency Situations, Local governance authoreties","","","","","","","","","National NGOs","Undefined relevant NGOs","","","Private sector","Undefined privet organization that wish to be partners","","","Цели:
Задачи
Основные направления: усиление профилактических мероприятий, скрининговых исследований, совершенствование диагностики, лечения и реабилитации основных социально значимых заболеваний; совершенствование санитарно-эпидемиологической службы;
","в разработку и внедрение межсекторальных подпрограмм входит:
Пути достижения и соответствующие меры
Информирование населения о здоровом питании
Мониторинг, оценка и исследования питания населения
Целевые индикаторы
Nutrition in schools:
1. To sensitize the stakeholders at all levels on the importance of school nutrition services.
2.To ensure all schools have instituted sustainable home-grown meals programmes by 2014. Instituting sustainable home-grown meals programmes.Provide mid morning snacks to pre-primary and primary school children in ASALs and targeted slum schools. Sensitizes the stakeholders on the scaling up of the mid-morning snacks.
3. Enhance nutrition: Review and update the curricula to enhance nutrition information. Develop/harmonize/print training manuals on nutrition, education and counseling. Train TTC lecturers and in-service teachers on nutrition education & assessment. Sensitize school community, and parents on nutrition education. Initiate and strengthen health clubs (4K clubs) in schools. Intiate school gardens including container gardens in urban schools for demonstration.
4. Micronutrient supplementation. 1. To address micronutrient deficiencies. Conduct bi-annual micronutrient supplementation (Vitamin A).
5. Enhance sustainability of school nutrition services. To strengthen mechanisms for sustainability of school nutrition services. Initiate/strengthen school gardens/tree nurseries and income generating activities. Supporting community based growing of food, diversification, milling, fortifying and preservation initiatives. Involve communities in planning, mobilization of resources and management of home-grown meals programmes. Encourage schools to use locally available foods
Food safety: Provision of safe food in schools.
To ensure all food for use should be transported, stored, prepared and served in a hygienic manner. To sensitize school management committee on the importance of medical examination, hygienic food handling and use of protective gear in schools.
","
75 % of pre-primary schools providing mid morning snack by 2014
60 % schools have school gardens by 2014
70 % of children vitamin A supplemented by 2014
50 % of schools with functional kitchen gardens/trees nurseries and income generating activities by 2014
","","","Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20School%20Health%20Strategy%20Implementation%20Plan%202011-2015.pdf" "40055","LBR","Liberia","","National Health and Social Welfare Policy and Plan","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2021","Ministry of Health and Social Welfare","","2011","","","","","Health|Education and research|Social welfare","Ministry of Health and Social Welfare","","","","","","","","","National NGOs","","","","","","","","","
A. Maternal and newborn health services
6. Maternal and Newborn Nutrition will focus on supplementation with iron and vitamin A and on promoting breastfeeding.
B. Child health services
3. Child Nutrition. The Essential Nutrition Actions approach, an integrated package of preventive nutrition actions encompassing infant and young child feeding, micronutrient supplementation and women’s nutrition, will be utilized. Rapid nutrition assessments will be carried out quarterly in selected communities by community volunteers using a MUAC tape. Growth monitoring will be re-introduced as part of the routine services at all levels.
4. Infant and Young Child Feeding. Early initiation of breastfeeding, and its continuation, first exclusively and later with complementary food will be promoted.
5. Management of Acute Malnutrition (MAM). Therapeutic and supplementary feeding programs will be integrated in existing health facilities with a phased approach.
6. Micronutrient Supplementation. The MOHSW will advocate for food fortification. General CHVs will be trained to provide information on proper nutrition and to distribute vitamin A supplements and deworming medications every six months.
","","","","Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Monitoring of children’s growth in school|Vitamin A|Micronutrient supplementation|Management of moderate acute malnutrition","","moh.gov.lr","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202011%20National%20Health%20and%20Social%20Welfare%20Policy.pdf" "23733","MDG","Madagascar","","Politique nationale de prévention et lutte intégrées contre les maladies chroniques non transmissibles","NCD policy, strategy or plan with healthy diet components","","French","","2011","","","Ministère de la Santé, du planning familial et de la protection sociale","","2011","","","","Ministère de la Santé Publique","Health|Education and research|Social welfare","Ministère de la Santé, du planning familial et de la protection sociale MNP","World Health Organization (WHO)","","","","","","","","","","","","","","","","
Promouvoir un environnement propice à la réduction des facteurs de risque et de la létalité des Maladies Chroniques Non Transmissibles. Réduire le fardeau humain et socioéconomique dû aux maladies chroniques non transmissibles
- Réduire d'au moins 10% la proportion de la population adulte à risque pour les MCNT
- Réduire de 20% la morbidité due aux MCNT
- Réduire d'au moins 10% la mortalité due aux MCNT
","","- Prévalence de la sédentarité inférieure à 2%
- Prévalence de l'HTA (de 17 à 12%)
...
- Prévalence de consommation quotidienne de fruits (de 30 à 40%)
- Prévalence de consommation quotidienne d'au moins 5 portions de fuits et légumes (de 75 à 90%)
- Prévalence de l'excès pondéral (de 9 à 8%)
","","","Overweight and obesity in adults|Raised blood pressure|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)","","http://www.iccp-portal.org/sites/default/files/plans/Madagascar%20-%20Politique%20nationale%20contre%20les%20maladies%20non%20transmissibles.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202011%20Politique%20nationale%20contre%20NCDs.pdf" "22852","MMR","Myanmar","","National Plan of Action for Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2015","National Nutrition Centre, Department of Health, Ministry of Health","","2013","","","","","Education and research|Environment|Food and agriculture|Health|Nutrition council|Other|Social welfare","National Nutrition Centre, Department of Health, Ministry of Health Education and research, Environment, Food and agriculture, Health, Nutrition council, Social welfare: Food and Nutrition Working Group","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), United Nations Industrial Development Organization (UNIDO), United Nations Population Fund (UNFPA), World Food Programme (WFP), World Health Organization (WHO),","","","Australian Agency for International Development (AUSAID)|Department of International Development (DFID)|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: Australian Agency for International Development (AUSAID), Department of International Development (DFID), Japan International Co-operation Agency (JICA), US Agency for International Development (USAID),","European Union","","","","","","","","","","Goal
The goal of the NPAFN is to ensure adequate access to, and utilization of food that is safe, adequate and well-balanced on a long term basis in order to enhance the physical and mental development of the people of Myanmar
Strategic Objectives (SOs)
Selected targets by 2016:
4.2 proportion of stunted of children < 5 (≤2 SD of WHO CGS median), Current: 35.1%, 2016: 30%
2.4 Proportion of Non-pregnant women with < Hb 12g/dL, Current: 45%, 2016: 30%
2.5 Prevalence of anemia for pregnant women, Current: 71%, 2016: 60%
4.1 incidence of LBW, Current: 8.6%, 2016: 8%
4.4 proportion of OW children below age five (<2 years and 2-5 years), Current: 2.6%, 2016: 2.2%
1.1 % of exclusively breastfed < 6 months olds, Current: 23.6%, 2016: 50%
4.3 proportion of wasted children <5 (wt-for ht ≤ 2SD of WHO CGS median), Current: 22.6%, 2016: 20%
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","Extract from the NPAFN log frames specifying the Action Areas linked to the ten strategic objectives (SOs). Each action area contains several interventions illustrated in the log frames.
SO1: Promote consumption of healthy foods and Improve Nutrient Intake
SO2: Prevent and reduce food, water, vector–borne and infectious diseases
SO3: Increase and diversify domestic food production
SO4: Improve access to food
SO5: Improve mother and child care practices
SO6: Improve environmental health and food safety
SO7: Improve institutional capacity and coordination
SO8: Improve Human capacity
SO9: Improve quality and quantity of information
SO10: Increase investments in nutrition and food security
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","The Plan of Action for Food and Nutrition compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|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|Total fat intake|Sodium/salt intake|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Monitoring of the Code|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School milk scheme|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Rice|Staple foods|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|Food security and agriculture|Health related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy ReviewACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202011%20National%20Plan%20of%20Action%20for%20Nutrition.pdf" "11534","NAM","Namibia","","Strategic Plan for Nutrition 2011–2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","MOHSS","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Sport|Trade|Information|Sub-national|Other","Regional Development, Gender, Defense, Lands and resettlement, Youth Sport and Culture, Saftey and Security, Office of the Prime Minister (OPM) and Namibia Alliance for Improved Nutrition (NAFIN) Trust","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Other, please specify under further details|Voluntary Services Overseas (VSO)","Health Unlimited (Britain), Doctors of the World( Spain), CESTAS (Italy), People in Need (Czech Republic), Chinese Medical Programme, faith-based organisations","Other|Centers for Disease Control and Prevention (CDC USA)|Gesellschaft für Technische Zusammenarbeit (GTZ, Germany)|US Agency for International Development (USAID)","PEPFAR (USA), Global Fund","European Commission|European Union","","National NGOs","","Research/academia","","Private sector","food producers, distributors, outlets, gyms, fitness institutions, Namibian grain producers Bokomo, Namib Mills and Southern Choice Mill","","","GOAL:
To improve the nutritional status of the Namibian population, with special emphasis on children, women and people living with HIV and TB, resulting in the reduction of morbidity and mortality due to or associated with malnutrition.
STRATEGIC PRIORITIES;
1. Maternal and child nutrition
2. Micronutrient deficiencies
3. Diet-related diseases and lifestyles
4. Nutritional management of communicable diseases
Objectives:
4.1.2.1. Underweight in under-fives reduced from 17 percent to 10 percent and severely underweight from 4 percent to 1.5 percent
4.1.2.2. Chronic malnutrition in women of reproductive age reduced from 16 percent to 12 percent
4.2.2.1. Disorders associated with iodine, iron, zinc and vitamin A deficiencies eliminated
4.3.2.1. Prevalence of obesity reduced from 12 percent to 8 percent and overweight from 16 percent to10 percent in women of reproductive age and from 4.3 percent to 1.5 percent in under-5s.
4.4.2.1. Appropriate nutrition care provided for at least 80 percent of people living with HIV and TB
4.4.2.2. Nutrition care integrated into management of malaria and other communicable diseases
Priority 1 Strategies:
I. Growth Monitoring and Nutrition Promotion
II. Universal implementation of Baby and Mother Friendly Hospital Initiative
III. Infant and Young Child Feeding
IV. Integrated Management of Acute Malnutrition
V. Code of Marketing of Breast-milk Substitutes
VI. Maternal and Child Nutrition Promotion
VII. Nutrition Surveillance
Priority 2 Strategies:
I. National household food consumption and micronutrient deficiency survey
II. Micronutrient supplementation (iron, zinc, vitamin A)
III. Universal salt iodisation
IV. Food fortification
V. Promotion of dietary diversification
VI. Legislative framework
Priority 3 Strategies:
I. Assessment of prevalence and causes of obesity and associated NCCD in the general population
II. Monitoring and promotion of healthy diets and physical activity
III. Dietary management of diet-related non-communicable diseases
IV. Regulation of food safety, food standards and food labelling
Priority 4 strategies:
I. Integrated Management of Acute Malnutrition
II. Promotion of appropriate nutrition for PLHIV and TB
III. Raise awareness on water and food safety, hygiene and sanitation
IV. Nutrition surveillance
V. Nutrition assessment, counselling and support
OUTPUT INDICATORS:
OUTCOME INDICATORS:
IMPACT INDICATORS:
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202011%20Final_strategic_Plan_for_Nutrition_14_March_2011%20%282%29.pdf" "14728","PER","Peru","","Estrategia Nacional de Desarrollo e Inclusión Social “Incluir para Crecer”","Multisectoral development plan with nutrition components","","Spanish","","2011","","","Ministry for Development and Social Inclusion","","2011","","","","","Social welfare|Development","","","","","","","","","","","","","","","","","","
Objetivo
Reducir la desnutrición crónica infantil, a través de intervenciones orientadas a la madre gestante y a los niños entre 0 y 3 años.
","Desarrollo de los ejes estratégicos
2.2.1 E je 1: Nutrición infantil
En el marco de la Convención sobre los Derechos del Niño se ratifica la necesidad de que el Estado ejecute acciones que garanticen la supervivencia, el desarrollo y la protección del niño. En este sentido, una de las principales líneas de acción está asociada a asegurar la adecuada nutrición de las niñas y los niños, como una de las herramientas iniciales para cortar el círculo vicioso de la transmisión intergeneracional de la pobreza. Las deficiencias en la nutrición de las niñas y los niños, especialmente en aquellos menores de tres años, no se traducen solo en un problema de salud, sino también en una limitante para el desarrollo del país.
La DCI se asocia a daños físicos y cognitivos de difícil reversión, lo que afecta la salud del niño en el presente con efectos en su bienestar social y productividad económica en el futuro. Las consecuencias de una nutrición deficiente continúan en la edad adulta y afectan a la próxima generación, debido a que las niñas y mujeres desnutridas tienen mayor riesgo de tener hijos desnutridos.
","Indicadores
*Reducir la prevalencia de la Desnutrición Crónica Infantil en niñas y niños menores de 3 años
1. Reducir la incidencia de bajo peso al nacer
2. Reducir los índices de morbilidad por IRA y EDA en menores de 36 meses
3. Calidad de la dieta (micronutrientes) de menores de 36 meses
*Revisar indicadores en el link
","","","Low birth weight|Stunting in children 0-5 yrs|Nutrition counselling on healthy diets|Micronutrient supplementation|Food security and agriculture|Conditional cash transfer programmes","","http://www.midis.gob.pe/dmdocuments/estrategianacionaldedesarrolloeinclusinsocialincluirparacrecer.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/peru","" "17831","QAT","Qatar","","National Health Strategy","Health sector policy, strategy or plan with nutrition components","","","","2011","","2016","Ministry of Public Health","","2011","Adopted","","2011","Ministry of Public Health","Education and research|Food and agriculture|Health|Social welfare|Trade|Women, children, families","Ministry of Public Health Education and research, Food and agriculture, Health, Health, Social welfare, Trade, Women, children, families: Ministry of Education & Higher Education, Ministry of Municipality and Agriculture, Primary Health Care Corporation,","","","","","","","","","","Qatar Foundation","","","","","Other","Aspetar (Qatar Orthopedic and Sports Medicine Hospital)","Project 3.1. Public health governance
Activities:
Implement three quick wins ( five potential examples given here):
− Pictorial warnings on cigarette packs
− Calorie labelling on restaurant menus
− Car seats for new mothers
− Updated vaccination programs for adults
- Awareness campaigns to promote exclusive BF
Project 3.2 Nutrition and physical activity
Outputs:
Project 3.8 Women and child health
","","","Overweight, obesity and diet-related NCDs|Nutrition in schools|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation","","https://www.moph.gov.qa/home-en","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%202011%20National%20Health%20Strategy.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%202011%20National%20Health%20Strategy.pdf" "14807","UGA","Uganda","","The Social Development Sector Strategic Investment Plan (SDIP-2)","Social protection plan with nutrition components","Social Protection","English","","2011","","2016","Ministry of Gender, Labor and Social Development","","2011","","","","","Social welfare","Ministry of Gender, Labor and Social Development","","","","","","","","","","","","","","","","","","
7.0 THEMATIC AREA INTERVENTIONS
7.3 Social Protection for Vulnerable Groups
7.3.1 Provision of social assistance for the chronically vulnerable
150. The sector shall provide social assistance in form of cash transfers to those deemed eligible on the basis of their vulnerability(….) In addition, the sector shall advocate for preventive measures to avert poverty and reduce vulnerability and risks. Such measures include food for-work schemes in food insecure regions AND school feeding programmes for orphans.
","- Food and Nutrition Security: 70% of households are food secure and have proper nutrition
- Health, Water, Sanitation and Shelter: Increased access to and utilization of safe water and sanitation facilities for OVC at household, community and institutional levels especially in schools, children’s and remand homes.
Objective 2: Expand access to essential services for orphans and other vulnerable children, their caregivers and families/households.
Interventions:
2.1 Provide social assistance to OVC households to address hunger and malnutrition
a) Implement a national cash transfer programme to increase access to and utilization of food
b) Provide food aid to critically vulnerable OVC and their households
1.2 Promote increased agricultural production and livelihood diversification for OVC households to strengthen their food security
d) Promote commercial agriculture for OVC households to enable them generate income and meet their diversified dietary needs
2.3 Promote proper nutrition for OVC in homes, schools, and other institutions
a) Promote diet diversification, supplementation and fortification for children in households and institutions (children’s homes, schools)
b) Support Community education and sensitization programs on proper nutrition for children including training in food handling, preparation and storage
c) Train communities, VHT and other duty bearers in nutrition monitoring and basic health care practices
d) Promote breast feeding among lactating mothers except where it is not medically recommended
Indicator: Number of OVC/ OVC households who receive food support. Target: 95% of all OVC fully nourished
Indicator: Number of OVC caregivers trained in food security and nutrition. Target: 400 000 (baseline not available)
Increase number of OVC households receiving emergency food aid from 34,334 OVC households with emergy food aid (baseline) to 211, 718 (target)
NSPPIS-2 does not speciy when targets are to be met (or when baseline values were predicted)
","Outcome indicators","","Breastfeeding|Underweight in children 0-5 years|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/Final_Printed_OVC_Strategic_Plan_Uganda_-NSPPI_2.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20National%20Strategic%20Programme%20Plan%20of%20Interventions%20for%20Orphans%20and%20Other%20Vulnerable%20Children.pdf" "8475","TZA","United Republic of Tanzania","","National Nutrition Strategy 2011/12-2015/16","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","The United Republic of Tanzania, Ministry of Health and Social Welfare","","2011","","","","","Health|Social welfare","The United Republic of Tanzania, Ministry of Health and Social Welfare","","WHO, UNICEF, WFP, FAO","","International NGOs & National NGOs: NGOs, CBOs, FBOs","","Bilateral and donor agencies and lenders","","","National NGOs","","Research/academia","Research/academia: Higher learning and training institutions","Private sector","Privet sector unspecified","Other","Community, Media, Professional bodies","Goal
The goal of the Strategy is that all Tanzanians attain adequate nutritional status, which is an essential requirement for a healthy and productive nation. This will be achieved through policies, strategies, programs and partnerships that deliver evidence-based and cost-effective interventions to improve nutrition
Targets
The targets to be achieved by 2015, are as follows:
Behavior change and service provision objectives
* Prevalence rate according to New WHO Child Growth Standards
[1] The 5% target is less that the 2% target set in the NSGRP, as it is felt that the latter target is too ambitious.
","
Strategies
Eight strategies have been identified to achieve the goal and objectives of the Strategy:
i. Accessing quality nutrition services: Nutrition interventions must be delivered at scale and with high coverage if they are to have impact on prevalence of malnutrition at the population level. The focus will be on delivering a package of high-impact nutrition services. District nutrition services will be well managed, of high quality and accessible to all, particularly women and children and other vulnerable groups.
ii. Advocacy and behaviour change communication: Advocacy will to be intensified to raise the visibility and profile of malnutrition at all levels, and increase the commitment and resources for its alleviation. At the household and community level, improved knowledge on caring practices for infants, young children and women of child-bearing age is a necessary component of sustainable efforts to reduce malnutrition.
iii. Legislation for a supportive environment: Legislation, policies and standards are needed to create a supportive environment conducive to good nutrition. They include measures to prevent unethical marketing of breast-milk substitutes, to protect the breastfeeding rights of employed women, to ensure adequate labelling and quality of products intended for consumption by infants and young children, and for the fortification of food.
iv. Mainstreaming nutrition into national and sectoral policies, plans and programs: The multi-sectoral nature of nutrition requires advocacy for its inclusion in national and sector policies and plans. Nutritional indicators have been included in the MKUKUTA but further efforts are needed so that nutrition is firmly part of policies and strategies in the health, agriculture, education, community development and industry sectors.
v. Institutional and technical capacity for nutrition: Nutrition needs to attain the required institutional and technical capacity that is necessary in the decentralization framework. As LGAs are now responsible for implementation of nutrition services, it is essential that there be district level nutrition focal points who are accountable for the delivery of quality nutrition services, and supportive structures at the regional and national level to provide technical backstopping, guidance and supportive supervision. Increasing the numbers and quality of human resources for nutrition at all levels and in all relevant sectors is critical for improving the quality of nutrition services. For health service providers, pre-service and in-service training courses need to keep pace with latest policies, strategies, guidelines and scientific thinking.
vi. Resource mobilization: The budget gap in nutrition needs to be reduced by mobilizing adequate and sustainable financial resources and improving the efficiency in the use of financial resources for nutrition. Despite hard budget constraints, additional budget for nutrition exists, including larger aid from development partners, increased budget allocation from MOHSW, increased efficiency in delivering nutrition interventions and collaboration with other sectors and programs.
vii. Research, monitoring and evaluation: Research, monitoring and evaluation are essential for evidence-based decision making and enhancing public accountability. Monitoring is continuous and aims to provide the management and other stakeholders with early indications of progress in the achievement of goals, objectives and results. Evaluation is a periodic exercise that attempts to systematically and objectively assess progress towards and the achievement of a program’s objectives or goals. Research tests specific interventions and approaches for the betterment of nutritional status, and provides further evidence for policy and programming.
viii. Coordination and partnerships: Because there are multiple causes of malnutrition, action is needed across a range of sectors including health, food and agriculture, water supply and sanitation, education and others. A coordinated response maximizes the use of available technical and financial resources and can create greater synergy of efforts. Public-private partnerships and collaboration with NGOs can increase the opportunities for delivering and scaling up nutrition services.
","Pages 27-36
Strategy 1: Accessing quality nutrition services
SO 1.1: Increase access to nutrition services at the community and facility level.
- Health facilities provide the minimum package of high-impact nutrition services
- Integration of nutrition interventions into the delivery of health services is increased
- Linkage with other sectors is improved to address immediate and underlying causes of malnutrition in a comprehensive manner
- Community-based programs and networks to promote and support appropriate nutrition behaviours are developed
- Two-way referral mechanisms between the community and higher levels of care are strengthened Nutrition interventions are effective in reducing undernutrition in vulnerable groups
SO 1.2: Strengthen the quality of nutrition services.
- Guidelines, standards, protocols, job aids and other technical tools for nutrition are updated and disseminated to districts
- Adherence to policies, guidelines, standards, protocols, job aids and other technical tools for nutrition is improved
- Availability of essential equipment and supplies for nutrition is guaranteed at all health facilities
SO 1.3: Improve the district- and regional-level management of nutrition services
- Minimum package of high-impact nutrition services is included in Comprehensive Council Health Plans (CCHPs)
- Supportive supervision of health facilities by CHMT, RHMT and other sectors staff includes nutrition
- Supportive supervision of extension workers in the agriculture and community development includes nutrition
Strategy 2: Behaviour change communication
SO 2.1: Enhance the nutrition behaviours of women, caregivers, family and community members, and those who influence them
Men, women, caregivers, family and community members practice behaviours, customs and traditions that support improved nutrition
Strategy 3: Legislation for a supportive environment for optimal nutrition.
SO 3.1:
- Strengthen the implementation, monitoring and enforcement of legislation.
- Legislation to create a supportive environment for optimal nutrition is enacted and periodically revised, including legislation for the protection of breastfeeding legislation to regulate - - marketing of breastmilk substitutes, maternity rights, food safety and food fortification
- Regulations, standards and guidelines to support the implementation of legislation are developed, and periodically revised when necessary
- Monitoring and enforcement procedures are strengthened to more effectively detect violations
Strategy 4: Mainstreaming nutrition interventions in national and sectoral policies and plans
SO 4.1: All government development policies adequately incorporate nutrition as a priority area of achieving economic growth, stability and prosperity.
Strategy 5: Technical capacity for nutrition
SO 5.1: Build strategic and operational capacity for nutrition
- National level structures provide strategic leadership and technical backstopping
- Regional departments provide supportive supervision and guidance to LGAs
- Local government authorities have the capacity to plan and implement nutrition services
SO 5.2: Improve the knowledge and skills of professional and community-based workers at all levels to give adequate support in nutrition.
- Pre-service curricula and training materials for service providers includes appropriate content on nutrition
- In-service training materials, guidelines, protocols and job aids are available
- Pool of trainers in nutrition for training of service providers is developed
- Follow-up and supportive supervision of service providers and community-based workers is improved to sustain their knowledge and skills
Strategy 6: Advocacy and resource mobilization
SO 6.1: Establish and maintain nutrition high on the development agenda at all levels and mobilize adequate and sustainable financial resources to support implementation of the NNS
-Nutrition is established and maintained high on the development agenda
-Increased resources are mobilized for nutrition at the central, regional and district levels
Strategy 7: Research, monitoring and evaluation
SO 7.1: Develop framework/plans for monitoring, evaluation and research for nutrition
- Monitoring and evaluation framework and research plan developed
-Nutrition included in sectoral M&E strategies and plans
SO 7.2: Obtain timely data on the nutritional status of the population through nutritional surveillance, HMIS, periodic surveys, and other routine and non-routine data systems.
- Nutrition indicators are included in HMIS, periodic surveys, surveillance systems and other routine and non-routine data systems
- Nutritional surveillance is strengthened
- Special surveys conducted to obtain specialised data on nutritional status
SO 7.3: Strengthen the evidence-base for nutrition policy and programming
- Research implemented to provide necessary additional information for nutrition planning, and research findings disseminated
Strategy 8: Coordination and partnerships
SO 8.1: Enhance coherence and synergy in the delivery of nutrition interventions through coordination at all levels
Coordination structures for nutrition are functional
SO 8.2: Strengthen partnerships for nutrition
Strategic partnerships for nutrition are established
","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Fat intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Water and sanitation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202011%20National%20Nutrition%20Strategy.pdf" "36037","TZA","United Republic of Tanzania","","Tanzania Agriculture and Food Security Investment Plan (TAFSIP) ","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2011","","2021","","10","2011","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Inter-Ministerial Coordinating Committee (ICC),","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","Private sector","","Other","communities, farmer organizations","Goal: contribute to the national economic growth, household income and food security in line with national and sectoral development
aspirations growth, household income and food security in line with national and sectoral development aspirations
Objective: rationalise allocation of resources to achieveannual 6 percent agricultural GDP growth, consistent with national objectives to reduce ruralpoverty and improve house hold food and nutrition security
Strategic objective: Enhanced household and national food and nutrition security
","4 THE INVESTMENT PLAN
4.3 Priority Investment Areas
4.3.5 Food and Nutrition Security
109. Food and nutrition security takes a number of forms, all of which affect the quality of life and productivity of rural people. Chronic, transitory and emergency food insecurity due to poor agricultural productivity, food inaccessibility and natural disasters all play a role. A 2005 survey found that 15 per cent of households in selected locations were food insecure and another 15 per cent were highly vulnerable. Northern and central regions were worst affected and the level of food insecurity in some areas was high as 45 percent. Food security is highly dependent on rain-fed agriculture which also is susceptible to the vagaries of weather. Therefore there is need to promote and embark on irrigated agriculture and diversification of crops (drought resistant crops) for greater reliability of food supplies.
110. Capacity of strategic food reserves; The issue of strategic food reserves needs to consider: (i) an appropriate level of stocks to hold; (ii) transparent protocols and rules for the acquisition and release of stocks, stock rotation, and the use of financial instruments to complement physical stock-holding; and (iii) policies and procedures for dealing with food price spikes of the type currently being experienced.
111. Malnutrition is one of the most serious constraints to labour productivity and economic growth. Chronic malnutrition is also high with 38 per cent of children less than five years of age being stunted, making it one of the ten worst affected countries in the world and third worst in Africa. Over the last five years (2005 to 2010) the levels of chronic malnutrition and calorie deficiency were only reduced slightly. Malnutrition reduces labour productivity and earning potential most within the agricultural sector where physical stature and body strength are critical. In children, malnutrition often contributes to increased child mortality, and for those who survive, it diminishes their ability to grow, learn and earn a decent income as adults.
112. There will continue to be a proportion of rural households needing special support to help them achieve food security and protect them against shocks, principally droughts. It is expected that advancements in other areas of the TAFSIP will progressively reduce the number of households requiring food aid and other forms of assistance to survive. The effectiveness of targeting social safety net programmes for vulnerable groups will be sharpened, and the prevalence of child and maternal malnutrition is expected to decline. As the size and cost of the safety net programme begins to decline, more resources will be available for disaster risk management including disaster preparedness and mitigation.
113. SO5 also aims at strengthening social protection systems, particularly for the most vulnerable households by improving their food and nutrition security and asset creation while promoting human capital development through education. The National Nutrition Strategy addresses the problem of chronic malnutrition by working with multiple sectors and across government agencies. This recognises that increasing food production alone does not necessarily translate into improved nutrition outcomes. Families must also be provided with information and education about good nutrition and sanitation practices. A national school feeding program will also be supported to improve food intake and increase school attendance.
114. Small, strategic and targeted support can meet the immediate nutritional needs of vulnerable households, buffering them from asset depletion and coping strategies that undermine their long-term resilience. However, emergency support will not shift households out of poverty. Therefore additional interventions such as productive safety net and household asset protection will also be implemented. These measures support productive investment through conditional transfers that provide pathways out of poverty via rural infrastructure development, market access, agricultural productivity improvement, education, healthcare and other services.
115. The Tanzania National Food Centre (TNFC) is currently finalising the National Food and Nutrition Policy. A key policy issue is the need to ensure that significant numbers beneficiaries graduate from chronic food insecurity to enable them to advance towards becoming small-scale semi-commercial farmers under SO5; and for households to improve their knowledge about how to use increasing food availability to improve the nutritional status of their children. Increasing the rate of graduation is contingent upon the rate of progress under the other three strategic objectives and should be responsive to the needs of vulnerable households affected by natural disasters. As such, it is not advisable to prescribe the rate at which social safety net programmes can be scaled down, and to retain the capacity to respond to weather-related and other crises should circumstances deteriorate, for example through a severe and widespread drought or epidemic.
116. There is a need for better integration of dietary diversification and nutrition behavior change into all agricultural sector programmes. This recognises that simply producing more and better food is not sufficient. Rural households, especially the more vulnerable and disadvantaged ones need to understand the importance of diet in overall wellbeing and have the knowledge to use the food that they have in the best possible way. In this context there are potential tensions between policies that encourage agricultural commercialisation (often involving increased specialisation) and the need to maintain diversification of farming systems and diets.
117. Other aspects of food and nutrition policy include food safety and food fortification. Current standards of food safety need to be greatly improved including microbiology, pesticide residues, labelling standards and safe storage and transport. The new food fortification standards for oil, wheat and maize flour need to be enforced. The development and enforcement of standards needs to be balanced with public education on safe food handling practices. This is also important in accessing export markets and will be increasingly important in maintaining a competitive position in the high end of the domestic market. In addition to the above, the following priority areas will be addressed: (i) finalization and implementation of nutrition strategy; (ii) establishment of high level nutrition steering committee in the Mainland ; (iii) effective 2012 designate budget line in the national budget for nutrition; (iv) stronger integration of nutrition into agricultural activities; (v) establishment of nutritional focal point at district level; and finalization and implementation of guidelines related to food fortification. The outcomes that SO4 is expected to influence, and the milestone indicators showing progress towards these outcomes are as well reflected in Annex 1.
","
General objectives:
By the year 2020, the average diet of Vietnamese people will be improved in quantity, balanced in quality, hygienic and safe; Child malnutrition will be further reduced, especially the prevalence of stunting, contributing to improved nutrition status and stature of Vietnamese people; and obesity/overweight will be managed, contributing to the control of nutrition-related chronic diseases.
Specific objectives:
1. To continue to improve the diet of Vietnamese people, in terms of quantity and quality
2. To improve the nutrition status of mothers and children
3. To improve micro-nutrient status
4. To effectively control overweight and obesity and risk factors of nutrition related non-communicable chronic disease in adults
5. To improve knowledge and practices regarding proper nutrition in the general population
6. To reinforce capacity and effectiveness of the network of nutrition services in both community and health care facilities
","PROJECTS AND PROGRAMS TO IMPLEMENT THE NNS:
1. Project for Nutrition education, communication and capacity building
2. Project for maternal and child malnutrition control, focused on reduction of stunting, improvement of height, and proper health and nutrition for pregnant women
3. Project for micronutrient deficiency control
4. Program for School Nutrition
5. Project for overweight and obesity and nutrition-related, non-communicable, chronic disease control
6. Program for food and nutrition security and nutrition in emergencies
7. Nutrition surveillance
","• The proportion of households with low energy intake (below 1800 Kcal) will be reduced to 10 % by 2015 and 5 % by 2020.
• The proportion of households with a balanced diet (Protein:Lipid:Carbohydrate ratio – 14:18:68) will reach 50% by 2015 and 75% by 2020.
• The prevalence of chronic energy deficiency in reproductive-aged women will be reduced to 15% by 2010 and less than 12% by 2020.
• The rate of low birth weight (infants born less than 2,500g) will be reduced to under 10% prevalence by 2015 and less than 8% by 2020.
• The rate of stunting in children under 5 years old will be reduced to 26% by 2015, and to 23% by 2020.
• The prevalence of underweight among children under 5 years old will be reduced to 15% by 2015 and to 12.5% by 2020.
• By 2020, the average height of children under 5 will increase by 1.5 – 2cm in both boys and girls; and height in adolescents by sex will increase by 1-1.5 cm compared with the averages from 2010.
• The prevalence of overweight in children under 5 will be less than 5% in rural areas and less than 10% among urban populations by 2015, and will be maintained at the same rate by 2020.
• The prevalence of children under five with low serum vitamin A (<0.7 μmol/L) will be reduced to 10 % by 2010 and below 8 % by 2020.
• The prevalence of anaemia in pregnant women will be reduced to 28% by 2015 and to 23 % by 2020.
• The prevalence of anaemia among children will be reduced to 20% by 2015 and 15% by 2020.
• By 2015, standardised iodized salt (≥20 ppm) will be regularly available throughout the country, with coverage of more than 90% of households. Mean urinary iodine levels in mothers with children under 5 will be between 10-20 mcg/dl, and these concentrations will be maintained by 2020.
• The prevalence of overweight and obesity in adults will be controlled to a rate of less than 8% by 2010 and will increase to no more than 12% by 2020.
• The proportion of adults with elevated serum cholesterol (over 5.2 mmol/L) will be less than 28% in 2015 and will remain relatively controlled with less than 30% prevalence in 2020.
• The rate of exclusive breastfeeding (EBF) for the first 6 months will reach 27% by 2015 and 35% by 2020.
• The proportion of mothers with proper nutrition knowledge and practices when caring for a sick child will reach 75% by 2015 and 85% by 2020.
• The proportion of adolescent females receiving maternal and nutrition education will reach 60% by 2015 and 75% by 2020.
• By 2015, the proportion of nutrition coordinators receiving training in community nutrition (from 1 to 3 months) will reach 75% among provincial level employees and 50% of those at the district level. By 2020, this proportion will be 100% and 75%, respectively.
• By 2015, 100% of communal nutrition coordinators and nutrition collaborators will be trained and updated on nutrition care practices. Training of all nutrition staff will be maintained in 2020.
• The proportion of central and provincial hospitals with dieticians will reach 90% at central level, 70% at provincial level and 30% at district level by 2015. By 2020, this proportion will be 100%, 95%, and 50% respectively.
• The proportion of hospitals applying nutrition counseling and therapeutic treatment for conditions such as aging health, HIV/AIDS and TB, will reach 90% among central, 70% among provincial, and 20% among district hospitals by 2015. By 2020, the coverage will be 100%, 95% and 50%, respectively.
• The proportion of provinces qualified for performing nutrition surveilance will reach 50% by 2015 and 75% by 2020. Nutrition data will be monitored with particular focus in vulnerable provinces, in emergency situations, and in provinces with high prevalence of malnutrition.
Objetivos
Objetivo General
Contribuir a la disminución de la morbi mortalidad atribuible a hipertensión arterial y enfermedad cardiovascular en la población Colombiana, mediante la reducción gradual del consumo de sal proveniente de las diferentes fuentes alimentarias, hasta lograr la recomendación de la OMS prevista para el año 2021 (5 g sal ó 2 g sodio/ persona/día).
Objetivos Específicos
Conocer la situación nacional respecto a la ingesta de sodio, las fuentes alimentarias, su contenido en los alimentos de mayor consumo y los conocimientos, actitudes y comportamientos del consumidor.
Implementar estrategias en coordinación con la industria alimentaria y los servicios de alimentación para disminuir el contenido de sal/sodio en los alimentos procesados y preparados.
Promover un cambio de hábitos en la población, sobre el consumo excesivo de sal en la alimentación, mediante un plan de educación y promoción de hábitos alimentarios saludables.
Monitorear y evaluar las acciones para la reducción del consumo de sal/sodio en la población.
","Líneas de acción
Industria
Teniendo en cuenta la multiplicidad de actores de este sector así como las preferencias de los consumidores los objetivos planteados esta relacionados con:
• Sensibilizar a actores clave del sector de panificación con relación a la necesidad de reducir de manera gradual el contenido de sal en la formulación del pan, a fin de comercializar un producto más saludable y de óptimas características sensoriales.
• Establecer la reducción gradual del contenido de sal en los tipos de pan fresco de mayor consumo a nivel territorial, partiendo de las formulaciones utilizadas en entidades formadoras de recurso humano calificado.
Información, Educación y Comunicación IEC
Su objetivo es sensibilizar a la población y a todos los actores (industria alimentaria, productores, distribuidores, servicios de alimentos, consumidores, personal de salud, alto gobierno) para que realicen cambios de comportamiento, modifiquen sus hábitos alimentarios relacionados con la ingesta excesiva de sal/ sodio; se reformule la adición de sal/sodio en los productos y preparaciones a fin de reducir la prevalencia de hipertensión arterial en la población y promover una dieta balanceada y saludable.
Proveeduría Institucional
Esta línea de acción tiene un alcance a nivel nacional, busca establecer los lineamientos sobre los contenidos máximos de nutrientes de interés en salud pública (incluido el sodio), en los alimentos procesados que son incluidos en los programas sociales de ayuda alimentaria suministrados por el gobierno a beneficiarios de diferentes grupos de edad.
Investigación
Esta línea de acción estudia y evalúa la situación de Colombia respecto a las fuentes alimentarias, el contenido de sodio en los alimentos, la ingesta diaria de sodio por parte de la población, las actitudes, prácticas y costumbres de la población respecto al consumo de sal, a fin de establecer las líneas de base para fijar metas de reducción del contenido de sal/sodio en los productos y preparaciones que consume la población para alcanzar la meta de consumo fijada por la OMS 2 gramos de sodio/persona/día.
","Seguimiento, Monitoreo y Evaluación
Según el Ministerio de Salud y Protección Social41 un sistema de sistema de seguimiento y evaluación es un conjunto de instrumentos e insumos de información que apoya la toma de decisiones de los principales actores del Sistema de la Protección Social. Algunos de los objetivos el Sistema de Seguimiento y Evaluación son:
• Mejorar el nivel de información en el sector en cuanto a resultados e impactos de sus políticas, programas y proyectos.
• Ampliar la utilización de este tipo de datos tanto en los procesos de toma de decisiones al interior del sector, como en los procesos de rendición de cuentas a la ciudadanía.
• Tomar mejores decisiones en torno a la ampliación o modificación de políticas, programas y proyectos.
• Decidir qué ajustes son necesarios en los diseños de los mismos y en general adoptar medidas correctivas frente a síntomas de mal desempeño.
• Usar la información ideal para desarrollar procesos de rendición de cuentas continuos y enfocados en la difusión de los resultados y efectos alcanzados por la gestión pública.
Los Componentes del Sistema de Seguimiento y Evaluación-SSE
El Sistema de Seguimiento y Evaluación está compuesto por tres componentes que interactúan y se retroalimentan constantemente:
1. Componente de Seguimiento y Monitoreo de las Políticas y Programas: consiste en el seguimiento sistemá- tico de las políticas y programas del SPS a través de instrumentos de seguimiento como indicadores, reportes, balances, etc. El SSE realiza el seguimiento y monitoreo sobre la base de objetivos definidos, metas medibles e indicadores concretos con valores de línea de base cuantificados y verificables.
2. Componente de Evaluación: consiste en la formulación y el desarrollo de una agenda de evaluación concreta sobre los principales programas del Ministerio en donde se identifican los efectos e impactos de estos programas de tal forma sea posible su ajuste y rediseño de los mismos en la política social
3. Componente de Rendición de Cuentas: consiste en la difusión hacia la sociedad civil y al público en general de los resultados de la gestión del Ministerio en sus principales programas sociales y su retroalimentación por parte de la sociedad civil para el mejoramiento de la gestión.
","","","Sodium/salt intake|Salt/sodium","","https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/SNA/Estrategia-reduccion-sal-2012-2021.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202012%20Estrategia%20Nacional%20para%20la%20Reducci%C3%B3n%20del%20Consumo%20de%20Sal%20Sodio%20en%20Colombia.pdf" "8248","COL","Colombia","","Plan Nacional de Seguridad Alimentaria y Nutricional","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2012","","2019","Gobierno de Colombia","","2012","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade","","","FAO","","","","","","","","","","","","","","","OBJETIVOS
General
Contribuir al mejoramiento de la situación alimentaria y nutricional de toda la población colombiana, en especial, de la más pobre y vulnerable.
Específicos
Los objetivos específicos del Plan están asociados a las dimensiones de la Política, y a unas estrategias transversales en términos de Calidad e Inocuidad y Fortalecimiento Institucional.
ESTRATEGIAS
Se entiende por estrategia al ejercicio de planificación, asignación y utilización de recursos disponibles para el cumplimiento de uno o varios objetivos. La estrategia responde a la pregunta fundamental de cómo abordar una problemática, para cumplir un fin. En el caso del PNSAN, la estrategia se puede definir como la visualización y el planeamiento necesarios para el abordaje de la problemática específica de la seguridad alimentaria y nutricional de la población colombiana y cómo hacer para cumplir uno o varios objetivos.
La estrategia debe prever la utilización y aprovechamiento de recursos y propuestas de acciones concretas que permiten lograr lo que se propone.
1. Construcción y desarrollo de la institucionalidad para la SAN
La seguridad alimentaria y nutricional requiere de una nueva concepción de institucionalidad que implique la apropiación social del tema, la sensibilización de todos los sectores sociales para trabajar conjuntamente hacia la garantía del derecho a la alimentación y ofrecer las condiciones para la prevención de los riesgos relacionados con la vulnerabilidad alimentaria y nutricional, así como para que la sociedad se movilice para atender a los grupos afectados por condiciones de vulnerabilidad con el enfoque de desarrollar las capacidades y las posibilidades de estas personas, para que se reintegren, lo más rápido posible, a la sociedad productiva.
Esta institucionalidad debe concebirse y desarrollarse en todos los niveles, desde orden el nacional donde se orientan, direccionan, desarrollan y coordinan las acciones en materia de SAN del alcance nacional necesarias hasta su articulación con los niveles territoriales, reconociendo las particularidades regionales.
La institucionalidad incluye también la movilización social en forma permanente de actividades para motivar, comprometer y coordinar acciones tanto de entidades estatales como de la sociedad en general a favor de la SAN y para que los temas SAN sean asumidos como estratégicos. Implica también la construcción permanente de una cultura de un compromiso social, por parte de las entidades y servidores públicos del Estado en favor de la SAN, especialmente de aquellas que tienen compromisos directos en su desarrollo, en el cumplimiento de objetivos y metas del plan.
Algunas de tales acciones son: armonización de los objetivos de la seguridad alimentaria y nutricional a través de planes Institucionales dentro de cada entidad responsable del PNSAN, con las políticas sectoriales, desarrollo y/o perfeccionamiento del marco legal, regulatorio y de políticas en materia de seguridad alimentaria y nutricional, promoción, fortalecimiento y creación de instancias de decisión y de coordinación en materia de seguridad alimentaria y nutricional en los niveles nacional, regional y local, promoción del fortalecimiento técnico y financiero, mejoramiento de la gestión de las entidades públicas responsables del desarrollo de los diferentes ejes de la política de SAN y promoción e incentivos a instrumentos financieros comunes, dirigidos a grupos vulnerables.
2. Planes territoriales de SAN
La concreción de la institucionalidad a nivel territorial se expresa en los planes departamentales y municipales de SAN, para lo cual es indispensable la constitución de comités y coordinadores de SAN, en los que participen representantes de los estamentos sociales, que conozcan y discutan las realidades de su respectivo entorno y puedan formular sus propios objetivos, estrategias, líneas de acción y acciones posibles así como para que hagan acuerdos de compromisos y metas deseables y la definición de las instancias de control y participación social, para el desarrollo, seguimiento y evaluación del respectivo plan, junto con sus programas y proyectos concretos.
Las entidades que conforman la CISAN definirán y apoyarán acciones para que los entes territoriales construyan, ajusten o actualicen sus propios planes de SAN, en el marco del Plan Nacional de SAN y en consideración con las condiciones y especificidades de su espacio socio-económico.
Como se ha mencionado, esa construcción deberá ser colectiva, con participación de todos los grupos sociales, y teniendo en cuenta especialmente las poblaciones en condiciones de vulnerabilidad e incluyendo alianzas que permitan potenciar esfuerzos y recursos y para lograr la legitimidad y sostenibilidad necesarias.
En este sentido, el MSPS y el ICBF apoyaran la construcción de Planes Territoriales de Seguridad Alimentaria y Nutricional con enfoque diferencial que incluya acciones de atención alimentaria a la primera infancia de acuerdo a la disponibilidad de alimentos por región y características culturales de los grupos poblacionales.9
3. Alianzas estratégicas
La seguridad alimentaria y nutricional requiere la articulación de los distintos sectores involucrados, mediante la conformación y desarrollo de alianzas, que conlleven a la conformación de pactos y acuerdos orientados a la lucha contra el hambre en los ámbitos nacional y regional, tanto rural como urbano, la promoción y apoyo a los procesos de planificación descentralizados y la participación ciudadana en temas asociados con la SAN, así como al establecimiento y fomento de normas que viabilicen la conformación de alianzas entre estado y diferentes grupos sociales en planes y proyectos de SAN.
4. Participación social y comunitaria en los planes, programas y proyectos de SAN
Promover la participación social y comunitaria en los temas de SAN, genera un mayor sentido de pertenencia y responsabilidad en las acciones que se emprendan para lograr los objetivos propuestos. Debe fomentarse una mayor obligatoriedad por parte del Estado en el compromiso de crear y apoyar la participación comunitaria.
La participación comunitaria también estará presente en la formulación, ejecución, seguimiento y evaluación de los programas y proyectos de SAN y muchos de los proyectos se formularán, de hecho, como proyectos comunitarios, con componentes de capacitación y asistencia técnica para la gestión, ejecución y consolidación de sus opciones de vida grupales.
5. Información, educación y comunicación
El papel direccionador de la nueva institucionalidad, hacia la sensibilización de todos los estamentos de la sociedad por los temas de SAN, llevarán a una demanda de espacios en los medios masivos por información y por la actualidad de la problemática de SAN, que contribuyan a los logros propuestos por las diferentes regiones y localidades que redunden en beneficio de la población colombiana.
En la medida que se promueve y apoya la construcción de tejido social alrededor de la SAN, los diferentes grupos sociales buscarán las formas de aprovechamiento y desarrollo de los medios existentes para la difusión de todos los temas de SAN.
El fortalecimiento, ampliación, y articulación de los sistemas, estructuras y de las fuentes de información oportuna y veraz, a nivel nacional y territorial, serán indispensables a fin que orienten los procesos de evaluación y la toma de decisiones de todos los actores relacionados con la seguridad alimentaria y nutricional.
La estructuración de una red de comunicaciones para la divulgación masiva de información sobre alimentación y nutrición, que se fundamente en una estrategia integrada por un plan de acción y un plan de medios.
El desarrollo de una cultura de toma de información, su aprovechamiento y difusión, que permita a los diferentes actores disponer de la información necesaria para la toma de decisiones, implica la puesta en marcha de una instancia de análisis, refl exión (con una estructura de red) en torno a la problemática de seguridad alimentaria y nutricional en Colombia, la implementación de un sistema de seguimiento y evaluación para el PNSAN, el desarrollo de una serie de acciones para facilitar el acceso y mejor aprovechamiento de los habitantes urbanos y rurales más vulnerables a las redes de co-municación e intercambio de conocimientos y los sistemas de información tecnológica, comercial y de gestión, la integración, forta- lecimiento y desarrollo de sistemas de infor- mación regionales para la planifi cación de sistemas productivos alimentarios (grupos de alimentos básicos) de acuerdo al uso-voca-ción del suelo, disponibilidad de agua, tec-nología, oferta y demanda de factores pro- ductivos básicos, así como la actualización permanente de información referente a: es- tado nutricional, composición de alimentos, valores de referencia de calorías y energía, guías alimentarias y la implementación de sistemas de información y orientación al con- sumidor sobre composición óptima de dieta al menor costo, constituyen la columna verte- bral de esta estrategia.
","Seguimiento y Evaluación
Parte del proceso de apropiación social de los temas de SAN, implican el establecimiento y desarrollo de la cultura, en favor de la disponibilidad permanente de información acerca del avance de los compromisos sociales, planes, programas y proyectos de SAN, de manera que los ciudadanos, los medios de comunicación, la academia, las organizaciones sociales, los tomadores de decisiones etc., Puedan participar, analizar y expresarse para que se ajusten a los objetivos acordados. Para tal efecto, es necesario el establecimiento y desarrollo de un sistema de seguimiento, monitoreo y evaluación. A manera de información, el anexo 2 contiene la matriz del plan de acción detallado con las respectivas acciones específicas, indicadores, responsables, metas asociadas para el cumplimiento de los objetivos planteados anteriormente, para el periodo 2012-2019. Esto servirá como base para la construcción del sistema de seguimiento, monitoreo y evaluación de la seguridad alimentaria y nutricional a nivel nacional. Ver apartado IX de este plan.
METAS
Los objetivos planteados, las estrategias y líneas de acción propuestas en el PN¬SAN, requieren una selección de indicadores que permitan definir el alcance de todos y cada uno de los propósitos. Así mismo, implican los acuerdos entre los diferentes actores y sectores sociales, para que se formulen y acuerden compromisos y se asignen recursos necesarios con el fin de cumplir las metas que se establezcan entre todos los agentes comprometidos. Estas metas, fueron acordadas y definidas por las entidades que integran la Comisión Intersectorial de SAN y constituyen una herramienta y un norte para todos los sectores sociales y para cada tipo de actor, pues permiten la racionalización de esfuerzos y asignación de recursos, el control social y el re direccionamiento si fuera necesario.
Es indispensable definir variables que cubran todos los ejes de la SAN, los objetivos y las líneas de acción y que permitan a los tomadores de decisiones y a los que las ejecutan, definir las prioridades y las metas, en sus diferentes ámbitos. En tal sentido, no sólo a las metas planteadas en el Conpes Social 113 de 200820, sino a aquellas que dan cuenta de los compromisos nacionales e internacionales en términos de SAN en Colombia, como las definidas en Objetivos de Desarrollo de Milenio a través de los Conpes 091 de 2005 y 140 de 2011 y al Plan Nacional de Desarrollo “Prosperidad para Todos”. Los indicadores y metas de este plan se resumen en el cuadro No. 1. No obstante, esta información podrá ser objeto de su precisa valoración y programación conforme a las normas vigentes.
","","","Maternity protection|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|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 meal standard|Dietary guidelines|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture","","http://www.osancolombia.gov.co/doc/pnsan.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202012%20Plan%20Nacional%20de%20Seguridad%20Alimentaria%20y%20Nutricional.pdf" "17863","KEN","Kenya","","National Nutrition Action Plan 2012-2017","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2017","Ministry of Public Health and Sanitation","","2012","Adopted","","2012","Ministry of Health","Nutrition council|Health|Food and agriculture|Women, children, families|Social welfare|Trade|Information|Other","Ministry of Public Health and Sanitation, Ministry of Fisheries, Ministry of Livestock Development, County Health Management Committee, Kenya National Bureau of Statistics, Nutrition Interagency Coordinating Committee (NICC) and technical working groups (national level), Food and Nutrition Security Secretariats (county and ward level), Ministry of Gender, Children and Social Development","","","","","","","","","","","Research/academia","Kenya Industrial Research and Development Institute, Kenya Medical Research Institute","Private sector","Kenya Private Sector Alliance","Other","Media, Kenya National Fortification Alliance","Purpose:
This Plan has been developed to operationalize the strategies outlined in the Food Security and Nutrition policy 2012. It serves as a road map for coordinated implementation of nutrition interventions by the government and nutrition stakeholders across development sectors for maximum impact.
Objectives:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Activity:
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Activity:
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Activity:
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Activity:
Strategic objective 5: To improve access to quality curative nutrition services
Activity:
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Activity:
Strategic objective 7: To improve nutrition in schools, public and private institutions
Activity:
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Activity:
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Activity:
Strategic objective 10: To enhance evidence-based decision-making through research
Activity:
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Activity:
","
Output Indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases.
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Outcome indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Kenya_KNN_Action-Plan_2012_2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202012%20National%20Nutrition%20Action%20Plan%202012%20-%202017.pdf" "7937","MRT","Mauritania","","Plan d’Action Intersectoriel de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2015","Inter-agency","","2012","","","","","Health|Food and agriculture|Social welfare|Finance, budget and planning","","","","","","","","","","","","","","","","","","
3.1 Améliorer les pratiques alimentaires du nourrisson et du jeune enfant
Allaitement maternel exclusif (AME) et continu
Alimentation Complémentaire (AC)
3.2 Augmenter l´apport en micronutriments
Supplémentation en Vitamine A (SVA)
Traitement de l’anémie et supplémentation en fer
Traitement de la diarrhée avec Supplément de SRO avec zinc
Fortification de la farine de blé en fer/folates et zinc et des huiles en vitamine A
Iodation universelle du sel
Alimentation de complémente prêts à l´emploi
3.3 Améliorer l´hygiène et le contrôle des parasites
Traitement de l´eau dans le ménage (TEM)
Lavage de mains
Utilisation de Moustiquaire Imprégnée avec Insecticide (MII)
Traitement préventif du paludisme (TPI)
Déparasitage
3.4 Traiter la malnutrition aigue sévère et modérée
Prise en charge de la malnutrition aiguë sévère
Prise en charge de la malnutrition aiguë modérée
3.5 Augmenter la disponibilité et l´accessibilité aux aliments
Transfert conditionnel d´argent
Production agricole et animale familiale (PAAF)
3.1 Améliorer les pratiques alimentaires du nourrisson et du jeune enfant
Allaitement maternel exclusif (AME) et continu
Alimentation Complémentaire (AC)
3.2 Augmenter l´apport en micronutriments
Supplémentation en Vitamine A (SVA)
Traitement de l’anémie et supplémentation en fer
Traitement de la diarrhée avec Supplément de SRO avec zinc
Fortification de la farine de blé en fer/folates et zinc et des huiles en vitamine A
Iodation universelle du sel
Alimentation de complémente prêts à l´emploi
3.3 Améliorer l´hygiène et le contrôle des parasites
Traitement de l´eau dans le ménage (TEM)
Lavage de mains
Utilisation de Moustiquaire Imprégnée avec Insecticide (MII)
Traitement préventif du paludisme (TPI)
Déparasitage
3.4 Traiter la malnutrition aigue sévère et modérée
Prise en charge de la malnutrition aiguë sévère
Prise en charge de la malnutrition aiguë modérée
3.5 Augmenter la disponibilité et l´accessibilité aux aliments
Transfert conditionnel d´argent
Production agricole et animale familiale (PAAF)
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Vitamin A|Vitamin B12|Micronutrient supplementation|Wheat flours|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Intersectoral-Action-Plan-for-Nutrition-PAIN.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MRT%202010%20PAIN.pdf" "40384","NAM","Namibia","","National Policy on Sexual, Reproductive and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2022","Directorate of Primary Health Care","","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Information|Justice|Labour|Other","Directorate of Primary Health Care, Ministry of Safety and Security, Ministry of Defense, Ministry of Home Affairs and Immigration, Ministry of Agriculture, Water and Forestry, Gender, ICT, Regional Reproductive and Child Health Committee, National Statistics Agency, Ministry of Regional and Local Government, Housing, and Rural Development","","","","","","Unspecified","","","National NGOs","Namibia Alliance for Improved Nutrition (NAFIN), Churches and faith-based organizations","Research/academia","","Private sector","Private health and social services providers","Other","Food Fortification Technical Working Group, Health Professions Councils of Namibia (HPCNA), National Youth Council, civil society organizations","
3.1 Goal
The overall goal of this policy is to enhance the attainment of the highest possible standard of Sexual, Reproductive Health, Child Health and Nutrition for the Namibian population through provision of equitable, accessible and affordable health and nutrition information and services.
3.3 Objectives (nutrition-related only)
","
Nutrition Policy Statements
Stunting rate among under 5 children
Prevalence of Malnutrition (wasting, stunting and underweight) disaggregated by age.
Prevalence of NCDs
Early initiation of breastfeeding: Proportion of children born in the last 24 months who were put to the breast within one hour of birth
Exclusive breastfeeding"": Proportion of infants aged 0-6 months who are fed exclusively with breast milk.
The new ""minimum acceptable diet"": Proportion of children 6-23 months of age who had both minimum meal frequency and dietary diversity (in both BF and non-BF children).
","","Outcome indicators|Process indicators","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Sexual%2C%20Reproductive%2C%20and%20Child%20Health%20Policy.pdf" "43355","RUS","Russian Federation","","Национальная стратегия действий в интересах детей на 2012 - 2017 годы / National Strategic Action Plan for Child Protection 2012-2017","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","Russian","","2012","","2017","Ministry of Labor","6","2012","Adopted","6","2012","President of the Russian Federation","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sport|Information|Justice","","","","","","","","","","National NGOs","","","","","","","Institutions for child education, healthcare and child sanatoriums. Social child centers.","Сбережение здоровья каждого ребенка. В Российской Федерации должны приниматься меры, направленные на формирование у семьи и детей потребности в здоровом образе жизни, всеобщую раннюю профилактику заболеваемости, внедрение здоровьесберегающих технологий во все сферы жизни ребенка, предоставление квалифицированной медицинской помощи в любых ситуациях.
Особое внимание уязвимым категориям детей. В Российской Федерации во всех случаях особое и достаточное внимание должно быть уделено детям, относящимся к уязвимым категориям. Необходимо разрабатывать и внедрять формы работы с такими детьми, позволяющие преодолевать их социальную исключенность и способствующие реабилитации и полноценной интеграции в общество.
","Формирование потребности у детей и подростков в здоровом питании и совершенствование системы обеспечения качественным питанием детей в образовательных учреждениях, лечебных и лечебно-профилактических, санаторно-курортных и реабилитационных учреждениях.
4. Меры по развитию политики формирования здорового образа жизни детей и подростков
6. Меры по формированию культуры здорового питания детей и подростков, обеспечению качества и режима питания как залога здоровья ребенка
Организация просветительской работы с использованием специальных обучающих программ, средств массовой коммуникации, включая интернет-технологии, социальную рекламу, по формированию культуры здорового питания.
Расширение профилактики вертикальной передачи ВИЧ-инфекции и СПИДа, включая обязательное дородовое обследование беременных женщин независимо от наличия у них регистрации по месту жительства и гражданства, бесплатное обеспечение кормящих ВИЧ-инфицированных матерей молочными смесями для кормления ребенка, с привлечением средств, предусмотренных для реализации приоритетного национального проекта ""Здоровье"".
Policy goal
Control of communicable and non-communicable diseases and enhancement of health security shall be intensified through:
Goal:
The overall goal of the National Food and Nutrition Policy is to contribute to the improved health, social and economic well-being of all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups.
General Objective:
To improve the current nutritional status of the population, especially infants and young children, pregnant and lactating women and other vulnerable groups in Sierra Leone
Specific Objectives (SO):
I. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels on nutrition and its relationship to development.
II. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy the daily dietary needs of the population.
III. To promote adoption of appropriate feeding practices by households.
IV. To strengthen preventive measures against nutrition related diseases
V. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
VI. To institute a nutritional surveillance system for monitoring the food and nutrition situation in the country.
VII. To promote operational research and periodic surveys into food and nutrition issues
VIII. To coordinate activities of relevant agencies involved in food and nutrition issues
SO 1 Strategies:
SO 2 Strategies:
SO 3 Strategies:
SO 4 Strategies:
SO 5 Strategies:
SO 6 strategies:
SO 7 strategies:
SO 8 Strategies:
The overall goal of the policy is to contribute to the improved health, social and economic well-being for all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups. The general objective is to improve the nutritional status of the population especially infants and young children, pregnant and lactating women in Sierra Leone.
The policy has eight specific objectives
Nutrition Indicator Targets of the implementation plan
Strategic interventions
2.1 Priority Food and Nutrition Interventions
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Indicators of each priority intervention
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Overall Goal:
· To reduce the maternal mortality ratio and neonatal, infant and child mortality rates by at least 10% by 2016
· To empower women, and to ensure universal access to reproductive health services
· To improve the nutritional status of all mothers and children.
Strategy 1: Address inequity and social determinants of health
Strategy 2: Develop a comprehensive and coordinated framework for MNCWH & Nutrition service delivery
Strategy 3: Strengthen community-based MNCWH & Nutrition interventions
Strategy 4: Strengthen provision of MNCWH & Nutrition services at PHC and district levels
Strategy 5: Strengthen delivery of MNCWH & Nutrition services at district hospital level
Strategy 6: Strengthen the capacity of the health system to support the provision of MNCWH & Nutrition services
Strategy 7: Strengthen human resource capacity for delivery of MNCWH & Nutrition services
Strategy 8: Strengthen systems for monitoring and evaluation of MNCWH & Nutrition interventions and outcomes
","M & E indicators included on page 44 of the Strategic Plan.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Maize flours|Staple foods|Management of severe acute malnutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202012%20MNCWHstratplan.pdf" "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" "23714","BIH","Bosnia and Herzegovina","","Policy for Improving Child Nutrition in Federation of Bosnia and Herzegovina","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2013","","","Government of the Federation of Bosnia and Herzegovina","2","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Transport|Trade|Industry","","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","","","","","","Other","Media; Education Institutions; Food Producers","1. Vision
Federation BiH is committed to ensure optimal nutrition to every child, in line with national and international recommendations and standards, and thereby improve the diet and nutritional status of children in Federation BiH
2. Decalaration
5. OBJECTIVE AND PRIORITY COURSES OF ACTION
5.1 Objective Improve feeding and nutritional status of children in FBiH, as an important prerequisite for proper growth and development, as well as prevention of diseases caused by inadequate nutrition and unbalanced diets with a focus on mass NCDs.
5.2 Action areas
The Policy will be implemented through crosssectoral coordination and integrated action through the following action areas:
Chapter 5.2.1 Description of Action areas contains a broad set of strategies and actions
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food safety|Food security and agriculture|Vulnerable groups","","http://www.unicef.org/bih/Politika_ishraneF_BiH(1).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BIH%202013%20Policy%20for%20Improving%20Child%20Nutrition.pdf" "83697","TZA","United Republic of Tanzania",""," Infant and Young Child Feeding National Guidelines ","Government guidance","","English","","2013","","","Ministry of Health and Social Welfare","7","2013","","","","","Health|Social welfare","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","Tanzania Food and Nutrition Centre","","","","","","","1.4 Development of National Guidelines on IYCF
The National Guidelines on IYCF are based on the international instruments, national policies, strategies and related guidelines on IYCF. The guideline summarizes the recommendations for the feeding of infants and young children at different ages.
1.5 The Guidelines apply to:
Health care providers including supervisors, managers and other service providers engaged directly or indirectly in maternal and child health in health facilities and communities. Institutions such as health facilities, professionals associations, governmental and non- governmental organizations, and private sectors engaged directly or indirectly in care of infants and young children.
Overall goal of the National IYCF guidelines
The goal of the Guidelines is to improve the nutritional status, growth and development, health and survival of infants and young children through optimal infant and young child feeding practices.
1.6 Specific objectives of the National IYCF guidelines
To provide guidance on the promotion, protection and support of exclusive breastfeeding for the first six months followed by timely, nutritionally adequate and safe complementary feeding and continued breastfeeding for two years or more.
To promote and support delivery of quality IYCF and maternal nutrition services at all levels.
To provide guidance on infant and young child nutrition in exceptionally difficult situations such as emergencies or disasters which are prone to high incidence of malnutrition, low birth weight or HIV and on the related support required by mothers, families and other caregivers.
To provide appropriate, accurate and consistent information on IYCF to health care providers.
To harmonize delivery of IYCF and maternal nutrition services among different stake holders.
To provide guidance on monitoring and evaluation of IYCF services.
Trois objectifs généraux sont retenus en vue d’une résilience optimum :
OG1- Assurer aux Tchadiens l’accès aux denrées alimentaires en quantité et en qualité suffisantes et de façon pérenne, en particulier les plus pauvres,
OG2- Réduire de façon significative et durable la mortalité et la morbidité liées aux problèmes de nutrition et d’alimentation, en particulier par la prévention et la prise en charge correcte de la malnutrition et à l’échelle,
OG3- Promouvoir des comportements alimentaires et nutritionnels adéquats à mieux de garantir un développement du capital humain
","La Politique Nationale de Nutrition et d’Alimentation (PNNA) s’articule autour de 5 axes stratégiques programmatiques d’intervention :
Dans le cadre de la mise en oeuvre, ces 5 axes stratégiques seront appuyés par 6 axes transversaux :
Effet UNDAF 3. Les populations et en particulier les femmes et les autres groupes vulnérables bénéficient d’une offre accrue de services sociaux de base de qualité avec un intérêt particulier pour la résolution des conflits et la consolidation de la paix.
","L’amélioration de l’accès des populations aux interventions essentielles de santé avec un accent particulier sur la santé maternelle, infanto-juvénile et de nutrition.
L’augmentation du nombre de personnes ayant un accès aux services améliorés d’eau potable et d’assainissement en milieu rural et périurbain.
","% d’enfants de moins de 6 mois nourris exclusivement au sein. Pourcentage actuel 37 % Cible 60 %
Taux d’insuffisance pondérale chez les enfants de moins de 5 ans. Taux actuel : 24 %, cible : < 10 %
% des enfants de 6 à 23 mois qui ont reçu l’apport alimentaire minimum acceptable (en dehors de l’allaitement maternel). Taux actuel : 3,7 (EDS) Cible : 20 %
","","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Minimum acceptable diet|Management of moderate acute malnutrition|Management of severe acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","http://cd.one.un.org/content/dam/unct/rdcongo/docs/UNCT-CD-UNDAF.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%202013%20UNDAF.pdf" "15009","SLV","El Salvador","","Ley de Promoción, Protección y Apoyo a la Lactancia Materna (Decreto No. 404)","Legislation relevant to nutrition","","Spanish","","2013","","","Government","6","2013","Adopted","6","2013","Ministerio de Salud Pública y Asistencia Social MSPAS","Health|Social welfare","Ministerio de Salud Pública y Asistencia Social MSPAS, Instituto Salvadoreño del Seguro Social","","","","","","","","","","","Research/academia","Universidades Evalgélica y de El Salvador","","","","","","","","","Objeto
Art. 1. La presente ley tiene por objeto establecer las medidas necesarias para promover, proteger y mantener la lactancia materna exclusiva, hasta los seis meses y lactancia prolongada hasta los dos años de edad, asegurando sus beneficios y aporte indispensable para la nutrición, crecimiento y desarrollo integral del lactante.
También regula la comercialización de sucedáneos de leche materna.
Strategic Objective 1: Improve the nutritional status of women (15-49 years) and adolescents (10-19 years)
Strategic Objective 2: Improve the nutritional status of infants (0-6 months), young children (6-24 months) and children under 5 years
Strategic objective 3: Improve the nutrition service delivery for communicable and non-communicable/lifestyle related diseases (all age groups)
Strategic objective 4: Strengthen implementation of nutrition sensitive across sectors
Strategic objective 5: Improve multisectoral coordination and capacity to ensure implementation of the NNP
Impact Objectives: Improve Nutritional status of women and children
(Additional outcome, output, process and input indicators from Accountability and results matrix in relation to the strategic objectives, results and initiatives.)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.moh.gov.et/English/Resources/Documents/NNP.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202013%20National%20Nutrition%20Programme.pdf" "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","","","","","","","","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" "7988","MDV","Maldives","","Integrated National Nutrition Strategic Plan","Comprehensive national nutrition policy, strategy or plan","","","","2013","","2017","Ministry of Health","2","2016","Adopted","","2012","Ministry of Health & Family/CCHDC","Health|Food and agriculture|Education and research|Social welfare|Development|Trade","CCHDC Education and research, Development, Health: Ministry of Education, Ministry of Economic Development, Ministry of Health & Family/CCHDC","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","National NGOs: Information Media","Research/academia","Research/academia: Faculty of Health Sciences","","","","","see annex 1 on page 15-56
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Fat intake|Saturated fat intake|Sodium/salt intake|Sugar intake|Free sugars|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|Dietary guidelines|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Deworming|Food safety|Food security and agriculture|Home, school or community gardens|Improved hygiene / handwashing|Conditional cash transfer programmes","","http://www.health.gov.mv/Downloads","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDV%202016%20Integrated%20National%20Nutrition%20Strategic%20Plan.pdf" "24487","RWA","Rwanda","","Rwanda United Nations Development Assistance Plan 2013-2018","Non-national nutrition policy document","","English","","2013","","2018","UN country team in Rwanda","","2013","Adopted","7","2013","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Disaster management and refugee affairs, defense, foreign affairs, infrastructure, internal security, east African community","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNECA, IOM, UN Women, UNEP, UN Habitat, UNV, UNCTAD, ITC, UNCDF, OHCHR","Other","","","","","","National NGOs","","","","","","","","Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "38227","SYC","Seychelles","","National Food and Nutrition Security Policy (NFNSP)","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","","Government of Republic of Seychelles","","2013","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Industry","Agriculture, Fisheries, Livestock, Food, Food Safety, Food importation, Food Processing, Health, Land and Water Supply, Planning, Finance and Trade, Industry, Education, Information and Social Welfare","","","","","","","","","National NGOs","","","","Private sector","","","","1.6 Overall Goal and Objectives of the NFNSP
37. Recognizing present and future opportunities and challenges, the goal of the Food Security and Nutrition Policy is to guarantee the right to safe, healthy and adequate food at all times and to satisfy the nutritional needs for optimal health for all persons living in Seychelles.
38.Specifically, the policy aims to:
i. To ensure food security for all Seychellois through efficient and effective agricultural production, sustainable fisheries and balanced by importation of healthy and nutritious food
ii. To improve and optimize the nutritional status, health and wellbeing of all Seychellois
iii. Strengthen and align institutional resilience and capacity to effectively and appropriately respond to changes and shocks in food and nutrition security needs including an adequate and responsive knowledge and science base
78. The NFNSP strives to:
Improve women’s nutrition throughout their lifecycle;
Protect, promote and support exclusive breastfeeding and safe complimentary feeding for infants and young children
Promote appropriate nutrition for school children and adolescents;
Promote healthy lifestyles across the population and to specific vulnerable groups;
Improve nutrition care and support for the elderly, the sick and the vulnerable.
79. Associated interventions to be initiated include:
i. Promote the consumption of local, diverse and healthy food across the Lifecycle
ii. Promote local healthy food businesses
iii. Develop and upgrade food labeling requirements and regulations for both local as well as imported foods.
iv. Strengthen monitoring of maternal nutritional status
v. Test, develop standards and regulate marketing of breast milk substitutes.
vi. Develop and implement a national communication strategy on infant and young child feeding.
vii. Institutionalize routine assessment and monitoring of the nutritional status of infants, young children, school children and adolescents and create awareness on healthy diets.
viii. Strengthen and support community based nutrition programs for the elderly, sick and vulnerable.
ix. Implement the National School Nutrition Policy which will coordinate all aspects of school nutrition including the curriculum, the school tuck shop, provision of school meals ,training of school personnel and establishing linkages with families and school personnel.
Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf" "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" "40064","BEN","Benin",""," Stratégie nationale pour l’alimentation du nourrisson et du jeune enfant 2015-2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2014","","2019","Ministère de la santé","7","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Catholic Relief Services|Other, please specify under further details|Plan International|Terre des Hommes","Borne Fonden","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","Université d'Abomey CalaviIRSP","","","","","
Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
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.
","El objetivo del programa es prevenir y reducir la anemia nutricional en niños y niñas entre los 6 a 23 meses de edad, mediante la aplicación de la ruta integral de atención a la primera infancia en los primeros 1000 días de vida.
","El Programa será evaluado a través de una Evaluación de Impacto y una Evaluación de Procesos. Con ellas buscamos:
• Establecer la calidad de las atenciones dirigidas a la primera infancia
• Identificar los impactos del Programa sobre el estado nutricional de los beneficiarios y la costo-efectividad de la intervención
• Establecer los ajustes necesarios para expandir exitosamente el Programa al resto de territorio nacional.
• Establecer cual es el mejor escenario para la entrega de los micronutrientes en polvo
","","","Anaemia|Vitamin and mineral nutrition|Micronutrient powder for home fortification","","https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/Micronutrientes%20Minsalud%20Enero%2027%20de%202014.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COL%202014%20Programa%20para%20la%20prevenci%C3%B3n%20y%20reducci%C3%B3n%20de%20la%20anemia%20nutricional%20en%20la%20primera%20infancia.pdf" "24462","COG","Congo","","Plan Cadre des Nations Unies pour l’Aide au Developpement 2014-2018","Non-national nutrition policy document","","French","","2014","","2018","Republique du Congo, Coordination Resident du Systeme des Nations Unies","","2014","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Environment|Other","Energie, développement durable","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 Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Women","Other","WWF","Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","Effet UNDAF 3: D’ici 2018, les populations les plus vulnérables utilisent les services sociaux de base de qualité (éducation, santé, sécurité alimentaire, eau et assainissement) ainsi que des services financiers adaptés.
Produit 3.1 : Les populations les plus vulnérables ont accès à un paquet de services essentiels de santé de qualité définis selon les normes nationales.
Produit 3.3 : Les ménages atteignent un niveau de sécurité alimentaire acceptable
Produit 3.4 : Les populations vulnérables ont accès à l’eau potable
","3. Les ménages atteignent un niveau de sécurité alimentaire acceptable : depuis plusieurs années, la couverture des besoins alimentaires nationaux est en partie assurée par un important volume d’importations, essentiellement constituées de produits carnés, traduisant la forte dépendance à l’extérieur ; d’où la nécessité de la relance de la production nationale. Les capacités des femmes seront renforcées étant donné leur important rôle dans le secteur agricole en général et en particulier dans la culture de production subsistance et dans l’alimentation. Le SNU accompagnera le renforcement des capacités techniques, logistiques et humaines du secteur agricole et halieutique, par l’encadrement des producteurs au niveau départemental et par l’appui à la diversification de leurs activités.
4. Les populations vulnérables ont accès à l’eau potable : L’accès à l’eau de boisson est un défi majeur au Congo. Malgré quelques progrès réalisés ces dernières années, des disparités existent toujours selon le milieu de résidence et les départements, et les risques d’exposition aux maladies d’origine hydrique (diarrhées, choléra) demeurent importants, au regard du faible accès à l’eau potable et des faiblesses des services d'assainissement, notamment dans les zones rurales et périurbaines. La fréquence des épidémies (choléra, poliomyélite…) enregistrées au cours de ces trois dernières années en est une excellente illustration. De ce fait, le SNU accompagnera techniquement le gouvernement dans l’amélioration de la fourniture et de la surveillance de la qualité de l’eau potable fournie aux populations.
","Taux de mortalité maternelle. Baseline : 426/100 000 Cible : 390/100 000
Taux de mortalité infantile. Baseline : 81décès pour 1000 naissances vivantes Cible : 56décès pour 1000 naissances vivantes
Taux de malnutrition chronique. Baseline : 24,4% ; Cible : 20,0%
Taux d’accès à l’eau potable. Baseline : 32% dans les zones rurales et 65%en milieu urbain ; Cible : 95%
Proportion des formations sanitaires offrant un paquet de services essentiels de santé complet. Baseline : 30% ; Cible : 90%
Pourcentage de la population qui utilise le paquet de services essentiels. Baseline : 20% ; Cible : 60%
Pourcentage des ménages ayant bénéficié d’un appui pour compléter leur ration alimentaire (jardins potagers, petit élevage, etc.).
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202014%20UNDAF.pdf" "36096","FRA","France","","Plan Cancer 2014-2019","NCD policy, strategy or plan with healthy diet components","","French","","2014","","2019","Ministère des Affaires sociales et de la Santé","","2014","Adopted","","2014","Ministère des Affaires sociales et de la Santé, Ministre de l’Enseignement supérieur et de la Recherche","Health|Education and research|Social welfare","Ministry of Health","","","","","","","","","National NGOs","","","","","","","","Réduire le risque de cancer par l’alimentation et l’activité physique
","Action 11.5 : Faciliter les choix alimentaires favorables à la santé.
Action 11.6 : Développer l’éducation et la promotion de la nutrition et de la pratique physique.
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" "36056","GUM","Guam","","Guam Non-communicable disease strategic plan 2014-2018","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2018","Guam Department of Public Health and Social Services","","2013","Adopted","","","","Health|Social welfare","Guam Department of Public Health and Social Services","","","","","","","","","National NGOs","","","","","","","","The overarching goal for the Guam NCD Plan is to reduce premature NCD deaths by 25% by the end of 2018.
NUTRITION AND OBESITY PREVENTION
Goal: To reduce obesity among youth and adults by 5% by 2018 through healthy eating by increasing the consumption of fruits and vegetables.
Objective 1: Establish preliminary base line data on family, adult & youth fruit and vegetable daily consumption.
Objective 2: Increase fruits’ and vegetables’ availability and access to Villages & Families through market outlet initiatives.
Objective 3: Increase fruits and vegetable consumption, availability and access through: Home, Community, & School gardening initiatives.
Objective 4: Increase fruit and vegetable consumption and demand through education and public outreach initiatives.
Goal: To reduce hypertension and its associated risk factors among Guam adults.
Objective 1: By 2018, decrease the number of Guam residents reporting adding salt in cooking and at the table by 10%
Goal: Reduce childhood obesity and improve overall infant health through increased breastfeeding (BF).
Objective 1: By 2018, increase the percentage of Guam infants who initiate breastfeeding at birth by 10% and who maintain breastfeeding until 6 months of age by 20%.
","Full list and description of nutrition strategies and activities on pages 22-32
","Full list of indicators on pages 22-32
% of Guam Adults Overweight
% of Guam Youth Overweight
% of Guam Adults who eat 5 servings of fruits/vegetables daily
% of Guam Youth who ate vegetables less than 3x per day
% of Guam Youth who ate fruit/100% fruit juice less than 3x per day
% of adults adding salt to their cooking and at the table
% of adults on Guam who have been told they have high blood pressure
% of WIC mothers who BF their infants at 6 months.
% of mothers of newborns who initiate BF at Guam Memorial Hospital Authority (GMHA) and continue to nurse their infants at discharge from the hospital.
Chapter on Evaluation begins on page 54
","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight in children 0-5 yrs|Overweight in adolescents|Sodium/salt intake|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|School gardens|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","www. DPHSS.Guam.gov","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GUM%202014%20NCD%20Strategic%20Plan.pdf" "23523","GIN","Guinea","","Plan Stratégique Multisectoriel d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","5","2014","","2016","Ministère de la Santé et de l'Hygiène Publique","5","2014","Adopted","5","2014","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Environment|Industry|Information|Sub-national","Comité national de suivi de la CINAlliance guinéenne pour la fortification des aliments Conseil national de sécurité alimentaire Agence nationale de développement agricole et de sécurité alimentaire, Division alimentation et nutrition)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)|Terre des Hommes","","Other|Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","3.2 Objectifs du plan stratégique national de nutrition et alimentation
Le but de ce plan est de faire reculer la sous-alimentation et la malnutrition ainsi que leurs conséquences socio-sanitaires.
Les objectifs spécifiques d’ici à fin 2016 sont de:
3.4.2 Approche stratégique 2 : La sécurité nutritionnelle des groupes vulnérables
7. Promotion de l’alimentation de la mère et de l’enfant
12. Supplémentation alimentaire aux groupes vulnérables – enfants de 24 à 59 mois, personnes âgées, malades, population carcérale, enfants dans la rue, réfugiés, soudure rigoureuse, PVVIH
15. Supplémentation en micronutriments (Fer Acide folique, Vit A, Zinc, Calcium…) des femmes enceintes et allaitantes, femmes de 15 à 45 ans, enfants scolarisés et non scolarisés de 1 à 14 ans
3.4.3 Approche stratégique 3 : L’Accès universel à la prise en charge holistique des cas de malnutrition
3.4.4 Approche stratégique 4 : La Formation, la recherche et le développement pour la sécurité alimentaire et nutritionnelle
Further detail on activities per strategies can be found in tables P20-25
","
3.3 Objectifs
L’objectif général est d’éradiquer la sous-alimentation et de faire reculer la malnutrition ainsi que ses conséquences économiques et socio-sanitaires.
Les objectifs spécifiques sont :
(i) atteindre l’autosuffisance alimentaire,
(ii) consolider la sécurité alimentaire,
(iii) garantir la couverture universelle de la prise en charge holistique de tous les cas de malnutrition et des maladies provoquées par la malnutrition et,
(iv) parvenir à une couverture universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité
","3.4.1 Axe 1 : La mobilisation nationale pour éradiquer la sous-alimentation
Il s’agit d’aligner les stratégies sectorielles de développement socio-économique pour la sécurité alimentaire et nutritionnelle à travers une meilleure coordination, une analyse approfondie de la situation socio-économique territoriale et la création des synergies pour des effets tangibles sur la sous-alimentation. Les secteurs suivants sont concernés au premier chef : développement agropastoral et halieutique, protection de l’environnement, promotion de l’emploi des jeunes, éducation des filles, alphabétisation, promotion de l’agro-industrie, hydraulique, énergie, eau, transports et travaux publics, communication, douanes, forces de sécurité.
3.4.2 Axe 2 : La mobilisation nationale pour faire reculer la malnutrition
Il s’agit de créer une synergie sectorielle effective pour des interventions sensibles à la nutrition telles que l’éducation nutritionnelle, la fortification alimentaire, l’hygiène alimentaire, l’assainissement du milieu, la sécurité sanitaire des aliments, la communication, l’enseignement supérieur et la recherche scientifique et technique.
3.4.3 Axe 3 : La capacitation des collectivités déconcentrées et décentralisées et des communautés locales à la base
Il s’agit d’engager davantage les autorités des collectivités déconcentrées et décentralisées dans la promotion et le suivi des activités concourant à la sécurité alimentaire et nutritionnelle d’une part et de veiller à l’appropriation effective des activités par les organisations communautaires à la base d’autre part.
3.4.4 Axe 4 : Le renforcement du système de santé pour l’accès universel aux services et soins de santé primaires de qualité
Il s’agit de veiller particulièrement à la prise en charge holistique de tous les cas de malnutrition et à l’intégration effective des interventions essentielles d’alimentation et de nutrition dans le continuum des soins pour protéger les 1000 premiers jours de vie sur l’ensemble du territoire.
","
Objectif général
La promotion d’un mode de vie sain vise à améliorer la qualité de vie de la
population marocaine en réduisant les facteurs de risque qui contribuent aux
maladies chroniques et à diminuer à long terme la prévalence de ces maladies.
Objectifs spécifiques
- Réduire l’usage du tabac et protéger les non-fumeurs ;
- Améliorer les habitudes alimentaires ;
- Réduire la sédentarité ;
- Enrichir la capacité de promotion de la santé ;
- Ralentir la progression des maladies chroniques.
","Domaine d’intervention 1 : Prestation de prévention primaire
Action1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
Mesure 1 : Elaboration d’une stratégie de communication sur le mode de vie sain (méfaits du tabagisme, alimentation saine et équilibrée, activité physique
Mesure 2 : Sensibilisation de la population sur le mode de vie sain VS
Mesure 3 : Sensibilisation du milieu préscolaire, scolaire et universitaire et des jeunes non scolarisé sur le MVS
Mesure 4 : Sensibilisation dans les lieux de travail sur le MVS
Mesure 5 : Elargissement de l’initiative « milieu de travail sans Tabac » à d’autres secteurs
Mesure 6 : Célébration de la journée mondiale sans tabac, de l’alimentation saine, équilibrée et de l’activité physique.
Mesure 7 : Sensibilisation des laboratoires pharmaceutiques pour introduire les substituts nicotiniques dans la liste des médicaments remboursable
Mesure 8 : Organisation de manifestations événementielles pour la promotion du mode de vie sain
Mesure 9 : Elaborer un plan d’action de réduction du sel, gras trans et sucre
Mesure 10 : Sensibilisation des industriels de l’agroalimentaire, sur l’intérêt de promouvoir une alimentation saine et équilibrée
Mesure11 : Renforcement des espaces propices à l’activité physique
Domaine d’intervention 2 : Développement des compétences et des ressources humaines
Action 2 : Développement des compétences en matière de mode de vie sain
Mesure 12: Formation des professionnels de la santé, de l’éducation nationale et les cadres du ministère des affaires islamiques sur le MVS
Mesure 13 : Développement de la composante mode vie sain dans la formation de base scolaire universitaire et des instituts de formations des professionnels de santé et programme d’analphabétisme
Domaine d’intervention 3: Gouvernance générale et coordination
Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
Mesure 14 : Déclinaison du plan d’action multisectoriel pour la promotion du mode de vie sain au niveau des régions
Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
Mesure 15 : Officialisation du comité interministériel de promotion du mode de vie sain
Action 5: Développement du partenariat en matière du mode de vie sain
Mesure 16 : Développement des partenariats internationaux pour la promotion du MVS
Mesure 17 : Développement des Partenariat public-ONG pour la promotion du MVS
Action 6 : Mise en Place une réglementation relative à la promotion du mode de vie sain
Mesure 18 : Mettre en Place une réglementation anti-Tabac
Mesure 19 : Renforcer le cadre réglementaire et législatif concernant la production et la consommation d’aliments sains et équilibré
Mesure 20 : Renforcement de la disponibilité et de l’accessibilité aux aliments sûrs et sains
Domaine d’intervention 4 : Marketing et communication
Action 7 : Diffusion du plan d’action multisectoriel de promotion de mode vie sain
Mesure 21 : Organisation d’une journée de diffusion du PA multisectoriel
Domaine d’intervention 5 : Surveillance épidémiologique
Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
Mesure 22 : Réalisation des études sur les facteurs de risques des MNT
Domaine d’intervention 6 : Monitoring, évaluation
Action 9 : Assurer le suivi, évaluation des actions multisectorielles de promotion du mode de vie sain
Mesure 23 : Mettre en place un système de monitoring et d’évaluation du PA multisectoriel au niveau national et régional
","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" "40385","NAM","Namibia","","Namibia Child Survival Strategy 2014-2018","Health sector policy, strategy or plan with nutrition components","","English","","2014","","2018","MOHSS","","2014","","","","","Health|Social welfare","Ministry of Health and Social Services","","","","","","","","","National NGOs","","","","","","","","","
Priority Actions
Implementation matrix of all interventions on p. 71
","Full list of indicators on p.73
Objetivos Generales
1. Estimular la adopción de Estilos de Vida Saludable.
2. Reducir los factores de riesgo modificables.
3. Fortalecer políticas y regulaciones que favorezcan la adopción de Estilos de Vida Saludable.
Metas
• Aumento relativo en un 25% del consumo recomendado de frutas y verduras.
• Eliminación de grasas trans en productos procesados.
• Reducción relativa del 30% del consumo medio de sal en la población adulta.
• Aumento relativo en un 20% de la prevalencia de práctica de actividad física en jóvenes y adultos.
• Reducción relativa del 15% del consumo actual de tabaco en jóvenes y adultos.
• Disminución relativa del 10% del consumo abusivo de alcohol en adultos y del 5% en jóvenes.
• Reducción relativa de la obesidad en 30% en niños y jóvenes.
• Reducción relativa de la obesidad en 30% en mujeres embarazadas.
• Detener el aumento de la obesidad en adultos.
• Incrementar en un 20% la lactancia materna exclusiva en menores de 6 meses.
Objetivos específicos
Estrategia no disponible en 2014.
Meta: Disponer de una estrategia nacional de vigilancia de las ECNT y sus FR para 2015.
","Gestión e implementación del Plan
Resultado esperado: Un Plan de Acción implementado y funcionando con efectividad orientado hacia las metas, con recursos disponibles y sostenibles, con un seguimiento y monitoreo adecuado, mediante el empoderamiento de las autoridades y la sociedad en su conjunto.
1. Incluir el Plan Nacional de Acción de las ECNT 2014-2024 en la agenda nacional, regional y local.
2. Garantizar los recursos para la ejecución y sostenibilidad del Plan.
3. Realizar monitoreo y evaluaciones periódicas de la implementación del Plan.
Indicadores
Strategies:
• Increased and better targeted public spending in social programmes which impact on food security;
• Efforts to increase food production and distribution, including increased access to production inputs for the emerging agricultural sector;
• Leveraging Government food procurement to support community-based food production initiatives and smallholders; and
• The strategic use of market interventions and trade measures which will promote food security
Pillars:
• The availability of improved nutritional safety nets, including government run and supported nutrition and feeding programmes, emergency food relief, as well as private sector, CBO and NGO interventions.
• Improved nutrition education, including District level nutrition services to assist households and communities monitoring nutritional indices, providing
consumer literacy and assisting with better food management and improved meal planning.
• The alignment of investment in agriculture towards local economic development, particularly in rural areas. This includes the provision or subsidisation of inputs and support services for increased food production, as well as more effective food storage and distribution networks, involving both
government and private agencies, to eliminate waste and ensure better access to food for all.
• Improved market participation of the emerging agricultural sector through public-private partnerships, including off-take and other agreements, a government food purchase programme that supports smallholder farmers, as well as through the implementation of the Agri-BEE Charter, which requires
agro-processing industries to broaden their supply bases to include the emerging agricultural sector.
• Food and Nutrition Security Risk Management, including increased investment in research and technology to respond to the production challenges currently facing the country, such as climate change and bioenergy. It would also include the protection of prime agricultural land, and limitations on its alienation for other activities, including mining, game farming, and property development. Improved food security information management systems would also be required, with periodic scientific reviews of the state of food security in the country.
Effet UNDAF 1 : La sécurité alimentaire, la résilience des communautés aux changements climatiques et l’accès des jeunes et des femmes à l’emploi sont améliorés
Effet UNDAF 2 : Les populations notamment les plus vulnérables ont un accès équitable aux services sociaux de base de qualité
Produit 2.2 : L’offre des services de prévention, de traitement, de soins et d’appui en matière de maladies transmissibles et non transmissibles est améliorée
Produit 2.3 : La nourriture, l’eau, l’hygiène et l’assainissement sont rendus disponibles dans les écoles, les formations sanitaires et dans les communautés.
","La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
Pour en savoir plus, consulter VII. Résultats indicatifs.
","Taux de couverture des besoins alimentaires.
Pourcentage d’enfant de moins de 5 ans souffrant de malnutrition chronique.
Pourcentage d’enfants bénéficiant d’un allaitement maternel exclusif.
Nombre de personnes vivant dans des communautés ayant atteint le statut FIDAL (fin de la défécation à l’air libre).
Nombre d’école primaire publique et de structures sanitaires bénéficiant d’un point d’eau potable, et de latrines améliorées.
Nombre d’écoles publiques bénéficiant de repas scolaires pendant les jours ouvrables.
Nombre d’enfants scolarisés des écoles publiques des zones défavorisées recevant au moins un repas équilibré par jour.
Nombre de cadre de concertation, pour une alimentation saine et suffisante et une nutrition équilibrée, fonctionnels.
Nombre d’établissements scolaires disposant de jardins et des cantines scolaires fonctionnels
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TGO%202014%20UNDAF.pdf" "23503","ZWE","Zimbabwe","","Zimbabwe National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2018","Food and Nutrition Council","","2014","","","","","Education and research|Food and agriculture|Health|Labour|Nutrition council|Social welfare|Women, children, families","Food and Nutrition Council Education and research, Food and agriculture, Health, Labour, Nutrition council, Social welfare, Women, children, families,","","UN","","International NGOs & National NGOs","","","","","National NGOs","","","","","","","","KEY RESULT AREAS GOALS AND STRATEGIES
1) KRA 1 Adolescent and Maternal Nutrition Services
a. Goal 1: Coverage of health and community nutrition services for adolescents increased to 50% by 2018
b. Goal 2: Standard maternal health and nutrition package scaled up to 90% coverage by 2018
c. Goal 3: 50% of women of reproductive age have positive support from spouses and communities for decisions on maternal health, nutrition, healthy lifestyles and safe living environment by 2018.
2) KRA2: Infant and Young Child Nutrition
a. Goal 4: All health institutions provide the standard IYCF package (BMFHI, BF, CF, multiple micronutrient supplementation and fortification, dietary diversification, disease prevention and management, nutrition interventions in emergencies, feeding behaviours and stimulation, PMTCT, WASH and IMAM) by 2018
b. Goal 5: Community IYCF counseling package increased from 44% to 100% of districts and in at least 90% of the wards by 2018
c. Goal 6:Coverage of growth monitoring and promotion for under-fives increased from 2 districts to 20 districts by 2016 and to 40 districts by 2018 and covering 5 wards per district by 2018
3) KRA3 Clinical Nutrition Services
a. Goal 7: To increase the proportion of the adult population practicing at least one or a combination of the top 5 healthy lifestyles to 40% by 2018
b. Goal 8: Proportion of health facilities (central, provincial, mission and district hospitals) providing quality nutrition services for communicable (schistosomiasis, HIV, malaria, soil transmitted helminthes) and non-communicable diseases increased to 75% by 2018.
c. Goal 9: 30% of institutions adopt national food service and nutrition guidelines by 2018.
4) KRA4 Enhancing the Quality of Nutrition Information Systems and Effectiveness of Advocacy
a. Goal 10: Timely availability of relevant nutrition information that incorporates disaster risk reduction at all levels adequate for disaster preparedness planning and nutrition programming by 2018.
5) KRA 5 Strengthening Multi-sectoral Coordination and Collaboration for Integrated Nutrition Response
a. Goal 11:80% of women of reproductive age have the capacity to safely provide for their food, health and nutrition security using appropriate technologies
b. Goal 12: Coverage of health and community nutrition services for school children increased to 50% by 2018
c. Goal 13: All provinces and districts have Food and Nutrition Security Committees that are fully discharging their terms of reference by 2014, 50% of ward level committees functioning by 2018
d. Goal 14: To increase the proportion of households consuming safe and acceptable diets all year round to at least 80% by 2018
e. Goal 15: Scale up evidence-based nutrition sensitive interventions in social protection services to 80% coverage by 2018
f. Goal 16: At least 50% of community based health workers promote WASH related behaviour change whilst integrating nutrition messaging by 2018
g. Goal 17: To ensure that at least 50% of imported and locally produced foods are evaluated for safety by 2018.
6) KRA6 Capacity Development for Nutrition Service Delivery and Resource Mobilization
a. Goal 18:To ensure that the National Nutrition Department has a critical mass of staff with the ability, tools, supportive supervision and resources to integrate nutrition into other sectors
b. Goal 19: To increase resource allocation to nutrition to 1% of GDP per year by 2018.
","","Table 14 contains Outcome Indicators, Baseline Values, Targets and Allowable Variance
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202014%20National%20Nutrition%20Strategy.pdf" "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","","","","","","","","Goal: The overall goal of the National Strategy on Prevention and Control of Micronutrient Deficiencies (NSPCMD) is to improve the overall health, nutritional status, survival, growth, development and productivity of the population by preventing and alleviating micronutrient deficiencies.
Objectives:
To provide guidelines on interventions and actions for improved access and affordability to micronutrients through increased consumption of micronutrient rich foods, fortified foods and supplements and compliance to micronutrient guidelines and regulations
To provide a common platform for resource mobilization for the implementation of the national micronutrient deficiency prevention and control programmes
To promote efficient implementation and programme delivery of micronutrient interventions that can create impact among the marginalized through improved planning, capacity development, monitoring, coordination and collaboration of partners in the country
To improve knowledge, awareness and utilization of micronutrient deficiency control interventions through advocacy, social mobilization and behavior change communication
To strengthen research and monitoring and evaluation of National Micronutrient Deficiency Prevention and Control programmes in the country
","Micronutrient Priority Areas of Action
Vitamin A
1. Strengthening VAC supplementation strategy for children aged 6-59 months, especially those living in hard-to-reach areas and moderately malnourished children.
2. Revisiting existing policy for post-partum VAC supplementation programme in the context of recent WHO recommendation.
3. Reinforcing compliance by private sectors as key players in the vitamin A fortification program.
Iodine
1. Revising existing Salt Law to implement the use of iodized salt in livestock and processed food.
2. Declaring USI as a programme of national importance and intervening in a mission mode (Salt Mission).
3. Transforming USI project into a sustainable programme and mainstreaming USI activities within NNS.
4. Initiating a Market Intervention Operation (MIO) to determine the right price for consumers.
5. Introducing iodized salt into safety net programmes.
6. Taking strong administrative action against non-performing mills.
7. Imposing restriction on import of refined edible salt, with proper quality checks and with the exception of emergency situations.
Iron
1. Reviewing policy on IFA supplementation guidelines for adolescent girls and NPNL women; consider adding other micronutrients to supplements.
2. Considering policy on multiple micronutrient supplementation during pregnancy.
3. Need based targeted MNP supplementation programme for young children aged 6-23 months.
Zinc
1. Developing and implementing policy on rice fortification with zinc as one of the multiple micronutrients for the poorest group through government safety net programmes and other groups (open market sale, rationing, etc.).
2. Considering bio-fortification of rice with zinc for mass populations.
Vitamin B12
1. Considering possibility of adding animal source foods in appropriate form for vulnerable groups through safety net and food security programme. This can also increase consumption of other micronutrients, such as vitamins A, D, B12, iron and zinc.
Vitamin D and Calcium
1. Developing and implementing policy on food fortification with vitamin D (such as edible oil – consider double fortification).
2. Strengthening calcium supplementation during pregnancy, as per WHO guideline.
","See Table 16 and Table 17, pages 72 and 73
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Nutrition in the school curriculum|School gardens|Vitamin A|Calcium|Iodine|Iron and folic acid|Vitamin D|Zinc|Micronutrient powder for home fortification|Food fortification|Nutrition education|Rice|Food grade salt|Edible oils and margarine|Biofortifcation|Deworming|Food security and agriculture|Home, school or community gardens|Vulnerable groups","","http://iphn.dghs.gov.bd/wp-content/uploads/2016/01/NMDCS-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202015%20National%20Strategy%20on%20prevention%20and%20control%20of%20micronutrient%20deficiency.pdf" "24707","BFA","Burkina Faso","","Plan de Renforcement de la Lutte Contre les Carences en Micronutriments","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2015","","2020","Ministere de la Sante","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Industry","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Helen Keller International (HKI)|Nutrition International|Terre des Hommes","","","","","","","","","","","","","","Objectif général
financements pour une mise en oeuvre efficiente de la lutte contre les carences en Contribuer à la réduction des carences en micronutriments au Burkina Faso d’ici 2020.
Objectifs spécifiques
Supplémentation médicamenteuse
La fortification à domicile
L’iodation universelle du sel
Education nutritionnelle
Renforcement du suivi et de l’évaluation des interventions
","Table Pages 44-45
","Outcome indicators","","Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Maize flours|Complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202015%20Plan%20contre%20les%20carences%20en%20micronutriments.pdf" "39450","CIV","Côte d'Ivoire","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2020","","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade|Industry","Ministère en charge des Ressources Animales et Halieutiques,Ministère en charge de l’hydraulique humaine","","Système des Nations Unies","Other","Organisations Non Gouvernementales internationales.","Other","partenaires multilatérauxpartenaires bilatéraux","","","National NGOs","","","","","","","","6.2. Objectif Général
L’objectif général du Plan National Multisectoriel pour la Nutrition 2016-2020 est
d’améliorer le statut nutritionnel de la population.
6.3. Objectifs Spécifiques
6.4. Objectifs Sectoriels
VIZIJA: Stanovništvo Republike Hrvatske je umanjilo zdravstvene rizike povezane s prekomjernim unosom kuhinjske soli.
MISIJA: Sustavnim javnozdravstvenim intervencijama i međusektorskom suradnjom povećati razinu svijesti o optimalnom unosu kuhinjske soli uz posljedičnu promjenu navika cjelokupnog stanovništva i osiguranje preduvjeta u svim resorima društva za dostupnost i odabir hrane s manjim udjelom kuhinjske soli.
Cilj Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj jest postupno smanjivati unos kuhinjske soli u općoj populaciji Republike Hrvatske za prosječno 4% godišnje, sa sadašnjih 11,6 grama dnevno na 9,3 grama 2019. godine.
Temeljem iskustva i procjenom rezultata postignutih u drugim državama uz navedeno smanjenje unosa kuhinjske soli za oko 2 g na populacijskoj razini očekuje se značajno sniženje prevalencije arterijske hipertenzije i ostalih kardiovaskularnih i cerebrovaskularnih bolesti.
S obzirom na vodeće uzroke prekomjernog unosa kuhinjske soli definirani su sljedeći prioriteti:
Budući da preko 70% dnevnog unosa kuhinjske soli konzumiramo putem gotove ili polugotove hrane, cilj se mora ostvariti u suradnji s ugostiteljstvom i prehrambenom industrijom, naročito pekarskom jer se kruhom i pekarskim proizvodima unosi 30 - 40% kuhinjske soli.
","4.1 Analiza i planiranje
Mjera 1. Izrada plana smanjenja udjela kuhinjske soli u ugostiteljstvu i prehrambenoj industriji po pojedinim grupama hrane
Mjera 2. Praćenje troškova kroz istraživanje vezano za bolesti povezane s prekomjernim unosom kuhinjske soli
Mjera 3. Istraživanje o konzumaciji soli u Republici Hrvatskoj
4.2 Djelovanje prema proizvođačima i distributerima hrane
Mjera 1. Poticanje proizvodnje hrane s manjim udjelom kuhinjske soli u prehrambenoj industriji
Mjera 2. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i institucionalnim kuhinjama
Mjera 3. Uvođenje zakonske i podzakonske regulative sustava jasnog, jednostavnog, obveznog i dodatnog navođenja udjela kuhinjske soli na svim prehrambenim proizvodima.
4.3 Djelovanje prema građanima – posredno i neposredno
Mjera 1. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja
Mjera 2. Promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli
4.4 Monitoring i evaluacija
Mjera 1. Stalni nadzor i vrednovanje postignutih rezultata
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" "36218","GTM","Guatemala","","Plan Estratégico Nacional para la Prevención de Enfermedades no Transmisibles","NCD policy, strategy or plan with healthy diet components","","Spanish","","2015","","2020","Ministerio de Salud Pública y Asistencia Social; Programa Nacional para la Prevención de Enfermedades Crónicas no Transmisibles y Cáncer; Comisión Nacional para la Prevención de Enfermedades Crónicas no Transmisibles y Cáncer","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport","","World Health Organization (WHO)","","","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","","Research/academia","","","","","","5.1.2 Objectif global
Réduire de 15% le nombre de la population en situation d’extrême pauvreté
","Axe stratégique 1 : Augmentation les revenus des plus pauvres
Axe stratégique 2 : Amélioration de l’accès aux services sociaux de base
4.3. Goals
4.4. Objectives
These identified five priority action areas were:
5.1. Priority Action Areas On the basis of a situation analysis carried out, the following areas for action have been identified:
Goal: To ensure sufficient, safe and nutritious food is available, accessible, affordable and acceptable to all the people of Niue at all times.
","
The key priority areas for action are:
1. Sustainable production, processing, marketing and consumption of local foods
2. Health and wellbeing of all the people of Niue
3. Management and use of natural resources
4. Food security information system for learning, research and development
5. Taoga Niue – preservation of traditional food production practices and biodiversity
6. Leadership, governance and coordination
","","","","Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Nutrition in the school curriculum|Dietary guidelines|Food-based dietary guidelines (FBDG)|Taxation on unhealthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NIU%202015%20Food%20and%20Nutrition%20Security%20Policy.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" "25771","TJK","Tajikistan","","Стратегия Питания И Физической Активности [Strategy for Nutrition and Physical Activity]","Comprehensive national nutrition policy, strategy or plan","","Russian","","2015","","2024","","","2015","Adopted","12","2014","Government of Tajikistan","Nutrition council|Health|Education and research|Social welfare|Sport|Justice|Other","Inter-Sectoral Committee (ISC); Republican Center for Nutrition","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","Other","Tajikstandart; Medical Institutions","5. ЦЕЛЬ СТРАТЕГИИ
50. Целью Стратегии является охрана здоровья населения республики посредством улучшения их питания и физической активности.
","8. ПРИОРИТЕТНЫЕ МЕРЫ ВМЕЩАТЕЛЬСТВА СТРАТЕГИИ
60. Усиление нормативно-законодательной и методической базы. На межсекторальном уровне (с ведущими специалистами министерств и ведомств) осуществляется работа по внесению изменений и дополнений к действующим законам Республики Таджикистан, относящимся к вопросам питания, повышения уровня физической активности и профилактики НИЗ. Разрабатываются и утверждаются руководства и рекомендации, касающиеся вопросов питания, физической активности и профилактики НИЗ.
61. Развитие науки и кадрового потенциала. На межсекторальном уровне разрабатываются проекты НИР по вопросам питания, физической активности и профилактике НИЗ, осуществляется их реализация. Совместно с ведущими специалистами соответствующих государственных секторов осуществляется подготовка кадров по вопросам питания.
62. Стратегия в конечном итоге - повысить уровень предоставления услуг по профилактике, диагностике и лечению алиментарно-зависимых заболеваний (в первую очередь на уровне ПМСП).
63. Наряду с мерами по укреплению потенциала ответственных лиц, достаточное внимание уделяется на до- и последипломное обучение и повышение квалификации специалистов здравоохранения по вопросам прав человека и гендерным вопросам. Включаются программы обучения по вопросам питания, физической активности и профилактики НИЗ в учебных заведений.
64. Улучшение кормления младенцев и детей раннего возраста. Стратегия направлена на дальнейшее поощрение грудного вскармливания и правильной практики ведения дополнительного питания, которые не только создадут необходимые условия для физического и умственного развития, но и будут способствовать профилактике НИЗ. Для обеспечения участие мужчин в организации правильного питания и профилактики болезней, связанных с нарушением питания у беременных женщин и детей грудного возраста, а также ухода за ними в случае заболеваний планируется консультировать оба родителя по вопросам питания и физической активности.
65. Организация здорового питания детей до- и школьного возрастов. Организация здорового питания школьников на национальном уровне является одним из основных задач различных правительственных секторов. Международные организации также участвуют в улучшении питания, физической активности и профилактики НИЗ, определяющих генофонд нации (важный элемент для укрепления здоровья, развития человеческого капитала и благополучия). Программа школьного питания будет способствовать развитию до- и школьного питания.
66. Включение в школьную программу аспектов питания, повышение уровня активности и профилактики НИЗ является необходимым образовательным компонентом.
67. На межсекторальном уровне разрабатываются национальные руководства, рекомендации по питанию, физической активности и профилактике НИЗ. Также особое внимание уделяется ""Нормам здорового питания, физической активности и правила личной гигиены для детей"".
68. Планируется включение Республики Таджикистан в исследования ВОЗ по мониторингу за статусом питания детей.
69. В рамках подхода ВОЗ по использованию вмешательств с оптимальным соотношением затрат и эффективности осуществляется контроль маркетинга пищевых продуктов, предназначенных для детей, с особым акцентом на борьбу с неэтичной рекламой заменителей грудного молока, ликвидацией транс-жиров и уменьшением потребления соли.
70. Разработка комплекса инициатив по питанию и физической активности. В рамках межсекторальной деятельности разрабатываются информационные материалы на основе доказательной медицины для повышения уровня знаний населения по вопросам питания и физической активности.
71. Указанными структурами осуществляются реализации мероприятий по обеспечению населения качественно йодированной солью, оцениваются уровни потребления соли и транс-жиров.
72. В связи с важностью фактора повышения уровня активности населения в профилактике НИЗ на межсекторальном уровне предусматривается реализация ряда мероприятий, направленных на усиление нормативно правовой базы, подготовки кадров, разработки программ относительно развития физической культуры и спорта и их внедрение в учебные программы до- и школьных, вузов и др. структур.
73. Создается план информационного воздействия и связи в целях реализации Стратегии, которая позволит координировать деятельность различных средств информации и создается синергизм между ними в интересах пропаганды надлежащего питания и физической активности. Осуществляется анализ тезисов для информационного воздействия и санитарно-просветительских материалов на предмет отражения в них гендерных различий, особенно для основных групп риска (таких как беременные и кормящие женщины и девочки-подростки).
74. Укрепление межсекторального сотрудничества. Усиливаются механизмы межсекторального сотрудничества и коммуникации для своевременного реагирования и принятия эффективных мер по организации правильного питания, физической активности и профилактики НИЗ.
75. Контроль над реализацией Стратегии возлагается на ""Межведомственный комитет"" (далее ""МВК""), который создается приказом Министерства здравоохранения и социальной защиты населения Республики Таджикистан из числа высококвалифицированных специалистов соответствующих министерств и ведомств (по согласованию). Представители международных организаций также могут входить в состав МВК.
76. Подготавливается база для разработки национальной политики для организации здорового питания населения Таджикистана.
77. Мониторинг и оценка. Мониторинг будет осуществляться на основе регулярного отслеживания отобранных индикаторов, основываться на международных стандартах и требованиях и предоставлять качественные, надежные и стандартизированные данные. Система надзора должна генерировать и отслеживать информации о питании, физической активности и о наиболее актуальных НИЗ у различных групп населения (в первую очередь детей и женщин, людей пожилого возраста, включая вопросы гендерных различий), определяя их бремя (включая экономия средств).
80. Будут определены индикаторы воздействия и отслеживания;
а) индикаторы воздействия (Стратегии) будут использоваться для определения специфических изменений, тенденций и проблем в области питания, физической активности и профилактики НИЗ. Например: распространенность острой и хронической форм недоедания среди детей в возрасте 6,59 месяцев, ЖДА, ЙДЗ, ожирений среди детей и женщин или среднесуточное потребление овощей и фруктов, сахара, соли, жирных кислот к рекомендованным ВОЗ уровням их потребления;
б) индикаторы отслеживания (программные или мероприятия) будут привязаны к конкретным срокам и действиям реализации мероприятий.
","6. ИНДИКАТОРЫ СТРАТЕГИИ
51. Содействие грудному вскармливанию и своевременному введению надлежащего прикорма:
а) увеличение исключительно грудного вскармливания детей до 6 месяцев на 20%.
52. Существенное сокращение распространенности недостаточности питания, дефицита микроэлементов и ожирения, особенно у женщин и детей, и других алиментарно-зависимых неинфекционных заболеваний к 2024 году:
а) снижение уровня ЖДА среди женщин репродуктивного возраста до 30%;
б) снижение острого недоедания (низкого веса) на 30%;
в) уменьшение избыточной массы тела у детей и женщин;
г) снижение низкорослости среди детей на 20%.
53. Использование наиболее выгодного с экономической точки зрения вмешательства (на межсекторальном уровне) по продвижению здорового питания с помощью финансовых и маркетинговых механизмов:
а) постепенное искоренение из рациона питания населения транс-жиров;
б) снижение количества потребления соли до 5 гр. в сутки;
в) адаптирование правил регулирования реклам и сбыта детских пищевых продуктов.
54. Суточное потребление энергии за счет насыщенных жирных кислот и свободных сахаров менее 10%.
55. Потребление более 400 гр. фруктов и овощей в день населением.
56. Ускорение деятельности (на межсекторальном уровне) в области профилактики и контроля ожирения (особенно у детей) посредством реализации мер, предложенных в Европейской хартии по борьбе с ожирением:
а) организация и реализация системы наблюдения за пищевым статусом населения.
57. Укрепление системы мониторинга фактического питания и пищевого статуса, а также эпиднадзора за НИЗ с акцентом на наиболее уязвимые группы населения:
а) проведение периодических исследований на национальном уровне.
58. Реализация Стратегии в области питания гарантирует всеобщий доступ к пище, социальную справедливость и гендерное равенство в отношении питания населения Таджикистан.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Overweight in children 0-5 yrs|Saturated fat intake|Trans fat intake|Sodium/salt intake|Free sugars|Fruit and vegetable intake|Right to food|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Food safety|Vulnerable groups","","","http://webcache.googleusercontent.com/search?q=cache:dyZclwkfwsUJ:filial-nic-mkur.tj/doc/1/2/2/15%2520%25D0%25A1%25D1%2582%25D1%2580%25D0%25B0%25D1%2582%25D0%25B5%25D0%25B3%25D0%25B8%25D1%258F%2520%25D0%25BF%25D0%25B8%25D1%2582%25D0%25B0%25D0%25BD%25D0%25 https://extranet.who.int/ncdccs/Data/TJK_B13_NPA%20strategy%20FINAL_ENG_24%2001%202015.pdf","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.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:
Objectif général
Améliorer les pratiques de la surveillance de la croissance et du développement de l’enfant pendant et après la fenêtre d’opportunité des 1000 premiers jours de vie.
Objectifs Spécifiques
surveillance de l’état nutritionnel de la femme enceinte
surveillance de l’état nutritionnel chez la femme allaitante
surveillance de la croissance et le développement des enfants 0-24 mois
surveillance de la croissance et du développement de l’enfant après les 1000 premiers jours de vie
","
2.1. But
Contribuer à la réduction de la mortalité infantile à travers l’allaitement maternel.
2.2. Objectif général
Améliorer l’état nutritionnel des enfants de 0 à 24 mois, à travers la pratique adéquate de l’allaitement maternel d’ici fin 2020
2.3. Objectifs spécifiques
D’ici 2020 :
•Porter de 46,6 à 80% le taux de mise au sein dès la première heure de vie ;
•Porter de 41,4 à 60%, le taux d’allaitement maternel exclusif jusqu’à six mois ;
•Accroître de 45,5 à 70%, le taux d’allaitement maternel continu jusqu’à 24 mois en plus de la diversification alimentaire.
2.4. Objectifs intermédiaires
2.4.1. Chez les mères
D’ici 2020 :
1. Amener 90% des mères à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
2. Augmenter à 75% la proportion des mères qui adoptent un bon positionnement du nouveau-né au sein et une bonne prise de sein,
3. Porter à 75%, la proportion des mères qui pratiquent adéquatement la technique d’expression du lait maternel,
4. Augmenter à 60%, la proportion des mères qui jouissent de leurs droits relatifs à l’allaitement maternel au Bénin.
5. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
6. Amener 80% des mères à appliquer la Méthode Kangourou chez les enfants de faible poids de naissance (hypotrophe et prématuré) ;
7. Rendre disponible dans toutes les formations socio-sanitaires, les fiches techniques et les affiches sur l’allaitement maternel ;
2.4.2. Chez les membres de la communauté
8. Augmenter à 80%, la proportion des mères qui continuent l’allaitement maternel jusqu’à 24 mois en plus de la diversification alimentaire adéquate,
9. Amener 50% des membres de la communauté à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
10. Mettre en place au moins un groupe de soutien à l’allaitement dans chaque village ou quartier de ville.
2.4.3. Chez le personnel socio-sanitaire
11. Amener75% du personnel socio-sanitaire à avoir une bonne connaissance sur les avantages, les méthodes d’expression et de conservation du lait maternel ainsi que la durée de conservation,
12. Augmenter à 75%, la proportion du personnel socio-sanitaire qui donne des conseils adéquats sur l’AM lors des séances d’éducation individuelle et collective
13. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
2.4.4. Au plan administratif, politique et législatif
14. Renforcer les connaissances des différents acteurs (employeurs, agents socio-sanitaires, mères) sur les textes et les lois en faveur de l’AM.
15. Inciter à la révision et l’application des textes et lois en faveur de l’AM
","
I- STRATEGIES
Pour atteindre ces objectifs, les orientations stratégiques suivantes sont proposées :
process indicators: see pages 19-27
outcome indicators: see pages 30-34
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Regulation on marketing of complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20de%20Renforcement%20Alllaitement%20maternel.pdf" "40061","BDI","Burundi","","Politique nationale de santé 2016 – 2025","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2025","Ministère de la Santé Publique et de Lutte contre le Sida","1","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Environment|Information|Other","Défense et SécuritéÉnergie et Mines","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","A l’horizon 2025, le Burundi vise :
(6) Réduction de la malnutrition jusqu’aux seuils de l’OMS soit : malnutrition chronique :<40%, Insuffisance pondérale :<25%, Malnutrition aigue : <5% particulièrement chez les populations les plus vulnérables notamment les enfants de moins de cinq ans, les femmes enceintes ou allaitantes, les personnes vivant avec le VIH et les personnes âgées.
(10) L’accès pour les jeunes de 20- 24 ans à l’éducation nutritionnelle des jeunes
","6.1.3. Domaine prioritaire III : amélioration de la santé maternelle, du nouveau-né, de l’enfant d’âge préscolaire, de l’enfant d’âge scolaire, de l’adolescent(e) et de la personne âgée.
(1) Période pré-gestationnelle:
(2) Période gestationnelle:
(3) Période de travail et de l’accouchement :
(5) Période postnatale (nouveau-né):
(6) Période de la petite enfance ( jusqu’à 11 mois):
(7) Période de l’enfance (12-59 mois)
(8) Période scolaire (6 à 10 ans): (
(9) Période de l’adolescence (10- 20 ans)
(10) Période de la jeunesse (20- 24 ans) :
6.1.4. Domaine prioritaire IV : lutte contre la malnutrition
6.1.4.1. Reduction de la malnutrition chronique chez les enfants de moins de 5 ans
6.1.4.2. Reduction de la malnutrition chez la femme en âge de procréer, surtout la femme enceinte ou la femme allaitante
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
% d’enfants < 5 ans souffrant de malnutrition chronique
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20National%20Health%20Policy.pdf" "40363","BDI","Burundi","","Stratégie nationale de la santé des adolescents au Burundi","Health sector policy, strategy or plan with nutrition components","","French","","2016","11","2020","Ministère de la santé publique et de la lutte contre le sida","11","2015","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information|Justice","Ministère de la Jeunesse, Sport et CultureMinistère de la Communication et des relations avec le ParlementMinistère de la Solidarité Nationale, des Affaires Sociales et du GenreMinistère de l’Intérieur et de la Formation PatriotiqueMinistère de la Défense et des Anciens Combattants et le Ministère de la sécurité publique","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","US Agency for International Development (USAID)","coopération AllemandeRoyaume des Pays Bas","","","","","","","","","Other","Organisations de la société civile Organisations confessionnellesOrganisations de jeunesse","","","Pourcentage d'adolescents et de jeunes ayant des connaissances sur au moins trois composantes de santé des adolescent(e)s et des jeunes(nutrition, activité physique, santé sexuelle et reproductive, usage d'alcool, tabac et autres substances nuisibles à la santé (psychoactives), accident de la voie publique).
","Process indicators","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202015%20Strategie%20Sante%20des%20Adolescents_0.pdf" "39356","COL","Colombia","","Estrategia de Información, Educación y Comunicación en Seguridad Alimentaria y Nutricional para Colombia","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2016","","","Ministerio de Salud y Protección Social","","2016","","","","","Health|Food and agriculture|Social welfare","","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","Alimentación saludable
Calidad de la alimentación
Apoyo institucional para la SAN
El primer núcleo temático para la implementación de la Estrategia IEC en SAN para Colombia se enfocará en cuatro ítems para lograr la promoción de alimentación saludable:
1. Disminuir el consumo de grasas trans.
2. Disminuir el consumo de azúcares añadidos.
3. Reducir el consumo de sal/sodio.
4. Aumentar el consumo de alimentos naturales y frescos.
","AXE 4 : LUTTE CONTRE LA MALADIE
EFFET 4: La morbidité et la mortalité liées aux principales maladies sont réduites d'ici 2020 de 50%
Effet intermédiaire 4.3 : La proportion de la population présentant une malnutrition est réduite de 25%. Deux (2) extrants concourent à l’atteinte de cet effet intermédiaire. Ce sont : (i) la sous nutrition est réduit de 20% chez les enfants ; (ii) la surnutrition est réduite de 30% au niveau de la population générale ;
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years","","http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/cote_divoire/pnds_2016-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202016%20Plan%20national%20de%20developpement%20sanitaire_0.pdf" "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" "24468","ETH","Ethiopia","","United Nations Development Assistance Framework for Ethiopia ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team in Ethiopia","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNCTAD, UNEP, UNCDF,UNODC , UNOPS, UN Women","Other","","","","","","","","Research/academia","","Private sector","","","","
Outcome 1: By 2020 Ethiopia will achieve increasingly robust and inclusive growth in agricultural production and productivity and increased commercialisation of the agricultural sector.
Outcome 7: Enhanced appropriate feeding and care practices for improved nutrition status of children under five years,adolescents, pregnant and lactating women.
Output 7.1: National,subnational and partner capacity (multisectoral nutrition technical committees and nutrition coordination bodies at all levels) strengthened for National Nutrition Programme (NNP) implementation, coordination, monitoring and reporting.
Output 7.2: Improved nutrition care practices for infants, young children, adolescents, and pregnant and lactating women (PLW).
Output 7.3: Enhanced capacity of the health system to provide quality preventive and curative nutrition services for infants, young children, adolescents, and pregnant and lactating women.
Outcome 9: By 2020 the Ethiopian population, in particular women, children and vulnerable groups, have increased access to and use affordable, safe and adequate water, sanitation and hygiene (WASH) services.
Output 9.1: Strengthened capacity of WASH sector Ministry (water, health & education) in conducting strategic planning, coordination, leveraging, advocacy and implementation of development and emergency WASH interventions.
Output 9.2: Strengthened sector WASH capacity in knowledge management that informs improvements in service delivery, policies, procedures, monitoring and evaluation at the federal and regional levels.
Output 9.3: Enhanced support for children and families leading to resilient and equitable, access to and use of safe and adequate water and sanitation services and adoption of appropriate hygiene practices in households and institutions in urban and rural areas.
Output 9.4:Populations affected by WASH Emergencies receive WASH services in line with minimum standards.
","Outcome 1. Under this outcome the UN will work with the relevant Government and other partners to strengthen the capacities of farmers and agro-pastoralists to adopt innovative farming techniques and inputs for increased production and productivity. Specific technologies that will be promoted through advocacy and practical training sessions include agricultural technologies and practices that: help increase production and productivity; ensure the reduction of pre and post-harvest losses; improve livestock production; encourage sustainable land management; promote integrated watershed management; and stimulate climate-smart agricultural practices and nutrition-sensitive agriculture. Furthermore emphasis will be placed on crop diversification as well as value added processing and commercialization of
selected commodities through inclusive value chain approaches. On the supply side, the capacity of service providers and local level institutions will be strengthened to deliver quality agricultural extension services, including financial services, further improving the capabilities of farmers, (especially women and youth) to access and control productive resources and have access to markets and agricultural related financial products.
Outcome 7. In the area of nutrition the UN will support the Government to implement and monitor the National Nutrition Programme, including the strengthening of coordination of partners working in the sub-sector at national, regional and zonal levels. At the service delivery level, the capacity of the health, agriculture and education system to provide quality preventative and curative nutrition services for infants, young children, adolescents, pregnant and lactating women, and people living with HIV will be strengthened. At the community level the UN will engage with households to improve nutrition care practices for infants, young children, adolescents and pregnant and lactating women, and provide treatment of moderate and severe acute malnutrition. In addition to this, UN agencies will use their collective capacity and work with other partners to strengthen the capacity of Government to monitor and use nutrition information, and prepare and respond to nutrition needs during emergencies.
Outcome 9. In this area the UN will work with the Government to build the capacity of technical staff in the Ministry of Water, Irrigation and Energy and at subnational level to plan, coordinate and implement both development and emergency related WASH interventions; increasing their capacity of relevant institutions to collect and analyse data to inform evidence-based service delivery. At the community level emphasis will be placed on increasing communitylevel knowledge and awareness to improve hygiene and sanitation practices within the household.
","3.3: Global acute malnutrition rate (GAM)
7.1: Proportion of children 6 to 23 months with minimum acceptable diet
7.2 Proportion of children under 6 months exclusively breastfed (disaggregated by national & refugee population)
7.1.1: Federal and regional coordination bodies and technical committees (NNCB, NNTC, RNCBs, RNTCs) meet as per schedule
7.1.2: NNP monitoring mechanism (scorecard) established at federal and regional level and updated on a regular basis
7.1.3 Number of ministries that have aligned their respective sector plan with NNP
7.1.4 Integrated NNP monitoring tool established at different levels (national and woreda)
7.2.1: Percent of GMP participation for girls and boys under 2 year of age
7.2.2: Number of woredas in developing regions with active Women-to-Women support groups.
7.3.1: Percent of children under 5 receiving vitamin A supplementation
7.3.2:. Percent of health facilities providing SAM treatment
7.3.3: Number of health posts or mobile health and nutrition teams (MHNT) providing MAM treatment
7.3.4: Number of woredas with schools providing nutrition programmes including adolescents
7.3.5: Number of SAM cases treated among refugee populations
9.1: % of populations using safe and adequate WASH services disaggregated by rural and urban areas
9.3.1: % of Ethiopian population and refugee users of safe, adequate and resilient water supply services disaggregated by urban and rural areas
9.3.2: % of Ethiopian population and refugee using safe, adequate and resilient sanitation services disaggregated by urban and rural areas
9.3.4: # of people adopting appropriate hand washing practices
9.4.1: # of people affected by WASH emergencies provided with safe and adequate water supply as per minimum emergency standards
9.4.2: # of people affected by WASH emergencies provided with appropriately designed emergency latrines
9.4.3: # of people affected by WASH emergencies participating in hygiene promotion activities
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Minimum acceptable diet|School-based health and nutrition programmes|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://et.one.un.org/content/unct/ethiopia/en/home/assistance-framework/undaf.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20UNDAF.pdf" "24473","GNB","Guinea-Bissau","","Partnership framework between Guinea-Bissau and the United Nations ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team of Guinea-Bissau","4","2016","Adopted","10","2016","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Justice|Other","Foreign Affairs, Defense, Security","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC, UNOPS, UN Women","","","The World Bank","","European Union|Other","African Union, IMF","National NGOs","","Research/academia","","Private sector","","","","
Outcome 3:All citizens, particularly the most marginalized and vulnerable, have equitable, sustainable access to and will use the services in health, nutrition, HIV/AIDS, water, sanitation and hygiene, education, and protection services.
","The promotion of the right to food and the improvement of governance of food and nutritional security as well as land governance;
The improvement in infant and newborn health through the implementation of the vaccination strategy, the promotion at the community level of knowledge, behaviors, and practices affecting the health of the newborn, infant, and mother, and the reduction in acute and moderate malnutrition in children 6 to 59 months of age, pregnant women, and nursing mothers;
The improvement of the nutritional status of TB and HIV patients under treatment;
In the area of water, sanitation and hygiene, the interventions of the United Nations team will make a contribution to the promotion of the use of improved sanitation facilities, the transition to scale of the washing of hands using soap, the promotion of sustainable, equitable access to potable water in the communities, schools, and health centers, and the development of the capacities of resource managers in potable water.
","Indicator 3.7: Proportion of children under 5 years old suffering from chronic malnutrition
Indicator 3.8: Proportion of children at least 5 years old suffering from acute malnutrition
Indicator 3.12: Rate of defecation in open air
Indicator 3.13: Proportion of people with access to potable water
Indicator 3.16: Nutritional recovery rate
","Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202016%20UNPAF.pdf" "40054","LSO","Lesotho","","Lesotho Food and Nutrition Policy (LFNP) 2016-2025","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2025","Food and Nutrition Coordinating Office","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Other","Food and Nutrition Coordinating Office (under the Prime Minister’s Office), Ministry of Local Government, Ministry of Water, Ministry of Gender, Youth, Sports and Recreation, Disaster Management Authority, Food Management Unit, National AIDS Commission","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","NGOs (unspec.), community volunteers","","","","","National NGOs","","","","","private education institutions","","","2.3. Goal
To attain optimal nutritional requirements for the improvement of health status among the population of Lesotho, enabling them to contribute effectively to national socio-economic growth and development.
3.1. Policy Objectives
Objective I. Nutrition-Specific Programming
1. To ensure that women of child-bearing age and during the neonatal period consume a diet that provides adequate nutrients appropriate for their physiological needs
2. To ensure that all infants and young children 0-59 months of age in Lesotho are appropriately fed
3. To ensure optimal nutrition for school-age children and adolescents
4. To ensure prevention, treatment and management of acute malnutrition according to IMAM guidelines
5. To ensure prevention and control of diet-related non-communicable diseases and ensure a healthy lifestyle.
6. To ensure that all people in Lesotho have adequate micronutrient status
7. To ensure that nutrition aspects are strengthened in all TB and HIV and AIDS prevention, treatment and care programmes.
Objective II. Nutrition-Sensitive Programming
1. To achieve reliable production, supply and utilisation of a variety of safe, adequate, affordable and nutritious foods at all times, the Government shall aim to promote climate-smart technologies
2. To ensure that multiple micronutrients are added to staple and other regularly consumed foods
3. To enact and implement appropriate legislation and other regulatory frameworks to ensure that safe and high quality food is available at all times
4. To expand the coverage of social protection programmes, target nutritionally vulnerable groups and strengthen the quality of service provision
5. To ensure that all children in Early Childhood Care and Development (ECCD) centres and primary schools get adequate nutrition and that nutrition education is covered in curricula from ECCD to institutions of higher learning
6. To ensure that all households and other institutions in Lesotho can live in conditions of good environmental health.
Objective III. Enabling Environment
1. Nutrition capacity building
2. Nutrition research, to ensure coordinated, regulated and appropriately prioritised nutrition research that contributes to and supports policy objectives, poverty reduction and strategy reviews.
3. Institutional framework, to facilitate coordination and harmonisation of all nutrition-related policies and programmes in order to avoid duplication, ensure optimal use of scarce resources and ensure standardisation of operations by all public and private entities
4. Budget - Efficient allocation and use of resources for implementation of LFNP
5. Common Results Framework - Monitoring and evaluation of nutrition programmes.
3.2. National Nutrition Targets to be achieved by 2025
Based on WHA global targets, the following national targets have been formulated for the LFNP to be achieved by 2025:
1. Stunting among children 6-59 months of age will be reduced to a prevalence of 23 per cent or lower
2. Anaemia prevalence among women of reproductive age (15-49 years) will be reduced to 13 per cent or lower
3. Childhood overweight will not have increased and at most will affect 7 per cent of children under five years of age
4. The exclusive breastfeeding rate during the first six months will be maintained at a level of at least 50 per cent
5. Childhood wasting will be maintained at a level below 5 per cent.
6. Low birth-weight will be maintained at a level below 5 per cent.
","
4.1. Improving Maternal Nutrition
Strategic objectives:
1. Integrate nutrition services into antenatal and postnatal care and family health packages.
2. Ensure routine iron folate supplementation and deworming.
3. Institutionalise universal maternity care.
4. Prevent malnutrition and mother-to-child transmission of HIV; ensure adherence to treatment through provision of nutrition services to women and infants.
5. Promote nutritional support for malnourished women of child-bearing age.
4.2 Promotion of Appropriate Infant and Young Child Feeding Practices
Strategic objectives:
1. Promote, protect and support exclusive breastfeeding and create an enabling environment that includes enforcement of the law on marketing breast-milk substitutes.
2. Promote efficient nutrition assessment and counselling.
3. Promote and create access to appropriate, diverse, nutritionally adequate complementary foods for children aged 6-to-24 months.
4. Support the monitoring of IYCF trends.
5. Provide essential nutrition services.
6. Advocate for the incorporation of IYCF into the curricula at all levels of formal and non-formal education systems.
4.3. Prevention, Treatment and Management of Malnutrition
Strategic objectives:
1. Promote efficient early identification, management and follow-up of acute malnutrition patients at community and health facility level.
2. Ensure availability of specialised nutrition products to treat acute malnutrition.
3. Enhance monitoring, evaluation and management of acute malnutrition programmes.
4.4. Nutrition in the General Population
Strategic objectives:
1. Facilitate the prevention and control of nutritional deficiencies through micronutrient supplementation, food fortification, food-based approaches and disease-control measures.
2. Promote behavioural practices supportive of optimal nutrition and healthy lifestyles.
4.5. Preventing and Managing Diet-Related Non-Communicable Diseases
Strategic objectives:
1. Promote consumption of healthy foods and diets, physical activity and healthy lifestyles
2. Promote programmes on prevention and management of diet-related NCDs
3. Promote screening for NCDs
4.5. Preventing Micronutrient Deficiencies
Strategic objectives:
1. Provide access to essential nutrition services, with a focus on vitamin A and iron supplementation and salt iodisation
2. Enforce micronutrient legislation
3. Support the implementation of appropriate micronutrient supplementation programmes for identified groups at risk (pregnant and lactating mothers, infant and young children, school-aged children and people living with HIV/AIDS and TB)
4. Promote the production, processing, preservation, packaging and consumption of foods rich in micronutrients
5. Develop new (and/or update existing) regulations and legislation on micronutrient fortification of both locally-produced and imported foods
6. Develop and implement a communication strategy on the importance of foods rich in micronutrients, to encourage behavioural change
7. Strengthen collaboration and linkages between communities, the GoL, NGOs and the private and informal sectors
8. Support the enforcement of food-fortification regulations and legislation
9. Advocate for the integration of routine de-worming for all populations at risk.
4.6. Nutritional Needs of Special Groups
4.6.1. Nutrition, HIV and AIDS and TB
Strategic objectives:
1. Integrate nutrition into TB, HIV and AIDS prevention, treatment and care programmes
2. Advocate for increased commitment at public, private, NGO and community levels to support nutrition, TB, HIV and AIDS programmes
3. Establish linkages between nutrition assessment care and support (NACS) in communities and livelihood programmes.
4.6.2. School-Aged Children and Adolescents
Strategic objectives:
1. Promote nutrition for optimal growth and development for school-age children and adolescents
2. Promote optimal nutrition composition of all school meals
3. Support school-based meals that contribute to improved daily attendance and reduction of dropout rates
4. Strengthen nutrition education.
5. POLICY OBJECTIVE 2: NUTRITION-SENSITIVE PRIORITY ACTIVITY AREAS
5.1. Food and Nutrition Security at National, Community and Household Level
Strategic objectives:
1. Promote utilisation of diverse, safe and nutritious foods
2. Contribute to the diversification of sustainable food production and supply-base, considering climate-smart technologies
3. Promote community nutrition programmes that support income-generating, sustainable and resilient livelihoods
4. Promote climate-smart and labour-saving technologies.
5.2. Food Fortification
Strategic objectives:
1. Promote the consumption of nutrient-enhanced foods.
2. Advocate for the provision of multiple micronutrient sachets for addition to a child’s meal before consumptions and addition to milling machines used in the community each time a pre-measured portion of grain is added.
5.3. Food Safety and Standards
Strategic objectives:
1. Improve/ensure food standards, quality and safety.
2. Develop food standards guidelines.
5.4. Caring for the Socio-Economically Deprived & Nutritionally Vulnerable
Strategic objectives:
1. Promote social protection interventions for improved nutrition
2. Promote participation by men in the provision of nutritional care and support for their families
3. Support the creation of community-based livelihood and growth-promotion programmes
4. Build capacity for the provision of nutritional care to socio-economically deprived and nutritionally vulnerable household members
5. Advocate for food and nutrition programmes directed to vulnerable groups
6. Ensure that all food packages aimed at nutritionally vulnerable groups meet nutritional standards.
5.5. Early Childhood Care and Development
Strategic objectives:
1. Improve the nutritional status of children in ECCD
2. Improve the nutritional status of children in primary schools
3. Reduce malnutrition in schools
4. Improve food and nutrition security
5. Increase knowledge on nutrition, food production and livelihood opportunities at all schools.
5.6. Water, Sanitation and Hygiene (WASH)
Strategic objectives:
1. Promote safety of drinking water, including commercially bottled water
2. Promote essential WASH practices (hand-washing with water and soap at critical times, treatment and safe storage of drinking water, and sanitary disposal of human faeces)
3. Promote water protection interventions
4. Advocate for water, sanitation and hygiene distribution services to households and other institutions.
5.7. Nutrition in Emergency Situations
Strategic objectives:
1. Strengthen nutrition early warning systems by including a food security and nutritional assessment
2. Strengthen the capacity of Government, UN agencies and NGOs to respond to nutrition and nutrition-related early warning information related to potential shocks
3. Ensure availability of specialised nutrition products, supplementary food, therapeutic food, safe drinking water and water purification commodities
4. Support integration and linkage of emergency programmes to livelihood interventions and social safety nets/transfers
5. Support infant and young child nutrition emergency principles, including breastfeeding support, essential WASH actions and access to other critical services.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202016%20Food%20and%20Nutrition%20Policy.pdf" "8739","MKD","North Macedonia","","Акциски план за храна и исхрана во Република Македонија [Food and Nutrition action plan in the Republic of Macedonia]","Comprehensive national nutrition policy, strategy or plan","","","","2016","","2025","Ministry of Health","6","2016","","","","","Health|Food and agriculture|Education and research|Social welfare","National Food and Veterinary Agency","World Health Organization (WHO)","","","","","","","","","","","","Private sector","Food Retailers","","","
Мисија
Да се обезбеди пристап до достапна, балансирана и здрава исхрана за сите граѓани во Република Македонија, без оглед на нивниот пол или социјален статус, преку спроведување на меѓусекторски политики, во контекст на „Здравје 2020“
Стратешки цели
Да се избегнат случаите на предвремено умирање и значајно да се намали оптоварувањето од НЗБ поврзани со исхрана, зголемената телесна тежина и дебелината, како и сите други форми на пореметувања во исхраната кај населението во Република Македонија, имајќи предвид дека таквите појави се под силно влијание на социјалните детерминанти на здравјето и негативно се одразуваат врз добросостојбата и квалитетот на животот. Оваа цел ќе се постигне со превземање на интегрирана, сеопфатна акција во голем број на општествени области преку пристапот на „цела Влада“ и „здравје во сите политики“. Акцискиот план е наменет за поддршка на координирана и сеопфатна имплементација на националните политики, за подобрување на системот за управувањето со храната, намалување на факторите на ризик поврзани со исхраната и намалување на распространетоста на болестите поврзани со исхраната.
","Акцискиот план се фокусира на храната и исхраната, како едни од водечките фактори на здравјето и благосостојбата во РМ, со особено внимание поврзано со оптоварувањето од НЗБ. Опфатени се сите форми на пореметувања во исхраната во текот на животот.
Поточно, акцискиот план настојува да се осврне и да понуди решенија во следните подрачја:
3. Wskaźniki monitorowania poszczególnych celów operacyjnych 1) cel operacyjny 1
2.1. Конкретная цель: Снижение уровня подверженности населения общим модифицируемым факторам риска развития основных неинфекционных заболеваний
2.2. Конкретная цель: Снижение не менее, чем на 5% уровня недостаточной физической активности и сидячего образа жизни среди населения
3.1. Конкретная цель: Увеличение на 20% к 2020 году мероприятий, организованных системой здравоохранения, направленных на профилактику и контроль неинфекционных заболеваний
2.1.4 Реализация мероприятий по снижению неинфекционных заболеваний, связанных с питанием, недоеданием и дефицитом питательных веществ, в соответствии с Национальной программой в области питания и рациона питания на 2014-2020 годы и Плана действий на 2014-2016 годы по внедрению Национальной программы, утвержденных Постановлением Правительства № 730 от 8 сентября 2014 г., в пределах выделенных финансовых средств
15. Стандартизированная по возрасту средняя доля общего потребления калорий за счет насыщенных жирных кислот у лиц в возрасте 18 yearsлет и старше
16. Стандартизированная по возрасту распространенность лиц в возрасте 18years) consuming less than five total servings (400 лет и старше, потребляющих менее пяти суммарных порций (400 граммов) фруктов и овощейв день
17. Стандартизированная по возрасту распространенность повышенного уровня общего cholesterol among persons aged 18+ years (defined as холестерина у лиц в возрасте 18 лет и старше (определяется как total cholesterol ≥5.0 mmol/l or 190 mg/dl); and mean уровень общего холестерина ≥ 5,0 ммоль / л) и средний уровеньtotal cholesterol concentration общего холестерина
21. Принятие национальной политики по ограничению содержания насыщенных жирных кислот и фактическое исключение из употребления частично гидрогенизированных растительных масел в пищевых продуктах
Источник возможен в перспективе: национальная государственная политика/нормативные акты, ограничивающие использование насыщенных жирных кислот и постепенно запрещающие использование гидрогенизированных растительных масел в производстве и приготовлении пищевых продуктов, принятые и внедренные
23. Политика по сокращению воздействия на детей marketing of foods and non-alcoholic beverages high in маркетинга пищевых продуктов и безалкогольных напитков с высоким содержанием насыщенных жиров, трансжирных кислот, свободных сахаров или соли
","
1. Снижение к 2020 году общей смертности от сердечно-сосудистых заболеваний на 10%, от рака на 7%, от заболеваний органов пищеварения, хронических респираторных заболеваний и от диабета на 10%
4. Снижение на 30% среднего потребления соли/натрия населением
Источник: периодические исследования потребления продуктов питания, выделения натрия с мочой, с внешней поддержкой (Всемирной организации здравоохранения)
6. Снижение на 10% распространенности повышенного кровяного давления
Источник: периодические исследования (Поэтапный подход Всемирной организации здравоохра-нения к эпиднадзору факторов риска развития неинфекционных заболеваний или другие подобные исследования)
7. Снижение на 5% среднего уровня глюкозы в крови у взрослого населения и на 15% распространенности повышенного уровня глюкозы в крови у взрослого населения
Источник: периодические исследования (Поэтапный подход Всемирной организации здравоохранения к эпиднадзору факторов риска развития неинфекционных заболеваний или другие подобные исследования) для возрастных групп от 18 до 69 лет
7.1. Обеспечение остановки роста ожирения (рост на уровне 0%)
Источник: периодические исследования (Ожирение у детей школьного возраста) для учащихся начальных классов; статистические данные, полученные в результате ежегодного медицинского обследования учащихся, с их последующим обновлением; данные истории болезни пациента (в электронном виде), в соответствии с законодательством о защите персональных данных; данные oб использовании для измерений стандартизированного оборудования
Источник: периодические исследования (Поэтапный подход Всемирной организации здравоохранения к эпиднадзору факторов риска развития неинфекционных заболеваний или другие подобные исследования) для возрастных групп от 18 до 69 лет
","Outcome indicators|Process indicators","","Overweight in adolescents|Overweight in school children|Saturated fat intake|Trans fat intake|Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Fats|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction","","http://lex.justice.md/viewdoc.php?action=view&view=doc&id=364230&lang=2","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202016%20NCD%20Action%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202016%20NCD%20Action%20Plan.pdf" "36188","SYC","Seychelles","","Seychelles Strategy for the Prevention and Control of Noncommunicable Diseases, 2016-2025 ","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2025","Ministry of Health","","2016","Adopted","6","2016","The Strategy was presented at Cabinet and approved on the 30th of June 2016 (C16/D/MEM/154). The Strategy was subsequently presented by the Minister of Health at the National Assembly with no objection (Nation 28 July 2016).","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Urban planning|Trade|Environment|Industry|Information|Labour","Health, agriculture, communication, education, employment, energy, environment, finance, food, foreign affairs,housing, justice and security, legislature, social welfare, social and economic development, sports,tax and revenue, trade and industry, transport, urban planning and youth affairs and partnershipwith relevant civil society and private sector entities","","","","","","","","","National NGOs","","","","","","","","1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.pdf" "36034","TZA","United Republic of Tanzania","","National Multi-sectoral Nutrition Action Plan (NMNAP)","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","Prime Ministers Office: United Republic of Tanzania","10","2016","Adopted","10","2016","Prime Ministers Office: United Republic of Tanzania. High Level Steering Committee on Nutrition (HLSCN)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Information|Labour|Sub-national","Prime Ministers Office: United Republic of TanzaniaTNFC","","UNICEF, WHO, UN-REACH, WFP, FAO","Helen Keller International (HKI)","PANITA, HKI, COUNSENUT","","Fhi360, Irish Aid, DFID, USAID","","","National NGOs","","","academia (SUA, MUHAS); institutions (Ifakara Health Institute), Tanzania Public Health Association - TPHA, Tanzania Diabetic Association – TDA, Tanzania NCD Alliance)","","unspecified","","","The NMNAP’s broad goal is to accelerate scaling up of high impact multisectoral nutrition specific and nutrition sensitive interventions and creating an enabling environment for improved nutrition, to contribute to the building of a healthy and wealthy nation.
NMNAP Key targets by 2020/21
4.5 Key strategies
4.5.1 Community-centred multisectoral approach as overarching strategy
82. Acknowledging that nutrition is a crosscutting issue that requires the effective contribution of multiple actors, sectors and administrative levels, the NMNAP is based on a national multisectoral strategic nutrition framework for planning, implementation and coordination. Thus, the overarching strategy for the NMNAP is a community-centred multisectoral nutrition approach that explicitly embraces simultaneous actions for nutrition specific interventions at the level of immediate causes and nutrition sensitive interventions at the levels of underlying and basic causes of malnutrition. A multisectoral nutrition system is composed of multiple sectors (e.g. agriculture, health, WASH (water, sanitation and hygiene), education, social protection, environment); multiple levels (national, regional, Local Government Authorities and importantly the community); and multiple partners (Government, development partners – UN/multi-laterals, bilaterals, NGOs, CSOs, academia and private sector). The multisectoral community-centred strategy is based on the overwhelming scientific evidence that achieving high coverage of the evidence-based high impact nutrition interventions (Lancet Nutrition Series 2008 and 2013) requires multisectoral harmonization and collaboration with key nutrition stakeholders.
4.5.2 Supportive cross-cutting strategies
83. The overarching multisectoral approach is complemented by several supportive strategies which are relevant and applicable to each of the seven key result areas. These include: -
1) Social and Behaviour Change Communication (SBCC) for nutrition through interpersonal communication and mass media to promote adoption of appropriated behaviours and practices and commitment to achieving common results for everyone and everywhere in the country for improved nutrition. The NMNAP will use the SBCC Strategy for 2013-2018.
2) Advocacy and Social mobilization to sustain political will and Government commitment for nutrition and to mobilise adequate resources for nutrition. Social mobilisation activities are important to create awareness of the problems of malnutrition among decision makers and community members to improve nutrition. For example, a 2013 landscape analysis by TFNC found that policy makers and communities do not perceive stunting and micronutrient deficiencies as problems to be addressed. Since many of the actions in advocacy and social mobilization require behavioural, attitude and practice changes by policy makers and communities for overall societal change all types of media need to be involved. Social mobilization will also increase the participation of communities in the implementation of the NMNAP. Since the key actors for improved nutrition are households and communities ensuring their active participation of communities is a critical success factor for the NMNAP.
3) Community-Centred Capacity Development (CCCD): The development of human, institutional and organizational capacity is critical in the implementation of the NMNAP especially at the community level. Community participation in doing their own triple A processes of assessment, analysis and action can be greatly enhanced by developing the capacity of the community and that of community-based organisations to support social accountability mechanisms (see section 6.1 for definition of social accountability). Recognizing that communities constitute the greater whole of society and that they exist in relationship with society as a whole, development of capacity of communities should go hand in hand with developing capacity at the higher levels – council, district, region, national.
4) Developing functional human resource capacity: Although human resource technical capacity in nutrition is fairly adequate, functional capacity in communication skills, coordination and strategic leadership and management requires further development. System-wide development of nutrition relevant institutions, especially for TFNC as the institutional leader in the implementation of this NMNAP will be given priority. Institutionalization of the nutrition steering committees at all levels and developing their functional capacity will be further explored.
5) Aligning all stakeholders with the NMNAP through Community-Public-Private Partnerships (C-PPP) using the “three ONES principle” of ONE plan, ONE coordinating mechanism and ONE monitoring and evaluation framework, so that every stakeholder come together to tackle malnutrition and build an enabling environment for improved nutrition with equity. Capacities will be developed to conduct and manage C-PPPs as part of a collaborative leadership strategy. Forming strategic partnerships at all levels of the nutrition system will enhance coordination and accountability. Strategic collaboration, including the engagement of the private sector through implementation of appropriate principles of social and corporate responsibility, is likely to result in cost-efficiency and effectiveness and promote ownership and sustainability.
6) Delivery of quality and timely nutrition services: This NMNAP will promote the delivery of nutrition and nutrition-relevant services that are timely and of high quality. Tools will be put in place to assess the effective implementation and delivery of services, and where bottlenecks are identified, remedial and corrective measures will be adopted including legal enforcement as appropriate.
7) Mainstream equality in all the seven Key Result Areas of the NMNAP without discrimination, focusing on women, children and adolescent girls. Although generally Tanzania has made good progress in empowering women, traditional patriarchal practices remain, that favour men, including in nutrition relevant practices, and are often reflected in both formal and informal systems and institutions especially in the rural areas.
8) A resource mobilization strategy will be developed to advocate for resource allocation to the NMNAP by both Government and partners.
9) Tracking progress and operational research and development will be promoted to ensure key lessons and insights gained from the implementation of the NMNAP are learnt and used in adjusting and improving the proposed interventions at regular intervals and linking research with programmes and training. Research will also provide quality assurance, robust data on program performance and support learning. Linking research to the programmes and to training will assure evidence-based sharing of experience and intergenerational transfer of knowledge. Efforts will be made to link the implementation of the NMNAP with nutrition-relevant centres of excellence both nationally and internationally.
10) Overall planning and coordination is a key strategy to align implementation of the NMNAP to achieve far greater results than what single sectors could achieve alone.
","note: indicators are embedded in targets: see above and document, table 4, p49
","Outcome indicators","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Staple foods|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Family planning (including birth spacing)|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.tfnc.go.tz/uploads/publications/en1512587132-NMNAP%202016-21.pdf ","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf" "39474","BEL","Belgium","","Plan Prévention et Promotion de la Santé en Wallonie","Health sector policy, strategy or plan with nutrition components","","French","1","2017","","2030","Gouvernement Wallon, Agence pour une Vie de Qualité (AViQ)","","2016","Adopted","","2016","Gouvernement Wallon","Health|Education and research|Social welfare|Development|Transport|Urban planning|Environment|Justice|Other","emploi, logement","","","","","","","","","","","","","","","","","II. Objectifs stratégiques thématiques:
1. La promotion des modes de vie et des milieux de vie favorables à la santé :
3. La prévention des maladies chroniques… Il s’agit :
","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://extranet.who.int/ncdccs/Data/BEL_B11_AVIQ plan-prévention-janvier 2017-final-2.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202017%20plan%20pr%C3%A9vention%20sant%C3%A91.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202017%20plan%20pr%C3%A9vention%20sant%C3%A91.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEL%202017%20plan%20pr%C3%A9vention%20sant%C3%A91.pdf" "24690","EST","Estonia","","Estonia 2020 Action Plan 2017-2020","Multisectoral development plan with nutrition components","","English","4","2017","","2020","European Commission","","2017","Adopted","4","2017","Government of Estonia","Health|Education and research|Social welfare","","","","","","","","","","","","","","","","Other","Estonian Health Insurance Fund","
5. Increasing the healthy years of life by improving health related behaviours and reducing the number of accidents as well as developing the healthcare infrastructure.
I. Reducing the number of injuries and deaths from injuries and improving health related behaviour
d. Implementation of measures to promote active lifestyles, including the development and piloting of measures supporting exercise habits in the school environment and local community
g. Preparing a green paper on diet and exercise.
h. Continuing of regular communication regarding a balanced and healthy diet
","","","","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://ec.europa.eu/info/sites/info/files/2017-european-semester-national-reform-programme-estonia-en.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/EST%202017%20Estonia%202020%20Action%20Plan%202017-2020.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
Outcome 2.2: Health
Increased equitable access to quality health for all including the most vulnerable.
Outcome 2.3: Nutrition
Increased equitable and quality access to nutrition specific and sensitive services including the most vulnerable.
Outcome 3.1: Agriculture and Food Security
Sustainable agricultural production and productivity increased for enhanced food security, nutrition and income generation for all in rural and urban areas.
","","
3. Under (-5) mortality rate
6. Proportion of population using improved water sources for drinking
7. Proportion of population using improved sanitation facilities
1. % of children under five years stunted
2. % of children under five years wasted
3. Household Dietary diversity score (DDS)
4. Proportion of children (0-6 months) exclusively breastfed
1. Food consumption Score
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Minimum dietary diversity of women|Provision of school meals / School feeding programme|Food security and agriculture|Water and sanitation","","https://www.humanitarianresponse.info/system/files/documents/files/undaf_gmb_2016_final_0.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GMB%202016%20UNDAF.pdf" "39770","NAM","Namibia","","National Multisectoral Strategic Plan For Prevention and Control of Non-Communicable Diseases (NCDs) in Namibia 2017/18 – 2021/22","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Social Services, Primary Health Care Directorate, Family Health Division, Non-Communicable Diseases (NCDs) Programme","11","2017","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information","","","","","","","","","","National NGOs","","","","","","","","6. Стратегия предусматривает поэтапное расширение охвата системой школьного питания общеобразовательных учреждений в зависимости от экономических возможностей, социального и демографического развития Республики Таджикистан и отдельных регионов.
7. Стратегия разработана с учетом возможности предоставления бесплатного питания детям из необеспеченных семей и частичного софинансирования стоимости школьного питания для семей с низким уровнем доходов.
28. Реализация стратегии будет осуществляться в соответствии с целями, задачами и основными направлениями развития системы школьного питания, определенными в концепции улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан.
29. Целью стратегии является обеспечение условий для сохранения и укрепления здоровья и совершенствования образовательных результатов учащихся через устойчивое развитие школьного питания в Республике Таджикистан.
30. Для обеспечения устойчивого развития школьного питания в Республики Таджикистане требуется решение следующих задач:
31. Решение предусмотренных настоящей стратегией задач осуществляется путем разработки и реализации краткосрочных, среднесрочных и долгосрочных программ, пилотных проектов и иных мероприятий по отдельным направлениям реализации настоящей стратегии
","32. Основными направлениями действий по совершенствованию государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
46. На первом этапе (2017 - 2018 годы) осуществляется формирование базовых условий, необходимых для развития системы школьного питания в Республике Таджикистан и решения задач, определяемых настоящей стратегией:
47. На втором этапе (2019 - 2020 годы) осуществляется:
49. На третьем этапе (2021 - 2026 годы) осуществляется:
38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
7. Objectifs
Contribuer à la réduction de toutes les formes de la malnutrition chez les couches le plus vulnérables et assurer particulièrement aux enfants de Djibouti d’atteindre leur potentiel de croissance et de développement harmonieux.
De manière spécifique, il vise à :
11. Paquets d’interventions
11.2. Intervention pour les adolescentes
Elles doivent à cet effet être sensibilisées à une meilleure utilisation des aliments disponibles localement. Des aliments diversifiés avec les différents groupes d’aliments : constructeurs, énergétiques et protecteurs. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés et dans les écoles (collège et lycée).
Les micronutriments, notamment le Fer et l’Acide Folique sont très importants pour les adolescentes à cause des menstruations. A ce titre, elles doivent avoir accès aux aliments enrichis incluant l’iodation du sel. La supplémentation en micronutriments et le déparasitage sont fortement recommandés.
Le programme scolaire doit être renforcé en module de nutrition
Les cantines scolaires en zone rurale et périurbaine qui intègrent la supplémentation en poudre de micronutriment sont également importantes
11.3. Intervention pour les femmes enceintes
Il est impératif pour les femmes enceintes, d’assurer le suivi de la grossesse lors des consultations prénatales et prendre (…) le Fer et l’Acide Folique. La supplémentation en micronutriments, le déparasitage et les aliments enrichis incluant l’iodation du sel sont fortement recommandés. Elles doivent aussi être sensibilisées particulièrement sur l’utilisation des aliments disponibles
Localement. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés avec les différents aliments disponibles sur le marché.
11.4. Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE)
11.5. Le suivi de la croissance
11.6. Réduction des carences en micronutriment
11.9. Promotion de pratiques familiales essentielles/actions essentielles de Nutrition
11.10. Prévention contre le surpoids et les maladies métaboliques
","
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
Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","
In het Nationaal Preventieakkoord staan maatregelen tegen overgewicht en obesitas. Enkele maatregelen die in het preventieakkoord staan:
Schijf van Vijf en de gezonde keuze Het eten van producten uit de Schijf van Vijf is de basis van een gezond voedingspatroon. Het eten van groenten, fruit, volkoren producten en het drinken van water maakt hier in belangrijke mate onderdeel van uit.
We spreken gezamenlijk de volgende ambities uit:
Om bovenstaande ambities te bereiken dragen we allen bij aan het behalen van de volgende doelen in 2040:
Objectif Stratégique (OS) n°1 : Réduire d’au moins 20% la prévalence du retard de croissance d’ici 2021 au niveau national
OS.1.1. Réduire d’au moins 40% la prévalence du retard de croissance dans les régions de Sédhiou, Tambacounda, Kédougou, Kolda, Louga Kaffrine, Fatick, Matam, Diourbel ;
OS.1.2. Réduire d’au moins 15% la prévalence du retard de croissance dans les autres régions (Dakar, Thiès, Kaolack, Saint-Louis, Ziguinchor) ;
OS.1.4.Augmenter d’au moins 30% la proportion de femmes enceintes et allaitantes qui ont un régime alimentaire varié, diversifié, de quantité suffisante et équilibrée ;
OS.1.5. Augmenter à 20% au moins la proportion d'enfants 6-23mois qui bénéficient d'un apport alimentaire minimum acceptable.
Objectif Stratégique (OS) n°2 : Réduire de 15% la proportion d’enfants ayant un faible poids de naissance, d’ici 2021
OS.2.1. Réduire d'au moins 40% la prévalence du faible poids de naissance dans les régions Centre et Nord ;
Objectif Stratégique (OS) n°3 : Réduire à moins de 5% la prévalence de la malnutrition aigüe des enfants de 0 à 5 ans
OS.3.1. Réduire à moins de 10% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les régions de Saint Louis, Matam, Louga, Tambacounda et Diourbel ;
OS.3.2. Réduire à moins de 5% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les autres régions.
OS.2.2. Réduire d'au moins 20% la prévalence du faible poids de naissance dans les régions Sud, Sud-Est et Ouest.
Objectif Stratégique (OS) n°4 : Porter à 43% au moins le taux de l’Allaitement Maternel Exclusif durant les 6 premiers mois
OS.4.1. Réduire de 50% le pourcentage de femmes qui donne de l’eau en plus de l’allaitement maternel pendant les six (06) premiers mois ;
OS.4.2. Porter la mise au sein précoce (dans l’heure qui suit la naissance) à 50% au moins.
Objectif Stratégique (OS) n°5 : Réduire de 25% la prévalence de l’anémie chez les groupes vulnérables
OS.5.1. Réduire de 25% la prévalence de l’anémie chez les enfants de 6 - 59 mois ;
OS.5.2. Réduire de 25% la prévalence de l’anémie chez les adolescentes (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.5.3. Réduire de 25% la prévalence de l’anémie chez les femmes en âge de reproduction.
Objectif Stratégique (OS) n°6 : Réduire d’au moins 20% la prévalence des carences pour les autres micronutriments (iode, zinc et vitamine A)
OS.6.1. Réduire de 20% la carence en zinc chez les enfants de moins de 5 ans ;
OS.6.2. Réduire d’au moins 20% la prévalence de la carence en iode chez les FAR ;
OS.6.3. Réduire d’au moins 20% la prévalence de la carence en iode chez les FE ;
OS.6.4. Réduire d’au moins 20% la prévalence de la carence en Vitamine A chez les enfants de moins 5 ans ;
OS.6.5. Porter à 80% le taux de consommation de sel adéquatement iodé dans les ménages.
Objectif Stratégique (OS) n°7 : Réduire de 10% la prévalence de l’obésité chez les groupes vulnérables
OS.7.1. Réduire la prévalence de l’obésité d’au moins 5% chez les enfants de moins de 5 ans ;
OS.7.2. Réduire la prévalence de l’obésité de 5% chez les adolescents (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.7.3. Réduire la prévalence de l’obésité de 5% chez les FAR.
","","*Voir le Tableau 1 sur la page 70
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Vitamin A|Other B-vitamins|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","http://intomorrowetrust.com/psmn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2017-2021-Plan%20Strategique%20multisectorel%20de%20la%20Nutrition.pdf" "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" "36187","BIH","Bosnia and Herzegovina","","Акциони план за превенцију и контролу незаразних болести у Републици Српској за период од 2019. до 2026. године [Action Plan for the Prevention and Control of NCDs]","NCD policy, strategy or plan with healthy diet components","","Serbian","","2019","","2026","Министарство здравља и социјалне заштите","12","2018","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Information","","","","","","","","","","","","","","","","","","","7.Активности у Републици Српској
Активности које би се у Републици Српској требале спроводити у периоду од 2019. до 2026. године дате су табели 6.
Табела 6: Активности које би се у Републици Српској требале спроводити у периоду од 2019. до 2026. године
...
","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Monitoring of children’s growth in school|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces","","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Documents/Akcioni plan 2019 2026 10.12.2018. za Vladu Republike Srpske.doc","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Pages/Javno_zdravstvo.aspx","","" "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","" "96698","MLI","Mali","","Plan stratégique intègre de lutte contre les maladies non transmissibles (MNT) 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé et des Affaires Sociales","2","2018","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Environment","","","","","","","","","","National NGOs","","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
E- CIBLES
Las y los adolescentes reciben de forma oportuna y efi caz, acciones de promoción, prevención y atención de salud por medio de sistemas de salud integrados y respuestas interinstitucionales e intersectoriales articuladas y enfocados en resultados efectivos.
","Áreas Estretégicas
Líneas de Acción
1.1.1 Definición interinstitucional de indicadores básicos sobre salud de las y los adolescentes, para su recolección a través de los diversos sistemas de información institucionales.
1.1.2 Desarrollo de procesos de análisis, sistematización y divulgación de la información sobre la salud de la población adolescente y sus determinantes.
1.2.1 Desarrollo de procesos de registro y monitoreo institucionales e interinstitucionales sobre el avance de las acciones en salud dirigidas a adolescente, sus familias y comunidades.
1.2.2 Elaboración de informes institucionales anuales sobre las acciones desarrolladas en promoción de la salud, prevención y atención de problemas y necesidades de salud en la población adolescente en el nivel local.
2.2.1 Implementación de programas y proyectos de formación dirigidos a padres, madres y encargados, para el fortalecimiento de habilidades de cuido, comunicación asertiva y disciplina a las y los adolescentes en el primer nivel de atención en salud.
2.2.2 Promoción de espacios de diálogo dirigidos a personas adultas que conviven con adolescentes. 2.2.3 Implementación de estrategias atractivas para mantener a la población adolescente interesada en laeducación formal
2.2.4 Desarrollo de estrategias para promover la integración, participación y empoderamiento significativo de la población adolescente y sus comunidades en las Áreas de Salud, con énfasis en las comunidades de atención prioritaria.
2.2.5 Identificación y fortalecimiento de actores sociales clave y redes de apoyo social en las comunidades, que favorezcan la integración de acciones y esfuerzos en el mejoramiento de las condiciones de salud de las y los adolescentes y su calidad de vida.
2.3.1 Desarrollo de actividades educativas de promoción de la alimentación saludable en las personas adolescentes y sus familias en las Áreas de Salud priorizadas.
2.3.2 Vigilancia del cumplimiento de normativas que regulan las sodas y los comedores escolares en cuanto a la calidad nutricional de los alimentos que se ofrecen en los establecimientos educativos.
2.3.3 Desarrollo de alianzas estratégicas con empresas privadas a nivel local que colaboren con la promoción de una alimentación saludable para la población adolescente.
3.1.1 Fortalecimiento de las políticas y estrategias locales que promuevan programas y espacios seguros para la actividad física, la recreación y las actividades culturales dirigidas a las personas adolescentes y sus familias. 3.1.2 Implementación de estrategias de formación de adolescentes promotores de salud.
3.1.3 Diseño e Implementación de estrategias que promuevan procesos sistemáticos de formación con metodologías participativas y adecuada a la población adolescente, desde los servicios de salud y los centros educativos, sobre: nutrición saludable
3.1.4 Monitoreo y evaluación de las estrategias de promoción y prevención en cuanto a su efectividad e impacto.
3.3.1 Fortalecimiento de la implementación de guías y manuales de atención en SS/ SR, SM y Nutrición dirigidas a población adolescente en los tres niveles de atención en salud, articulados con otras instituciones.
5.1.2. Implementación de una estrategia de Mercadotecnia dirigida a posicionar conductas saludables en áreas críticas del proceso d de desarrollo integral de los y las adolescentes (alimentación)
","
Información estratégica - Objetivo
Generar información de calidad, actualizada y accesible sobre la salud de las y los adolescentes e intervenciones institucionales, que permita dentificar inequidades según edad, sexo, etnia y nivel socioeconómico, así como facilitar la toma de decisiones, el monitoreo y la evaluación de las respuestas institucionales e interinstitucionales. Desarrollo de procesos de registro y monitoreo institucionales e interinstitucionales sobre el avance de las acciones en salud dirigidas a adolescente, sus familias y comunidades. Monitoreo y evaluación de las estrategias de promoción y prevención en cuanto a su efectividad e impacto.
Indicadores
Objetivo General
Garantizar las oportunidades para el desarrollo integral de niñas y niños desde la gestación hasta cumplir los 9 años.
Objetivos específicos
Acciones clave
Evaluación
La evaluación de la Estrategia Nacional para el Desarrollo Integral de la Primera Infancia abordará procesos, productos, resultados e impacto. Se realizarán tres evaluaciones: inicial, intermedia y final. La evaluación inicial al finalizar el tercer año de la implementación, la evaluación intermedia al finalizar el séptimo año de implementación y una evaluación final, al concluir el décimo año de implementación.
Indicadores
Objetivo General
Incrementar el número de niñas y niños que son alimentados al seno materno desde su nacimiento y hasta los dos años de edad.
Objetivos Específicos
Metas
Ejes estratégicos
Fortalecer las competencias institucionales para la promoción, protección y apoyo de la lactancia materna
Ejes estratégicos
Impulsar la participación de la iniciativa privada en la promoción y apoyo a la lactancia materna
Ejes estratégicos
Vigilar el cumplimiento del Código Internacional de Comercialización de Sucedáneos de la Leche Materna
Eje estratégico
Fomentar la práctica del amamantamiento natural en los municipios de la Cruzada Nacional contra el Hambre
Ejes estratégicos
Eje transversal: Capacitación al personal de salud, estudiantes universitarios de áreas médicas y afines, así como a la población en general
Actividades
Seguimiento y Evaluación
Realizar la evaluación periódica de las acciones tanto de la estrategia como de su impacto. Gestionar la inclusión de los indicadores de práctica de lactancia materna en sus diversas modalidades de práctica en la Encuesta Nacional de Nutrición 2018. Desarrollar indicadores que midan el proceso y el impacto de la Estrategia Nacional. Gestionar la inclusión de estos indicadores en los diversos sistemas de información del Sistema Nacional de Salud.
Indicadores
Objetivos
Metas
50% - Porcentaje de embarazadas atendidas en el primer trimestre gestacional.
90% Cobertura de Tamiz Neonatal.
5% - Porcentaje de recién nacidos con bajo peso al nacer.
30 - Razón de mortalidad materna.
7.07 - Tasa de Mortalidad Neonatal.
25% - Porcentaje de cesáreas
","Estrategias
Líneas de acción
1.2.1. Fomentar la alimentación de calidad con micronutrientes que favorezcan la salud materna y fetal.
1.2.2. Impulsar la lactancia materna exclusiva durante los primeros seis meses y en caso de las mujeres con VIH brindar consejería sobre las alternativas para la alimentación infantil.
1.2.3. Fortalecer el manejo nutricional del prematuro extremo sustentado en evidencia científicas actuales y buenas prácticas.
","Indicadores
Los objetivos generales y estratégicos del Plan son:
(a) Visibilizar la primera infancia y elevar su calidad de vida, mediante la promoción y pro-tección de su identidad civil, salud y nutrición, el desarrollo de su educación, así comola difusión y cumplimiento de los derechos del niño.
(b) Lograr el pleno ejercicio de los derechos de la primera infancia, con la inclusión y pro-tección de cada niño y niña, en situación de vulnerabilidad social.
(c) Brindar protección legal a la primera infancia, implementando y promoviendo la actua-ción oportuna, coordinada y articulada entre las instituciones responsables del SistemaNacional de Protección y Promoción Integral de la Niñez y Adolescencia, con enfoqueintegral e inclusivo.
(d) Promover y generar estrategias de comunicación y movilización social, orientadas a lavisibilidad de la primera infancia, la promoción del buen trato, las buenas pautas decrianza, el acceso sistemático a los bienes y servicios públicos, que propicien el logro desu bienestar y su desarrollo integral.
(e) Promover y generar la gestión coordinada y articulada de las instituciones públicas ga-rantes de los derechos de la primera infancia, en alianza con las instituciones privadasy comunitarias, articulando redes de servicios territoriales y garantizando la asignaciónde los recursos.
","Acciones
Evaluación y seguimiento del desarrollo integral del niño y la niña, su entorno cercano y lacalidad de los servicios, en programas y proyectos
Indicadores
Objetivo específico
Lograr disminuir los niveles de morbilidad y mortalidad materna y neonata
","Lineamientos
Gestión eficiente del Plan, Monitoreo y Evaluación
Implementar el Plan Nacional de Salud Sexual y Reproductiva de manera efectiva, completa y orientada al logro, velando por el respeto y vigencia de los derechos de las personas y con un eficiente y sistemático componente de monitoreo y evaluación
","","","Low birth weight|Breastfeeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Iron and folic acid|Micronutrient supplementation|Nutrition education|Family planning (including birth spacing)|Vaccination|Vulnerable groups","","http://www.cepep.org.py/archivos/PNSSR2014.pdf","","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/PRY%202014%20Plan%20Nacional%20de%20Salud%20Sexual%20y%20Reproductiva%202014%20%E2%80%93%202018.pdf" "40718","DOM","Dominican Republic","","Plan nacional de prevención y control de las enfermedades no transmisibles 2019-2024","NCD policy, strategy or plan with healthy diet components","","Spanish","","2019","","2024","Ministerio de Salud Pública","","2019","Not adopted","","","","Cabinet/Presidency|Health|Food and agriculture|Women, children, families|Social welfare","","","","","","","","","","","","","","","","","","Objetivo General
Prevenir la morbilidad y mortalidad prematura de las enfermedades no transmisibles a través de un enfoque multisectorial que promueva el bienestar y la salud de la Población.
Objetivos Específicos
1. Reducir la prevalencia de los principales factores de riesgo de las ENT y fortalecer los factores protectores, con énfasis en los niños, los adolescentes y los grupos vulnerables; mediante la implementación de estrategias de promoción de la salud y mecanismos regulatorios.
2. Ampliar la cobertura, el acceso equitativo y mejorar la calidad de la atención de los pacientes con ENT en los servicios de salud, considerando sus factores de riesgo, con énfasis en la atención primaria de salud y el autocuidado.
3. Posicionar e integrar las ENT en las agendas legislativas, económicas y de desarrollo, a través de estrategias nacionales e intersectoriales.
4. Fortalecer el subsistema de vigilancia de las ENT. 5. Desarrollar investigaciones relacionadas con las ENT, sus factores de riesgo y determinantes, que permita utilizar los resultados para la toma de decisiones y elaboración de políticas y programas
","Reducción Ingesta de sal/sodio
Diabetes y Obesidad
Políticas de reducción del consumo de las grasas TRANS, Azúcar y Sal, concertadas en la Comisión Nacional de ENT .
Acciones
Hospitales de maternidades implementando la estrategia de Iniciativa Hospital Amigos
Acciones
Política Nacional de Desarrollo que impulse la producción y consumo de frutas y hortalizas, integrando los programas de agricultura, salud y medio ambiente
Ante proyecto de ley que Regule la venta de alimentos con alto contenido de sodio, grasas trans y azucares en las cafeterías de los establecimientos públicos y privados del sistema de salud (hospitales, centros de salud y unidades de salud) y sector educativo (universidades y centros escolares)
Vigilancia epidemiológica de las enfermedades no transmisibles funcionando según los estándares del SINAVE
Acciones
Objetivo del sistema de monitoreo y evaluación
Generar los mecanismos que permitan conocer el avance del cumplimiento de las Acciones estratégicas que conforman el Plan de Acción de la Estrategia Nacional de las ENT como resultados intermedios para alcanzar las Metas Nacionales.
Metodología
La etapa de Monitoreo y Evaluación del Plan de Acción requiere de una estructura funcional y una operativa que le permita generar acciones hacia los ejecutores de las acciones estratégicas y así recopilar la información necesaria para conocer el estado actual y sus consideraciones. El conjunto de estas estructuras, sus instrumentos y los análisis de resultados es lo que se denomina Sistema de Monitoreo y Evaluación del Plan de Acción. Este Sistema por medio de la aplicación de sus instrumentos generará la información que permitirá conocer la situación actual de las acciones estratégicas por medio del estado de los indicadores de gestión y de resultado que fueron planificados. Los datos se analizan y se procede a generar los informes hacia los tomadores de decisiones y los actores sociales involucrados, con el fin de fortalecer la gestión hacia el logro de las metas y objetivos propuestos. Las autoridades de las Instituciones y todo tipo de Organizaciones que participan en la implementación del Plan también son usuarios de los resultados, estos tomadores de decisiones pueden orientar recursos y definir prioridades que fortalezcan el cumplimiento de lo planificado. La operacionalización del Sistema se realiza por Fases, las siguientes son las recomendadas: recolección de información, procesamiento de los datos, análisis de los datos y divulgación técnica de resultados.
","","","Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Maternity protection|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|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|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food security and agriculture","","https://www.msp.gob.do/web/Transparencia/documentos_oai/1061/mispas-daf-cm-2019-0172/10427/plan-nacional-prevencion-y-control-de-las-enfermedades-no-transmisibles-2019-2024.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DOM%202019%20Plan%20nacional%20ENT%202019%202024.pdf" "40683","CHL","Chile","","Política nacional de alimentación y nutrición","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2017","","","Ministerio de Salud","","2017","Adopted","","2017","Ministerio de Salud","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Urban planning|Other","","","","","","","","","","National NGOs","","Research/academia","","Private sector","","","","Objetivo
Contribuir a mejorar el estado de salud y la calidad de vida de la población nacional en materia alimentaria y nutricional.
Propósito
Entregar el marco de referencia para el desarrollo de regulaciones, estrategias, planes, programas y proyectos en materia de alimentación y nutrición.
","COMPONENTES DE LA POLÍTICA NACIONAL DE ALIMENTACIÓN Y NUTRICIÓN
La Política Nacional de Alimentación y Nutrición cuenta con ocho componentes que especifican las áreas en que se establece la necesidad de generar avances a nivel nacional, y para los cuales es necesario el desarrollo de políticas, programas, proyectos e iniciativas públicas y privadas:
1. Humanizar la nutrición y promover el derecho a la alimentación adecuada.
2. Fortalecer la seguridad alimentaria y nutricional: disponibilidad, acceso, utilización de los alimentos y estabilidad.
3. Mejorar la configuración de los entornos y sistemas alimentarios.
4. Promover la alimentación saludable.
5. Fortalecer la atención nutricional en los diferentes niveles de atención de salud.
6. Vigilar la alimentación y nutrición y evaluar las políticas públicas.
7. Impulsar la participación ciudadana y el control social. 8. Profundizar la intersectorialidad y salud en todas las políticas.
","El Plan Nacional de Salud para los Objetivos Sanitarios al 2020 (MINSAL, 2016) es la guía que orienta el trabajo del sector salud. Establece como meta en materia de obesidad infantil «Disminuir o mantener el porcentaje de obesidad en niños pertenecientes a establecimientos del Sistema Público de Salud en 9,6%». Para ello establece como prioridad lograr que:
Adicionalmente, en la evaluación de mitad de periodo de los objetivos sanitarios se ha establecido el seguimiento de indicadores de larga data en el sector, tales como, la «Prevalencia de Obesidad en Menores de 6 años en el Sistema Público de Salud».
","Outcome indicators","","Low birth weight|Breastfeeding|Breastfeeding - Exclusive 6 months|Fruit and vegetable intake|Right to food|Right to health|Right to water|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Infant feeding in emergencies|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Capacity building for the Code|Maternity protection|Regulation on marketing of complementary foods|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Nutrition education|Food safety|Food security and agriculture|Household food security|Food sovereignty|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.bibliotecaminsal.cl/wp/wp-content/uploads/2018/01/BVS_POL%C3%8DTICA-DE-ALIMENTACI%C3%93N-Y-NUTRICI%C3%93N.pdf","","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","" "83706","NAM","Namibia","","National Guidelines on Infant and Young Child Feeding ","Government guidance","","English","","2011","","","","5","2011","","","","","Health|Social welfare","Ministry of Health and Social Services Primary Health Care Directorate","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","Food and Nutrition Technical Assistance Project (FANTA-2)|US Agency for International Development (USAID)","","","","","","","","","","Other","ITECH","These guidelines focus on the benefits of exclusive breastfeeding, management of breast problems, introduction of complementary foods and young child nutrition needs. The purpose of these guidelines is to promote, protect and support breastfeeding for all children.
The objectives of these guidelines are to provide health workers with the capacity, knowledge, and skills to:
Promote, protect and support exclusive breastfeeding
Assist all mothers irrespective of their HIV status to effectively and safely feed (avoid mixed feeding) their infants and young children.
Refer women, their partners and their children for required services, including HIV Counselling and Testing (HCT), Prevention of Mother to Child Transmission (PMTCT) and Infant and Young Child Feeding (IYCF) Counselling as necessary
This guideline does not prepare health workers to become HIV counsellors as it only covers the aspect of infant and young child feeding. Health workers should also be trained in breastfeeding promotion and management, PMTCT and HCT.
Prévenir les naissances des PPN en améliorant la nutrition maternelle et en contrôlant les infections maternelles et les anémies
I.1.2 Soins Préventifs de l'Enfant sain
I.2.1 Soins préventifs pour adolescentes et femmes en âge de procréer
I.2.3 Soins Préventifs de l'Enfant Sain
I.3.2 Prise en charge clinique au niveau primaire (CS et Poste) des pathologies
6- Incidence du Petit Poids de Naissance
7- Taux de supplémentation en vitamine A (au moins 1 dose et 2 doses)
8- Prévalence de l’insuffisance pondérale, de l’émaciation et du retard de croissance 9- Initiation précoce de l’allaitement (1ère heure après la naissance)
10- Allaitement exclusif (0-5 mois)
11- Alimentation complémentaire (6-9 mois)
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|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)|Counselling on feeding and care of LBW infants|Counselling on infant feeding in the context HIV|Complementary feeding promotion/counselling|Vitamin A|Calcium|Iodine|Iron|Iron and folic acid|Zinc|Food fortification|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","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/DJI%202015%20Document%20de%20Strat%C3%A9gie%20de%20Lutte%20contre%20la%20Mortalit%C3%A9%20Infantile%20et%20N%C3%A9onatale.pdf" "40399","DZA","Algeria","","Plan National d’Action pour les enfants","Other, please specify","Child or adolescent plan with nutrition components","French","","2008","","2015","Ministère Délégué Chargé de la Famille et de la Condition Féminine ","","2008","Not adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Urban planning|Environment|Information|Justice|Labour|Other","Ministère des Affaires Religieuses et des Wakfs","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","list of NGOs Page 61","","","","","","","","
Promotion de l’allaitement exclusif puis complété.
Promouvoir une alimentation saine et équilibrée.
Promouvoir la consommation du sel suffisamment iodé.
Cible 27 : D’ici fin 2018, le niveau de la malnutrition aigüe sévère passe de 2% à moins de 0,5%
R2.15. Augmenter le taux d’allaitement maternel exclusif de 64,3% à 70%
R2.16. Réduire le niveau de la malnutrition aigüe sévère de 5,5 % à moins de 3,5%
R2.17. Réduire le niveau de la malnutrition chronique de 48,8 % à moins de 35 %
","
Multiplication des Centres Nutritionnels de PEC de malnutrition
Renforcement des prestations des interventions à haut impact sur la SRMNIA (PF, CPNr, SONU, SENN, PCIME, PTME, Vaccination, Nutrition, SRAJ, PEC des fistules obstétricales et VBG, prévention du cancer du col utérin,
Organisation des visites à domicile pour relancer les femmes enceintes à la CPN, les parturientes à la CPoN, et les mères des enfants malnutris à l’éducation et récupération nutritionnelle
A2.6.1. Elaborer les normes et standards sur le paquet des soins des adolescents intégrant les volets nutritionnel, psychologique, comportemental, et la prévention de la consommation d’alcool, du tabac et des drogues ;
A2.7.18. Former les ASC sur leur rôle dans la santé maternelle, néonatale et infantile, notamment sur le dépistage, la référence et le suivi de la PEC des cas de malnutrition dans le cadre du paquet intégré communautaire
","Taux d’allaitement maternel exclusif
Prévalence de la malnutrition aigüe chez les enfants de moins de 5 ans
Prévalence de la malnutrition chronique chez les enfants de moins de 5 ans
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Breastfeeding|Breastfeeding - Exclusive 6 months|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on infant feeding in the context HIV|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Family planning (including birth spacing)|Vaccination|Water and sanitation","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20Plan%20Nationalde%20la%20Sante%20de%20la%20Reproduction%20de%20la%20Sante%20de%20la%20Mere%2C%20lu%20Nouveau-Ne%2C%20de%20L%E2%80%99enfant%20et%20de%20L%E2%80%99adolescent.pdf" "40398","FRA","France","","Plan national de santé publique - priorité prévention - rester en bonne santé tout au long de sa vie","Health sector policy, strategy or plan with nutrition components","","French","","2018","","2022","","","2018","Adopted","","2018","Premier ministre, Ministre des solidarités de la santé","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Urban planning|Consumer affairs|Trade|Environment|Industry|Information|Labour","","","","","","","","","","","","","","","","","","","7. Центру (Б.Т. Одилова) наладить практику ведения пропагандистской работы путем размещения видеороликов в средствах массовой информации и социальных сетях, а также распространения раздаточных материалов в форме инфографики среди населения с привлечением известных представителей культуры и спортсменов. При этом уделить особое внимание освещению тем о негативном влиянии неправильного питания и малоподвижного образа жизни на здоровье человека, а также полезных свойствах фруктов и овощей в профилактике и лечении возникающих в результате этого заболеваний и их осложнений, пользе, которую приносят здоровью человека регулярные занятия физической культурой и массовым спортом.
1. Изменение рецептуры готовой продовольственной продукции и полуфабрикатов, а также уменьшение потребления соли населением путем приготовления в лечебных и образовательных учреждениях, на рабочих местах пищи с малым количеством натрия
2. Координация действующих санитарных правил и норм качества и безопасности продовольственной продукции, а также государственных стандартов и технических регламентов к рекомендациям Продовольственной и сельскохозяйственной организации ООН и Всемирной организации здравоохранения (далее — ВОЗ), а также нормам Кодекса Алиментариус.
3. Разработка порядка осуществления контрольной закупки товаров народного потребления в пунктах розничной торговли и проведения экспертизы (лабораторных испытаний) товаров (работ, услуг).
4. Внесение проекта Закона «О рекламе» в новой редакции в Законодательную палату Олий Мажлиса.
5. Утверждение государственного стандарта и технического регламента по обогащению пшеничной муки высшего сорта витаминами и микронутриентами и внесение изменений в государственную программу по обогащению муки. Также установление порядка разрешения на импорт муки при условии обогащения ее микронутриентами.
6. Совершенствование деятельности Научно-исследовательского института санитарии, гигиены и профессиональных заболеваний, включая привлечение высококвалифицированных кадров с научным потенциалом, создание научно-исследовательских лабораторий, вивариев и новой клиникипо здоровому питанию
7. Пересмотр государственных и ведомственных форм статистических отчетов, предоставляющих возможность наблюдения индикаторов неинфекционных заболеваний и проблем при питании женщин репродуктивного возраста, беременных и детей
8. Разработка на основе рекомендаций ВОЗ норм, определяющих безопасное или вредное для здоровья человека количество соли, сахара и жиров в составе продовольственной продукции.
9. Внесение изменений и дополнений в «Общий технический регламент о безопасности пищевой продукции в части ее маркировки» по маркировке с учетом полезности или вредности для здоровья человека количества соли, сахара и жиров в составе продовольственной продукции отечественного производства и ввозимой для реализации на территории республики.
10. Совершенствование внедренных государственных стандартов и технических регламентов по обогащению продовольственной продукции йодом в целях проведения массовой профилактики йододефицита среди населения.
11. Регулирование на основе рекомендаций ВОЗ маркетинга продовольственной продукции и напитков, предназначенных для детей.
12. Совершенствование системы производства и регистрации биологически активных добавок.
13. Регулирование маркетинга в области цифровой и розничной торговли продовольственной продукцией с превышающим установленные нормы содержанием соли, сахара и жиров, а также сильно газированных, подкрашенных, сладких и энергетических напитков для детей и подростков.
14. Разработка программы поддержки производителей здоровой продукции с содержанием соли, сахара и жиров в рамках безопасных для здоровья человека норм
II. Повышение эффективности профилактических мероприятий по снижению факторов, способствующих возникновению болезней, связанных с неправильным питанием
15. Пропаганда «программы пяти ключей» по обеспечению безопасного питания ВОЗ.
16. Подготовка и передача в эфир на системной основе цикла передач «Соглом овкатланайлик» («Правильно питаемся») по формированию здорового образа жизни интерактивным методом для родителей и детей.
17. Разработка оптимальных норм питания для разных по возрасту, полу, физиологическому состоянию и профессиям групп населения.
18. Принятие государственной программы по бесплатному обеспечению населения витаминами и минералами, предусмотренными в пункте 1 постановления.
19. Бесплатное обеспечение:
20. Разработка норм профилактического питания для работающих в неблагоприятных условиях труд
21. Пересмотр нормы питания и меню, предназначенных для больных в медицинских учреждениях, в том числе диетической пищи.
22. Совершенствование системы здорового и безопасного питания учащихся средних общеобразовательных школ. В частности, приведение школьных столовых в соответствие с санитарными правилами, нормативными требованиями гигиены, налаживание качества и контроля безопасности пищи.
23. Разработка рекомендаций по организации здорового питания для специалистов, занятых в области общего питания, производства и переработки продовольственной продукции.
24. Пересмотр стандартов лабораторных тестовых испытаний по раннему выявлению болезней, связанных с неправильным питанием. Обеспечение лабораторий многопрофильных центральных поликлиник Республики Каракалпакстан, областей, районов (городов) необходимым оборудованием, расходными материалами и реактивами на основе стандартов лабораторных тестовых испытаний.
25. Переутверждение стандартов диагностики и лечения неинфекционных заболеваний, а также клинических пособий и протоколов на основе рекомендаций ВОЗ по здоровому питанию и ведению здорового образа жизни.
26. Создание системы консультации беременных женщин и родителей детей в возрасте до 5 лет по вопросам питания путем разработки универсальной прогрессивной модели патронажа по республике.
27. Разработка научно обоснованной рецептуры продуктов питания и напитков для населения, в частности детей, на основе отечественной плодоовощной продукции и другого сырья.
III. Подготовка, повышение квалификации кадров по направлениям гигиены питания, нутрициологии, диетологии, поддержка научных исследований в сфере формирования здорового питания
28. Обучение медицинских работников учреждений первичной медико-санитарной помощи по рекомендациям ВОЗ по самоуходу и контролю за своим здоровьем больных с неинфекционными заболеваниями.
29. Повышение квалификации врачей и медицинских сестер по программе «Первые 1 000 дней» ВОЗ по здоровому питанию беременных, кормящих матерей и детей в возрасте до 2 лет.
30-38.... (Measures on nutriton in various curriculums
39. Реализация один раз в 5 лет Программы европейской инициативы по эпидемиологическому контролю ожирения у детей (COSI).
40. Проведение каждые 5 лет среди населения Узбекистана на основе рекомендаций и методик ВОЗ и ЮНИСЕФ исследований, предусматривающих: изучение анемии, йододефицита, дефицита фолиевой кислоты и витамина А; изучение уровня правильного и здорового питания среди беременных и детей в возрасте до 5 лет; изучение уровня потребления населением соли; изучение уровня и причин распространения факторов риска неинфекционных заболеваний.
IV. Обеспечение безопасности продовольственной продукции, производимой и ввозимой на территорию республики в целях ее реализации
41. Принятие мер по снижению количества насыщенных жировых кислот и их обмену на ненасыщенные жировые кислоты, трансжиров — на ненасыщенные жиры в составе продовольственной продукции, а также снижению содержания свободного сахара в продуктах питания и напитках
42-44...
45. Осуществление контроля за отсутствием промышленных трансжиров, в том числе технического пальмового масла в составе импортной и отечественной продовольственной продукции
49. Ограничение использования трансжиров, в том числе пальмового и кокосового масла, при производстве продуктов питания, в соответствии с рекомендациями ВОЗ.
V. Внедрение информационно-коммуникационных технологий в сферу организации здорового питания
52. Усиление пропагандистских работ по разъяснению преимущества грудного вскармливания в соответствии с требованиями Закона Республики Узбекистан «О поддержке грудного вскармливания и требованиях к продуктам питания для младенцев и детей раннего возраста».
53. Создание специальных каналов в социальных сетях по кратким консультациям по профилактике заболеваний, в том числе по здоровому питанию, физической активности, отказу от употребления табачной и алкогольной продукции.
54. Создание на платформе «Соглом хаёт» раздела правильного питания, предоставляющего населению возможность подсчета индекса массы тела человека, рекомендации нормы дневного питания с учетом образа жизни, подсчета калорий потребляемой пищи, продуктов питания и напитков
","SD3 Adolescent Nutrition
Problem Statement
Malnutrition, micronutrient deficiencies and other nutrition related diseases among adolescents, particularly adolescent girls contributes to the perpetuation of intergenerational malnutrition.
Strategic Objectives
1.To reduce under nutrition and anaemia among adolescent girls (pregnant and non-pregnant) and boys;
2.To reduce the risk of low birth weight babies, pregnancy related complications and nutritional risks among adolescent girls;
3.To reduce micronutrient deficiencies such as Calcium, Vitamin D and Iodine deficiency among pregnant adolescent girls;
4.To improve lifestyles and reduce the risks of overweight and obesity among all adolescents.
","Key Strategies
1.Mainstream nutrition education and promotion and hygiene education including hand washing into the health care system, education system as well as other systems which reach out-of-school adolescents;
2.Establish programmes that promote dietary diversification, dietary adequacy, fortified foods and nutrition security through community and school based interventions;
3.Strengthen the capacity of service providers to deliver effective nutrition counselling and services to all adolescents, with a special focus on raising awareness on the consequences of child marriage and meeting the nutritional needs of pregnant adolescent girls;
4.Provide and promote micronutrient supplementation (i.e. IFA and MMS), consumption of fortified foods and de-worming at health facilities, schools, and workplace;
5.Conduct community based awareness campaigns on the importance of good nutrition, healthy foods and the consequences of malnutrition, anaemia and obesity on the overall development and growth of adolescents;
6.Promote and improve access to sports and physical activity in the community, schools and at the workplace.
","","","","Low birth weight|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Iodine deficiency disorders|Overweight in adolescents|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Calcium|Iodine|Iron and folic acid|Vitamin D|Micronutrient supplementation|Food fortification|Nutrition education|Deworming|Improved hygiene / handwashing|Water and sanitation","","http://etoolkits.dghs.gov.bd/toolkits/bangladesh-program-managers/national-strategy-adolescent-health-2017-2030","","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/BGD%202016%20National%20Strategy%20for%20Adolescent%20Health%202017-2030.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" "39426","MAR","Morocco","","Stratégie Nationale Multisectorielle de Prévention et de Contrôle des Maladies Non Transmissibles 2019 - 2029","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2029","Ministry of Health","","2019","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Environment|Industry","","World Health Organization (WHO)","","","","","","","","National NGOs","ONG – sociétés savantes","","","Private sector","représentants de l’industrie agro-alimentaire","","","4.4. Objectif général
Réduire la morbidité, les incapacités et la mortalité prématurée, liées aux MNT et leurs facteurs de risques selon une approche intégrée et multisectorielle.
4.5. Objectifs spécifiques
• Objectif spécifique 1 : Renforcer la promotion des modes de vie sains et la prévention des MNT.
• Objectifs spécifique 2 : Assurer une prise en charge de qualité des MNT.
• Objectif spécifique 3 : Améliorer la gouvernance à tous les niveaux de compétence et de responsabilité.
• Objectif spécifique 4 : Développer un système de suivi-évaluation des MNT et de leurs facteurs de risque.
Cibles fixées par le Maroc pour les MNT d’ici 2029
Domaine Stratégique 1 : Promotion des modes de vie sains et prévention des MNT
Action 1.1 : Renforcer la sensibilisation et la communication en matière des MNT et leurs FR
Mesure 1 : Organiser des campagnes annuelles de sensibilisation sur les MNT et leurs FR ;
Mesure 2 : Organiser des campagnes annuelles pour la promotion des modes de vie sains ;
Mesure 3 : Développer une stratégie de plaidoyer, de communication et de mobilisation sociale en matière de prévention des MNT et leurs FR ;
Mesure 4 : Elaborer un plan de formation auprès des professionnels de santé sur la promotion des modes de vie sains et la lutte contre les FR des MNT ;
Action 1.2 : Consolider les services sanitaires de prévention
Mesure 7 : Encourager et soutenir l’abandon des habitudes alcooliques ;
Action 1.3 : Créer des environnements favorables pour la promotion des modes de vie sains
Mesure 10 : Créer des environnements favorables pour la promotion d’une alimentation saine ;
Mesure 11 : Elaborer et implanter un plan d’action de réduction du sel sucre gras ;
Mesure 12 : Créer des environnements favorables pour la promotion de l’activité physique ;
Domaine Stratégique 2 : Renforcement de la prise en charge des MNT et développement de nouveaux programmes
Action 2.1 : Améliorer de la prise en charge des Maladies Non Transmissible
Mesure 16 : Institutionnaliser les filières de soins spécifiques pour les MNT et les intégrer dans les schémas régionaux de l’offre de soins ;
Mesure 17 : Créer des centres de référence pour les MNT ;
Mesure 18 : Créer des pôles d’excellence pour la PEC des MNT ;
Mesure 19 : Créer une « maison des jeunes diabétiques » par région ;
Mesure 21 : Implanter l’approche d’évaluation du risque cardio-vasculaire au niveau des ESSP ;
Mesure 29 : Elaborer un plan de formation au profit des professionnels de santé pour les programmes des MNT ;
Action 2.2 : Développer de nouveaux programmes de prévention et de contrôle des MNT
Mesure 38 : Développer un programme de prévention et de contrôle des maladies cardio- vasculaires ;
Domaine stratégique 3 : Amélioration de la gouvernance des MNT et de leurs FR
Action 3.1 : Renforcer la coordination des actions de promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT
Mesure 40 : Créer une structure pour la gestion et la coordination des actions relatives à la promotion des modes de vie sains et la prévention des MNT ;
Mesure 41 : Mettre en place d’un comité national multisectoriel de pilotage pour la coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT et le décliner à l’échelle régionale et provinciale ;
Mesure 42 : Mettre en place un comité technique multisectoriel des actions relatives à la promotion de modes de vie sains et de lutte contre les facteurs de risque des MNT ;
Mesure 43 : Institutionnaliser les comités de coordination des actions relatives à la promotion de modes de vie sains et à la lutte contre les facteurs de risque des MNT ;
Mesure 44 : Redynamiser et institutionnaliser les comités spécifiques des programmes MNT ;
Mesure 45 : Elaborer des plans stratégiques de prévention et de contrôle du cancer, du diabète et de l’HTA pour la période 2020-2029 ;
Mesure 46 : Elaborer des plans stratégiques des nouveaux programmes pour la période 2020-2029 ;
Action 3.2 : Renforcer le financement en matière des MNT
Mesure 48 : Plaidoyer pour le renforcement de la couverture médicale de base ;
Mesure 49 : Rationaliser le budget alloué aux MNT ;
Mesure 50 : Renforcer la mobilisation de fonds additionnels.
Action 3.3 : Développer le partenariat pour les MNT et leur FR
Mesure 51 : Développer le partenariat public-privé dans le domaine de la promotion des modes de vie sains et de lutte contre les facteurs de risque des MNT et de prise en charge des MNT ;
Mesure 52 : Renforcer la collaboration avec la société civile, les sociétés savantes et les organisations nationales et internationales en matière de prévention et de contrôle des MNT ;
Mesure 53 : Améliorer le partenariat avec les autres départements publics en matière de prévention et de contrôle des MNT.
Action 3.4 : Renforcer l’arsenal juridique pour les MNT et leurs FR
Mesure 54 : Renforcer la législation relative à la normalisation des FR des MNT ;
Mesure 57 : Plaidoyer pour l’augmentation des taxes sur les prix du tabac, de l’alcool, des boissons sucrées et sur tous les produits nocifs à la santé ;
Domaine stratégique 4 : Renforcement de la surveillance, du suivi évaluation et développement de la recherche en matière des MNT et leurs FR
Action 4.1: Renforcer le système de surveillance des MNT et leurs FR
Mesure 63 : Actualiser les données épidémiologiques relatives aux MNT et à leurs FR par des enquêtes épidémiologiques régulières (STEPS …) ;
Mesure 64 : Mettre en place des registres pour les MNT (cancers, maladies rares…) ;
Action 4.2 : Mettre en place un mécanisme de suivi-évaluation des MNT et leurs FR
Mesure 67 : Mettre en place un tableau de bord pour les programmes des MNT et leurs FR à tous les niveaux ;
Mesure 68 : Révision des systèmes d’information des MNT ;
Mesure 69 : Informatiser le système d’information des MNT à tous les niveaux de soins.
Action 4.3 : Développer la recherche en matière de MNT
Mesure 70 : Réaliser des études d’impact socio-économique des MNT et leurs FR sur la santé ;
Mesure 71 : Réaliser des études sur les connaissances, attitudes, pratiques des MNT et leurs FR ;
Mesure 72 : Renforcer la recherche en matière des MNT et leurs complications ;
Mesure 73 : Réaliser des études d’évaluation des actions menées pour prévenir et contrôler les MNT ;
","In order to create an enabling policy environment and align with the strategic directions in FNP, FNS will have the following strategic objectives:
Page 66 - Page 175
Page 66 - Page 175
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 %
SO 2. Decreasing mortality and primary morbidity in mental and behavioural disorders among children and young people, and an increasingly more positive assessment given by children and young people to their health.
SO 4-2 Eating habits of the population have improved.
SO 4. Physical activity of the population has increased, nutrition is more balanced and the level of risk behaviour has decreased.
","SO 2-1 Measures
...
• Promote health and health behaviour of pregnant women, breast feeding of infants.
...
SO 4-2 Measures
• Increase the awareness of people of balanced and nutritious eating patterns, and integrate the topics related to eating and food into the basic and in-service training of teachers and state curricula; ensure the availability of relevant materials and trainings for target groups and related groups.
• Ensure an environment supporting healthy eating choices of people and observation of the principles of balanced eating in institutional catering.
• Develop counselling service on nutrition and ensure the availability thereof to risk groups.
• Regularly monitor and assess the eating habits of the population, trends of overweight (including the monitoring of anthropometric figures) and relevant interventions and carry out a risk-usefulness evaluation analysis on nutrition (eating, food safety, etc.).
Recommended activities to be applied at the level of local governments
Local government organises the application of activities within its scope of competence (including the creation of necessary legal grounds). Ensures sufficient information for people enabling them to make informed choices in order to reduce health risks.
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" "8359","BFA","Burkina Faso","","Plan stratégique nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","2015","Ministere de la Sante","","2010","Adopted","","2010","conseil des ministres","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","V- OBJECTIFS
5.1. Objectif général
Contribuer à l’amélioration de l’état nutritionnel des populations du Burkina Faso d’ici 2015.
5.2. Objectifs spécifiques
1. Réduire la prévalence de l’insuffisance pondérale de 38% à 25% chez les enfants de moins de 5 ans d’ici 2015 ;
2. Renforcer la lutte contre les carences en micronutriments (iode, fer, vitamine A) d’ici 2015 ;
3. Renforcer la lutte contre les maladies chroniques non transmissibles liées à la nutrition d’ici 2015 ;
4. Améliorer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
5. Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015 ;
6. Améliorer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
","VI. ORIENTATIONS STRATEGIQUES
Stratégie 1 : Surveillance et prise en charge nutritionnelle
Il s’agira de renforcer les mécanismes de surveillance de l’état nutritionnel des groupes vulnérables (nourrissons, jeunes enfants, femmes enceintes et femmes allaitantes y compris PVVIH) et la prise en charge de la malnutrition à travers :
Stratégie 2 : Promotion de l’alimentation optimale du nourrisson et du jeune enfant
La mise en oeuvre de cette stratégie se fera par le soutien aux approches et initiatives suivantes :
6.4. Objectif spécifique 4 : Renforcer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
6.5. Objectif spécifique 5 : Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015.
6.6. Objectif spécifique 6 : Renforcer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
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"