"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"
"25996","BDI","Burundi","","Ordonnance Ministérielle No.750/201 du 18 Avril 1992 portant normes techniques d'importation et de commercialisation du sel destiné à la consommation humaine.","Legislation relevant to nutrition","","French","","1992","","","","4","1992","","","","","Health|Trade|Industry|Other","Le Directeur du Commerce Intérieur, le Directeur des Douanes et le Directeur de l'Hygiène et Prévention sont chargés, chacun en ce qui le concerne, de l'exécution de la présente ordonnance qui entre en vigueur le jour de sa signature","","","","","","","","","","","","","","","","","","","","","
Article 1.
Le sel importé doit être iodé au taux indiqué ci-dessous soit par le fournisseur, soit par l'importateur avant sa mise en vente.
Article 2.
Le taux d'iodation doit être d'au moins 50 parties d'iode par millions de parties de sel, soit 50 milligrammes d'iode par un kilogramme de sel. Ce taux peut être revu sur proposition du Ministre de la Santé Publique.
Article 3.
Le sel commercialisable doit en outre avoir les caractéristiques suivantes:
- avoir une couleur blanche ou légèrement colorée et être inodore ;
- n'avoir pas de corps étrangers comme le gravier, les objets métalliques, etc... ;
- être sec ou avoir une humidité ne dépassant pas 3 % ;
- être pur ou avoir des impuretés ne dépassant pas 1 % du total.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Imported products","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC018180","","2nd WHO Global Nutrition Policy Review 2016-2017Document retrieved from FAOLEX Database: http://www.fao.org/faolex/en/","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI-1992-Ordonnance%20Ministerielle%20No.750-201%20sur%20l%27importation%20et%20de%20la%20commercialisation%20du%20sel%20.pdf"
"83708","CHN","China","","General Standards for Food Labelling. GB 5296.1-85, General Principles concerning Instructions for the Use of Consumer Goods","Legislation relevant to nutrition","","English","2","1992","","","Ministry of Commerce","","1992","","","","","Trade","Ministry of Commerce","","","","","","","","","","","","","","","","","","","","","4. Basic Content of Labels
…
4.2 List of Ingredients:
4.2.1 Labelling shall include a list of ingredients, except in a case where only one type of material is used.
4.2.1.1 The list of ingredients shall be headed with the title """"Ingredients"""".
4.2.1.2 All ingredients shall be listed in order according to the quantity (weight or volume) therein.
4.2.1.3 Combined ingredients shall be listed in order according to the quantity of their original ingredients.
","Food labelling|Ingredients list","","http://english.mofcom.gov.cn/aarticle/lawsdata/chineselaw/200211/20021100050499.html ","","",""
"26006","GIN","Guinea","","Décret D/95/319/PRG/SGG/ du 13 novembre 1995, portant Iodation du sel alimentaire destiné à la consommation humaine et animale en Guinée","Legislation relevant to nutrition","","French","","1995","","","Journal Officiel de la République de Guinée","1","1996","Adopted","11","1995","Ministre de la Santé, du Commerce, de l'Industrie, de l'Agriculture et des Finances.","Health|Food and agriculture|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","","","","","Article 1er: Dans le but de prévenir les graves troubles dus à la carence en iode et notamment les anomalies congénitales, le retard du développement physique et mental ou altération des fonctions mentales, il ne peut être vendu ou utilisé dans les industries sur toute l'étendue du territoire national pour les usages alimentaires des hommes et des animaux que du sel iodé.
Article 2: On entend par """"sel iodé"""" tout sel destiné à la consommation humaine ou animale enrichi en iode dans la proposition de trois parties d'iode pour 100.000 parties de sel au minimum de cinq parties d'iode pour 100.000 parties de sel au maximum.
Article 4: Pour être correctement iodé, le sel alimentaire doit contenir une quantité de composé d'iode (iode de potassium) comprise entre:
-168,6 mg/kg à l'étape de l'importationl;
-84,3-135 mg/kg à celle de la production;
-50,30-84,25mg/kg aux point de vente.
","Iodine|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN-1995-iodation%20du%20sel%20alimentaire.pdf"
"26014","TUN","Tunisia","","Décret n° 95-1633 du 4 septembre 1995, relatif à l'obligation de commercialisation exclusive du sel iodé pour les usagers alimentaires sur tout le territoire de la République.","Legislation relevant to nutrition","","French","","1996","","","Journal Officiel de la République Tunisienne","9","1995","Adopted","9","1995","Les ministres des finances, du commerce et de la santé publique","Health|Finance, budget and planning|Trade","","","","","","","","","","","","","","","","","","","","","","Article premier. - Sur tout le territoire de la République, il ne peut être commercialisé pour les usages alimentaires que du sel iodé à l'exclusion de tout autre sel.
Le sel iodé, indiqué à l'alinéa précédent, doit répondre aux caractéristiques techniques fixées par arrêté conjoint des ministres du commerce et de la santé publique.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Sanctions exist","","http://www.legislation.tn/sites/default/files/journal-officiel/1995/1995F/Jo07495.pdf","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN-1995-salt%20iodization.pdf"
"17848","YEM","Yemen","","قانون ٣٢ بشان اضافة اليود الى ملح الطعام [Law No. 32 regarding adding iodine to table salt]","Legislation relevant to nutrition","","Arabic","","1996","","","Government of Yemen","","1996","Adopted","","1996","President of the Republic","Cabinet/Presidency|Health|Urban planning|Trade|Environment","","","","","","","","","","","","","","","","","","","","","","مادة(٣) يحظر على المنتجين آو المستوردين بيع الملح الغذائي للافعتهلاك الآدمي والحيواني إذا لم يكن مششلا على مادة اليود في مستوى ا| ٠ ٤ ا جزء من المليون ٠ن بودات البوتاسيوم عند نقطة الإنتاج ٠ع ضمان دوفر مادة اليود في الأسواق .
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","http://www.yemen.gov.ye/portal/moh/%D8%A7%D9%84%D9%82%D9%88%D8%A7%D9%86%D9%8A%D9%86%D9%88%D8%A7%D9%84%D9%82%D8%B1%D8%A7%D8%B1%D8%A7%D8%AA/tabid/476/Default.aspx","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%201996%20%20Salt%20Iodization%20Law.pdf"
"26087","DJI","Djibouti","","Décret n°97-0189/PR/MS - portant réglementation de l'importation et de la commercialisation du sel iodé.","Legislation relevant to nutrition","","French","","1997","","","","12","1997","Adopted","12","1997","Le Président de la République. Chef du Gouvernement","Health|Finance, budget and planning|Trade","Le Ministre chargé de la Santé Publique, le Ministre chargé du Commerce et le Ministre chargé des Finances","","","","","","","","","","","","","","","","","","","","","Article 1er : Le présent décret a pour objet de réglementer l'utilisation du sel iodé dans la lutte contre les troubles dûs à une carence en iode (TDCI) et promouvoir la santé de la population.
Article 4 : Dès l'entrée en vigueur du présent décret, tout sel destiné à l'alimentation humaine, importé ou produit sur place, doit être iodé sur toute l'étendue du territoire national.
Article 5 : Le sel iodé doit être commercialisé avec un certificat de qualité indiquant la teneur en iode. Celle-ci est fixée à 100 PPM, soit 100 mg pour un kg de sel 100 mg/kg pour tout sel commercialisé sur le territoire national, au moment de la mise sur le marché.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","http://faolex.fao.org/docs/texts/dji38215.doc","","Document retrieved from FAOLEX http://www.fao.org/faolex/en/ ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DJI-1997-salt%20iodization%20.pdf"
"41852","BLZ","Belize","","Standards (Belize National Standard BZS1: Part 3: 1998) (Specification For Labelling - Labelling Of Pre-Packaged Food) (Declaration as a Compulsory Standard) Order, 1999","Legislation relevant to nutrition","","English","11","1999","","","Ministry of Industry and Commerce","10","1999","Adopted","10","1999","STATUTORY INSTRUMENT No. 118 of 1999 Gazetted 16th October, 1999","Industry|Trade","","","","","","","","","","National NGOs","","","","","","","","","","","","2. I, JOSE COYE, Minister of Industry and Commerce, in exercise of the powers conferred upon me by section 9(2) of the Standards Act (No. 4 of 1992), and all other powers thereunto me enabling, do hereby declare that the Belize National Standard (BZSl: PART3: 1998: SPECIFICATION FOR LABELLING- LABELLING OF PRE-PACKAGED FOODS), the full text ofwhich appears in the Schedule hereto shall, upon the commencement of this Order, become a compulsory standard.
3. The purpose of this compulsory standard is primarily to prevent fi-aud or deception arising from misleading advertising or labelling of pre-packaged food and to require that adequate information to be given to consumers and users.
...
BZS 1: Part 3: 1998
4. MANDATORY LABELLING OF PREPACKAGED FOODS
…
4.3 List of ingredients
…
4.3.2 A specific name shall be used for ingredients in the list of ingredients in accordance with the provisions set out in Section 4.2 (The name of the food) except that: 4.3.2.1 The following class name may be used for the ingredient, falling within these classes:
Name of Classes - Class Name
Refined oils other than olive- """"Oil"""" together with either the term """"vegetable"""" or """"animal"""", qualified by the term """"hydrogenated"""" or """"partially-hydrogenated"""" as appropriate.
","Food labelling|Ingredients list","","http://extwprlegs1.fao.org/docs/pdf/blz19762.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"23872","VNM","Viet Nam","","Decree No. 19/1999/ND-CP on the production and supply of iodised salt for human use","Legislation relevant to nutrition","","English","6","1999","","","","5","1999","Adopted","","1999","Official Gazette No. 19 (22-5- 1999)","Health|Development|Food and agriculture|Trade","Mintstry of Agriculture and Rural Development, Ministry of Trade, Ministry of Health","","","","","","","","","","","","","","","","","","","","","Article I.-
1. This Decree prescribes thc production and supply of iodized salt for human use; called edible salt.
2. Edible salt and salt used in food preparation must all be mixed with iodine according to the prescribed standards.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Sanctions exist","","","","ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%201999%20Decree%20No.%2019.1999.ND-CP%20on%20the%20production%20and%20supply%20of%20iodised%20salt%20for%20human%20use..pdf"
"14983","BLR","Belarus","","Постановление о предупреждении заболеваний связанных с дефицитом йода. [Decree on Prevention of Iodine Deficiency Disorders]","Legislation relevant to nutrition","","Russian","3","2000","","","Ministry of Health","","2000","Adopted","3","2000","Ministry of Health and Chief State Sanitary Doctor of Belarus","Health|Sub-national|Trade","Ministry of Health, Chief State Sanitary Doctor of Belarus, Local Chief Sanitary Doctors, Local Authorities of Public Health Surveillance, Ministry of Trade","","","","","","","","","","","","","","","Other","Salt Producers, Heads of medical institutions at all levels, Doctors of Health Centers","","","","","3. Определить, что содержание иода в соли, производимой и реализуемой в Республике Беларусь, с 1 июня 2000 г. должно составлять 40+-","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization","","http://minzdrav.gov.by/ru/static/acts/normativnye/postanovlenia_GSV/p-alignjustify-o-preduprezhdenii-zabolevanij-svjazannyx-s-defitsitom-jodap_i_1421.html","2000: Decree on; mandatory salt iodization for all producers, mandatory promotion of iodized salt and education about iodine deficiency disorders among public. 2001: Addition to the Decree, on monitoring mechanism and mandatory production of exclusively iodized salt.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202000%20Prevention%20of%20Iodine%20Deficiency%20Diseases.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202000%20Prevention%20of%20Iodine%20Deficiency%20Diseases.pdf"
"17865","PHL","Philippines","","Philippine Food Fortification Act of 2000","Legislation relevant to nutrition","","English","11","2000","","","Government","","2000","Adopted","11","2000","","Finance, budget and planning|Health|Nutrition council|Other|Trade","Land Bank of the Philippines (LBP), Livelihood Corporation (LIVERCOR), Bureau of Food and Drugs of the Department of Health (BFAD), Department of Health (DOH), Sangkap Pinoy Seal Program (SPSP), Governing Board of the National Nutrition Council (NCC), Agencies/Institutions with accredited analytical laboratories for nutrient analysis, Agencies/Institutions with technology development generators, Department of Science and Technology (DOST), Department of Trade and Industry (DTI), local units (health officers, agricultural officers, nutritionist-dieticians, sanitary inspectors), Food Manufacturers (Refinery, miller, importer, processor)","","","","","","","","","","","","","Private sector","","","","","","","","Long title: Republic Act No. 8976, an Act establishing the Philippine Food Fortification Program and for other purposes.
In order to prevent and limit nutritional deficiency problems in the Philippines, a Food Fortification plan provides for the addition of nutrients to processed foods or food products as per the Recommended Dietary Allowances (RDA). The Philippine Food fortification Program shall apply to all imported or locally processed foods or food products sold or distributed in the country as:
(1) Voluntary Food Fortification - the Department shall encourage the fortification of all processed foods or food products using the Sangkap Pinoy Seal Program (SPSP), that authorizes food manufacturers to use the DOH seal of acceptance for processed foods or food products, passing the special criteria evaluation of the program, so that recognizing the seal the consumers shall be compelled to select those products with added nutrients improving their diet.
(2) Mandatory Food Fortification, means the fortification of staple foods based on standards sets by the Department of Health (DOH) and the Bureau of Food and Drugs of the Department of Health (BFAD) as per the following additions:
(1) Rice with Iron;
(2) Wheat flour 0 with vitamins A and Iron;
(3) Refined sugar with vitamin A;
(4) Cooking oil with vitamin A;
(5) Other staple foods with nutrients as required by the Governing Board of the National Nutrition Council (NCC).
","Food labelling|Vitamin A|Iron|Food fortification|Wheat flours|Rice|Refined sugar|Edible oils and margarine|Mandatory fortification|Voluntary fortification|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of rice with iron|Mandatory fortification of sugar with vitamin A|Mandatory fortification of wheat flours with iron|Local products|Imported products|Subsidies for production|Monitoring mechanism established|Sanctions exist","","","","ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office. FAOLEX No: LEX-FAOC040803http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202000%20Food%20Fortification%20Act.pdf"
"26007","GIN","Guinea","","Arrêté A/2001/684/PM/SGG du 14 février 2001, portant utilisation du Sel iodé dans la prophylaxie des troubles dûs à une carence en iode (TDCI)","Legislation relevant to nutrition","","French","","2001","","","","","2001","Adopted","2","2001","Ministre de la santé publique, du commerce, des finances, de l'agriculture, et de la décentralisation.","Health|Food and agriculture|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","","","","","Article 1: Le présent arrêté a pour objet de réglementer l'utilisation du sel iodé dans la lutte contre les troubles dûs à une carence en iode (TDCI) et promouvoir la santé de la population.
Article 4: Le sel iodé doit être commercialisé avec un certificat de qualité, indiquant la teneur en iode. Celle-ci est fixée à 100PPM, soit 100 mg pour un kg de sel (100mg/kg) pour tout sel commercialisé sur le territoire national, au moment de la mise sur marché.
","Iodine|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN-2001-sel%20iod%C3%A9.pdf"
"26108","BFA","Burkina Faso","","Arrêté conjoint n° 2003-189/MS/MAHRH/MATD/SECU/MFB/MCPEA du 18 août 2003.","Legislation relevant to nutrition","","French","8","2003","","","","9","2003","Adopted","","2004","","Health|Finance, budget and planning|Trade","","","","","","","","","","","","","","","","","","","","","","I. OBJET ET CHAMP D’APPLICATION
Article 1 : Le présent arrêté vise à réglementer l’importation, la commercialisation et l’utilisation du sel au Burkina Faso.
Article 2 : Tout sel importé et commercialisé sur le territoire national doit être iodé.
Article 3 : S’entend par sel iodé, tout sel enrichi en iode et qui est utilisé en cuisine, à table ou tout autre usage.
Article 4 : Le sel iodé, visé dans le présent arrêté, doit répondre aux conditions d’hygiène et de qualité, conformément aux spécifications et/ou normes ci-après :
- A l’importation 50 à 80 ppm.
- Au point de vente et autre circuit de détail supérieur ou égal à 30 ppm
- L’abréviation """" ppm """" désigne partie par million.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA-2003-salt%20iodization%20.pdf"
"25998","COG","Congo","","Décret No. 2004-471 du 17 Novembre 2004 fixant les conditions d'importation et de commercialisation du sel iodé","Legislation relevant to nutrition","","French","","2004","","","République de Congo","11","2004","Adopted","11","2004","Le Président de la République, le ministre de la santé et de la population, le ministre de l’économie, des finances et du budget, la ministre du commerce, de la consommation et des approvisionnements","Health|Finance, budget and planning|Trade","","","","","","","","","","","","","","","","","","","","","","Article 3: Pour être iodé, le sel cuisine doit contenir une quantité composée d'iode, iodate de potassium comprise entre:
- 20 et 40 ppm d'iode à la production ou à l'importation;
- 10 et 15 ppm d'iode au niveau du consommateur.
Article 4: Le sel importé et destiné à la consommation humaine ou animale doit être iodé avant sa mise en vente sur le territoire national.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Imported products|Monitoring mechanism established|Sanctions exist","","","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG-2004-Decret%20fixant%20les%20conditions%20du%20sel%20iod%C3%A9.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG-2004-Decret%20fixant%20les%20conditions%20du%20sel%20iod%C3%A9.pdf"
"8081","KHM","Cambodia","","Sub-decree on Marketing of Products for Infant and Young Child Feeding","Legislation relevant to nutrition","","English","","2005","","","Ministry of Health","11","2005","Adopted","","2005","Ministry of Health and line ministries","Health|Information|Trade","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","Aims to contribute to providing adequate and safe nutrition for infants and young children by protecting and promoting breastfeeding and by encouraging appropriate and timely complementary feeding, to ensure breast-milk substitutes are properly used when they are necessar and based on adequate information.
","","","","Article 1
This Sub-decree aims to contribute to providing adequate and safe nutrition for infants and young children by protecting and promoting the breast-feeding and by encouraging appropriate and timely complementary feeding, to ensure breast-milk substitutes are properly used only when they are necessary and based on adequate information.
Article 2
This Sub-decree shall govern marketing of infant and young child feeding products either domestically produced or imported for use for feeding infant up to twelve months old and young child up to twenty four months old. The Sub-decree shall apply to the quality and availability of information related to the use of the products as prescribed in Article 3 of this Sub-decree.
Article 3
The types of infant and young child feeding products shall include, but not limited, to the following:
a. Infant formula including specialized formulas;
b. All products marketed or presented for feeding infant and young children;
c. Feeding-bottles, rubber and plastic teats, and pacifiers;
d. Follow on formulas for infant over six months old; and
e. Other products as stated in the joint Prakas by the Ministry of Health with relevant ministries.
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","","Scope of the Code: 0-24 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) / WHO (2008) Summary code survey for the report to the World Health Assembly on the implementation of the International Code of Marketing of Breast-milk Substitutes. / ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202005%20Subdecree%20on%20Marketing%20of%20Products%20for%20Infant%20and%20Young%20Child%20Feeding%20%282%29_0.pdf"
"25393","SEN","Senegal","","DECRET n° 2005-913 du 12 octobre 2005","Legislation relevant to nutrition","","French","","2005","","","","","2005","","","","","Health|Food and agriculture|Finance, budget and planning|Trade|Industry|Justice","","","","","","","","","","","","","","","","","","","","","","Article premier. - Les normes CODEX pour les graisses et les huiles comestibles non visées par des normes individuelles (CODEX STAN 19-1981), pour les huiles d’olive vierges et raffinées et pour l’huile de grignons d’olive raffinée (CODEX STAN 33-1981), pour l’étiquetage des denrées alimentaires préemballées (CODEX STAN 1-1985) et pour les huiles végétales portant un nom spécifique (CODEX STAN 210-1999) sont rendues obligatoires, ainsi que leurs adaptations et/ou transpositions ultérieures.
","Food labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim","","http://www.jo.gouv.sn/spip.php?article2662","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202005%20Decret%20n%C2%B0%202005-913.pdf"
"17867","GIN","Guinea","","Arrêté A/2006/4600/MCIPME/MEF/SGG portant fortification de la farine de blé destinée à la consommation humaine en République de Guinée","Legislation relevant to nutrition","","French","9","2006","","2012","Journal officiel de la République de Guinée","9","2006","Adopted","9","2006","Le Ministre de la Sante Publique, Le Ministre du Commerce de l'lndustrie et des PME, Le Ministre de l'Economie et des Finances","Health|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","Private sector","Food manufacturers (Millers)","","","","","","","Article 3 : Toute farine de blé produite localement ou importée, doit être fortifiée avant sa mise à la consommation sur toute l'étendue du territoire national avec les composes suivants :
54 g de fer élémentaire par tonne de farine;
4,05 g de Thiamine (Vitamine 81) par tonne de farine;
1,8 g de Riboflavine (Vitamine B2) par tonne de farine;
28.8 g de Niacine (Vitamine B3) par tonne de farine;
1.35 g d'Acide folique (fol acine) par tonne de farine.
","Food labelling|Folic acid|Other B-vitamins|Iron|Food fortification|Wheat flours|Mandatory fortification|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC080890","","Journal officiel de la République de Guinée nº 17*18, 10 septembre 2006, p. 150ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org. FAOLEX No: LEX-FAOC080890","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN%202006%20Arrete%20Fortification%20Farine%20de%20Ble.pdf"
"8158","LBN","Lebanon","","Law Organizing the Marketing of Infant and Young Child Feeding Products and Tools (Law No.47)","Legislation relevant to nutrition","","English","","2008","","","Parliament","12","2008","Adopted","","2008","Ministry of Health","Health|Trade","Ministry of Public Health","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","Consumer Protection Organization","","","","","Other","Higher Council of Childhood, Midwives Association, National Committee of Women Affairs in Lebanon, Order Of Lawyers, President of Order of Nurses of Lebanon, President of Order of Phamacists of Lebanon, President of Order of Physicians of North Lebanon","","","","","Article 2: Aim
This Law aims at providing safe and healthy food to infants and young children by protecting, promoting and supporting breastfeeding and ensuring safe use of infants and children food and complementary food products (when needed) according to adequate information, and providing the right information and educating parents and health workers about infant and young child health and nutrition through regulating the methods and practices of marketing and distribution to achieve this aim.
This Law encourages exclusive breastfeeding during the first six months of age, and adopting the adequate complementary food practices as of the age of six months; making sure breastfeeding is continued for not less than two years, as a way of endorsing infant and young child nutrition.
","Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Functioning implementation and monitoring mechanism|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","","Scope of the Code: 0-36 months of age","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%202008%20Law%20organizing%20marketing%20of%20infant%20and%20young%20child%20feeding%20products%20and%20tools.pdf"
"25405","TUN","Tunisia","","Arrêté des ministres du commerce et de l’artisanat, de la santé publique, de l’industrie, de l’énergie et des petites et moyennes entreprises du 3 septembre 2008, relatif à l’étiquetage et la présentation des denrées alimentaires préemballées.","Legislation relevant to nutrition","","French","","2008","","","MINISTERE DU COMMERCE ET DE L’ARTISANAT","9","2008","","","","","Health|Trade|Industry","Energie, petites et moyennes entreprises","","","","","","","","","","","","","","","","","","","","","Article premier - Le présent arrêté s’applique à l’étiquetage de toutes les denrées alimentaires préemballées destinés à la consommation, à la restauration collective ainsi qu’à certains aspects touchant à leur présentation et à la publicité faite à leur égard
","Food labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Claim must be substantiated|Specific nutrition criteria","","http://faolex.fao.org/docs/pdf/tun84695.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202008%20food%20labelling%20law.pdf"
"26016","MAR","Morocco","","Décret n°2-08-362 du 3 joumada II 1430 (28 mai 2009) relatif à l'iodation du sel destiné à l’alimentation humaine.","Legislation relevant to nutrition","","French","","2009","","","BO. n°5758 du 06 aout 2009, page 1248","5","2009","Adopted","","2009","","Health|Food and agriculture|Finance, budget and planning|Trade|Industry","Le ministre chargé de l'agriculture, le ministre chargé de la santé, le ministrechargé du commerce et de l'industrie et le ministre chargé des mines sont chargés, chacun ence qui le concerne de l'exécution du présent décret.","","","","","","","","","","","","","","","","","","","","","ARTICLE PREMIER. - On entend par sel destiné à l'alimentation humaine, le sel ordinaire (chlorure de sodium), dit de cuisine ou de table, récolté sur les marais salants, extrait des mines de sel gemme ou obtenu par évaporation des saumures provenant de la dissolution du sel gemme.
ART.2. - Le sel alimentaire défini à l’article premier ci-dessus, fabriqué conditionné, commercialisé ou importé sur le territoire national doit être additionné d'iode.
Ne doit être destiné à la consommation alimentaire humaine, en tant que sel de cuisine ou de table que le sel alimentaire additionné d'iode et répondant aux caractéristiques définies par arrêté conjoint du ministre chargé de l'agriculture, du ministre chargé de la santé et du ministre chargé du commerce et de l’industrie.
Toutefois, le sel destiné à un usage industriel n'est pas astreint à l'obligation de l'iodation.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established","","http://www.onssa.gov.ma/fr/images/reglementation/reglementation-sectorielle/vegetaux-et-produits-dorigine-vegetaux/Produits-dorigine-vegetale/Produits_alimentaires/DEC.2-08-362.FR.pdf","","2nd WHO Global Nutrition Policy Review","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR-2009-salt%20iodization%20.pdf"
"26287","BLR","Belarus","","Государственный стандарт Республики Беларусь СТБ 1210-2010 Общественное питание Кулинарная продукция, реализуемая населению [National Standards for products distributed to population]","Legislation relevant to nutrition","","Russian","11","2010","","","National Authority for Standards (Госстандарт)","11","2010","Adopted","10","2010","National Agency for Standards","Trade|Other","National Authority for Standards (Госстандарт)","","","","","","","","","","","Research/academia","National Institute for Standards and Certification (БелГИСС)","","","","","","","","","5.4. Упаковка и маркировка.
5.4.10 (...) Показатель пищевой ценности (при упаковывании нескольких наименований одной группы – пищевой ценности продукции каждого наименования).
Показатели пищевой ценности (содержание белков, жиров, углеводов, энергетической ценности на 100г съедобной части продукции) определяются изготовителем экспериментальным или расчетным путем и включаются в технологический документ на конкретный вид кулинарной пукцинии. (...)
5.4.11. На каждую единицу транспортной тары прикрепляют этикетку (ярлык) с маркировкой по подпункту 5.4.10 и дополнительным указанием: количества единиц (порций) и массы одной единицы (порции) кулинарной продукции; количества упаковочных единиц потребительской тары (для фасованной продукции); номера партии.
5.4.12. Допускается маркировочную этикетку (ярлык) вкладывать в транспортную и потребительскую тару.
В случаях, когда кулинарная продукция реализуется в нефасованном виде или фасуется непосредственно в торговых объектах, допускается информацию о ней по подпункту 5.4.10 размещать по усмотрению продавца на листках-вкладышах, на ценнике, вывешивать в торговом зале или доводить до сведения потребителей другими способами.
","Food safety|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Amount of available carbohydrate|Amount of protein|Amount of total fat|Energy value (ND)","","http://www.ostrovec-oost.guo.by/uploads/b1/s/12/54/basic/1/56/STB_1210-2010_Obschestvennoe_pitanie._Kulinarnaya_produktsiya__realizuemaya_naseleniyu._Obschie_tehni.pdf?t=1472115526","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202010%20National%20Standards%20for%20products%20distributed%20to%20population.pdf"
"83716","NIC","Nicaragua","","Norma Técnica Obligatoria Nicaragüense de Etiquetado de Alimentos Preenvasados Para Consumo Humano [Nicaraguan Mandatory Technical Standard for the Labeling of Prepackaged Foods for Human Consumption]","Legislation relevant to nutrition","","Spanish","11","2010","","","La Gaceta Official","5","2010","Adopted","9","2008","","Health|Development|Trade|Industry","Ministry of Health; Ministry of Development, Industry and Trade and Customs.","","","","","","","","","","","","","","","","","","","","","5. ETIQUETADO OBLIGATORIO DE LOS ALIMENTOS PREENVASADOS
…
5.2 Lista de Ingredientes
5.2.1 Salvo cuando se trate de alimentos de un único ingrediente, deberá figurar en la etiqueta una lista de ingredientes.
5.2.1.1 La lista de ingredientes debe ir encabezada o precedida por un título apropiado que consista en el término """"ingrediente"""" o la incluya.
…
","Food labelling|Ingredients list","","http://legislacion.asamblea.gob.ni/Normaweb.nsf/($All)/7DCB76C06DF62D1806257736007676D0?OpenDocument","http://legislacion.asamblea.gob.ni/gacetas/2010/5/g81.pdf","",""
"39756","OMN","Oman","","وزارة التجارة والصناعة قرار وزاري رقم 2010/49 بإصدار اللائحة الفنية لتدعيم الأغذية [Ministry of Commerce and Industry Ministerial decree No. 2010/49 By issuing the technical regulations for food fortification]","Legislation relevant to nutrition","","Arabic","10","2010","","","وزارة التجارة والصناعة","4","2010","Adopted","4","2010","الجريدة الرسمية العدد٩١١","Trade|Industry","وزارة التجارة والصناعة","","","","","","","","","","","","","","","","","","","","","الفصل الثاني أحكام عامة
المـــادة (2): يحظر إنتاج واستيراد أو تسويق أي منتج غذائي بدون تدعيم وفقا لهذه اللائحة
المـــادة (3): مـع عـــدم الإخلال بمتطلبـــات المواصفـــة القياسيـــة العمانيـــة (الخليجيــة الموحدة) الخاصة ببطاقات المواد الغذائية المعبأة، يجب تدوين اسم مادة التدعيم والكمية المضافة منها إلى المنتج في بطاقة المواد الغذائية الخاصة به ضمن البيانات التغذوية المدونة بها
المـــادة (4): يجب أن تكون المادة مصدر التدعيم المستخدمة عند الإنتاج من الدرجــة الغذائية
المـــادة (5): مع مراعــاة الالتــزام بالمواصفــات العمانيـة (الخليجية الموحدة) الخاصــة بعبوات المواد الغذائية، يجب أن تكون العبوات المستخدمة في المواد الغذائية مصنعة من مواد مناسبة لا تتفاعل مع مادة التدعيم وتحافظ على استمرار بقائها في المنتج الغذائي المعبأ
الفصل الثالث تدعيم طحين القمح
المـــادة (6): يدعم طحين القمح بالحديــد وحمض الفوليــك باستخــدام أحد مصــادر الحديد اأو حمض الفوليك وفقا للجدول رقم (1) المرافق
المـــادة ( 7) : يجـب ألا تتجـــاوز مـدة صلاحيـــة الطحيـــن المدعـــوم وفقـــا للمـــادة السابقـة (12) اثنى عشر شهرا
الفصل الرابع تدعيم ملح الطعام
المـــادة (8): يدعم ملح الطعام بأحد مصادر اليود وفقا للجدول رقم (2) المرافق
المـــادة (9): يجب ألا تتجاوز مدة صلاحية ملح الطعام المدعوم وفقا للمادة السابقة (12) اثنى عشر شهرا
المـــادة (10): لا يشمل التدعيم ملح الطعام المخصص لأغراض التصنيع
الفصل الخامس تدعيم الزيوت والدهون النباتية المستخدمة في الطهي
المادة (١١): تدعم الزيـوت والدهون النباتية المسـتخدمة في الطهي بفيتامين (أ، د) باستخدام أحد مصادر فيتامين (أ، د) وفقا للجدول رقم (3) المرافق.
المـــادة (12): يجب ألا تتجاوز مدة صلاحية الزيوت والدهون النباتية المدعومة وفقـا للمادة السابقة(24) أربعة وعشرين شهرا.
الفصل السادس العقوبات
المـــادة (13): دون الإخلال بأية عقوبة أشد ينص عليها قانون آخر، يعاقب بالسجن مــــدة لا تقــــل عــــن أسبوع ولا تزيــــد علــــى شهــــر وبغرامــــة لا تقــــل عـــن (200) مائتي ريال ولا تزيد على(1000) الف ريال أو بإحدى هاتين العقوبتين، كل من يخالف أحكام المواد(11،8،6،4،2)من هذه اللائحة ، وتضاعف العقوبة في حالة تكرار المخالفة مع الحكم بغلق المنشأة الصناعية أو الجزء منها المسؤول عن تصنيع السلعة موضوع المخالفة .
","Food labelling|Vitamin A|Folic acid|Iodine|Iron|Vitamin D|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Mandatory fortification|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of margarine or edible oils with vitamin D|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Mandatory salt iodization|Fortification of salt with iodine aligned with WHO guidance|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Local products|Imported products|Sanctions exist","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/OMN_2010_%20%20%D9%82%D8%B1%D8%A7%D8%B1%20%D9%88%D8%B2%D8%A7%D8%B1%D9%8A%20%D8%B1%D9%82%D9%85%2049%3A2010%20%D8%A8%D8%A7%D8%B5%D8%AF%D8%A7%D8%B1%20%D8%A7%D9%84%D9%84%D8%A6%D8%AD%D8%A9%D8%A7%D9%84%D9%81%D9%86%D9%8A%D8%A9%20%D9%84%D8%AA%D8%AF%D8%B9%D9%8A%D9%85%20%D8%A7%D9%84%D8%A7%D8%BA%D8%B0%D9%8A%D8%A9%20.pdf"
"112485","CYP","Cyprus","","Operating guide for school canteens [Guide to the operation of school canteens]","Government guidance","","Greek","","2012","","","Υπουργείο Παιδείας και Πολιτισμού","","2012","","","","","Health|Education and research|Trade|Industry","","","","","","","","","","National NGOs","","","","","","","","","","","","Σχολικό Κυλικείο:
Το σχολικό κυλικείο είναι ο χώρος πώλησης εγκεκριμένων προϊόντων προς τους μαθητές και τις μαθήτριες. Τα προϊόντα αυτά περιλαμβάνονται σε τιμοκατάλογο, ο οποίος εγκρίνεται από ειδική επιτροπή, την Κεντρική Επιτροπή Ελέγχου Σχολικών Κυλικείων, Κ.Ε.Ε.Σ.Κ. , η οποία λαμβάνει υπόψη τις συστάσεις για τη σωστή διατροφή των παιδιών. Ένας από τους στόχους των σχολικών κυλικείων είναι η δημιουργία κουλτούρας για υγιεινή διατροφή των παιδιών και θα πρέπει να τύχει σεβασμού από όλους.
Υποχρεώσεις Γονέων και Μαθητών:
Οι γονείς/κηδεμόνες οφείλουν να συμβουλεύουν τα παιδιά τους ότι δεν επιτρέπεται κατά τον σχολικό χρόνο να φεύγουν από το σχολείο για την αγορά οποιωνδήποτε προϊόντων που πωλούνται ανεξέλεγκτα εκτός του σχολείου. Η έξοδος των μαθητών από το σχολείο κατά τον σχολικό χρόνο απαγορεύεται, σύμφωνα με τους κανονισμούς.
Θα πρέπει, επίσης, να αποφεύγεται η αγορά προϊόντων από πλανοδιοπώλες στην περίφραξη του σχολείου.
","Regulation/guidelines on types of foods and beverages available|Mandatory standards|Any foods and beverages sold in school|Schools (standards)","","http://archeia.moec.gov.cy/mc/577/odigos_goneon.pdf","ΓΡΑΦΕΙΟ ΠΟΛΙΤΙΚΗΣ ΑΜΥΝΑΣ, ΑΣΦΑΛΕΙΑΣ ΚΑΙ ΥΓΕΙΑΣ, Κ.Ε.Ε.Σ.Κ.Σχολικά ΚυλικείαΕπιμορφωτικό Υλικόhttp://www.moec.gov.cy/politiki_amyna/sk_epimorfotiko_yliko.htmlΓΡΑΦΕΙΟ ΠΟΛΙΤΙΚΗΣ ΑΜΥΝΑΣ, ΑΣΦΑΛΕΙΑΣ ΚΑΙ ΥΓΕΙΑΣ, Κ.Ε.Ε.Σ.Κ.Σχολικά ΚυλικείαΝομοθεσίαhttp://www.moec.gov.cy/politiki_amyna/sk_nomothesia.htmlΓΡΑΦΕΙΟ ΠΟΛΙΤΙΚΗΣ ΑΜΥΝΑΣ, ΑΣΦΑΛΕΙΑΣ ΚΑΙ ΥΓΕΙΑΣ, Κ.Ε.Ε.Σ.Κ.Σχολικά ΚυλικείαΤιμοκατάλογοιhttp://www.moec.gov.cy/politiki_amyna/sk_timokatalogoi.html","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CYP%202012%20odigos_goneon.pdf"
"43614","FRA","France","","Arrêté du 30 septembre 2011 relatif à la qualité nutritionnelle des repas servis dans le cadre de la restauration scolaire","Legislation relevant to nutrition","","French","9","2012","","","de l'agriculture, de l'alimentation, de la pêche, de la ruralité et de l'aménagement du territoire","10","2011","Adopted","9","2011","Journal officiel électronique authentifié n° 0229 du 02/10/2011","Food and agriculture|Health|Education and research|Women, children, families|Finance, budget and planning|Consumer affairs|Trade|Industry|Justice|Labour|Other","","","","","","","","","","","","","","","","","","","","","","Article 1
Les déjeuners et dîners servis dans le cadre de la restauration scolaire comprennent nécessairement un plat principal, une garniture, un produit laitier et, au choix, une entrée et/ou un dessert.
La variété des repas est appréciée sur la base de la fréquence de présentation des plats servis au cours de 20 repas successifs selon les règles fixées à l'annexe I du présent arrêté.
La taille des portions servies doit être adaptée au type de plat et à chaque classe d'âge. Les gestionnaires des restaurants scolaires doivent exiger de leurs fournisseurs que les produits alimentaires qu'ils livrent soient conformes aux valeurs précisées à l'annexe II du présent arrêté.
Article 2
L'eau est à disposition sans restriction.
Le sel et les sauces (mayonnaise, vinaigrette, ketchup) ne sont pas en libre accès et sont servis en fonction des plats.
Le pain doit être disponible en libre accès.
Article 3
Les dispositions du présent arrêté entrent en vigueur à compter du 1er septembre 2012 pour les services de restauration scolaire servant moins de 80 couverts par jour en moyenne sur l'année.
Article 4
Le présent arrêté sera publié au Journal officiel de la République française.
…
A N N E X E I
FRÉQUENCES DE PRÉSENTATION DES PLATS
Au sens de la présente annexe, on entend par :
― produits gras : produits à teneur en matières grasses supérieure à 15 % ;
― produits sucrés : produits contenant plus de 20 g de sucres simples totaux par portion ;
― plat protidique : plat principal à base de viandes, poissons, œufs, abats ou fromages.
Les fréquences figurant ci-dessous sont définies sur la base de 20 repas successifs.
Pour garantir les apports en fibres et en vitamines, il convient de servir :
― au moins 10 repas avec, en entrée ou accompagnement du plat, des crudités de légumes ou des fruits frais ;
― au moins 8 repas avec en dessert des fruits crus ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes cuits, autres que les légumes secs ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes secs, féculents ou céréales.
Pour garantir les apports en calcium, il convient de servir :
― au moins 8 repas avec, en entrée ou en produit laitier, des fromages contenant au moins 150 mg de calcium par portion ;
― au moins 4 repas avec, en entrée ou en produit laitier, des fromages dont la teneur en calcium est comprise entre 100 mg et 150 mg par portion ;
― au moins 6 repas avec des produits laitiers ou des desserts lactés contenant plus de 100 mg de calcium et moins de 5 g de matières grasses par portion.
Pour garantir les apports en fer et en oligoéléments, il convient de servir :
― au moins 4 repas avec, en plat protidique, des viandes non hachées de bœuf, veau, agneau ou des abats de boucherie ;
― au moins 4 repas avec, en plat protidique, du poisson ou une préparation d'au moins 70 % de poisson et contenant au moins deux fois plus de protéines que de matières grasses ;
― moins de 4 repas avec, en plat protidique, une préparation à base de viande, de poisson ou d'œuf contenant moins de 70 % de ces produits.
Pour limiter les apports en matières grasses, il convient de ne pas servir :
― plus de 4 entrées constituées de produits gras ;
plus de 3 desserts constitués de produits gras ;
― plus de 4 plats protidiques ou garnitures constitués de produits gras à frire ou préfrits ;
― plus de 2 plats protidiques qui contiendraient autant ou plus de matières grasses que de protéines.
Pour limiter les apports en sucres simples, il convient de ne pas servir :
― plus de 4 desserts constitués de produits sucrés et contenant moins de 15 % de matières grasses.
","Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|Fibre|Sugar intake|Free sugars|Fruit and vegetable intake|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|School milk scheme|Mandatory standards|School breakfasts or snacks|School lunches|Schools (standards)|Food-based criteria (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Salt shakers should not be available|Nutrient-based criteria (standards)|Total fat (standards)|Micronutrients (standards)|Total sugars (standards)|Portion size (standards)","","https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000024614763","","",""
"26008","GIN","Guinea","","Arreté A/2012/No.7085/PM/SGG Portant Fortification de la Farine de Ble destinée à la consommation humaine en Republique de Guinée","Legislation relevant to nutrition","","French","","2012","","","République de Guinée","","2012","Adopted","7","2012","Ministre de la Santé, du Commerce, de l'Industrie, du Budget, de l'Economie et des Finances sont chargés","Health|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","","","","","Article 1: La farine de blé destinée à la consommation humaine doit être fortifiée en micronutriments pour parer aux carences en vitamines et minéraux en République de Guinée;
Article 3: La farine de blé produite localement ou importée, doit être fortifiée avant sa mise à la consommation sur le territoire national Guinéen conformément aux normes de fortification suivantes, à savoire:
-60 ppm de fer sous forme de fumarate ferreux;
-55 ppm de Zinc sous form d'oxyde de zinc;
-2.79 ppm de Thiamine (vitamine B1)
-2.79 ppm de Riboflavine (vitamine B2)
-36.18 ppm de Niacine (Vitamine B3)
-3.13 ppm de Pyridoxine (Vitamine B6)
-0.02 ppm de Cobalamine (Vitamine B12)
-2.6 ppm d'Acide folique (fol acine)
","Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|Food fortification|Wheat flours|Mandatory fortification|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","",""," 2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN-2012-Fortification%20de%20la%20farine%20de%20ble.pdf"
"24688","DZA","Algeria","","Décret exécutif n° 13-378 du 5 Moharram 1435correspondant au 9 novembre 2013 fixant lesconditions et les modalités relatives à l'informationdu consommateur","Legislation relevant to nutrition","","French","11","2013","","","Prime ministry","11","2013","","","","","Nutrition council|Health|Food and agriculture|Consumer affairs|Trade|Industry|Other","ministere des affaires religieuses","","","","","","","","","National NGOs","","","","","","","","","","","","Section 2
Mentions obligatoires d’étiquetage
Art. 12. . Les informations sur les denrées alimentaires, prévues à l’article 9 ci-dessus, comportent sous réserve des exceptions énumérées dans le présent chapitre, les mentions obligatoires d’étiquetage suivantes :
…
2) la liste des ingrédients ;
…
12) l’étiquetage nutritionnel ;
…
Art. 14. . L’étiquetage nutritionnel doit fournir les informations relatives à la teneur en éléments nutritifs des denrées alimentaires. Les modalités applicables en matière d’étiquetage nutritionnel des denrées alimentaires, sont fixées par arrêté conjoint des ministres chargés de la protection du consommateur et de la répression des fraudes, de la santé, de l’agriculture et de l’industrie.
…
Section 10
Allégations
Art. 36. . Aucun aliment ne doit être décrit ou présenté de façon fausse, trompeuse, mensongère ou susceptible de créer une impression erronée au sujet de sa nature de manière à induire le consommateur en erreur. Les allégations employées dans l’étiquetage et la présentation des denrées alimentaires mises à la consommation ne doivent pas :
. être inexactes, ambiguës ou trompeuses ;
. susciter des doutes quant à la sécurité et/ou l’adéquation nutritionnelle d’autres denrées alimentaires ;
. encourager ou tolérer la consommation excessive d’une denrée alimentaire ;
. laisser entendre qu’une alimentation équilibrée et variée ne peut fournir tous les éléments nutritifs en quantité suffisante ;
. être non justifiées ;
. mentionner des modifications des fonctions corporelles qui soient susceptibles d’inspirer des craintes au consommateur sous la forme soit de textes, soit d’images, soit d’éléments graphiques ou de représentations symboliques ;
. faire référence à des propriétés préventives ou curatives à l’égard des maladies humaines, sauf les eaux minérales naturelles et les denrées alimentaires destinées à une alimentation particulière.
…
ANNEXE I
LE GROUPE D.INGREDIENTS POUVANT ETRE DESIGNES PAR LE NOM DE LA CATEGORIE AU LIEU DU NOM SPECIFIQUE
A l’exception des ingrédients énumérés à l’annexe II du présent décret, les ingrédients appartenant à l’une des catégories de denrées alimentaires énumérées ci-dessous et qui entrent dans la composition d’une denrée alimentaire peuvent être désignés par le seul nom de cette catégorie au lieu du nom spécifique.
DESIGNATION DU NOM DE CATEGORIE
Huiles raffinées autres que l’huile d’olive
DEFINITION DE CATEGORIE DE DENREE ALIMENTAIRE
« huile », complétée :
- soit par le qualificatif, selon le cas, « végétale » ou « animale »
-soit par l’indication de l’origine spécifique végétale ou animale.
Le qualificatif « totalement hydrogénée » ou « partiellement hydrogénée » doit accompagner la mention d’une huile hydrogénée.
DESIGNATION DU NOM DE CATEGORIE
Matières grasses raffinées
DEFINITION DE CATEGORIE DE DENREE ALIMENTAIRE
« Graisse » ou « matière grasse », complétée :
- soit par le qualificatif, selon le cas, « végétale » ou « animale »,
- soit par l’indication de l’origine spécifique végétale ou animale.
Le qualificatif « totalement hydrogénée » ou « partiellement hydrogénée » doit accompagner la mention d’une graisse hydrogénée.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Sanctions exist","","https://www.joradp.dz/FTP/JO-FRANCAIS/2013/F2013058.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA%20Etiquetage%202013.pdf"
"41519","TJK","Tajikistan","","Технический регламент Республики Таджикистан """"Маркировка пищевых продуктов / Technical Regulation of Tajikistan on Food Labeling","Legislation relevant to nutrition","","Russian","1","2014","","","Ministry of Finance and Trade","","2014","Adopted","1","2014","Government of Tajikistan","Finance, budget and planning|Trade","Sanitary Authorities","","","","","","","","","","","","","","","","","","","","","3. Требования к маркировке пищевой продукции
5. Требования к маркировке упакованной пищевой продукции Маркировка упакованной пищевой продукции должна содержать следующие сведения:
...
- состав пищевой продукции, за исключением случаев, предусмотренным пунктом 23 раздела 6 и если иное не предусмотрено техническими регламентами Республики Таджикистан на отдельные виды пищевой продукции;
...
- показатели пищевой ценности пищевой продукции с учетом положений раздела II;
…
11. Общие требования к указанию в маркировке пищевой ценности пищевой продукции
64. Пищевая ценность пищевой продукции, указываемая в ее маркировке, включает следующие показатели:
- энергетическую ценность (калорийность);
- количество белков, жиров, углеводов;
- количество витаминов к минеральных веществ.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Food safety|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Mandatory for pre-packaged foods with a health claim|Amount of available carbohydrate|Amount of protein|Amount of total fat|Energy value (ND)|Claim must be substantiated|Specific nutrition criteria","","https://tajtrade.tj/media/29%20Technical%20Regulations%20on%20Food%20Products%20Labeling.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Food%20Labeling.pdf"
"25763","KGZ|KAZ|ARM|BLR|RUS","Kyrgyzstan|Kazakhstan|Armenia|Belarus|Russian Federation","","ТР ТС 024/2011Технический регламент на масложировую продукцию [Technical regulations of the Custom Union for oil and fat products]","Legislation relevant to nutrition","Custom Union Trade Regulations","Russian","1","2015","","","","","2011","Adopted","12","2011","Custom Union Commission","Transport|Trade|Other","Governments of Russian Federation, Belarus and Kazakhstan","","","","","","","Other","Custom Union","","","","","","","Other","Food Producers","","","","","Глава 4. Требования безопасности
Требования к масложировой продукции включают:
- требования к допустимым уровням показателей безопасности и по микробиологическим нормативам безопасности пищевой масложировой продукции и к допустимым уровням показателей безопасности непищевой масложировой продукции;
- требования к упаковке масложировой продукции;
- требования к маркировке масложировой продукции.
Статья 8. Требования к маркировке пищевой масложировой продукции
3. Пищевая ценность (энергетическая ценность, содержание белков, жиров, углеводов, витаминов, макро- и микроэлементов в 100 граммах продукта). Сведения о содержании белков, жиров, углеводов и калорийности / энергетической ценности приводятся в случаях, если их значение в 100г пищевого продукта составляет не менее 2 процентов, а для минеральных веществ и витаминов не менее 5 процентов от рекомендуемого суточного потребления.
...
5) для маргаринов, спредов растительно-сливочных и растительно-жировых, смесей топленых растительно-сливочных и растительно-жировых, жиров специального назначения, в том числе жиров кулинарных, кондитерских, хлебопекарных, заменителей молочного жира, эквивалентов масла какао, улучшителей масла какао SOS-типа, заменителей масла какао POP-типа, заменителей масла какао нетемперируемых нелауринового типа, заменителей масла какао нетемперируемых лауринового типа - максимальное содержание в жировой фазе продукта насыщенных жирных кислот и трансизомеров жирных кислот, в процентах от содержания жира в продукте для нефасованной пищевой масложировой продукции;
Глава 7. Маркировка единым знаком обращения продукции на рынке государств-членов Таможенного союза
4. Маркировка масложировой продукции единым знаком обращения продукции на рынке государств-членов Таможенного союза свидетельствует о ее соответствии требованиям всех технических регламентов Таможенного союза, распространяющихся на нее.
Статья 21. Государственный контроль (надзор)
Государственный контроль (надзор) за соответствием масложировой продукции, процессов ее производства, хранения, перевозки и реализации требованиям настоящего технического регламента проводится в соответствии с законодательством государств-членов Таможенного союза.
Приложение 1 к техническому регламенту «Технический регламент на масложировую продукцию» Требования к допустимым уровням показателей безопасности пищевой масложировой продукции
Продукты переработки растительных масел и животных жиров, включая жиры рыб: 1. Масла (жиры) переэтерифицирова нные рафинированные дезодорированные; масла (жиры) гидрогенизированн ые рафинированные дезодорированные; маргарины; жиры специального назначения, в том числе жиры кулинарные, кондитерские, хлебопекарные; заменители молочного жира; эквиваленты масла какао, улучшители масла какао SOS- типа, заменители масла какао POP- типа, заменители масла какао нетемперируемые нелауринового типа, заменители масла какао нетемперируемые лауринового типа
Транс-изомеры жирных кислот. Допустимые уровни, не более: 20,0 процентов от содержания жира в продукте (с 01.01.2015) 2,0 процентов от содержания жира в продукте (с 01.01.2018); 8,0 процентов от содержания жира в продукте 2,0 процентов от содержания жира в продукте (с 01.01.2018);
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Food safety|Limit on 2 g / 100 g fats and oils|Limit exists for some products only|Nutrient declaration (back-of-pack labelling)|Mandatory for some pre-packaged foods|Amount of available carbohydrate|Amount of protein|Amount of saturated fatty acids|Amount of total fat|Amount of trans fatty acids|Energy value (ND)|Monitoring mechanism established","","http://certtest.ru/images/TRCU/TR_TS_024-2011_text.pdf","24 мая 2014 года подписан Договор о Евразийском экономическом союзе (ЕАЭС) между Беларусью, Казахстаном и Россией.2 января 2015 года Армения стала четвертым полноправным членом ЕАЭС.12 августа 2015 года Кыргызстан стал пятым государством – членом ЕАЭС. https://www.mfa.am/ru/international-organisations/6 https://mfa.gov.kg/kg/zhogorku-menyu/tyshky-sayasat/mezhdunarodnye-organizacii/eek/aeshttp://www.eaeunion.org/#about-history","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CU%202011%20Oil%20and%20Fat%20Products%20Regulations%20TR_TS_024-2011.pdf"
"36944","BHR","Bahrain","","اعتماد اللوائح الفنية الخليجية للمنتجات الغذائية والزراعية كلوائح فنية وطنية [Adopting the Gulf technical regulations for food and agricultural products as national technical regulations]","Legislation relevant to nutrition","","Arabic","","2016","","","Ministry of Industry, Trade and Tourism","","2016","","","","","Trade|Industry","Ministry of Industry, Trade and Tourism","","","","","","","","","","","","","","","","","","","","","المادة الأولى
تعتمد كلوائح فنية وطنية، اللوائح الفنية الخليجية الموحدة للمنتجات الغذائية والزراعية الصادرة عن هيئة التقييس لدول مجلس التعاون لدول الخليج العربية والوارد بياناتها في القائمة الرفقة بهذا القرار.
المادة الثانية
تُلغى جميع القرارات السابقة بشأن اعتماد اللوائح الفنية الوطنية للمنتجات الغذائية والزراعية المشار إليها في المادة السابقة.
المادة الثالثة
على وكيل الوزارة لشؤون التجارة تنفيذ هذا القرار ويعمل به بعد ستة أشهر من تاريخ نشره في الجريدة الرسمية.
GSO 2483:2015 رقم اللائحة الفنية عنوان اللائحة الفنية باللغة العربية الدهون (الأحماض الدهنية) المتحولة عنوان اللائحة الفنية باللغة الإنجليزية Trans fatty acids
","Trans fat intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Limit on 2 g / 100 g fats and oils|Limit on 5 g / 100 g fat in all other foods|Nutrient declaration (back-of-pack labelling)|Mandatory for some pre-packaged foods|Amount of trans fatty acids","","","GSO 2483:2015 Trans Fatty Acids. This standard applies to the maximum amount allowed for trans fatty acid and declaring the trans fatty acid on the nutrition label per serving. https://www.gso.org.sa/store/gso/standards/GSO:693058/GSO%202483:2015?lang=en","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BHR%202016%20Adoption%20of%20GSO%202483%20trans%20fatty%20acids.pdf"
"41855","DZA","Algeria","","Arrêté interministériel du 28 Moharram 1439 correspondant au 19 octobre 2017 fixant les modalités applicables en matière d'étiquetage nutritionnel des denrées alimentaires","Legislation relevant to nutrition","","French","","2018","","","JOURNAL OFFICIEL DE LA REPUBLIQUE ALGERIENNE N° 25. 16 Chaâbane 1439.2 mai 2018","10","2017","Adopted","10","2017","Le ministre du commerce. Le ministre de l’industrie et des mines","Trade|Industry","","","","","","","","","","","","","","","","","","","","","","Article 1er. — En application des dispositions de l'article 14 du décret exécutif n°13-378 du 5 Moharram 1435 correspondant au 9 novembre 2013, susvisé, le présent arrête a pour objet de fixer les modalités applicables en matière d'étiquetage nutritionnel des denrées alimentaires.
Art. 2. — Les dispositions du présent arrête s'appliquent aux denrées alimentaires préemballées destinées a la consommation humaine. Sont exclues de l'application des dispositions du présent arrête, les denrées alimentaires dont la liste est fixée en annexe III du présent arrête.
…
Art. 5. — La déclaration nutritionnelle doit obligatoirement inclure les éléments suivants :
— la valeur énergétique ;
— la quantité :
• de protéines ;
• de glucides assimilables à l’exclusion des fibres alimentaires ;
• de sucres totaux ;
• de lipides ;
• de graisses saturées ;
• de sel.
— la quantité de toute autre substance nutritive pour laquelle une allégation nutritionnelle est faite ;
— la quantité de tout autre nutriment juge utile au maintien d’un bon état nutritionnel.
Art. 6. — Le contenu de la déclaration nutritionnelle, prévu a l'article 5 ci-dessus, peut être complète par l’indication des quantités d’un ou de plusieurs des éléments suivants :
— l’amidon ;
— les polyols ;
— les acides gras mono-insaturés ;
— les acides gras poly-insaturés ;
— le cholestérol ;
— les sels minéraux ou vitamines présents en quantité significative et énumères à l’annexe I, point 1 du présent arrête.
Art. 7. — Lorsqu’une allégation porte sur :
— la quantité et/ou le type de glucides, la quantité de sucres totaux doit être indiquée en plus des mentions exigées a l'article 5 ci-dessus. Les quantités d'amidon et/ou d'autres composes glucidiques peuvent être également indiquées ;
— la teneur en fibres alimentaires, la quantité des fibres alimentaires doit être indiquée ;
— la quantité et/ou le type d’acides gras ou la teneur en cholestérol, les quantités d’acides gras satures, d'acide gras mono-insaturés et d’acides gras poly-insaturés et de cholestérol doivent être indiquées conformément aux dispositions de l’article 18 du présent arrête.
…
Art. 19. — Les informations nutritionnelles supplémentaires ont pour but de permettre au consommateur de mieux comprendre la valeur nutritionnelle de la denrée alimentaire consommée et d'interpréter la déclaration des éléments nutritifs.
La déclaration sur l'étiquette des informations nutritionnelles supplémentaires à caractère instructif par moyen de symboles, d'images ou de couleurs de groupes de denrées alimentaires, est facultative. Elle ne peut en aucun
cas remplacer la déclaration des éléments nutritifs.
Art. 20. — Les seules allégations nutritionnelles autorisées sont celles se rapportant à l’énergie, aux protéines, aux glucides, aux matières grasses et à leurs constituants, aux fibres, au sel et aux autres substances ayant un effet nutritionnel ou physiologique ainsi qu'aux vitamines et sels minéraux pour lesquels une valeur nutritionnelle de référence (VNR) est établie telle que fixée au point 1 de l'annexe I du présent arrête.
Art. 21. —L’allégation relative à la teneur en éléments nutritifs décrit le niveau d’un élément nutritif contenu dans une denrée alimentaire. Dans le cas d’une allégation relative à la teneur en éléments nutritifs prévus dans l’annexe II du présent arrête ou d’une allégation synonyme, les conditions fixées dans cette annexe a l’égard de cette allégation doivent s’appliquer. Une allégation indiquant qu'une denrée alimentaire est sans le nutriment (x), peut être faite, si celle-ci remplit les conditions fixées pour la mention """"sans nutriment (x)"""" a l'annexe II du présent arrête.
Art. 22. — Lorsqu’une denrée alimentaire est naturellement à faible teneur ou sans l’élément nutritif qui fait l’objet de l’allégation, le terme décrivant la teneur de cet élément ne doit pas précéder immédiatement le nom de la denrée alimentaire, mais être présente comme suit : ≪ denrée alimentaire à faible teneur en (nom de l’élément nutritif) ≫ ou ≪ denrée alimentaire sans (nom de l’élément nutritif) ≫.
Art. 23. — L'allégation nutritionnelle doit reposer sur des preuves scientifiques généralement admises et justifiées. L'intervenant qui mentionne une allégation nutritionnelle doit justifier son emploi.
L'emploi d'une allégation nutritionnelle n'est permis que si l'on peut s'attendre à ce que le consommateur moyen comprenne les effets bénéfiques exposes dans l'allégation. L'utilisation de toute allégation de sante est conditionnée par l'accord préalable des services habilites charges de la sante et ce, conformément à la législation et à la règlementation en vigueur.
","Food labelling|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Mandatory for pre-packaged foods with a health claim|Amount of available carbohydrate|Amount of protein|Amount of salt/sodium|Amount of saturated fatty acids|Amount of total fat|Amount of total sugars|Claim must be substantiated|Specific nutrition criteria","","https://www.commerce.gov.dz/reglementation/arrete-interministeriel-du-19-octobre-2017","","",""
"66514","JAM","Jamaica","","Interim Guidelines for Beverages in Schools","Government guidance","","English","1","2019","","","Ministry of Health / Ministry of Education Youth & Information","11","2018","Adopted","12","2018","Cabinet","Health|Food and agriculture|Education and research|Trade|Information","Ministries of Health; Education, Youth and Information; and Investment, Commerce, Agriculture and Fisheries","","","","","","","","","National NGOs","","","","","","","","","","","","4. Recommendation for beverages in schools
Prohibited
Sugar-sweetened beverages- E.g. carbonated beverages (such as regular soda), fruit drinks, sports drinks, energy drinks, sweetened waters, and coffee and tea beverages that are above the maximum sugar concentration as set out in the implementation schedule below.
Permitted
Plain water
Unsweetened flavoured and infused water
Unsweetened juices
Unsweetened coconut water
Unsweetened milk or milk products
Unsweetened milk substitutes and milk substitute products
Sweetened beverages (including flavoured and infused water) at or below the maximum sugar concentration as set out in the implementation schedule below.
Cautionary notes:
It is recommended that caffeine content be less than 10mg per serving.
The use of artificial sweeteners is discouraged; their use should be guided by the Food and Drug Regulations, 1975 and its relevant amendments as well as the list of approved sweeteners published by the US Food and Drug Administration, which the Ministry of Health has adopted.
It is recommended that the package size for all beverages except water, sold or served to children (i.e. less than 18 years old), should be less than 12 ounces.
Implementation schedule
The Permanent Secretary of the MOEYI has approved the Interim Guidelines for Beverages in Schools. The directive to schools to implement these guidelines will be issued by the Ministry once approved by Cabinet.
Sweetened beverages will be deemed as being in excess of the sugar limit, and therefore prohibited from being sold or served in schools as per Section 3, if the total sugar concentration exceeds the following:
Maximum 6g/100ml - effective January 1, 2019
Maximum 5g/100ml - effective January 1, 2020
Maximum 4g/100ml - effective January 1, 2021
Maximum 2.5g/100ml - effective January 1, 2023
Monitoring will occur with the assistance of Parish Nutritionists and Dietitians. This will take the form of:
1. School Nutrition and Physical Activity Audit to be carried out at baseline (December 2018), after six (6) months and after one (1) year.
2. Activities geared towards supporting schools in implementing the Interim Guidelines for Beverages in Schools, included in the work plans of Parish Nutritionists and Dietitians.
","Overweight in adolescents|Overweight in school children|Dietary practice|Sugar intake|Regulation/guidelines on types of foods and beverages available|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Schools (standards)|Foods high in sugars (standards)|Water (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Energy and sport drinks (standards)|Fruit and vegetable juice drinks (<100%) (standards)|Flavored water (standards)|Ready-to-drink tea or coffee (standards)|Sweetened or flavored milk drinks (standards)|Nutrient-based criteria (standards)|Total sugars (standards)","","https://www.moh.gov.jm/wp-content/uploads/2020/07/Interim-Guidelines-For-Beverages-In-Schools.pdf","Cabinet Approves Interim Guidelines for Beverages in Schools https://jis.gov.jm/cabinet-approves-interim-guidelines-for-beverages-in-schools/ https://japarliament.gov.jm/attachments/article/2091/2019%20Ministry%20Paper%2011.pdf","",""
"39755","OMN","Oman",""," قــرار وزاري رقم 2019/95 المواصفــة القياسيــة العمانيــة للخبـــز [Ministerial decision No. 2019/95 Omani standard for bread]","Legislation relevant to nutrition","","Arabic","11","2019","","","وزارة التجـارة والصناعـة","5","2019","Adopted","5","2019","الجريدة الرسمية عدد ١٣٢١","Trade|Industry","وزارة التجـارة والصناعـة","","","","","","","","","","","","","","","","","","","",""," تـقـــرر
المــادة الأولـــــى
تعتبر المواصفة القياسية الخاصة بالخبز المرفقة ، مواصفة قياسية عمانية ملزمة ،ويستثنى منها الخبز المنتج لغرض التصدير فقط
المتطلبــات العامــة
يجب أن تكون المكونات المستخدمة في إنتاج الخبز مطابقة للمواصفات القياسية الخاصة بكل منها
٤-١٧ يجب الا تزيد نسبة الدهون الأحماض الدهنية المتحولة على تلك المسموح بها طبقا للمواصفة القياسية الخليجية المذكورة فـي البند ٢-٢٤
٤-١٩ ألا تتجوز نسبة ملح الطعم الآتي
الخبز العربي (التنور , اللبناني . . . . , اإلخ) ٠,٥٪ بالكتلة
الخبز الاإفرنجي (الشرائح , الشمون . , . . . اإلخ)١,٢ ٪ بالكتلة , لمدة عام من تاريخ العمل بالمواصفة القياسية المرفقة ، و من ثم الالتزام بنسبة لا تتجاوز (١٪) بالكتلة
","Trans fat intake|Sodium/salt intake|Reformulation of foods and beverages|Trans fat|Salt/sodium|Limit exists for some products only|Mandatory reformulation|Measures to limit sodium content|Measures to limit trans-fatty acid content|Bread, bread products and crisp breads (Reformulation sodium)|Bread, bread products and crisp breads (Reformulation TFA)|Sanctions exist","","http://mola.gov.om/eng/legislation/decisions/details.aspx?Id=1385&type=D","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/OMN_2019_%20%D9%82%D9%80%D9%80%D8%B1%D8%A7%D8%B1%20%D9%88%D8%B2%D8%A7%D8%B1%D9%8A%20%D8%B1%D9%82%D9%85%202019%3A95%20%D8%A8%D8%A7%D8%B9%D8%AA%D8%A8%D9%80%D8%A7%D8%B1%20%D9%85%D9%88%D8%A7%D8%B5%D9%81%D9%80%D8%A9%20%D9%82%D9%8A%D8%A7%D8%B3%D9%8A%D9%80%D8%A9%20%D8%B9%D9%85%D8%A7%D9%86%D9%8A%D9%80%D8%A9%20%D9%85%D9%84%D8%B2%D9%85%D9%80%D8%A9%20.pdf"
"43115","OMN","Oman","","وزارة التجـارة والصناعـة قــرار وزاري رقم 2019/95 باعتبـار مواصفـة قياسيـة عمانيـة ملزمـة (المواصفة القياسية الخاصة بالخبز) [Bread Standard]","Legislation relevant to nutrition","","Arabic","11","2019","","","وزارة التجارة والصناعة","5","2019","","","","","Trade|Industry","","","","","","","","","","","","","","","","","","","","","","المــادة الأولـــــى
تعتبر المواصفة القياسية الخاصة بالخبز المرفقة، مواصفـــة قياسيـــة عمانيـــة ملزمـــة، ويستثنى منها الخبز المنتج لغرض التصدير فقط
المــادة الثانيــــة
تفرض غرامة إدارية لا تتجاوز (1000) ألف ريال عماني على كل من يخالف أحكام هذا القـرار ، وفــي حـال تكـرار المخالفـة ، تضاعـف الغرامـة ،كمـا يجـوز غلق المنشاة أو الجزء المخصص منها لانتاج الخبز بصفة مؤقتة
المــادة الثالثــــة
ينشر هذا القرار فـي الجريدة الرسمية، ويعمل به بعد (6) ستة اشهر من تاريخ نشره
ألا تتجاوز نسبة ملح الطعام ا الاتي -
الخبز العربي (التنور , اللبناني , . . . . اإلخ): (0.5%) بالكتلة
الخبز الإفرنجي (الشرائح، الشمون، . . . . إلخ) : (1.2%) بالكتلة ، لمدة عام من تاريخ العمل بالمواصفة القياسية المرفقة ، ومن ثم الالتزام بنسبة لا تتجاوز (1%) بالكتلة
","Mandatory reformulation|Measures to limit sodium content|Bread, bread products and crisp breads (Reformulation sodium)|Monitoring mechanism established|Sanctions exist","","https://qanoon.om/p/2019/moci20190095/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/OMN-2019-bread.pdf"
"43114","PER","Peru","","Decreto Supremo Nº 012-2018-SA Aprueban Manual de Advertencias Publicitarias en el marco de lo establecido en la Ley Nº 30021, Ley de promoción de la alimentación saludable para niños, niñas y adolescentes, y su Reglamento ...","Legislation relevant to nutrition","","Spanish","6","2019","","","el Diario Oficial El Peruano","6","2018","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Other","el Presidente del Consejo de Ministros, el Ministro de Economía y Finanzas, la Ministra de Salud, el Ministro de Educación, el Ministro de Agricultura y Riego, el Ministro de la Producción, la Ministra de Desarrollo e InclusiónSocial, y el Ministro de Comercio Exterior y Turismo","","","","","","","","","","","","","","","","","","","","","Artículo 1.- Aprobación
Aprobar el Manual de Advertencias Publicitarias en el marco de lo establecido en la Ley Nº 30021, Ley de promoción de la alimentación saludable para niños, niñas y adolescentes, y su Reglamento aprobado por Decreto Supremo Nº 017-2017-SA, que como Anexo forma parte integrante del presente Decreto Supremo.
...
DISPOSICIONES COMPLEMENTARIAS
FINALES
ÚNICA.- Vigencia
El Manual de Advertencias Publicitarias aprobado entra en vigencia a los doce (12) meses, contados a partir del día siguiente de su publicación en el Diario Oficial El Peruano
...
MANUAL DE ADVERTENCIAS PUBLICITARIAS EN EL MARCO DE LO ESTABLECIDOEN LA LEY Nº 30021, LEY DE PROMOCIÓN DE LA ALIMENTACIÓN SALUDABLE PARA NIÑOS, NIÑAS Y ADOLESCENTES, Y SU REGLAMENTO
APROBADO POR DECRETO SUPREMO
Nº 017-2017-SA
...
1. DE LOS PARÁMETROS TÉCNICOS Los parámetros técnicos a considerarse para la aplicación del presente Manual se detallan a continuación y su entrada en vigencia se contará a partir de la aprobación del Manual de Advertencias Publicitarias que hace referencia la Segunda Disposición Complementaria Final del Reglamento de la Ley Nº 30021, Ley de Promoción de la Alimentación Saludable para Niños, Niñas y Adolescentes.
CUADRO 1: Parámetros técnicos y entrada en vigencia
Parámetros técnicos
Plazo de entrada en vigencia
A los 6 meses de aprobación del Manual de Advertencias Publicitarias
A los 39 meses de aprobación del Manual de Advertencias Publicitarias
Sodio en alimentos sólidos
Mayor o igual a 800 mg / 100g
Mayor o igual a 400 mg / 100g
Sodio en bebidas
Mayor o igual a 100 mg / 100ml
Mayor o igual a 100 mg / 100ml
Azúcar Total en alimentos sólidos
Mayor o igual a 22.5g / 100g
Mayor o igual a 10g / 100g
Azúcar Total en bebidas
Mayor o igual a 6g / 100ml
Mayor o igual a 5g / 100ml
Grasas Saturadas en alimentos sólidos
Mayor o igual a 6g / 100g
Mayor o igual a 4g / 100g
Grasas Saturadas en bebidas
Mayor o igual a 3g / 100ml
Mayor o igual a 3g / 100ml
Grasas Trans
Según la normatividad vigente
Según la normatividad vigente
...
2. DEL CONTENIDO DE LAS ADVERTENCIAS PUBLICITARIASLas advertencias publicitarias serán aplicables a aquellos alimentos procesados cuyo contenido de sodio, azúcar y grasas saturadas excedan los parámetros técnicos establecidos en el artículo 4 del Reglamento de la Ley Nº 30021, Ley de Promoción de la Alimentación Saludable para Niños, Niñas y Adolescentes.
Las advertencias publicitarias para las grasas trans se rigen por el Reglamento que establece el proceso de reducción gradual hasta la eliminación de las grasas trans en los alimentos y bebidas no alcohólicas procesados industrialmente aprobado por Decreto Supremo Nº 033- 2016-SA.
...
3. DEL FORMATO DE LAS ADVERTENCIAS PUBLICITARIAS EN LOS ALIMENTOS PROCESADOS
Las advertencias publicitarias deberán ser consignadas de manera clara, legible, destacada y comprensible en la cara frontal de la etiqueta del producto, según las siguientes especificaciones y las proporciones que se detallan en el Anexo 1:
3.1 Forma, color y tipo:
• Forma geométrica: Octógono.
• Color: negro y blanco.
• Tipografía: Helvética LT Std-Bold
...
3.2 Al interior del octógono:
3.2.1 Para los alimentos procesados que superen los parámetros técnicos de Sodio, Azúcar y Grasas Saturadas, deberá incluirse el texto: “ALTO EN”, seguido de: “SODIO”, “AzÚCAR”, “GRASAS SATURADAS”, en uno o más símbolos independientes, según corresponda.
3.2.2 Para los alimentos procesados que superen los parámetros técnicos de Grasas Trans, deberá incluirse el texto “CONTIENE GRASAS TRANS”.
3.3 Debajo del octógono, enmarcado con línea negra y fondo color blanco, se pondrá el siguiente texto:
3.3.1 Para los alimentos procesados que superen los parámetros técnicos de Sodio, Azúcar y Grasas Saturadas se colocará el texto: EVITAR SU CONSUMO EXCESIVO
3.3.2 Para los alimentos procesados que superen los parámetros técnicos Grasas Trans se colocará el texto: EVITAR SU CONSUMO
3.3.3 Si el producto contiene 2 o 3 advertencias referidas a: ALTO EN SODIO, ALTO EN AZUCAR, ALTO EN GRASA SATURADAS, se considerará una sola leyenda “Evitar su consumo excesivo”. La referida leyenda se ubicará al pie de los octógonos presentes, según se detallan en el gráfico 1 y manteniendo las proporciones contenidas en el Anexo 1.
3.3.4 Si el producto contiene la advertencia CONTIENE GRASAS TRANS, esta deberá llevar la leyenda respectiva “Evitar su consumo”, según se detalla en el gráfico 1 y manteniendo las proporciones contenidas en el Anexo 1.
3.3.5 Si el producto contiene 4 advertencias referidas a: ALTO EN SODIO, ALTO EN AZUCAR, ALTO EN GRASA SATURADAS y CONTIENE GRASAS TRANS se considerará dos leyendas:
- “Evitar su consumo excesivo” para ALTO EN SODIO, ALTO EN AzUCAR Y ALTO EN GRASA SATURADA y
- “Evitar su consumo” para CONTIENE GRASAS TRANS.
...
6. DE LAS FORMAS DE CONSIGNAR LAS ADVERTENCIAS EN LOS MEDIOS DE COMUNICACIÓN 6.1 Del contenido de la publicidad de los alimentos procesados con advertencia publicitaria
6.6.1 Los mensajes publicitarios de alimentos procesados sujetos a advertencias publicitarias, deberán considerar los siguientes contenidos según corresponda: ...
6.1.2 Las imágenes fijas y en movimiento en todo tipo de publicidad de alimentos procesados que lleven advertencias, deberán mostrar claramente la o las advertencias publicitarias ante la cámara, de manera que el espectador pueda verla o verlas y saber que se trata de un producto con advertencia. 6.1.3 La publicidad de los productos procesados que lleven advertencias publicitarias dirigidas a menores de 16 años deberá ceñirse a lo establecido en el artículo 8 de la Ley Nº 30021.
6.2 De la publicidad en medios impresos e internet
6.2.1 En la publicidad en medios de comunicación escritos, en anuncios difundidos en la vía pública y en Internet, las advertencias publicitarias deberán consignarse de manera legible en un área que cubrirá hasta el 15% del tamaño del anuncio. Dichas advertencias ocuparan 3.75%, independientemente del número de advertencias publicitarias que le correspondan al producto.
6.6.2 Las advertencias serán ubicadas conforme a lo señalado en los numerales 4.1 y 4.2 del presente Manual.
6.3 De la publicidad en medios radiales y audiovisuales
6.3.1 En la publicidad en medios radiales y audiovisuales (video, televisión, y cine) las advertencias publicitarias deben ser consignadas en forma clara, destacada y comprensible.
6.3.2 El audio de locución de la publicidad en medios radiales deberá reproducirse a velocidad y volumen igual al tiempo de grabación.
6.3.3 En medios audiovisuales (video, televisión y cine), la advertencia comprenderá la leyenda que deberá tener una duración proporcional al tiempo que dura la publicidad.
6.3.4 Si hubiera más de una advertencia publicitaria referida a sodio o azúcar o grasas saturadas, el audio tendrá las siguientes variaciones:...
","Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Right to health|Food labelling|Front of pack labelling|Regulating marketing of unhealthy foods and beverages to children|Mandatory for all pre-packaged food (FOP)|Saturated fatty acids (FOP)|Sodium-salt (FOP)|Total sugars (FOP)|Trans fatty acids (FOP)|Warning sign|Nutrient specific|Advertising (in streets and stores)|Cinemas (marketing)|Internet|Printed materials (marketing)|Radio|TV|Nutrient profile model (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugars (marketing)|Trans fat (marketing)|Covers children up to 16 years of age|Mandatory marketing restrictions|Mandatory health message on FNAB marketing|Mandatory health warning or message only","","https://busquedas.elperuano.pe/download/url/aprueban-manual-de-advertencias-publicitarias-en-el-marco-de-decreto-supremo-n-012-2018-sa-1660606-1","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PER%202018%20aprueban-manual-de-advertencias-publicitarias-en-el-marco-de-decreto-supremo.pdf"
"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","","",""
"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","","",""
"118375","BHR","Bahrain","","قرار رقم (١٢١) لسنة ٢٠٢٢ بشأن اعتماد اللوائح الفنية الخليجية الخاصة بقطاع المنتجات الغذائية و الزراعية كلوائح فنية وطنية [Resolution No. (121) of 2022 regarding the adoption of Gulf technical regulations .. as national technical regulations]","Legislation relevant to nutrition","","Arabic","6","2023","","","ملحق العدد : ٣٦٤٤- الخميس ٨ ديسمبر ٢٠٢٢","12","2022","Adopted","12","2022","وزير الصناعة والتجارة","Trade|Industry","","","","","","","","","","","","","","","","","","","","","","قرر الآتي:
المادة الأولى
تعتمد اللوائح الفنية الخليجية الخاصة بقطاع المنتجات الغذائية والزراعية الصادرة عن هيئة التقييس لدول مجلس التعاون لدول الخليج العربية ، والواردة بياناتها في القائمة المرافقة لهذا القرار ،كلوائح فنية وطنية ويعمل بها في مملكة البحرين.
المادة الثانية
تلغى جميع القرارات السابقة الصادرة بشأن اعتماد اللوائح الفنية الخليجية الخاصة بقطاع المنتجات الغذائية والزراعية.
المادة الثالثة
على وكيل الوزارة والمعنيين-كل فيما يخصه- تنفيذ أحكام هذا القرار ، ويعمل به بعد ستة اشهر من تاريخ نشره في الجريدة الرسمية.
GSO 194-1:2021 Wheat flour
GSO 1843:2021 Food Grade Salt
GSO 2483:2021 Partially hydrogenated oils /fats
GSO 2233:2021 Requirements of nutritional labeling
","Trans fat intake|Food labelling|Ban or virtual elimination of industrial trans fatty acids|Vitamin A|Folic acid|Iodine|Iron|Zinc|Food fortification|Wheat flours|Food grade salt|Voluntary fortification|Voluntary salt iodization|Voluntary fortification of wheat flours with folic acid|Voluntary fortification of wheat flours with iron|Fortification of salt with iodine aligned with WHO guidance|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Prohibition on the use of industrially-produced trans fatty acids|Best practice measure not yet in effect|Ingredients list|Mandatory for all pre-packaged foods|Amount of added sugars|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 total sugars|Amount of trans fatty acids|Energy value (ND)","","","GSO 194-1:2021 Wheat flour https://bsmd.moic.gov.bh/store/standards/GSO:781157/GSO%20194-1:2021GSO 1843:2021 Food Grade Salt https://bsmd.moic.gov.bh/store/standards/GSO:780828/GSO%201843:2021GSO 2483:2021 Partially hydrogenated oils /fats https://bsmd.moic.gov.bh/store/standards/BSMD:781153/BH%20GSO%202483:2022GSO 2233:2021 Requirements of nutritional labeling https://bsmd.moic.gov.bh/store/standards/GSO:781113/GSO%202233:2021","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BHR%202022%20%D9%82%D8%B1%D8%A7%D8%B1%20%D8%B1%D9%82%D9%85%20121%20%D9%84%D8%B3%D9%86%D8%A9.pdf"
"73545","UKR","Ukraine","","ПРАВИЛА додавання вітамінів, мінеральних речовин та деяких інших речовин до харчових продуктів [Rules for adding vitamins, minerals and some other substances to food products]","Legislation relevant to nutrition","","Ukrainian","9","2023","","","Ministry of Health, Ukraine","9","2020","Adopted","7","2020","Approved Order of the Ministry of Health of Ukraine No. 1613 on July 16, 2020","Cabinet/Presidency|Health|Food and agriculture|Consumer affairs|Trade","","","","","","","","","","","","","","","","","","","","","","II. Додавання вітамінів та мінеральних речовин до харчових продуктів
1. До харчових продуктів можуть бути додані лише вітаміни та/або мінеральні речовини, зазначені у додатку 1 до цих Правил, і лише у формах, зазначених у додатку 2 до цих Правил, за умови дотримання вимог, викладених у цих Правилах.
...
V. Додавання інших речовин
1. Вимоги цього розділу застосовуються у випадках, коли інша речовина додається до харчового продукту або використовується у його виробництві та в результаті цього відбувається споживання цієї речовини у кількостях, що значно перевищує кількості, які потрапляють в організм людини за нормальних умов споживання та збалансованому і різноманітному раціоні харчування та/або якщо така речовина є потенційно небезпечною для споживачів.
2. В харчових продуктах, що призначені для кінцевого споживача та тих, що призначені для постачання в заклади роздрібної торгівлі, включно електронної торгівлі, вміст трансжирних кислот, які не є трансжирними кислотами, що природно містяться в жирах тваринного походження, не повинен перевищувати 2 г на 100 г загальної кількості усіх жирів, що містяться в харчовому продукті.
3. Оператори ринку, які постачають харчові продукти, що не призначені для кінцевого споживача або не призначені для постачання до закладів роздрібної торгівлі, включно електронної торгівлі, повинні надавати іншим операторам ринку інформацію про кількість трансжирних кислот, які не є трансжирними кислотами, що природно містяться в жирах тваринного походження, якщо ця кількість перевищує значення, встановлені в пункті 2 цього розділу.
","Trans fat intake|Food labelling|Ban or virtual elimination of industrial trans fatty acids|Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Calcium|Iodine|Iron|Vitamin D|Zinc|Fluoride|Selenium|Food fortification|Voluntary fortification|Limit on 2 g / 100 g fat in all foods","","https://zakon.rada.gov.ua/laws/show/z0891-20#n253","Про затвердження Правил додавання вітамінів, мінеральних речовин та деяких інших речовин до харчових продуктівВідповідно до частини другої статті 6 та частини першої статті 15 Закону України «Про основні принципи та вимоги до безпечності та якості харчових продуктів», підпункту 14 пункту 4 Положення про Міністерство охорони здоров’я України, затвердженого постановою Кабінету Міністрів України від 25 березня 2015 року № 267 (у редакції постанови Кабінету Міністрів України від 24 січня 2020 року № 90), пунктів 229 і 230 Плану заходів з виконання Угоди про асоціацію між Україною, з однієї сторони, та Європейським Союзом, Європейським співтовариством з атомної енергії і їхніми державами-членами, з іншої сторони, затвердженого постановою Кабінету Міністрів України від 25 жовтня 2017 року № 1106, НАКАЗУЮ:1. Затвердити Правила додавання вітамінів, мінеральних речовин та деяких інших речовин до харчових продуктів, що додаються.2. Директорату громадського здоров’я та профілактики захворювань (Ганжа І.) забезпечити подання цього наказу в установленому законодавством порядку на державну реєстрацію до Міністерства юстиції України.3. Установити, що харчові продукти, які відповідають вимогам, що діяли до набрання чинності цим наказом, але не відповідають вимогам цього наказу, можуть ввозитися на митну територію України, вироблятися та/або вводитися в обіг протягом трьох років після набрання чинності цим наказом. Такі харчові продукти можуть перебувати в обігу до настання кінцевої дати споживання або закінчення строку придатності, або мінімального терміну придатності.4. Контроль за виконанням цього наказу покласти на заступника Міністра охорони здоров’я України - головного державного санітарного лікаря України Ляшка В.5. Цей наказ набирає чинності з дня його офіційного опублікування, крім пунктів 2, 3 розділу V Правил додавання вітамінів, мінеральних речовин та деяких інших речовин до харчових продуктів, затверджених цим наказом, які набирають чинності через три роки після набрання чинності цим наказом.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202020%20Order%201613.pdf"
"17822","COD","Democratic Republic of the Congo","","Plan National d'Action pour la Nutrition (PNAN)","Comprehensive national nutrition policy, strategy or plan","","French","","1994","","","Republique du Zaïre, Gouvernement de transition","12","1994","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Trade","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","National NGOs","Conseil National des ONG de Dèveloppement","","","Private sector","Association Nationale des Entreprises du Zaïre, Fédereation Nationale des Petites et Moyennes Entreprises du Zaïre","","","","","","","","Breastfeeding|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Provision of school meals / School feeding programme|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%201994%20Plan%20National%20D%27Action%20pour%20la%20Nutrition%28Republique%20Du%20Zaire%20%29.pdf"
"8713","OMN","Oman","","National Policy and Plan on Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","Arabic","","1995","","","Ministrz of Health","","1995","Adopted","","","","Education and research|Food and agriculture|Health|Other|Trade","Sultan Qaboos University, Minister of Agriculture and Fisheries, Ministry of Health, Minister of Regional Municipalities, Minister of Regional Municipalities and Water Resources, Minister of State and Governor of Dhofar, Minister of State And Governor of Muscat, Minister of Commerce and Industry","","","","","","","","","","","","","Private sector","","","","","","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Maternity protection|Underweight in women|Diet-related NCDs|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Nutrition and malaria|Vaccination|Water and sanitation","","","","WHO Global Database on National Nutrition Policies and Programmes",""
"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
- Assurer la sécurité alimentaire de la population congolaise
- Améliorer la prise en charge des problèmes des populations vulnérables ( en particulier les enfants et les femmes enceintes et allaitantes ;
- Mettre en place des stratégies de prise en charge des populations à risque par des actions intégrées
- Surveiller la situation nutritionnelle
- Lutter contre les carences spécifiques
- Garantir l’innocuité des aliments consommés par les populations congolaises
- Améliorer le niveau de compétence et de connaissance en matière de nutrition au Congo
","IV. Stratégies et programmes
Surveillance nutritionnelle (detailed activities p.86)
- Stratégies
- Enquêtes nutritionnelles nationales périodiques (tous les 10 ans…)
- Postes sentinelles de collecte de données de routine
- Activités
- Adoption d’une politique nationale sur la nutrition
- Choix des indicateurs nationaux et régionaux
- Choix des postes sentinelles
- Enquête de base
- Enquête nutritionnelle nationale 1997
Promotion de l’allaitement maternel et amélioration de l’alimentation de complément (detailed activities p. 96)
- Objectifs spécifiques
- Mettre en place un cadre législatif et institutionnel de la promotion de l’allaitement maternel et de l’alimentation de complément adéquat
- Au niveau périphérique, transformer tous les hôpitaux et formations sanitaires du Congo en des « institutions amies des bébés »
- Elaborer des formules de farines de compléments au lait maternel répondant aux besoins nutritionnels de l’enfant
Amélioration du suivi et de la promotion de la croissance des enfants (detailed activities p.100)
- Objectifs spécifiques
- Elaborer le cadre conceptuel de la nutrition au Congo
- Mettre en œuvre le volet communication sociale dans le cadre de la surveillance et promotion de la bonne croissance
Traitement des malnutritions protéino-énergétiques sévères
- Objectifs spécifiques
- Former les acteurs de terrain sur les protocoles OMS de traitement des malnutritions sévères
- Contribuer à l’amélioration du traitement et du suivi des malnutritions sévères au niveau de l’hôpital et au niveau des centres e santé périphériques
- Activités
- Mise à jour des protocoles de traitement des malnutritions sévères au niveau du Congo
- Formation des agents de santé et du secteur social
- Mise en place d’un mécanisme de suivi et évaluation du traitement des malnutritions sévères
Développement d’une stratégie alimentaire dans les zones à risque de malnutrition protéino-énergétique
- Activités
- Développement et promotion de formules réplicables et à moindre coût permettant l’allègement du travail féminin, l’augmentation de la productivité des femmes et une meilleure utilisation des ressources en vue d’assurer la sécurité alimentaire des groupes vulnérables
- Mise en œuvre des ateliers de fabrication des farines de sevrage à haute densité énergétique dans les zones urbaines du programme
- Mise en œuvre du transfert de technologie pour l’amélioration des aliments de sevrage fabriqués au niveau des ménages dans les zones rurales du programme
- Disponibilité des aliments de sevrage pour tous les enfants en âge de sevrage de la zone du programme
- Complémentation alimentaire pour les ménages à risque
Lutte contre les anémies chez les femmes et les jeunes enfants
- Objectifs spécifiques
- Evaluer la prévalence des anémies dans les populations cibles
- Réduire de moitié les anémies chez la femme enceinte
- Réduire de moitié les anémies chez les jeunes enfants
- Activités
- Enquête nationale de prévalence des anémies chez les femmes enceintes et les jeunes enfants
- Mesure de l’efficacité d’un programme de supplémentation systématique par le fer et l’acide folique à Brazzaville
- Généralisation de la supplémentation pour les populations à risque
Lutte contre les troubles dus à la carence en iode
- Objectif
- Eradiquer la carence en iode dans la région de la Likouala et les autres régions intéressées
- Activités
- Enquête de base
- Elaboration et test de la méthode la plus efficace à un coût moindre
- Fourniture à toute la population cible une dose correcte d’iode
- Mise en œuvre des méthodes à plus long terme basés sur la participation communautaire
- Supervision de la stratégie
- Evaluation
Lutte contre la carence en vitamine A
- Objectifs
- Evaluer la prévalence de la carence en vitamine A
- Proposer une stratégie de lutte en cas de besoin
- Activités
- Enquête de prévalence nationale de la carence en vitamine A
- Proposition de stratégie de lutte
- Test dans deux zones cibles
- Suivi et évaluation
","- Consommation en principaux produits de base par tête d’habitants en milieu rural
- Nombre de repas par ménage et par jour
- Composition de la ration alimentaire
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|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|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|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|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%201996%20Plan%20D%27Action%20National%20Pour%20La%20Nutrition%20Du%20Congo.pdf"
"8711","LBN","Lebanon","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1996","","2000","Ministry of Agriculture","7","1995","","","","","Education and research|Environment|Food and agriculture|Health|Nutrition council|Other|Social welfare|Sub-national|Trade|Women, children, families","Ministry of Education, Ministry of Higher Education, Ministry of Environment, Ministry of Agriculture, Ministry of Public Health, National Intersectoral Committee for Food and Nutrition, Ministry of Municipalities and Local Industrialists, Ministry of Water and Electricity, Ministry of Social Affairs, Council for Development and Reconstruction, National Council for Scientific Research, Ministry of Economy and Trade, Supreme Council for Children","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Maternity protection|Underweight in women|Complementary feeding|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Zinc|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%201995%20National%20Plan%20of%20Action%20for%20Nutrition.pdf"
"8767","CHN","China","","National Plan of Action for Nutrition for China","Comprehensive national nutrition policy, strategy or plan","","","","1997","","","The Ministry of Health","","1997","Adopted","","1997","General Office of the State Council","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Other","The Ministry of Health Education and research, Finance, budget and planning, Food and agriculture, Trade: The State Education Commission, The Ministry of Finance, The Ministry of Agriculture, The Ministry of Civil Administration, The State Planning Commission","","","","","","","","","","","","","","","Other","Other: The All-China Women's Federation, The China Council of Light Industry, The Office of the Leading Group on Poverty Alleviation and Development of the State Council","General goal
Ensuring food supply and implementation of appropriate interventions to alleviate hunger and food shortage, reduce the incidence of energy-protein malnutrition, prevent, control and eliminate micronutrient deficiencies. Through proper guidance to food consumption behavior, improvement of dietary patterns and promotion of healthy life style, improve the general nutrition status of the people and prevent nutrition-related chronic disease.
Specific objectives
1 The average per capita daily energy intake is reach 2,600 kcal, protein intake 72 grams, and fat intake 72 grams, in poverty areas it should reach 2,600 kcal, 67 grams and 51 grams respectively.
2 Lower the prevalence of iron deficiency anemia among children and pregnant women by one third of that in 1990.
3 Raise the exclusive breastfeeding rate of 4-6 month infant, and achieve breastfeeding rate to reach 80% at provincial basis by the year 2000.
4 By the year 2000, reduce the prevalence of moderate and severe malnutrition among children aged under five by 50 % of that in 1990.
5 It is to basically eliminate vitamin A deficiency among children aged under five by the year 2000.
6 Eliminate iodine deficient disorder in the country by the year 2000.
7 Decrease incidence increase of nutrition-related chronic diseases that are on the increase.
8 The targets set forth for production of agricultural products are as following:
Products production (in million tons)
Grains (including soybean) 490-500
Soybean 17.8
Meats 68
Eggs 22
Milk and milk products 8
Aquatic products 40
Oilseeds 25
Sugar crops 90-110
Vegetables 260
Fruits 62
9 The proportion of processed food to be increased from the current 30% of total food production to 40% in the future.
10 Increase the production of micronutrient-rich processed cereal products and nutrient-fortified food in compliance with national standards.
11 Provide iodized salt universally.
","Strategies
1 Incorporate nutrition goals into relevant laws, regulations, policies and plans.
(1) Include related nutrition policies in the national economic and social development program, to which, financial department at all levels should provide necessary financial input where appropriate.
(2) Relevant nutrition goals and measures shall be reflected in the working plans of all departments concerned.
(3) In accordance with this Plan and in the light of the working plan of the relevant sectors, local plan and action for nutrition shall be formulated as per the local conditions, and nutrition goals shall be enlisted in the general program of economic and social development.
2 Strengthen the legislation in relation to nutrition and food hygiene.
(1) Conscientiously implement the ((Regulation for marketing of breastmilk substitute)).
(2) Develop ((regulation for labeling of special nutrition foods))
(3) Formulate the ((Regulations for nutrition labeling)).
(4) Formulate nutrition-and public nutrition-related laws and regulations.
(5) Formulate the ((regulation for infant food)).
(6) Formulate the ((Program for prevention and control of child malnutrition)).
(7) Further improve and perfect the existing laws, regulations and standard system on food safety to approach international standards by year 2000.
3 Develop food production and improve household food supply.
(1) While continuing to accelerate grain production and raising grain quality, the agriculture departments shall also accelerate the pace of raising cattle, poultry and aquatic foods which are low graincosuming and with high feed-conversion rate. By the year 2000, pork is expected to constitute 67% of total meat consumption, and poultry, beef/mutton 19% and 12% respectively; the proportion of artificially breeding aquatic products shall increase from current 56% to more than 60% in the future. Production of beans and bean products will encouraged and other protein resources will be exploded. Green Food production will be promoted to protect environmental ecology for agriculture.
(2) Further strengthen the two-level grain and side-line product stock system emphasizing the support for the commodity-grain production bases. Strengthen macro modulation of food pricing on grain, meat, egg, milk, aquatic food, vegetables and fruits to keep the market stable; and ensuring food security and food supply for low-income population and population affected by natural calamities.
(3) Actively develop the food processing industry, and raise the proportion of processed food from 30% of the diet to around 40% in the future.
(4) Constantly update food technology to improve food quality by reducing the nutrition losses during process, transportation, distribution and storage to the maximum. By the year 2000. The shortage techniques for grain, meat and fresh vegetables should attain or approach to international standards.
(5) Government at all level shall implement conscientiously the national poverty alleviation policies, and encourage the cadres and people in poverty areas to keep the spirit of self-reliance, plain-living and hard-struggle. With the support of the State, the food security will be achieved through depending on the progress of science and technology, exploring and using local resources, and rational planning of household food production and consumption.
(6) Government at all levels shall organize the extension of scientific techniques on planting and breeding to increase agricultural, livestock and fishery production, and to diversity household food, thereby improve the quality of the diet. To continue the efforts on ((Food Basket program)) to maintain the urban/rural market for agriculture product and side-line production.
(7) Adjust the supply of alcoholic drinks, by shifting it from grain to fruit in origin, from distilled into non-distilled in technology, from high alcohol to low alcohol in content, and from inferior quality to predominantly superior quality, so that along with meeting the market demand, grains consumed by alcoholic drinks shall be greatly reduced.
4 Upgrade the food quality and drinking water quality to prevent infectious diseases.
(1) Strengthen food safety control in taking serious action, in a legal context, against the adulterated food production and marketing. Gradually expanding the coverage of food safety inspection; by the year 2000, increasing compliance rate of food utensils sterilization in the catering ( not including street food ) up to 90%.
(2) Perfect the ((Good manufacturing Practices)) (GMPs) for food establishments and to implement GMP System fully at the major food industry. Build management system for quality control of food manufactures and food handling enterprises. Hazard Analysis Critical Control Point (HACCP) System is to be introduced, in a planned manner, to the process of food production and food handling. Special attention will be given to the safety management and cold-chain development in preparation, storage, transportation and distribution of meat product and by the year 2000, the cold-chain coverage of meat production in the urban areas should reach up to 80%.
(3) Strengthen the management and gradually introduce dietetics to the food catering establishments.
(4) Strengthen the training and formulate standards for the qualification and job descriptions of food safety inspectors and supervisors, administrative staff and food handlers of food enterprises, and laboratory technicians.
(5) Strengthen the sanitation management and inspection of street food and the foods with low food safety compliance rate to reduce the incidence of food poisoning and food-borne diseases. Food safety compliance rate shall approach 88% by the year 2000.
(6) Promote the sustainable development of agriculture and reduce the application of pesticides. Strengthen management and inspection, and emphasize on technical training on pesticide use, so that the pesticide residues of agricultural crops decline.
(7) Strengthen the management of toxic chemicals for prevention of food contamination.
(8) Better environment sanitation to further expedite water resource Development in the rural areas, to protect water source and reduce drinking water contamination and water-borne diseases both in urban and rural areas.
(9) Reduce mortality of diarrheal diseases by increasing the coverage of oral rehydration therapy to 80% among diarrheal patients.
5 Encourage breastfeeding and improve child health.
(1) Health department is to develop training materials on breastfeeding, complementary food and proper preschool children care and feeding practices and to train health workers for health education to parents and in the communities.
(2) Promote the baby-friendly hospital program and introduce breastfeeding practice in obstetrics department in the hospital and among women delivering at home.
(3) Advocate scientifically home-made complementary food to prevent malnutrition and iron deficient anemia of children aged under five.
(4) Promote school lunches in a planned manner.
(5) Strengthen the development and production of weaning food, nutritious food for children, fortified food safety inspection of these foods and the supervision of infant formula and home-made foods.
6 Prevent micronutrient deficiencies.
(1) Taking micronutrient deficiencies situation in the community into account, health sector is to develop proposals, measures and recommendations.
(2) Formulate a program for control of micronutrient deficiencies.
(3) Implement the program for universal salt iodization.
(4) To meet the demand of the consumer, food industry shall develop priority nutrient fortified food and cereal products. To advocate growing of micronutrient-rich vegetable in home garden.
(5) Based on the pilot experiences of the pilot sites, health sector Is to promote the supplementation of vitamin A among children aged under three.
(6) Prevention of rickets among children is to be strengthened.
7 Protection of vulnerable population
(1) Effective measure shall be taken for ensuring food supply to the people affected by natural calamities.
(2) Adequate attention shall be given to nutrition for the elderly. Supply of nutritious food and development of health education on healthy life style shall meet the demand of people of different ages and with various health conditions, aimed at the prevention of chronic non-communicable disease and the reduction of occurrence of nutrition deficiencies
(3) Program for nutrition improvement of the disabled shall be formulated by department concerned.
8 Strengthen nutrition manpower training and nutrition education.
(1) Accelerate nutrition manpower training. Along with the improvement of nutrition professional education in medical college/universities and paramedical schools, nutrition education of various types shall be developed. Nutrition curriculum in universities of agriculture/light industry/ commerce/ and grains shall be gradually established.
(2) Strengthen on-the-job training for nutrition professionals. Formulate training plans and establish corresponding regulations to guarantee appropriate use of nutrition manpower.
(3) Conduct nutrition training, in a planned manner, of relevant working staff in agriculture, commerce, grains, light industry and planning sectors.
(4) Nutrition knowledge is to be included in curriculum of primary as well as secondary schools, to which, a fixed class hours are to be allocated to help students acquire better understanding of the principles of balanced diet, and to develop good dietary habits, and enhance their own capacity for health care.
(5) Integrate nutrition activities into primary health care services. To improve nutrition knowledge of primary health care workers, so that guidance to the residents on nutrition improvement by appropriate and rational use of local resources can be accomplished.
(6) Develop through mass media of all forms nutrition education, to introduce rational dietary pattern and healthy life style and to change the unhealthy diet habits.
9 Conduct, evaluation, analysis and monitoring.
(1) Establishment of nutrition surveillance system and nutrition surveillance and information centers within the existing health and anti-epidemic centers with available necessary staff, perfect the nutrition survey and evaluation system to provide basis for policy making.
(2) Based the local conditions, nutritional indicators are to be integrated into local economic development indicator system.
(3) Annual nutrition surveillance is to be jointly conducted by Ministry of Health and State Statistic Bureau, and medium scale nationwide sampled nutrition surveys will be carried out every 5 years, and large scale sampled surveys or screening will be carried out at 10 year interval.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Wasting in children 0-5 years|Underweight in women|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Food labelling|Micronutrient supplementation|Food fortification|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture","","","","WHO Global Database on National Nutrition Policies and Programmes",""
"8789","KIR","Kiribati","","Nutrition Policy and Plan of Action of Kiribati","Comprehensive national nutrition policy, strategy or plan","","English","","1997","","2001","Government","","1997","Adopted","","1998","Cabinet","Development|Education and research|Environment|Finance, budget and planning|Health|Information|Other|Trade","Ministry of Home Affairs and Rural Development, Ministry of Natural Resources and Development, Ministry of Education, Training and Technology, Ministry of Environment and Social Development, Ministry of Finance and Economic Planning, Ministry of Health, Ministry of Information, Transport and Communication, Ministry of Labour, Employment and Co-operative, Ministry of Works and Energy, Ministry of Commerce, Industry and Tourism","","","","","","","","","National NGOs","","","","","","","","","","","","","Breastfeeding|Diet-related NCDs|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Vitamin A|Iron|Deworming|Household food security|Home, school or community gardens|Water and sanitation","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KIR%201997%20Nutrition%20Policy%20and%20Plan%20of%20Action%20of%20Kiribati.PDF"
"8505","SEN","Senegal","","Plan National d'Action pour la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1997","","2002","Ministère de l'Agriculture et Ministère de la Santé Publique et de l'Action Sociale","10","1996","Adopted","","1996","","Health|Food and agriculture|Finance, budget and planning|Trade|Other","Ministère de l'Economie des Finances et du Plan, Direction de l'Elevage, Direction de l'Horticulture, Ministère de la Santé et de l'Action Sociale, Service de l'Alimentation et de la Nutrition Appliquées, Direction de l'Océanographie et de la Pêche Maritime, Institut Sénégalais de Normalisation, Ministère de la Justice, Direction du Commerce Intérieur, Ministère du Commerce de l'Artisanat et de l'Industrialisation","","","","","","","","","","","Research/academia","Ecole Inter-Etats de Sciences et de Médecine Vétérinaire, Institut de Technologie Alimentaire","","","","","V- Stratégies et Actions Spécifiques
51 - Amélioration de la sécurité alimentaire des ménages.
52 - Amélioration de la qualité et l’innocuité des produits alimentaires
53 - Elimination de la malnutrition protéino-énergétique des groupes vulnérables
54 - Promotion des régimes alimentaires appropriés et des modes de vie sains
- l'elimination virtuelle de I' A vitaminose A.
-la reduction d'au moins 25 % des taux de MPE severe chez les enfants de 0 a 5 ans couverts par le système de surveillance de l’état nutritionnel dans un délai de 5 ans ;
-la reduction de 50 % de la prevalence de l’anémie par carence en fer chez les femmes enceintes et allaitantes et les enfants de 0 a 5 ans dans un délai de 5 ans ;
55-Promotion de l’allaitement maternel et des bonnes pratique de sevrage
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Wasting in children 0-5 years|Anaemia in pregnant women|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Food grade salt|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN_1996_Plan%20National%20D%27Action%20Pour%20La%20Nutrition%201997-2002%28October%2C1996%29.PDF"
"8144","VNM","Viet Nam","","National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2001","","2010","National Institute of Nutrition","2","2001","Adopted","2","2001","Government of Viet Nam","Food and agriculture|Education and research|Environment|Finance, budget and planning|Health|Information|Other|Social welfare|Sub-national|Trade|Women, children, families","Ministry of Education and Training, Ministry of Science, Technology and Environment, Ministry of Planning and Investment, Ministry of Finance, Ministry of Agriculture and Rural Development, MOH, National Institute of Nutrition, Ministry of Culture and Information, Ministry of Justice, Ministry of Labor, Invalids and Social Affairs, local authorities, Ministry of Trade, Committee for Protection and Care of Children, National Committee for Population and Family Planning","","","","","","","","","National NGOs","The Women's Union and other social agencies and mass organizations","","","","","","","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
- To improve the population's appropriate nutrition knowledge and practices.
- To reduce maternal and child malnutrition prevalence.
- To reduce micro-nutrient deficiencies
- To reduce proportion of household with low energy intake
- To improve food quality and food safety
","I. FOOD AND NUTRITION INTERVENTIONS TO IMPROVE NUTRITIONAL STATUS, FOOD QUALITY, HYGIENE AND SAFETY
1. Universal nutrition education
1.1 Universal nutrition training
- Training of nutrition network staff (on nutrition knowledge, planning, management and communication skills) in order to help the local health workers in setting up and implementing their local nutrition plans.
- Appropriate nutrition training for different targeted groups (female adolescents, mothers, reproductive-age women, husbands, elderly, teachers, students,...).
- Introduction of nutrition contents in school curricula in collaboration with the MOET.
- Counseling on proper nutrition for different targeted groups emphasizing in appropriate nutrition, food hygiene and food safety, clinical nutrition, maternal and child nutrition, nutrition and aging, etc. Organizing the nutrition activities (forum for exchange between nutritionist and public)
1.2 Nutrition education and communication
- Mass education: Nutrition messages are to be delivered through the mass Target groups an entire population (both for women and men). Leaders, members of mass organizations, teachers and students are additional important target groups.
- Movements to involve the participation of the whole society, such as Micro-nutrient Days, Nutrition and Development Week, Maternal Care and Malnutrition Control Days,
- Breast-feeding Promotion Week, Clubs of communes with malnutrition prevalence under 30%, Food Hygiene and Safety Month, Universal Salt Iodization Days..... are to be promoted.
- Through direct nutrition education, nutrition information is to be provided directly to families by local staff using standardized guidelines on contents and procedures.
- Organization of a proper family meal consisting of 4 dishes: staple food (rice), vegetables, protein rich foods (tofu, nuts, meat, fish and eggs...) and soup. Special attention should be paid to promotion of traditional nutritive dishes and diversified foods in the diet.
- Different targeted groups, occupation and age groups are to be given guidance on proper nutrition. More attention should be paid for those who eat in public or school canteens.
- A program so-called “School Meal” should be established and implemented in order to improve students’ physical health.
- Education materials and communication means for local (commune and hamlet) levels are to be designed and provided. The existing ""Nutrition and Development Newsletter"" and other information will also be regularly sent to communes.
1.3 Staff training and research
- There is a need for the training and re-training of nutritionists with appropriate patterns. In the coming years, the nutritionists at all levels will be trained on planning master, implementation, monitoring and evaluation of nutrition programs. The training in community nutrition for district level is also important to be considered. The national and international Masters and Ph.D. training in nutrition should be continued.
- Research on food and nutrition should be expanded, particularly on food quality and food safety during food processing, preservation and distribution; on functional foods, dietary therapy and preventive medicinal foods; on the relation between nutrition, diseases and health status; and on nutrition problems in the transition period.
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
- Control of PEM is one of the objectives of the health sector, financially supported by the Government; it needs to be implemented at a nation-wide scale.
- Access to child care at household level is also a key issue in the line of prevention of child malnutrition. Nutrition messages should be delivered teenage girls.
- Priority should be given to children from 0 to 24 months of age. The care strategy should include the following key actions: improvement of breast-feeding practices (especially exclusive breast-feeding in the first 4 months), appropriate complementary feeding practice, food processing and preparation at local and household levels, hygienic practices, increased time allocation for child care together with improvement of the nutritional status of mothers themselves during the prenatal and post natal period, as well as improvement of care practice for every household members. Child care and feeding practices plus regular growth monitoring and maternal care should be conducted effectively and consistently.
- It is critical to identify prioritized activities in different localities. As the food security status has been improved in most rural areas, activities should be focused on child care activities, feeding practices and prevention of infectious diseases. In the remote, disadvantaged areas, rehabilitation activities should be highlighted. Families will know how to rehabilitate their malnourished children, based on their own resources by developing a “nutrition square” and family VAC system. These activities should be introduced to the household members so that the people themselves can properly practice them.
- To improve nutritional status of mothers, it is necessary to have better health services, to eliminate micro-nutrient deficiencies, to transfer nutritional and feeding skills to mothers, to release heavy workload for pregnant and lactating women, to develop and implement policies for protection of mothers, promotion of breastfeeding, better prenatal care, and women empowerment within their families and in their communities
4. Control of micro-nutrient deficiencies
- Control of vitamin A deficiency: In long-term, Vitamin A deficiency should be resolved by diversifying diets to increase Vitamin A rich foods. Vitamin A capsules distribution for children from 6 to 24 months of age and for mothers right after delivery should be continued nationwide. From 2006 onward, mass vitamin A distribution will be focused in the most disadvantaged areas and to continue supplementation to the sick children. Research is to be continued in order to produce food fortified with Vitamin A, together with diet diversification (promoting production and consumption of in vitamin A rich food from the household VAC).
- Control of nutritional anemia: Supplementation of iron tablets and folic acid to prevent anemia in women aged 15 to 35, and in pregnant and lactating women should be expanded nation-wide. The aim is to produce an iron syrup for malnourished children. It is necessary to have practical guidelines and education for communities to approach different types of iron and folic acid sources in the market. More attention should be paid to iron fortification and diversification of the diet as long-term strategy. In rural areas, where the rate of hook worm infection is high, it is urgent to conduct regular deworming combined with improved environmental sanitation. Control of nutritional anemia should be implemented in the whole country.
- Control of IDD: This is an independent national program. Its implementation goes together with the solutions of mobilizing the population to consume iodized salt and of improving the monitoring/supervision activities of the salt production, distribution and consumption stage.
5. Prevention of non-communicable nutrition-related chronic diseases
- Development of a surveillance system for better assessment of the actual situation and trends of these diseases, including obesity, cardio-vascular disease, hypertension, diabetes, cancer, etc.
- Development of guidelines for proper nutrition for Vietnamese at all ages 2001-2010.
- Strengthening dietary therapy departments in the hospital system.
- Research in production and consumption of functional food.
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:
- Food legislation and regulations system should be set up and followed. Food quality and safety standards should be developed based on regulations of the Codex Alimentarius adjusted to Vietnam’s conditions. Ad-hoc Laboratories will be set up to monitor the food quality and safety at the central and provincial Preventive Health Centers. Control of quality and hygiene of exported and imported foods, as well as street foods should be carried out. Guidance in the application of Hazard Analysis of Critical Control Point (HACCP) and Good Manufacturing Practices (GMP) should be given to food producers, processors and handlers.
- Implementing safe food production, keeping sanitary environment and clean water are very important issues. Control of the trade, distribution and utilization of chemicals used in agriculture production must be carried out in cooperation with the MARD. Control of quality and hygiene of products in food shops and markets should also be strengthened.
- Giving basic knowledge on food hygiene and food safety to the consumers and food handlers, as well as training of food inspectors will also required.
8. Monitoring, evaluation and surveillance of nutrition
- The system of nutrition surveillance, monitoring of activities and evaluation of the nutritional status of the population has to be considered. A nutrition data bank needs to be set up in cooperation with the GSO. The provinces themselves will have to carry out annual surveys in order to have up-to-date data on the nutritional status of their people.
- National nutrition surveys will be carried out in 2005 and in 2010. Data in poor rural areas are needed for the proposal of specific approaches. A national food balance sheet should be set up in cooperation with MARD and the GSO.
9. Piloting of Nutrition Models
- A model of ""sustainable nutrition improvement” will be developed, with a comprehensive intervention approach called “life security”. It will be a combination of relevant security determinants, such as health, nutrition, economy, culture, family, education, society, environment and infrastructure. This model will be implemented at several pilot districts.
- Models of nutritional improvement for some special occupational groups, high-risk groups, manufacturing establishments, hospitals and disadvantaged localities will be demonstrated.
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.
- Safe water supply and environmental sanitation. They are essential determinants related to nutrition care. Making access to safe water for extended population and to good sanitation in key areas is the important issue.
- Kindergartens system. Proper and feasible solutions need to be worked out to maintain and to improve the quantity and quality of kindergarten and day care system in rural areas with the support of both the Government and the community.
- Improvement of CHC in disadvantaged communes will be the core factor for the effective integration between PHC and nutrition care in community.
III. SUPPORTIVE POLICIES TO NUTRITION
- Incorporation of nutritional objectives into socio-economic development plans
- Policies to support better nutrition outcomes
- Community participation nutrition activities
","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.
- The rate of mothers having appropriate nutrition knowledge and applying desirable practices in care of sick children to increase from 20.2% (2000) to 40% by 2005 and 60% by 2010.
- The prevalence of exclusively breast-feeding in the first 4 months to increase from 31.1% (2000) to 45% by 2005 and 60% by 2010.
- The prevalence of reproductive-age women trained on nutrition and to be mother knowledge to increase to 25% by year 2005 and to 40% by 2010.
2. To reduce maternal and child malnutrition prevalence
- The prevalence of underweight among children under five to be reduced to 25% by 2005 and 20% by 2010, with a yearly reduction rate of 1.5%.
- The prevalence of stunting at children under five to be reduced by 1.5% per year.
- The prevalence of low birth weight (<2500 gr.) to be reduced to 7% by 2005 and to 6% by 2010.
- The prevalence of chronic energy deficiency in reproductive-age women to be reduced by 1% per year nation-wide.
- The prevalence of overweight in children under 5 to be at 5% or lower.
3. To reduce micro-nutrient deficiencies
- The prevalence of active corneal lesions due to Vitamin A deficiency to be maintained below the level of public health significance.
- Reduction of sub-clinical Vitamin A deficiency prevalence: The prevalence of under five years old children with low serum vitamin A to be reduced below 8 % by 2005 and below 5 % by 2010.
- Elimination of IDD: The prevalence of goiter among children at aged 8-12 to be reduced to below 5% by 2005. Universal salt Iodization salt is stabilized with more than 90% of households using iodized salt; urinary iodine level is between 10-20 mcg/dl.
- The prevalence of IDA in pregnant women to be reduced to 30% by 2005 and to 25 % by 2010 (in areas covered by the programs).
4. To reduce proportion of household with low energy intake
- The percentage of households with low energy intake (below 1800 Kcal) to be reduced from 15% in 2000 to less than 10 % by 2005 and under 5 % by 2010.
5. To improve food quality and food safety
- Reported number of out-breaks of food poisoning (with more than 30 patients/episode) to be reduced by 25% by 2005 and by 35% by 2010 (compared to 1999’s data).
- Mortality cases due to food poison to be reduced by 10% by 2005 and by 30% by 2010 (compared to 1999’s data).
- Biological contaminants of street food and ready-to eat food to be reduced.
","Outcome indicators","","Breastfeeding|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|Complementary feeding|Overweight and obesity in school age children and adolescents|Diet-related NCDs|Growth monitoring and promotion|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron and folic acid|Food fortification|Food grade salt|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","http://www.viendinhduong.vn/FileUpload/Documents/National%20nutrition%20strategy%202001-2010.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202001%20National%20nutrition%20strategy%202001-2010.pdf"
"14909","VNM","Viet Nam","","Joint Circular No. 04/2001/TTLT/YT-TM-VHTT-UBBVCSTEVN guiding the implementation of Decree No. 74/2000/ND/CP of the Government on trading in and use of mother milk substitutes to protect and encourage breast-feeding","Legislation relevant to nutrition","","English","","2001","","","Government of Viet Nam","3","2001","Adopted","","2001","Government of Viet Nam","Health|Information|Trade","Ministry of Health, Ministry of Culture and Information, Ministry of Trade","","","","","","","","","National NGOs","Vietnam Committee for Child Protection and Care","","","","","","","","","","","This Circular was prepared jointly by the Ministries of Health, of Trade, of Culture and Information, the Prime Minister and the Vietnam Committee for Child Protection. It consists of 7 Parts: general provisions (I); Information, education, communications (II); Advertisement (III); Trading in mother milk substitutes (IV); responsibility of the Obstetric and Paediatric departments and the medical cadres and personnel of these establishments (V); State management responsibilities (VI); implementation provisions (VII). Article 2 of Part I outlines the application sphere of the Circular. Before being placed on the market, all mother milk substitutes must have their food quality, hygiene and safety characteristics registered with the Ministry of Health.
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Food safety|Labelling: Message on superiority of breastfeeding|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS|Promotion to health workers and health facilities: Prohibition of materials/gifts|Promotion to the general public: Prohibition of advertising of BMS|Promotion to the general public: Prohibition of sale promotions","","","ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","Link to eLENA "Regulation of marketing breast-milk substitutes" : https://www.who.int/tools/elena/interventions/regulation-breast-milk-substitutes / 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/VNM%202001%20Joint%20Circular%20guiding%20the%20implementation%20of%20Decree%20on%20trading%20in%20and%20use%20of%20mother%20milk%20substitutes%20to%20protect%20and%20encourage%20breast-feeding.pdf"
"14875","ALB","Albania","","National Strategy For Socio-Economic Development- GPRS","Multisectoral development plan with nutrition components","","English","","2002","","2004","COUNCIL OF MINISTERS","11","2001","Adopted","11","2001","Albanian Government","Food and agriculture|Health|Nutrition council|Other|Social welfare|Trade","Food Institute, Ministry of Health, Ministry of Economic Cooperation & Trade, GIZ, SIDA, IKV, Ministry of Agriculture and Food, Albania State Police (ASP), Bank of Albania","","","","","Other|The World Bank","High Poverty Comission","","","","","","","","","Other","WTO","Health
- The improvement of the health indicators through specific interventions in specific fields will be achieved through improved health promotion, the improvement of the care for mother and child etc.
- Prevention of incidence of diarrheal cases and epidemics
Agriculture and Food
- Maintaining the growth rate of the agricultural, fishery and livestock production at the level of about 5%
- Improvement of conditions and level of trading of agricultural products on the domestic markets
- Harmonization of the veterinary legislation and the legislation on foodstuff quality and hygiene with the European Union and WTO standards
- Increased level of product processing
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
- The completion and improvement of the legislation on standards, quality, hygiene, labeling and packing of the agricultural industry
- The improvement and the completion of the legislation concerning norms of hygiene, labeling and the standards;
- Completion of legislation on quality, expiry dates, and conditions for trading the products
- Technical assistance for improving quality, labeling, packaging, market information for processed products, etc.
- Improvement of standards and control of product quality
- Harmonization of the legislation on foodstuff products with that of the EU
- Diversification of winter foodstuff resources
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
","- 90-100 % of the population will be covered with vaccination, the control over potable water and foodstuffs will be introduced and the existing programs in this field will be continued and further expanded
- Maintaining the growth rate of the agricultural, fishery and livestock production at the level of about 5%
- The incidence of diarreal cases is forecast to be reduced from 1,200 per 100,000 inhabitants in 2000 to 600 per 100,000 inhabitants in 2004
","Outcome indicators","","Provision of school meals / School feeding programme|Food labelling|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Vaccination","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Albania_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB%202001%20%20Albania_PRSP.pdf"
"8229","KHM","Cambodia","","Sub-decree on the Management of Iodized Salt Exploitation 2003","Legislation relevant to nutrition","","English","10","2003","","","Government","11","2003","Adopted","10","2003","Council of Ministers","Trade|Health|Industry|Finance, budget and planning|Nutrition council","Ministry of Commerce, Ministry of Economics & Finance, Ministry of Health, Ministry of Industry, Mines and Energy, Ministry of Planning, National Council for Nutrition","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","To eradicate Iodine Deficiency Disorder by supplying proper iodized salt
","","","","","Food labelling|Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202003%20Sub-decree%20on%20the%20management%20of%20Iodized%20Salt.pdf"
"14925","KGZ","Kyrgyzstan","","Comprehensive Development Framework of the Kyrgyz Republic to 2010","Multisectoral development plan with nutrition components","","English","","2003","","2010","World Bank","12","2002","Adopted","12","2002","Government of Kyrgyz Republic","Food and agriculture|Health|Other|Trade","Ministry of Foreign Trade and Industry, Ministry of Agriculture, Water Resources, and Processing Industry, Ministry of Healthcare, Kyrgyz Agricultural Financial Corporation, National Statistical Committee of the Kyrgyz Republic","","","","","The World Bank","","","","National NGOs","Rural Public Associations of Potable Water Consumers","","","","","Other","","Provision of various forms of security (food, energy, financial, information and ecological security), as well as safeguarding of spiritual and cultural values and traditions.
Health Sector
- To improve medical assistance rendered to pregnant women, upgrade nursing of under-weight newly-born, and bring medical statistics into compliance with international standards
- Strengthen public health and promote a healthy life style and behavior for the people
- Increase proportion of population with access to safe drinking water
- Encouraging and improving production of iodine- and iron-rich food products
- Use of new methods for transparency of financial flows for improved provision of medicines and food to patients
- Self-support of families and support for particular categories of children outside the families as well as children in families who do not have the opportunity for self-development, including children of problem families (violence, alcoholism, drug addiction) by improving social works and support (daycare and 24-hour mini kindergartens, provision of food and clothing in schools, targeted humanitarian aid)
Physical Culture and Sports
- Introduction of a healthy life-style and establishment of a system of continuous physical education of the population
- Improve access to physical culture and sport for all citizens, regardless of their age, social status and living standards
Development of agriculture and rural territories
- To ensure stable access for all citizens to a sufficient quantity of food products in all regions of the country
- Further strengthening of market relations in agricultural production, agro-processing and the in the area of agricultural services, supplemented by measures on social protection of vulnerable layers of the population
","- Transition to the World Health Organization's criteria of live births
- Establish and improve production processes enriching food stuff with iodine and iron
- Develop national water strategy
- Support for programs aimed at formation of a health life-style, development of physical culture and sports, in particular among children-invalids and orphans
- Increasing the volume of financial resources allocated for development of food and processing industries
- Providing rural commodity producers with machinery, fuel and lubricants, fertilizers, protection devices, bio-preparations, etc. on a tender basis
- Development of a science-based agricultural policy and food reserve development strategy
- Measures on social protection of vulnerable layers of the population
","- Share of expenses for health care services in total expenses of poor households in %
- Access of the population to adequate sanitary and hygienic conditions in %
- Access of the population to clean potable water in %
- Share of the population with iodine and iron deficiency in %
- Not more than 66% of the population use iodized salt supply
- Flour production enriched with iron increased up to 33 %
- Medical services provided to pregnant women, care of low-weight neonates improved, medical statistics put in compliance with international standards
- Increased procurement and processing of agricultural products
","Outcome indicators|Process indicators","","Maternity protection|Low birth weight|Physical activity and healthy lifestyle|Iodine|Iron|Food fortification|Food grade salt|Food security and agriculture|Water and sanitation|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Kyrgyz_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202002%20Comprehensive%20Development%20the%20Framework%20of%20Kyrgyz%20Republic%20to%202010.pdf"
"8410","NAM","Namibia","","National Policy on Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","2008","MOHSS","","2003","","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Information|Labour|Sub-national|Other","MOHSS National Multi-sectoral AIDS Coordination Committee (NAMACOC), Gender, Regional Government, Sport and Culture","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","","","","","","Goal:
To ensure the survival, healthy development, and protection of the child from birth up to 5 years and the healthy status of mothers.
Objectives:
- To increase exclusive breastfeeding rates from the current 3% at 4 – 6 months to 15% at six months by the end of 2008.
- To increase the proportion of children still breastfeeding at 18 months from 44% to 54% by end of 2008.
- To empower health workers with knowledge, facts and skills, and support to enable them to provide quality care for mothers, children and caretakers through at least one exposure to a minimum of 18 hours of training on lactation management, counselling on infant feeding and counselling on HIV/AIDS.
- To provide skilled support for adequate feeding to all HIV positive mothers, fathers and other caretakers of children born by HIV positive mothers.
- To transform all healthcare facilities in Namibia to be Baby and Mother Friendly through the implementation of the Ten Steps to Successful Breastfeeding.
- To create an enabling community support system for infant and young child feeding through implementation of household and community IMCI.
- To provide education and information on the feeding options listed in the guidelines for the implementation of this policy to every HIV positive pregnant woman and their partners or immediate companions that come in contact with the healthcare system, either private or state, at least once.
","Strategies:
- Promotion of breastfeeding and sound infant and young child feeding practices.
- Protection of breastfeeding and young child feeding through the implementation of national and international measures namely the regulations for infant and young child nutrition, relevant World Health Assembly resolutions, the ILO Maternity Protection Convention, etc.
- Support of exclusive and continued breastfeeding and appropriate complementary feeding practices for the majority of infants who can breastfeed, as well as support of mothers who are artificially feeding their infants through the establishment of support groups for mothers with infants and young children.
- Capacity building of all health care workers at all levels (national, regional, district) in skills necessary to manage, implement, monitor and evaluate infant and young child feeding.
- Foster partnerships to expand the scope of actors and to influence human, organizational and financial resources towards improving child feeding practices, nutrition and care, and prevention of HIV transmission.
- Special support will be made available to infant and young child feeding for orphans and vulnerable children i.e. infants and young children who do not have biological mothers or whose mothers are unable to breastfeed or feed them due to illnesses (including AIDS) or other incapacities and children affected by emergencies and disasters.
- Operational research and utilization of research results to improve and amend policy and guidelines on infant and young child feeding.
- Monitoring and evaluation is an ongoing process to guide the implementation of the policy and guidelines.
","- Proportion of children whose growth is monitored every month for those under the age of one year; every three months for those from 12 months to 36 months of age; and thereafter every six months up to five years of age.
- Proportion of children under five years who are stunted, low height for age.
- Proportion of children under five years who are wasted, low weight for height.
- Proportion of children under five years who are underweight low weight for age.
- Proportion of children exclusively breastfed at 6 months.
- Proportion of mothers’ breastfeeding at 18 months.
- Proportion of women counselled on effective and frequent feeding and practicing it correctly at 6 months of age.
- Proportion of HIV positive mothers and fathers counselled on breastfeeding and options for alternative feeding.
- Proportion of health care facilities with at least 80% of staff caring for mothers and babies, trained in lactation promotion and management.
- Proportion of PMTCT Programme with at least 80% of staff trained in infant feeding counselling.
- Proportion of community groups involved in infant and young child feeding.
- Proportion of health care facilities with functional BMFI Task Force to ensure the implementation of the Ten Steps to Successful Breastfeeding.
- Number of hospitals reassessed and maintaining BMFI status.
- Number of supportive supervisory visits conducted by officials from national and regional levels.
","","","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|Growth monitoring and promotion|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Food fortification|Nutrition education|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NMB%202003%20National%20Policy%20Infant%20Young%20Child%20Feeding_0.pdf"
"8236","UGA","Uganda","","The Uganda Food and Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","","","2003","","","Ministry of Agriculture, Animal Industry, and Fisheries and Ministry of Health","","2003","Adopted","","2003","Uganda Government (Reference from """"The National Food and Nutrition Strategy"""")","Development|Education and research|Food and agriculture|Health|Other|Trade","Ministry of Agriculture, Animal Industry, and Fisheries and Ministry of Health Development, Education and research, Food and agriculture, Health, Trade: Ministry of Gender, Labour and Social Development, Ministry of Education and Sports, Ministry of Agric","","","","","","","","","","","Research/academia","Research/academia: Makerere University","","","","","2. THE FOOD AND NUTRITION POLICY
2.2 Overall Policy Goal
The overall goal of the UFNP is to ensure food security and adequate nutrition for all the people in Uganda, for their health as well as their social and economic well-being.
2.2.1 Policy Objective
The overall objective of the policy is to promote the nutritional status of the people of Uganda through multi-sectoral and coordinated interventions that focus on food security, improved nutrition and increased incomes.
2.2.2 Key specific objectives
These are to:
(i) to ensure availability, accessibility, affordability of food in the quantities and qualities sufficient to satisfy the dietary needs of individuals sustainably;
(ii) to promote good nutrition of all the population;
(iii) to incorporate food and nutrition issues in the national, district, sub-county and sectoral development plans;
(iv) to ensure that nutrition education and training is incorporated in formal and informal training in order to improve the knowledge and attitudes for behavioural change of communities in food and nutrition-related matters;
(v) to ensure food and income security at household, sub-county, district and national levels for improving the nutrition as well as the socio-economic status of the population;
(vi) to monitor the food and nutrition situation in the country;
(vii) to create an effective mechanism for multi-sectoral co-ordination and advocacy for food and nutrition;
(viii) to promote the formulation and/or review of appropriate policies, laws and standards for food security and nutrition;
(ix) to ensure a healthy environment and good sanitation in the entire food chain system;
(x) to safeguard the health of personnel associated with agricultural chemicals, food processing inputs and products, consumers and any other third parties likely to be affected;
(xi) to promote gender-sensitive technologies and programmes;
(xii) to achieve maximum production with minimum effort; and
(xiii) to promote technologies that are user-friendly to people with disability.
3.7 Nutrition
3.7.1 Goal
The goal of the Government is to improve and promote the nutritional status of the population to a level that is consistent with good health.
3.7.2 Specific objectives
(i) to significantly reduce macro-and micro-nutrient malnutrition, especially among children.
(ii) to reduce under-nutrition among adolescents and women of reproductive age;
(iii) to reduce the incidence of low birth weight;
(iv) to encourage and support women exclusively to breast-feed their babies up to six months of age and to continue breast-feeding while giving appropriate complementary foods up to 2 years;
(v) to promote and support optimum infant and young child feeding practices;
(vi) to eliminate micro-nutrient deficiency disorders with particular emphasis on:
• Vitamin A deficiency;
• Iodine deficiency disorders; and,
• Iron deficiency anaemia;
(vii) to prevent and control chronic nutrition-related non-communicable diseases;
(viii) to promote optimal nutritional standards in institutions; and
(ix) to promote optimum nutrition for people living with HIV/AIDS.
3.10 Gender, Food and Nutrition
3.10.1 Goal
The goal of Government in the area of gender, food and nutrition is to ensure that both men and women achieve optimal nutrition status through improved food security and nutrition, taking into account their reproductive and productive roles in the food chain and in nutrition.
3.10.2 Specific objectives
(i) to promote the nutrition status of women in light of their reproductive and productive roles in society;
(ii) to ensure good nutrition status of men;
(iii) to promote access to maternal and child health services; and
(iv) to ensure that men and women have sufficient time and knowledge to take care of their nutrition needs as well as those of their families.
3.11 Food, Nutrition and Surveillance
3.11.1 Goal
The Government’s goal in the area of food and nutrition surveillance is to have a monitoring system in place that will provide timely information that will be used to stabilise the food and nutrition situation in the country.
3.11.2 Specific objectives
(i) to ensure that relevant personnel have knowledge and skills in data collection, analysis and utilisation of information;
(ii) to monitor and evaluate the food supply and demand conditions; and
(iii) to strengthen systems for providing early warning information on the food and nutrition situation.
","2. THE FOOD AND NUTRITION POLICY
2.4 Strategies
2.4.1 creating a mechanism to ensure that the entire food chain, from food production to consumption, is efficiently managed within the overall development strategy; through building capacities at all levels (households, communities, local councils, sub-counties, district levels) for adequate action to improve household food security;
2.4.2 establishing the UFNC as a statutory body that will co-ordinate food and nutrition programmes at the national level;
2.4.3 integrating food and nutrition issues at local governments and lower administrative units;
2.4.4 applying the life-cycle of poverty and malnutrition approach in developing nutrition and health strategies and action plans;
2.4.5 developing appropriate nutrition curricula and training materials for the education and training of different development workers in formal institutions and at the local level;
2.4.6 mobilising resources to support food and nutrition programmes at the national and local levels;
2.4.7 enforcing regulations that safeguard the health of personnel handling agricultural inputs and by-products, as well as third parties likely to be affected;
2.4.8 enforcing environmental protection regulations that apply to the food chain;
2.4.9 supporting, promoting and guiding the establishment of national food reserves;
2.4.10 formulating and/or reviewing policies, guidelines, legislation, regulations and standards relating to food and nutrition;
2.4.11 establishing a national food and nutrition training centre;
2.4.12 developing human resources that will provide professional guidance in food and nutrition at the centre and throughout the districts; and
2.4.13 collaborating with line ministries and government departments, local and international Non-Government Organisations (NGOs) and the private sector in the implementation of the policy.
3.7 Nutrition
3.7.3 Strategies
This goal and these objectives shall be realised through:
(i) establishing and strengthening community-based systems for implementing nutrition interventions;
(ii) creating awareness and mobilising communities for better nutrition at all levels;
(iii) developing and maintaining an effective and efficient nutrition monitoring system;
(iv) encouraging improvement in the quality of diets for mothers during their reproductive period;
(v) developing nutrition communication strategies to facilitate behavioural change for better nutrition practices in the community;
(vi) instituting measures that will enable mothers to continue breast-feeding during early post-partum period and at places of work including protection of maternity leave.
(vii) making legislation and enforcement for regulations for marketing of breast milk substitutes and iodised salt.
(viii) promoting the use of local produce in manufacturing appropriate weaning foods;
(ix) disseminating information on prevention, early detection and control of chronic non-communicable nutrition-related disorders;
(x) developing and maintaining a nutrition data bank for planning, monitoring and surveillance;
(xi) developing and implementing specific intervention programmes for the control of common macro- and micro-nutrient deficiencies;
(xii) providing food and micro-nutrients supplementation to the most vulnerable population groups;
(xiii) fortifying some commonly-used foods with recommended micro-nutrients;
(xiv) incorporating nutrition management in the care of HIV/AIDS patients; and
(xv) providing effective therapeutic feeding for sick and malnourished children.
3.10 Gender, Food and Nutrition
3.10.3 Strategies
(i) ensuring availability and access to an adequate and nutritious diet throughout a person’s life;
(ii) ensuring that employers and employees in both public and private sectors comply with maternity leave laws; and
(iii) encouraging the provision of facilities for breast-feeding and care of infants at places of work and in the community.
(iv) ensuring that employees get adequate meals at places of work
3.11 Food, Nutrition and Surveillance
3.11.3 Strategies
This goal and these objectives shall be achieved through:
(i) establishing sentinel sites for the collection of data on food and nutrition;
(ii) training relevant personnel and communities in data management for improving their food and nutrition situation;
(iii) publishing and disseminating regular reports on the food and nutrition situation at all levels;
(iv) providing timely information on food and nutrition for rational decision-making at all levels;
(v) establishing a co-ordinated national food and nutrition information network; and
(vi) maintaining an effective weather monitoring system covering sub-county, district and national levels.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling|Nutrition in schools|Nutrition in the school curriculum|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202003%20The%20Uganda%20Food%20and%20Nutrition%20Policy.pdf"
"8346","ROU","Romania","","A National Strategy for the elimination of Iodine Deficiency Disorders","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2004","","2012","UNICEF Romania","","2005","Adopted","","","Government of Romania","Cabinet/Presidency|Health|Food and agriculture|Education and research|Trade|Industry|Information|Other","National Authority for Consumer Protection; National Agency for Veterinary and Food Safety; National Committee on Iodine Deficiency Disorders Elimination","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","Bucharest Institute of Public Health; “C.I. Parhon” Institute of Endocrinology; Institute for Food Chemistry","","","Other","National Salt Company; Romanian Association of Employers in Milling; Bakeries and Flour Products Industry; Salt Producers, retailers and importers; National Health Insurance Fund","The goal of this strategy is to ensure IDD elimination in Romania. Ensuring sustainable IDD elimination requires:
- constantly maintaining the demand to eliminate iodine deficiency induced risks;
- ensuring that iodized salt is of adequate quality, is available and affordable;
- complete and accurate information of all strata and segments of society about the importance of iodine in the diet for optimal mental development.
GENERAL OBJECTIVES
Both the general objectives and the specific objectives constitute a very important part of the implementation of the strategy on IDD elimination. Under general objectives there can be listed:
- reduce IDD incidence and ensure normal development of the human body;
- produce iodized salt in accordance with the provisions in effect, both for the use of human beings and for animals, as an essential vehicle for iodine intake;
- ensure an adequate supply of iodized salt on the market;
- develop and improve a national surveillance and monitoring system of iodized salt production and consumption;
- provide health policies and a regulatory framework capable of sectoral and multi-sectoral responses in the area of IDD elimination.
","Strategic directions for action
Taking into account all these considerations, a number of priority strategic actions have been identified to prevent and control IDD:
- Universal iodization of salt for human and animal consumption as the main long term action;
- Short-term and special situations interventions (endemic areas with severe deficit, pregnant women, pathology);
- Monitoring iodized salt quality all the way from producer to consumer;
- Monitoring iodine deficiency in the population at large;
- Develop a communication strategy to:
a. educate the public on the importance of iodized salt and its correct use;
b. raise awareness among professionals (teachers, physicians, nurses, community nurses, social workers, media and food industry professionals) to convey to the population key-messages about the importance of using iodized salt;
c. raise awareness among importers, distributors and retailers to market products made with iodized salt, according to the legislation in force.
","Expected results
Structure indicators
- Creation of National Committee on Iodine Deficit Disorders Elimination
- NCIDDE members meet quarterly, at least
- All health education curricula for 1st to 12th grades will include, in each module, a topic related to the importance of iodized salt for the body
- Set up reference laboratories to determine urinary iodine levels
- Set up a reference laboratory to monitor the quality of iodized salt
- A monitoring system of iodized salt quality coordinated by the network of Public Health Institutes
Process indicators
- Adopt a national seal for iodized salt
- Iodine level in iodized salt for direct human use according to the provisions of the legislation in force
- For the long term (by 2012), depending on the results of the assessment of iodine deficiency status in the population, iodization of salt for animal consumption
Result indicators
- Rate of transitory hypothyroid cases in newborns
- Incidence of goiter, especially among children
- Number of pregnant women with urinary iodine excretion below WHO standards
- Number of school-aged children with urinary iodine excretion below WHO standards
- Supply of iodized salt for domestic use, direct human use, animal use and food industry
- Dynamics of iodized salt consumption
- Percentage of households using only iodized salt
- Percentage of persons who recognize at least two health benefits of using iodized salt
","Outcome indicators|Process indicators","","Iodine deficiency disorders|Media campaigns on healthy diets and nutrition|Iodine|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt","","http://www.unicef.org/romania/Strat_IOD_eng.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ROU%202004%20Iodine%20Deficiency%20Disorders.pdf"
"8363","GIN","Guinea","","Politique Nationale d'Alimentation - Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2005","","","Ministère de la Santé Publique, Section Alimentation-Nutrition","12","2005","","","","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Trade|Information","Le Ministère de l’Economie et des Finance, Le Ministère de l’Agriculture, Elevage et Eau et Forêt, Ministère de la Santé Publique, Section Alimentation-Nutrition, Structure de Coordination et de Suivi de la PNAN dénommée ""Comité de Coordination de la Nutrition"" (CCN) placé sous la tutelle du cabinet du MSP, Le Ministère de l’Information, Le Ministère du commerce Industrie et PME, Le Ministère des Affaires Sociale Promotion Féminine et Enfance","","","","","","","","","","","","","","","","","But de la Politique
Assurer le droit de la population guinéenne toute entière à une alimentation et à une nutrition adéquates, en vue d’améliorer la survie des enfants, et de leur permettre un développement maximal de leurs potentialités physiques et intellectuelles, ainsi que de promouvoir la santé et le bien-être des enfants et de leurs parents.
Objectifs Généraux de 2005 à 2015: L’objectif général est d’améliorer l’état nutritionnel des populations en général et celui des groupes vulnérables en particulier ;
Objectifs spécifiques de 2005 à 2015:
a. - Réduire de moitié la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 3 ans - de 25% à 12%;
b.- Réduire de moitié la prévalence de l’insuffisance de poids à la naissance ;
c.- Réduire de moitié la proportion de la population victime de l’insécurité alimentaire; c'est à dire n’atteignant pas le niveau moyen d’apport calorique de 2.300 kilocalories par personne par jour.
D’ici l’an 2010:
a.- Éliminer virtuellement l’avitaminose A chez les enfants de moins de 5 ans ;
b.- Réduire de moitié l’anémie chez les enfants d’âge pré-scolaire (de 79% à 39%), chez les enfants d’âge scolaire (de 52% à 26%), chez les femmes enceintes (de 63% à 31%) et chez les femmes en âge de procréer (de 50% à 25%).
D’ici l’an 2007 :
Éliminer virtuellement les troubles dus à la carence en iode chez toute la population.
","La stratégie globale vise donc à :
1. Promouvoir l’habilitation des populations cibles à améliorer leur situation nutritionnelle et de santé ;
2. Renforcer les systèmes de coordination à tous les niveaux ;
3. Promouvoir l’engagement des autorités nationales, régionales, locales et traditionnelles ;
4. Accorder la priorité aux stratégies préventives dans la lutte contre la malnutrition, notamment du nourrisson et du jeune enfant;
5. Renforcer l’accès aux services de base (surtout santé, agriculture et social) ;
6. Faciliter la convergence des programmes socio-économiques (surtout DSRP et PSSA, PNDS)
7. accélérer la mise en œuvre en assurant le financement des programmes sectoriels qui vont découler de la politique nationale
Cette stratégie globale se décompose en plusieurs sous-stratégies opérationnelles suivantes.
Stratégie N°1 : Pise en charge intégrée
1.1. Prise en charge de la malnutrition
• Promouvoir l’extension des CREN pour prévention et la prise en charge des cas de malnutrition modérés vers tout le territoire, surtout dans les zones d’insécurité alimentaire.
• Promouvoir l’extension des CNT vers tout le territoire, surtout dans les zones d’insécurité alimentaire.
• Prise en charge et suivi au niveau des sites communautaire des enfants sortis des CREN/CNT.
• Mettre en place un système de référence et de contre référence.
• Améliorer et faciliter l’utilisation des soins de santé primaires au niveau des CS et organiser des stratégies avancées (si nécessaire) au niveau des sites de nutrition communautaire.
• Mettre en œuvre l’approche PCIME, y compris la surveillance de la croissance de tous les enfants fréquentant les centres de santé.
• Focaliser la surveillance de la croissance sur les enfants de 0-3 ans, aussi bien dans les centres de santé qu’au niveau communautaire, tout en ciblant tous les enfants de 0-5 ans pour toutes les autres activités.
• Renforcer l’intégration des interventions nutritionnelles aux autres programmes de santé maternelle et infantile (déparasitage, PTPE, supplémentation en FAF, traitement présomptif intensif du paludisme des femmes enceintes, vitamine A, PEV, PF, …) en adoptant l’approche « Actions Essentielles en Nutrition ».
• Assurer la qualité de la prise en charge des enfants sévèrement malnutris (INSE, CREN des hôpitaux, CHU Donka et Ignace Deen ) et les enfants nés de mère séropositif
• Assurer la complémentarité PCIME-clinique et PCIME-communautaire
• Inclure la supplémentation en zinc dans le schéma de prise en charge de la diarrhée chez les enfants d’âge préscolaire
1.2. Maladies émergentes et réémergentes liées à l’alimentation
• Etudier l’ampleur des maladies chroniques non transmissibles liées à l’alimentation (diabète, maladies cardiovasculaires (MCV), Surpoids/obesite et cancer)
• Développer des interventions pilotes ciblées. Ces interventions seront orientées vers la prévention et la promotion des styles de vie sains à travers l’information et la sensibilisation des populations.
• Intégrer la nutrition dans la stratégie de lutte contre le VIH/SIDA - concernant l’allaitement maternel et substituts au lait maternel, l’alimentation de complément du jeune enfant, l’alimentation des personnes vivant avec le virus de sida (PVVS).
• Intégrer la sensibilisation sur le VIH/SIDA dans les activités des sites de nutrition communautaire. Pour cela des interventions pilotes vont être développées avant le passage à une plus grande échelle.
• Développer le réseau info sam dans le domaine de la sécurité sanitaire des aliments.
1. 3. Intervention nutritionnelle en base communautaire
• Consolider et étendre les interventions au niveau communautaire à tous les districts au niveau national, aussi bien en zones rurales qu'urbaines, les préfectures plus vulnérables devant être couvertes prioritairement.
• Mettre en œuvre les stratégies spécifiques de lutte conte la MPE et les carences en micronutriments en intégrant l’approche « Actions Essentielles en Nutrition ».
• Adopter l’approche de la participation communautaire à toutes les étapes de planification, mise en œuvre et suivi/évaluation des activités.
• Focaliser sur les enfants de moins de 3 ans la surveillance et la promotion de la croissance tout en ciblant tous les enfants de 0-5 ans pour toutes les autres activités.
• Assurer la convergence des programmes agricoles/élevages en vue d’améliorer la sécurité alimentaire des ménages surtout pendant la période de soudure.
• Améliorer la qualité et l’efficacité des prestations au niveau communautaire en adoptant l’approche PCIME-communautaire dans tous les sites. D’autres approches innovatrices (ex. FARN-G << Positive Déviance>>) pourront aussi être pilotées et adoptées. Les activités de développement psychosocial ont un effet positif sur l’amélioration du statut nutritionnel des jeunes enfants et vice-versa.
• Mettre l’accent sur la prévention de la malnutrition saisonnière (soudure) - due à l’insécurité alimentaire et aux maladies infectieuses (maladies diarrhéiques, infections respiratoires aiguës et paludisme).
• Limiter la distribution des suppléments alimentaires aux personnes des groupes vulnérables (enfants, femmes enceintes et allaitantes) afin de renforcer la vocation préventive des interventions communautaire et d’assurer la pérennité de ces interventions.
• Développer et mettre en œuvre un plan de communication pour le changement de comportement .
• Renforcer le lien entre les sites de nutrition communautaire et les CS, ainsi que l’utilisation des soins de santé primaires par la communauté (PEV, PCIME, CPN, etc.). Référer les enfants sévèrement malnutris à l'INSE, CHU, CNT…, et faire le suivi au retour dans la communauté. Les sites peuvent mobiliser la communauté pour les activités de santé et la supplémentation en micronutriments, participer à « l’approche district » du MSP : vente des produits sanitaires au niveau communautaire.
• Faciliter la convergence des actions entreprises dans le cadre du DSRP ou autres programmes socio-économiques. (Voir Stratégie 8).
Stratégie No.2 : Lutte contre les carences en micronutriments
2.1. Iodation du sel
• Mettre en œuvre les stratégies spécifiques de lutte conte les carences en micronutriments
• Assurer la pérennisation des structures d’iodation du sel - éventuellement la double fortification du sel en iode et Fer en vue de la prévention des TDCI et caries dentaires respectivement.
• Assurer que les 32% de la population non couverte par le sel iodé le soit avant 2010.
• Renforcer l’application de la législation sur le sel iodé et assurer que tous les sels soient correctement iodés.
2.2. Lutte contre la carence en vitamine A
• Promouvoir la diversification de la production et de la consommation alimentaire à travers le développement du jardinage et du petit élevage familial au niveau des sites de nutrition communautaire en vue d’améliorer l’apport et la bio disponibilité en fer et vitamine A.
• Augmenter la couverture adéquate de supplémentation en vitamine A des enfants et des accouchées en organisant aussi la distribution au niveau des formations sanitaires et des sites communautaires.
2.3. Lutte contre la carence en fer
• Développer des approches intégrées de lutte contre l’anémie (supplémentation en FAF, déparasitage et contrôle du paludisme) chez les femmes enceintes et les enfants d’âge préscolaire (1-5ans) dans les formations sanitaires et au niveau communautaire.
• Assurer des programmes intégrés de santé et nutrition scolaires
• Promouvoir la fortification alimentaire en fer, vitamines du groupe B et vitamine A avec HKI.
2. 4. Promotion de l’allaitement Maternel
• La formation des agents des hôpitaux et centre de santé en conseil en allaitement maternel et farine.
• La prévalence et l’évaluation des hôpitaux et centre de santé dans le cadre de la remise du Label ‘’ Hôpitaux Amis des Bébés (IHAB)’’ et communauté amis des bébés pour les hôpitaux et communautés ayant remplis les dix conditions.
Stratégie No. 3 : La conservation des récoltes des aliments
3.1. L’amélioration de la sécurité alimentaire dans les ménages
• Assurer que l’appui des services de vulgarisation agricole/élevage/pêche soit accessible à tous les sites de nutrition communautaire (surtout en zones rurales et zones d’insécurité alimentaire).
• Renforcer l’encadrement des agents communautaire par les agents de vulgarisation agricole/élevage/pêche. Vulgariser les « Guides Référentielles » en matière de petite production, transformation et stockage surtout pour assurer la soudure.
• Faciliter l’accès des populations des sites de nutrition communautaire aux programmes PSSA et SRP. Ces programmes s’adressent à l’amélioration de l’insécurité alimentaire ainsi qu’à la réduction de la pauvreté.
• Augmenter la production et la productivité vivrière dans les sites de nutrition communautaire, surtout dans les zones d’insécurité alimentaire (vivres, jardins potager et fruitier, pisciculture, petit élevage)
• Promouvoir la diversification de la petite production familiale (jardin potager/fruitier, pisciculture, petit élevage avec utilisation des Guides Référentielles.
• Diversifier et améliorer l’utilisation des aliments au niveau des ménages.
• Promouvoir les activités génératrices de revenu.
• Promouvoir les petits investissements en zones rurales et le partenariat entre groupements de producteurs et le secteur privé.
• Faciliter l’accès des producteurs aux facteurs de production (terre, intrants agricoles, crédits…)
• Promouvoir les mutuelles d’épargne et de crédit
3.2. Elaboration et application des normes et législation relatif à la nutrition et à l’alimentation
• Mettre en place et faire appliquer une législation sur la qualité et l’innocuité des produits alimentaires - produits localement ou importés - pour la protection des consommateurs (Sécurité alimentaire des aliments).
• Etablir les normes sur les produits alimentaires en se basant sur le Codex Alimentarius de la FAO et OMS.
• Renforcer l’application des législations existantes - décret sur le sel iodé, code sur les substituts au lait maternel,...
• Assurer l’accès de la population aux denrées alimentaires fortifiés en micronutriments (y compris fer et vitamine A).
• Réglementer et Encadrer le commerce informel des aliments vendus sur les voies publiques pour améliorer leur qualité hygiénique et nutritionnelle.
• Renforcer le réseau des laboratoires de contrôle alimentaire - hygiène alimentaire, altération alimentaire, sel iodé/fluoré, fortification alimentaire, …
• Faire une large information/formation des consommateurs sur les législations alimentaires et leur rôle à les respecter et à les faire respecter.
• Intégrer dans les lois du travail des textes, en vue de protéger la santé et la nutrition du nourrisson et du jeune enfant, ainsi que la nutrition et la santé des mères et des travailleurs en général, et demander aux gros employeurs de mettre en place des crèches « amis des bébés » à la disposition des travailleuses ayant des jeunes enfants.
Stratégie No.4 : Le partenariat
4.1. Communication
• Intensifier le plaidoyer à tous les niveaux afin de:
1. assurer le droit à une alimentation et à une nutrition adéquate (quantité et qualité)
2. sensibiliser les décideurs sur la notion de nutrition et de sécurité alimentaire des ménages ; les causes de la malnutrition ainsi que ses conséquences sur le développement humain et socio-économique
3. intégrer la lutte contre la malnutrition dans tous les programmes de développement
4. utiliser le taux de la malnutrition parmi les indicateurs de développement et de pauvreté.
• Faire l’information des responsables sur les politiques et programmes sur leurs rôles dans la lutte contre la malnutrition.
• Promouvoir le changement de comportement de la population en matière de nutrition et santé (IEC, éducation nutritionnelle, …) à tous les niveaux.
• Adopter une approche améliorée et uniforme en matière de communication.
• Adopter une approche multimédia avec l’implication des médias à tous les niveaux (national, radio rurale et communautaire) en formant en nutrition les communicateurs et les agents en charge de la défense des consommateurs
• Rechercher la collaboration des services de communications des ministères sectoriels et de la radio/TV nationale, radio rurale et communautaire dans l’élaboration et diffusion des messages.
• Élaborer la stratégie de communication à tous les niveaux - national, régional, préfectoral et communautaire, et tous les secteurs - public, privé, ONG et société civile.
• Intensifier le programme de communication interpersonnelle et de mass media au niveau des sites de nutrition communautaire pour l’amélioration des pratiques nutritionnelles des ménages, à travers le radio rural et communautaire.
• Valoriser le statut des femmes et promouvoir l’approche genre pour favoriser les comportements favorables à la SAM et à une meilleure nutrition.
4.2. Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
• Travailler avec le Service National d'Assistance Humanitaire (SENAH) dans le cadre de la Stratégie Nationale de Gestion des Risques et des Catastrophes (SNGRC) pour les actions de préparation et réponse aux urgences relatives aux risques nutritionnelles.
• Planifier et réaliser des enquêtes nutritionnelles rapides pour le dépistage des zones et groupes vulnérables, et la planification des secours nutritionnels en complémentarités avec les secours dans les autres domaines (santé, eau et assainissement, etc.). Les enquêtes de suivi évalueront régulièrement l’évolution de la situation nutritionnelle et détermineront l’arrêt progressif des opérations.
• Assurer l’allaitement maternel exclusif des enfants jusqu’à 6 mois et continuer jusqu’à de 2 ans en vue de prévenir la malnutrition et la mortalité chez les jeunes enfants.
• Assurer une aide alimentaire (surtout dans les zones affectés par des pénuries alimentaires) et la distribution des micronutriments en priorisant les enfants, les femmes enceintes et allaitantes.
• Assurer la mise en place des structures de prise en charge des cas de malnutrition pour la prise en charge des enfants malnutris.
• Intensifier et étendre les activités de nutrition communautaire dans les zones exposées aux catastrophes naturelles avant une catastrophe pour assurer une bonne préparation à l’urgence et aussi après la catastrophe pour assurer une réhabilitation plus rapide des communautés affectées.
• Intégrer une dimension nutritionnelle dans les activités de réhabilitation, (ex. vivre contre travail (VCT), activités agricoles, etc).
4.3. Convergence des politiques de développement
• Assurer la convergence des stratégies multisectorielles de la SRP dans les sites de nutrition communautaire, en vue de renforcer la synergie entre la PNAN et la SRP. Initier cette approche en assurant la convergence des stratégies de la SRP dans les domaines de la santé, agriculture et eau/assainissement suivs des autres stratégies.
• La stratégie « santé » qui vise l’amélioration de l’accès, plus particulièrement des pauvres, aux services de santé et comprend l’application de la PCIME et la lutte contre le paludisme et la malnutrition.
• La stratégie « développement rural » qui vise à « assurer la sécurité alimentaire et optimiser l’utilisation des ressources ».
• La stratégie « eau et assainissement » surtout l’initiative WASH qui vise à sensibiliser la population sur le changement de comportement concernant l’hygiène.
• Promouvoir la convergence de la Politique de Population au niveau des sites de nutrition communautaire, particulièrement :
- L’accès au service de planning familial ;
- La réinsertion sociale des groupes marginalisés.
• Contribuer à la scolarisation universelle des enfants, en mettant l’accent sur celle des filles. Le niveau d’instruction des mères est associé à un meilleur statut nutritionnel et de santé des mères et des enfants. Aussi un faible niveau d’instruction n’est pas favorable à l’abandon de certains mœurs et coutumes contraignants. Les sites de nutrition communautaire peuvent encourager la scolarisation de tous les enfants d’âge scolaire.
• Utiliser le taux de la malnutrition globale (insuffisance pondérale) comme indicateur clé pour le suivi et évaluation de l’impact de la mise en œuvre des stratégies de réduction de la pauvreté - ces données peuvent être disponibles au niveau des sites de nutrition communautaire.
• Intégrer la lutte contre la malnutrition comme un élément clé de tous les politiques et programmes de développement et utiliser l’indicateur de la malnutrition pour évaluer l’impact sur le développement humain. Intégrer la nutrition aussi dans les Plans Préfectoraux de Développement.
4.4. Système national d’information alimentaire et nutritionnelle
• Mettre en place une unité pour centraliser la gestion, la synthèse et l’analyse des données alimentaires et nutritionnelles [Unité Centrale de Surveillance Alimentaire et Nutritionnelle (UCSAN)] provenant des différentes sources (voir ci-dessus). L’UCSAN travaillera avec les différents services afin d’améliorer la qualité et d’harmoniser l’output de leurs données alimentaires et nutritionnelles.
• Informatiser toutes les statistiques alimentaires et nutritionnelles et les diffuser sur Internet et par des bulletins périodiques.
• Organiser les différents instruments de collecte et analyse de données alimentaires et nutritionnelles dans un Système National d’Information Alimentaire et Nutritionnelle.
• Harmoniser la méthodologie des enquêtes et la définition des indicateurs afin de rendre les données, de sources différentes, comparables et faciliter leurs l’interprétation.
• Promouvoir l’utilisation du Cadre Conceptuel de la Malnutrition dans l’analyse des causes de la malnutrition en vue d’assurer des bases de données multisectorielles.
• Mettre en place un systéme de surveillance multisectoriel dans le domaine de la sécurité sanitaire des aliments (Info Sam) préconisé par l’OMS
• Promouvoir l’utilisation des indicateurs de la malnutrition parmi d’autres indicateurs socio-économiques dans tous programmes de développement.
• Préparer (par l’UCSAN) une synthèse annuelle des statistiques alimentaires et nutritionnelles qui servira de base pour la préparation du rapport annuel du Comité de Coordination et de Suivi » de la PNAN . Cette unité qui sera rattaché à la cellule « Suivi/évaluation » « du Comité de Coordination et de Suivi » de la PNAN devra avoir les compétences d’informatiser toutes les bases de données alimentaires et nutritionnelles, faire une analyse pluridisciplinaire et rendre les informations disponibles sur Internet et par des bulletins périodiques.
4.5. Développement de la capacité nationale
• Elever la Section Alimentation/Nutrition au rang de Division et prévoire un poste de nutrition dans l’organigramme des directions régionales de la santé
• Renforcer la capacité institutionnelle et organisationnelle de tous les acteurs dans l’élaboration des politiques et plans d’action multisectoriels en matière de nutrition et leurs réalisations (programmation, budgétisation, gestion administrative et financière, communication, suivi et évaluation), y compris :
• la capacité technique, de programmation et de gestion du Service de Nutrition du Ministère de la Santé ;
• la capacité du Service de Sécurité Alimentaire du MAE à jouer un rôle plus appuyé dans la lutte contre la malnutrition, que ce soit au niveau de l’orientation des politiques agricole/pêche/élevage ou au niveau des interventions nutritionnelles communautaires.
• les compétences au sein du Ministère du plan (MP) dans l’analyse de l’impact des politiques socio-économiques sur la réduction de la malnutrition, et le renforcement de la coordination multisectorielle en vue d’une meilleure synergie dans la lutte contre la malnutrition.
• Développer la capacité de l’Université et d’autres institutions à faire de la formation en nutrition à tous niveaux - formations initiales, spécialisations, perfectionnement, remise à nouveau, etc. L’Institut National de Santé Publique peut mener les formations en nutrition communautaire et gestion de programme de nutrition. Une association doit être recherchée avec des institutions/universités etrangères en matière de collaboration académique.
• Mettre en place un Centre de Documentation sur la nutrition au niveau national ainsi qu’au niveau régional. Tous les rapports pertinents et documents multimédia produits dans le pays seront mis à la disposition du public dans ces centres. Les agences de coopérations seront invitées à contribuer à la documentation.
• Informatiser tous les « services de nutrition » tout en améliorant l’accès à l’Internet et l’utilisation des logiciels appropriés en vue de renforcer leurs capacités d’analyse, de planification et de gestion (ex. le logiciel PROFILES pour le plaidoyer, la programmation et la formation en matière de nutrition).
• Habiliter les structures décentralisées, particulièrement les préfectures, à coordonner les actions multisectorielles dans la lutte contre la malnutrition, et se servir de la malnutrition parmi les indicateurs de résultats.
• Renforcer la capacité des services techniques et des institutions en matière de recherche et développement sur la malnutrition, y compris les recherches formatives et opérationnelles en vue d’améliorer l’efficience et le coût/efficacité des interventions.
• Mobiliser les media (radio, TV, presse écrite) ainsi que les media traditionnels pour la diffusion des messages au niveau national et régional.
• Mettre en place une Unité Centrale de Surveillance Alimentaire et Nutritionnelle (UCSAN) pour faire la synthèse et l’analyse des données nutritionnelles en vue d’informer la prise des décisions des responsables et faciliter l’échange d’information entre les différents intervenants au niveau national et régional. L’UCSAN organisera aussi un système de rétro-information jusqu’au niveau communautaire tout en assurant que les données soient utilisées avant tout au niveau des villages ou quartiers et des préfectures.
","Objectifs spécifiques de 2005 à 2015:
a. - Réduire de moitié la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 3 ans - de 25% à 12%;
b.- Réduire de moitié la prévalence de l’insuffisance de poids à la naissance ;
c.- Réduire de moitié la proportion de la population victime de l’insécurité alimentaire; c'est à dire n’atteignant pas le niveau moyen d’apport calorique de 2.300 kilocalories par personne par jour.
D’ici l’an 2010:
a.- Éliminer virtuellement l’avitaminose A chez les enfants de moins de 5 ans ;
b.- Réduire de moitié l’anémie chez les enfants d’âge pré-scolaire (de 79% à 39%), chez les enfants d’âge scolaire (de 52% à 26%), chez les femmes enceintes (de 63% à 31%) et chez les femmes en âge de procréer (de 50% à 25%).
D’ici l’an 2007 :
Éliminer virtuellement les troubles dus à la carence en iode chez toute la population.
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Overweight and obesity in adults|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Food fortification|Food grade salt|Deworming|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Family planning (including birth spacing)|Nutrition and malaria|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN%202005%20Politique%20Nationale%20d%27Alimentation%20-%20Nutrition.pdf"
"7917","MWI","Malawi","","Food and Nutrition Security Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2005","","","The Ministry of Agriculture","6","2005","Adopted","","2005","","Cabinet/Presidency|Development|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Trade","Office of President and Cabinet, Ministry of Local Government and Rural Development, Ministry of Economic Planning and Development, Ministry of Finance, Ministry of Agriculture, Ministry of Health, Department of Poverty and Disaster Management Affairs, Ministry of Gender, Child welfare and Community Services, Ministry of Trade and Private Sector Development","","","","","","","","","","","","","","","","","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
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Food fortification|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202005%20Food%20and%20nutrition%20security%20policy.pdf"
"43109","PRT","Portugal","","Código de Boas Práticas na Comunicação Comercial a Menores [Code of Good Practices in Commercial Communication to Minors]","Voluntary codes or measures relevant to nutrition","","Portuguese","9","2005","","","APAN – Associação Portuguesa de Anunciantes","9","2005","","","","","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","20. A publicidade a alimentos e bebidas não deve conter situações que demons-trem menosprezo pela saúde ou por práticas de vida saudável, nomeadamente enco-rajando o consumo excessivo ou compulsivo;
21. Todas as mensagens nutricionais e de benefícios para a saúde relacionados com alimentos e bebidas devem ser suportados por uma base científica. Testes de preferência não podem ser utilizados de maneira a sugerirem validade estatística se não a houver;
","Regulating marketing of unhealthy foods and beverages to children|Regulation of marketing of FNAB to children|Advergames|Cinemas (marketing)|Internet|SMS, telephone, email, newsletter|TV|Using celebrities|Covers children up to 13 years of age|Covers children up to 18 years of age|Voluntary marketing restrictions","","https://extranet.who.int/ncdccs/Data/PRT_B15_Portugal_codigo_marketing_menores.pdf","","",""
"8381","RWA","Rwanda","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2005","","","Ministry of Health","10","2005","Adopted","","","Government of Rwanda","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Sport|Sub-national|Transport|Women, children, families|Trade|Industry","Ministry of Education, Science and Technology, Ministry of Land and Environment, Ministry of Finances and Economic Planning, Ministry of Agriculture and Livestock, Ministry of Health, Ministry of Vocational Training and Labor; Rwanda Bureau of Standards, Ministry of Youth, Ministry of Local Government, Ministry of Infrastructure, Ministry of Gender and Family Promotion, Ministry of Trade, Commerce and Industry","","","","","","","","","","","","","Private sector","Private Sector Federation","Other","Rwandan Consumers Association; Nutrition Working Group","General objective: The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people.
Specific objectives:
- Promote practices favorable to the improvement of the nutritional status
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses
- Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices
- Assure adequate treatment of malnutrition due to nutritional deficiencies and excesses
- Provide nutritional care and support for people living with HIV/AIDS
Expected outcomes and the link to the Millennium Development Goals:
Goal 1: Reduce poverty and hungry
• The prevalence rate of protein-energy malnutrition in under five of age children is reduced from 45% to 30% for stunting, 22% to 15% for underweight, 4% to 2% for wasting.
Goal 2: Ensure primary education
• The prevalence rate of anemia is reduced by from 56% to 37% in children and from 33% to 22% in women.
• Iodine Deficiency Disorders are eliminated from 26% to less than 5% of total goiter.
Goal 3: Reduce Infant Mortality
• Increase the proportion of women exclusively breastfeeding for the first 6 months with optimal complementary feeding up to 24 months from 17,4% to 60%.
• Reduce Vitamin A deficiency in children under five from 25% to 5% in children under five years.
Goal 4: Reduce Maternal Mortality
• Reduce Vitamin A deficiency (night blindness) in pregnant women from 7% to less than 1%.
• Reduce the prevalence of anemia in pregnant women from 33% to 22%.
Goal 5: Combat HIV/AIDS and other diseases
• Nutritional support is provided to PLWA and other vulnerable people.
• Nutrition related chronic diseases are prevented.
","Strategies for nutrition iprovement:
1. Reinforcement of the political commitment
2. Promotion of optimal infant and young child feeding
3. Scaling up of community-based nutrition programs
4. Food Fortification
5. Promotion of household food security
6. Prevention and management of malnutrition and related diseases
7. Nutritional support to PLWHA and their families
8. Communication for behavior change
","Monitoring and evaluation:
To ensure effective implementation of planned activities, monitoring and evaluation is essential in all development programs. In addition, periodic evaluations are necessary for establishing level of objective achievement.
In order to follow up implementation of nutrition programs, data will be collected regularly at the health center and community level, In addition, other opportunities for nationwide surveys will be identified and utilized (MICS, EDST, EICV, etc…)
Nutritional surveys and epidemiologic surveillance will be conducted regularly, with appropriate indicators, to evaluate the progress and impact of nutritional interventions.
Operational research will also be carried out to address specific problems identified during the implementation of nutritional activities.
To prevent nutritional emergencies, nutrition unit will reinforce collaboration with all existing structures that collect and analyze bioclimatic, environmental, demographic and agricultural data for early warning and timely intervention measures against disasters that can negatively affect the nutrition.
","","","Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|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|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Micronutrient supplementation|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Deworming|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|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/RWA%202005%20National%20Nutrition%20Policy.pdf"
"8237","UGA","Uganda","","The National Food and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2005","","","Ministry of Agriculture, Animal Industry, and Fisheries and Ministry of Health","","2005","","","","","Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Other|Trade","Ministry of Agriculture, Animal Industry, and Fisheries and Ministry of Health Development, Education and research, Finance, budget and planning, Food and agriculture, Health, Trade: Ministry of Gender, Labour and Social Development, Ministry of Education","","","","","","","","","","","","","","","","","6.1 The Vision and Goal
The vision of the Uganda Food and Nutrition Strategy is a hunger free country without malnutrition in all segments of the population. Its over-arching goal is transform Uganda into a hunger free and properly nourished country within a timeframe of 10 years.
","Annex 2: Matrix of Food and Nutrition Strategies Showing Stakeholder Roles and Responsibilities.
Issue One: How to address the food and nutrition needs of the child in the womb and during the first two years of the child’s life after birth?
Strategic interventions and actions
1. Educate pregnant and lactating women on the components of a balanced diet
2. Provide education about the kinds of foods that can increase the intake and absorption of vitamins and minerals.
3. Prevent low birth weight through prenatal food and micronutrient supplementation.
4. Improve child growth by encouraging exclusive breast-feeding for the first six months of life
5. Address micronutrient deficiencies -anaemia (iron), iodine, and vitamin A
6. Advocate against early pregnancies
7. Prevent diseases and reduce parasite loads that reduce the body’s ability to absorb and retain nutrients consumed.
8. Enable mothers to continue breast-feeding during the early post-partum period and encourage provision of facilities for infant care at workplaces
9. Ensure that employers and employees in both public and private sectors comply with maternity leave laws.
10. Regulate marketing of breast milk substitutes and iodised salt.
11. Promote the use of local produce in manufacturing appropriate weaning foods.
12. Provide effective therapeutic feeding for sick and malnourished children.13. Increase coverage of safe water sources and proper sanitation.14. Increase coverage of and accessibility to family planning services.
Issue Two: How to address the food and nutrition needs of pre-school children (3 to 5 years of age)?
1 Educate lactating women on importance of regular child growth monitoring, maintaining a sanitary and healthy environment, and control of infant and childhood illnesses, in particular.
2 Advocate for optimum child spacing and increase coverage of and accessibility to family planning services.
3 Promote the use of local produce for appropriate weaning foods.
4 Increase coverage of safe water sources and proper sanitation.
Issue Three: How to address the food and nutrition needs of school-going children (6 to 12 years of age)?
1 Advocate reducing distances children have to walk from home to school.
2 Advocate for establishing school children feeding fund.
3 Advocate for reviewing training institutions’ curricula to improve food and nutrition education components.
4 Encourage establishment of demonstration farms and school gardens.
Issue Four: How to address the food and nutrition needs of internally displaced persons, refugees, and others affected by conflict?
1 Advocate for establishing emergency food fund.
2 Strengthen Early Warning System for disaster preparedness. MAAIF MWLE, LGs, MOH, donors Medium
3 Advocate for ensuring safety of donated food.
4 Advocate for special care and nutrition education programmes for children & mothers in conflict situations.
5 Advocate for formal social safety net programmes.
Issue Five: How to address the food and nutrition needs of HIV/AIDS sufferers?
1 Take census to establish numbers and location.
2 Create a fund to support agencies and institutions caring for vulnerable groups.
3 Support Agencies and Institutions providing comprehensive care for people living with HIV/AIDS.
4 Initiate food accessibility and nutritional programmes for HIV/AIDS infected people.
Issue Six: How to address the food and nutrition needs of asset-less widows and widowers, orphans, female and childheaded households, adolescent mothers, victims of domestic abuse, elderly and people with disabilities?
1 Advocacy and monitoring to ensure access by members of these vulnerable groups to food, health care, and the other components needed to ensure their nutrition security.
Issue Seven: How to address the food and nutrition needs of the poor?
1 Advocacy and monitoring to ensure that matters relating to the food and nutrition security of the poor are adequately addressed by designated ministries and agencies.
2 Promote appropriate agricultural technologies and crops that provide significant nutritional advantages.
3 Expand local and external food markets by assisting private sector improve food storage, marketing and distribution.
4 Develop pro-poor system for collecting, collating, and disseminating information on food marketing and distribution.
Issue Eight: How to address the emerging problems of obesity and diet-related non-communicable diseases?
1 Monitor trends in diet–related disorders and promote healthy diets and lifestyle choices.
2 Implement both supply-side and demand-side policies to slow increases in obesity.
Issue Nine: How to address the problem of cross-sectoral coordination in implementing the Food and Nutrition Strategy?
1 Set up national food & nutrition coordinating body to ensure sectors implement their respective components of UFNP.
2 Set up the institutional and legal framework for the national coordinating body.
3 Establish incentive mechanisms to induce sector technical staff to meet their respective food and nutrition responsibilities.
4 Establish a food and nutrition surveillance and monitoring system.
5 Set up advocacy fund for food and nutrition policy implementation.
6 Set up food and nutrition advocacy and oversight focal points in sector ministries, local government.
7 Build capacity of institutions at central and local governments responsible for food and nutrition.
Issue Ten: How to address human-rights concerns in implementing the Food and Nutrition Strategy?
1 Provide institutional seat on the UFNC to Uganda Human Rights Commission.
2 Establish, strengthen and build capacity of human rights institutions. Guarantee independence of NGOs that advocate for and promote human rights.
3 Advocate investments in education & empowerment needs of nutritionally vulnerable.
4 Advocate for social safety nets to help nutritionally vulnerable.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|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|Nutrition in schools|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Reformulation of foods and beverages|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Nutrition education|Food vehicles (i.e. types of fortified 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|Health related","","n/a","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202005%20The%20National%20Food%20and%20Nutrition%20Strategy.pdf"
"8042","CRI","Costa Rica","","Política de Alimentación y Nutrición","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2006","","2010","Ministerio de Salud","","2006","Adopted","","2006","Ministra de Salud, Presidenta del Consejo Ministerial de la SEPAN","Nutrition council|Health|Food and agriculture|Social welfare|Trade|Industry","","","","","","","","","","","","","","","","","","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:
- Fortalecimiento y consolidación de la estructura organizacional y funcional de la Secretaría de la Política Nacional de Alimentación y Nutrición (SEPAN).
- Desarrollo e implementación del Sistema de Información Intersectorial en Alimentación y Nutrición, con prioridad en el sistema de vigilancia alimentaria y nutricional.
- Estructuración y planificación de la rectoría en alimentación y nutrición, en los tres niveles de gestión del Sector Salud, mediante el proceso de Desarrollo Organizacional.
- Monitoreo, evaluación y rendimiento de cuentas de los resultados de la implementación de las políticas y acciones definidas como prioritarias en alimentación y nutrición en el Sector Salud y en el Sector Producción.
- Fortalecimiento y actualización de marco jurídico en materia de alimentación y nutrición.
- Fortalecimiento del Consejo Técnico Ejecutivo de la Secretaría de la Política Nacional de Alimentación y Nutrición en el Sector Salud (COTESS), para la integración de las funciones rectoras de planificación, regulación, vigilancia, investigación y promoción en alimentación y nutrición.
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:
- Atención integral al 100% de las familias pobres con niños desnutridos moderados y severos por parte del Equipo Básico de Atención Integral en Salud (EBAIS), clínicas y hospitales de la Caja Costarricense de Seguro Social, y referirlos a los CEN-CINAI.
- Fortalecimiento del programa de fortificación de alimentos y la Comisión de Micronutrientes.
- Desarrollo e implementación de un Plan Nacional hacia la erradicación de la desnutrición infantil, con recursos nacionales y cooperación técnica financiera nacional e internacional.
- Promoción de la lactancia materna y fortalecimiento de la Comisión Nacional de Lactancia Materna.
- Fortalecimiento de la Vigilancia Nutricional y la notificación obligatoria de la malnutrición.
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
- Desarrollo e implementación de Sistema Nacional de prevención, regulación, vigilancia y control de la obesidad en todos los grupos de edad.
- Fortalecimiento de la Comisión Nacional de Obesidad.
- Vigilancia del cumplimiento del Plan de Acción Estrategia Nacional de Alimentación Saludable, Actividad Física y Salud.
- Promoción de la creación del Programa Nacional de prevención de la obesidad en el sector educación.
- Promoción de la creación del Programa de Atención Integral de la obesidad en la Caja Costarricense de Seguro Social.
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
- Ampliación de la población meta, de tres meses a doce años.
- Vigilancia de la asignación de recursos según marco legal.
- Establecimiento de los mecanismos de coordinación entre los diferentes entes encargados de la atención de la población menor de trece años.
- Atención con alimentación complementaria al 100% de los niños detectados con desnutrición moderada y severa de escasos recursos económicos mediante el Programa CEN-CINAI.
- Evaluación y fortalecimiento permanente del Programa CEN-CINAI.
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
- Fortalecimiento de acciones orientadas al desarrollo e implementación del Programa Nacional de Atención Integral en Alimentación y Nutrición para el Adulto Mayor.
- Promoción de planes y proyectos para mejorar la alimentación y nutrición del adulto mayor, en los Consejos Cantonales de Seguridad Alimentaria Nutricional.
- Investigación operacional y transferencia tecnológica de alimentos especiales para adultos mayores, en coordinación con la empresa privada, Universidad de Costa Rica y Ministerio de Ciencia y Tecnología.
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
- Coordinación de la elaboración del Plan Nacional de Seguridad Alimentaria y Nutricional con carácter intersectorial.
- Desarrollo y seguimiento del Plan Maestro de Inversión en Seguridad Alimentaria y Nutricional, en el marco de trabajo intersectorial e interinstitucional.
- Promoción y consolidación de los Consejos Cantonales de Seguridad Alimentaria y Nutricional.
- Promoción de la participación activa y real de los gobiernos locales, las instituciones y la sociedad civil en el desarrollo de planes y proyectos locales de Seguridad Alimentaria y Nutricional.
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
- Promoción de la inclusión en la materia de salud y nutrición en el sistema de educación formal.
- Elaboración e implementación del Plan de educación y comunicación en alimentación y nutrición.
- Desarrollo del Plan de Acción Estrategia Nacional de Alimentación Saludable, Actividad Física y Salud con cooperación técnica financiera internacional y nacional.
- Fortalecimiento de la Comisión Intersectorial de Guías Alimentarias.
- Promoción de las acciones de protección al consumidor en materia de alimentación y nutrición.
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
- Desarrollo e implementación del Sistema Nacional de Inocuidad de los Alimentos.
- Fortalecimiento y modernización de la reglamentación sanitaria en inocuidad de alimentos, incorporando las recomendaciones de CODEX ALIMENTARIUS.
- Fortalecimiento de la Comisión Interinstitucional de Inocuidad de los alimentos.
- Fortalecimiento de mecanismos de registro, inspección, vigilancia y control de alimentos, aguas y servicios de alimentación al público; así como de los actores sociales involucrados en la cadena alimenticia.
- Desarrollo e implementación de la Vigilancia de Enfermedades Transmitidas por Alimentos.
- Transformación del Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA) como Instituto Nacional de Salud Pública.
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
- Desarrollar en el COTESS el Plan Nacional de Bioseguridad y Biotecnología para orientar la regulación y la vigilancia de alimentos inocuos.
- Participación en el desarrollo nacional e internacional de la biotecnología, en forma coordinada con el Ministerio de Ciencia y Tecnología a través de la la Comisión de Biotecnología, la Comisión Nacional del CODEX ALIMENTARIUS de Costa Rica, la Comisión Nacional de Biotecnología (CNTB) y la Comisión Nacional de Gestión para la Biodiversidad (CONAGEBIO).
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
- Inclusión en el Plan de Prevención, Mitigación y Atención de Desastres una estrategia dirigida a la seguridad alimentaria y nutricional.
- Promoción de proyectos en los Consejos Cantonales de Seguridad Alimentaria y Nutricional, en forma articulada con los Comités locales de emergencias.
","","","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight in children 0-5 yrs|Overweight in adolescents|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","https://www.ministeriodesalud.go.cr/gestores_en_salud/sepan/polnac200610.ppt","","WHO Global Nutrition Policy Review 2009-2010",""
"17802","IDN","Indonesia","","National Action Plan for Food and Nutrition 2006 - 2010","Comprehensive national nutrition policy, strategy or plan","","English","","2006","","2010","National Development Planning Board","","2007","Adopted","","2007","","Education and research|Food and agriculture|Health|Industry|Other|Sport|Trade|Women, children, families","Agency for Supervision of Food and Drugs, Central Bureau of Statistics","","","","","","","","","","","","","","","","","B. OBJECTIVES
1. General Objective
To realize the people with good nutrition condition as the basis for achieving people who are healthy, intelligent, and productive through strengthening the naional and regional resilience in food and nutrition in the year 2010.
2. Special Objective
i. Increase knowledge, attitude and behavior of healthy living with the high awareness to nutrition of the people as part of the efforts for improvement of
people’s nutrition.
ii. Increase the capacity of the peole and the individual to access food with balanced nutrition needed for healthy living, which is reflected from the
availability of sufficient, good in amount as well as in the the nutrition quality of food, safe, evenly distributed and affordable.
iii. Increase the capacity of the people and the individual for access to nutrition and health services evenly, affordable and in quality as well as cost-effective.
iv. Increase the access of the family to nutrition and health information to form a food and nutrition awareness behavior as well as living healthy.
v. Support the policy and efforts in alleviation of poverty through special nutrition services for the poor people therefore realizing public nutrition improvement as a capital in reducing poverty.
vi. Increase the security of food circulated through increased food producer participation and implementation of effective and efficient supervision.
C. THE TARGET
1.Reduce prevalence of various forms of malnutrition, which are lack of nutrition, lack of iron, lack of vitamin A, and lack of iodine, in the year 2010, at least becoming 50 percent of the prevalence in the year 2005, as well as to prevent the increasing prevalence of overweight due to excess nutrition.
2.Increase the consumption of food per capita to fulfill the need of a balanced nutrition with sufficient energy of minimal 2,000 kcal/day and protein as much as 52 grams/day and sufficient micro nutrients as well as to increase the food variety with a score of Food Pattern Expectancy (PPH) minimal 85, therefore the consumption of rice will decline as much as 1 percent per year, root plants to increase 1-2 percent per year, vegetables to increase 4.5 percent per year, fruits increase 5 percent per year, and livestock food increase 2 percent per year.
3.Reduce the number of population experiencing vulnerable food consumption by making effective the food distribution system and increasing the easiness/ capacity of the people to access to food, including fotified food.
4.Maintain availability of energy per capita minimal 2.200 kcal/day and provision of protein per capita minimal 57 grams/day, especially animal protein as well as increasing the consumption of vegetables and fruits.
5.Increase coverage and quality of nutrition services to the people especially to vulnerabvle groups with the following targets :
i. Increase giving of exclusive breast feeding milk to babies until 6 months of age.
ii. Increase the percentage of children aged 6 - 24 months to obtain the right food supplement to breast feeding milk(MP - ASI).
iii. Reduction of prevalence of anaemia in pregnant mothers and Fertile Age Women.
iv. Increase effectiveness of surveillance and intervention in WUS, pregnant mothers and young women having risks of Chronic Energy Deficiency (LILA < 23,5 cm).
v. Reduction of prevalence to xerophthalmia.
6.Increase knowledge and capacity of the family to apply the healthy living pattern and awareness behavior in food and nutrition, which is indicated by increase of access to nutrition services and family food consumption.
7.Increase security, quality and hygiene of food consumed by the people by reducing violations towards food security regulations until 90 percent and increasing research in order to seek for safe preservatives and affordable by the poor people.
","E. THE STRATEGY
Accessibility to Food:
1. Development of programs for the dicersification of food is enhanced through assesment of various ”useful precise technology” and affordable in regard to the processing of flour based food, for : (a) maintaining the local food consumption pattern which in the region and certain society groups have a variety especially in their staple food, and (b) development of the culinery aspect and acceptance of the consumers, through various nutrition education, training, and nutrition campaigns to inc rease the local food image, as well as to increase the income
and general education.
2. Preparation of the development policies in the field of food and nutrition ha ving a cross sector nature, therefore promoting commitment and investment in the field of food and nutrition therefore i the national and regional development.
3. Increase of the capacity of the local government and people in developing and benefiting the food and nutrition awareness system for early detection of possible occurrences of vulnerable food disasters, hunger and malnutrition, as well as quick actions that must be conducted by the people and the local government.
4. Increase of activities and targets of food resilience not only in the aspect of provisions of food in the macro level, but also the aspect of food access which
assures food consumption with balanced nutrition for the family and individual, as well as the impacts to the nutrition status.
Nutrition Status :
1. Priority to the nutrition program target to very vulnerable groups which are : young women in their fertile age, pregnant mothers, breast feeding mothers, and babies until 2 years of age in the frame of strengthening the achievement basis of the program for development of children in their early childhood (PAUD) in determining th future quality of human resources (SDM).
2. Increase in the program for prevention and overcoming micro malnutrition matters, through supplementation and fortification of vitamins and minerals
especially iron, iodine, and vitamin A in order to increase the quality of human resources.
3. Increase nutrition awareness of the family and people through communication, information and education to prevent disturbances.
4. Prioritization of the nutrition program targets to the poor people through efforts in alleviation of poverty caused not because of the income (“non-income poverty”) in the frame of development of human resources.
5. Increase quality of services to excessive nutrition patients through periodic monitoring of the body weight and height, integrated management in handling
excessive nutrition cases and increase of KIE.
6. Increase in efforts of overcoming infectious diseases especially to children under five years of age through prevention and overcoming the risk factor, increase in surveillance and epidemiology, immunization as well as KIE.
Food Security :
1. Increase awareness regarding food and nutrition security through efforts in early prevention and law enforcement in the frame of maintaining the quality of food security.
2. Increase food security through strengthening of regulations, monitoring and law enforcement, consumer protection in the frame of protecting the public health status.
Healthy Living Pattern :
1. Increase physical activity of the people through increase of promotion, increase in provisions of means and facilities of sports and open space, in the frame of growing and creating awareness of all the levels of society.
2. Increase promotion fr consumption of vegetables and fruits through a balanced nutrition eating pattern in the frame of prevention of degenerative diseases.
3. Increase of promotion of low fat eating pattern, as well as salt and sugar especially to certain high risk groups through preparation of regulations that
regulate regarding advertisements of food and drinks in order to reduce incidences of degenerative diseases in the youth.
4. Increase promotion regarding the danger of smoking through regulations in advertisments related to smoking, policies in reducing demand of cigarette
supply in order to prevent chronic diseases.
Institutional Aspect:
1. Increase cooperation in cross sectors through coordinated food and nutrition programs in the frame of development in the field of food and nutrition.
2. Revitalization of SKPG to increase availability of food and nutrition data in the region
3. Strengthen cooperation between the government and the people in conducting the food and nutrition program.
4. Digging for and benefitting the potency of resources from the people in overcoming the problems of food and nutrition.
5. Increase capacity and quality of research and development of food and nutrition through research institutions, universities, and the people, in the frame of
producing more reliable data and information.
6. Increase the capacity of administrative workers and professionals through coordination in planning and management of the food and nutrition program in
order to maximize the effectiveness of the public nutrition improvement program.
7. Increase the education and use of professionals in nutrition in various levels of the Central and Regional, as well as the people, in order to maximize the role of professionals in the nutrition program.
","","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Fruit and vegetable intake|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Subsidies on healthy foods|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IDN%202006%20National%20Action%20Plan%20for%20Food%20and%20Nutrition.pdf"
"23555","KGZ","Kyrgyzstan","","Государственная программа по предупреждению эпидемии ВИЧ/СПИДа и ее социально-экономических последствий в Кыргызской Республике на 2006-2010 годы [National programme for prevention of HIV/AIDS and socioeconomic consequences in Republic of Kyrgyzstan]","Health sector policy, strategy or plan with nutrition components","","Russian","","2006","","2010","Government of Kyrgyzstan","7","2006","Adopted","7","2006","Government of Kyrgyzstan","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Justice|Labour|Other","Ministry of Foreign Affairs","","","","","","","","","","","Research/academia","","Private sector","Privet parties that contribute to the fight against HIV/AIDS","","National Statistics Committee; Media","","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"
"82237","RWA","Rwanda","","Law N° 26/2006 of 27/05/2006 determining and establishing consumption tax on some imported and locally manufactured products","Legislation relevant to nutrition","","English","7","2006","","","Government Gazette Year 45 n° 13 ter 1st July 2006","7","2006","Adopted","5","2006","President of the Republic, Prime Minister, Minister of Finance and Economic Planning, Minister of Commerce, Industry, Investment Promotion, Tourism and Cooperatives, Minister of Justice","Cabinet/Presidency|Justice|Finance, budget and planning|Trade","","","","","","","","","","National NGOs","","","","","","","","","","","","Article one :
This law determines the consumption tax to be collected on some imported and locally manufactured products as well as modalities for its verification.
…
Section 2: Taxable Goods and the Tax rate
Article 4: Consumption tax shall be levied on the following products at the corresponding rates:
Product Tax rate
Juice, Soda and Lemonade 39%
Mineral Water 10%
…
Powdered Milk 10%
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Mineral, aerated, flavoured waters with non-sugar sweetener (taxes)|Fruit and vegetable juice drinks (<100%) (taxes)","","https://gazettes.africa/archive/rw/2006/rw-government-gazette-dated-2006-07-01-no-13%20ter.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 :
- Réduire de 30% les prévalences de la carence en fer chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
- Eliminer la carence en vitamine A chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
- Eliminer les troubles dus à la carence en iode chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
","5. 1. Enrichissement en fer et vitamine A des aliments dont la technologie est bien maitrisée
5. 2 Accélération de l’iodation du sel et utilisation des acquis comme référence pour les autres micronutriments
5.3 – Partenariat
","See document table ANNEX1, pages 33-43
","","Outcome indicators|Process indicators","Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Wheat flours","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202006%20Plan%20Strat%C3%A9gique%20pour%20la%20Fortification.pdf"
"15061","VNM","Viet Nam","","Decree on Trading In and Use of Nutritious Products for Infants (No. 21/2006/ND-CP)","Legislation relevant to nutrition","","English","","2006","","","The Prime Minister of Government","","2006","Adopted","2","2006","Government","Education and research|Health|Information|Trade","Ministry of Education and Training, Ministry of Health, Ministry of Culture and Information, Ministry of Trade","","","","","","","","","","","","","","","Other","Committee for Population, Family and Children, the Central Committee of the Vietnam Fatherland Front, the Central Committee of the Vietnam Women's Union, the Central Committee of the Ho Chi Minh Communist Youth Union, the Central Committee o f the Vietnam Peasants' Association, the Vietnam Labor Confederation","","","","","Article 1.- Scope of regulation and subjects of application
1. This Decree provides for information, education and communication on, advertisement for, trading in, and use of, nutritious products for infants, feeding bottles and dummies.
2. This Decree applies to Vietnamese and foreign organizations and individuals in Vietnam.
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Partially implemented|Promotion to the general public: Prohibition of sale promotions - Partially implemented","","http://moj.gov.vn/vbpq/en/Lists/Vn%20bn%20php%20lut/View_Detail.aspx?ItemID=5898","Scope of the Code: 0-12 months","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)","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202006%20Decree%20on%20the%20Trading%20in%20and%20Use%20of%20Nutritious%20Products%20for%20Infants_0.pdf"
"8537","KEN","Kenya","","National strategy on infant and young child feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","2010","Ministry of Public Health and Sanitation","","2007","Adopted","","2007","Ministry of Health","Cabinet/Presidency|Health|Education and research|Trade|Labour","Ministry of Public Health and Sanitation","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Other","","Centers for Disease Control and Prevention (CDC USA)","","","","","","","","","","","","5.1 Goal
To contribute to improved health, nutritional status, development and survival of infants and young children in Kenya.
5.2 Aim
The objective is to improve the nutrition status of infants and young children through the provision of essential interventions.
5.3 Objectives
• To ensure that policies and legislation that are supportive of IYCF are enacted and implemented.
• To improve uptake of optimal breast and complementary feeding practices.
• To promote and protect appropriate IYCF practices for infants and children in difficult situations.
• To ensure appropriate nutrition of children born to HIV infected mothers and reduce the risk of mother to child transmission of HIV through breast milk.
• To promote efficient implementation of interventions on IYCF through improved coordination and collaboration of partners in the country.
• To strengthen the capacity of stakeholders, programme managers and health care providers with improved knowledge and skills on IYCF counselling.
• To strengthen monitoring and evaluation of IYCF at all levels.
• To strengthen research on IYCF and timely dissemination of findings to decision makers.
• To improve awareness on optimal IYCF practices through advocacy and awareness creation efforts.
• To specify roles and responsibilities of partners in promoting appropriate IYCF practices.
• To establish coordination structures for collaboration on IYCF programme efforts.
• To sensitize the public for improved knowledge on IYCF practices.
• To integrate the IYCF strategy into the health system.
","6. Strategic areas:
The following nine priority areas were identified as being crucial for the attainment of the goal:
• Policies and legislation on IYCF
• Practices on IYCF
• IYCF in difficult circumstances
• HIV and Infant Feeding
• Capacity building on IYCF
• Communication and advocacy
• Research on IYCF
• Partnerships and coordination
• Monitoring and evaluation of IYCF
","5.4 Targets for 2010
Kenya will work towards attaining the following targets for the period 2008–2010:
1. National structures on IYCF strengthened to facilitate planning, coordination and advocacy for implementation of the strategy.
2. Current national policy guidelines on IYCF and national guidelines on Infant and Young Child Feeding in the Context of HIV (2004) will be updated
in line with the WHO consensus statement on HIV and Infant Feeding (2006) and be disseminated nationally by 2008.
3. Kenyan national law regulating the marketing of foods for children under 3 years will have will be enacted by the end of 2008 and an enforcement and monitoring system will be in place by the end of 2009.
4. To ensure provision of support for breastfeeding mothers by employers under the Employment Act.
5. Sixty per cent of all health workers and 80 per cent of PMTCT service providers attend the IYCF Integrated Course by 2010.
6. The Baby Friendly Hospital Initiative will be revitalized in Kenya to ensure that the 75 per cent of mothers who deliver in a health facility are initiated on exclusive breastfeeding and receive the support and information necessary to help them continue with exclusive breastfeeding for 6 months.
7. Promotion of optimal IYCF practices to the public, to health workers and to other social service providers. A communication and advocacy strategy will be developed by April 2008.
8. A national monitoring and reporting system will be established to promote efficient implementation of interventions on IYCF by 2008.
9. Fifty per cent of the districts in the country will have strengthened IYCF programmes, transformed at least 80 per cent of health facilities to be baby
friendly including establishment of community breastfeeding support groups to increase exclusive breastfeeding to 20 per cent by 2010.
10. Eighty per cent of mothers who are HIV positive receive counselling on infant feeding in the pre and post-natal period by 2010.
11. Reduce bottle feeding from 27.6 per cent to 5 per cent by 2010.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food fortification|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202007%20National%20Strategy%20on%20Infant%20and%20Young%20Child%20Feeding.pdf"
"11504","MWI","Malawi","","National Nutrition Policy and Strategic Plan","Comprehensive national nutrition policy, strategy or plan","","","","2007","","2011","Department of Nutrition, HIV and AIDS","","2009","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Information|Sub-national|Other","Department of Nutrition, HIV and AIDS","United Nations Children's Fund (UNICEF)","","","","","","European Union","","","","","","","","","","The Goal of the Policy and Strategic Plan is to have a well nourished Malawi nation with sound human resource that effectively contributes to the economic growth and prosperity of the country.
Objectives:
Objective 1: To prevent and control the most common nutrition disorders among women, men, boys, girls in Malawi by 2011 with emphasis on vulnerable groups.
Objective 2: To increase access to timely and effective management of the most common nutrition disorders among women, men, boys, girls in Malawi by 2011 with emphasis on vulnerable groups.
Objective 3: To create an enabling environment for the effective implementation of nutrition services and programmes between 2007 and 2011.
","Strategies (P=Prevention, M=Management, E= Enabling Environment):
P1. Promotion of optimal breastfeeding practices for children 0-6 months in the context of HIV and AIDS at facility, community and household level.
P2. Promotion of optimal feeding practices for children 6-24 months or beyond to sustain breast feeding while giving appropriate complementary feeds with emphasis on feeding frequency, amount, energy and nutrient density and diversity based on the six food groups.
P3. Strengthening of optimal feeding of a sick child during and after illness.
P4. Promotion of women’s nutritional status among the general public.
P5. Prevention and control of micronutrient deficiency disorders with emphasis on Vitamin A deficiency, anaemia and iodine deficiency disorders.
P6. Promotion of practices that promote health life styles, food availability, diversity, access, proper storage, preparation, utilisation, the consumption of a variety of foods from the six food groups every day, safety and quality in the general population.
P7. Promotion of access to at least one nutritious meal and related health and nutrition services for the school-going children through the school feeding and the school health and nutrition programmes.
P8. Strengthening capacities for households and communities to attain adequate nutrition for their families with emphasis on socio-economically deprived persons.
P9. Promotion of food safety and quality.
P10. Controlling of nutrition related non-communicable and other diseases.
M1. Promoting access and quality of nutrition and related services to facilitate effective management of nutrition deficiency disorders in under-five children, adolescents and adults.
E1. Firmly position nutrition on the national development agenda and include Nutrition in the key development programmes, allocate adequate resources, strengthen institutional and human capacities, put in place necessary coordination mechanisms in all sectors for the implementation of the National Nutrition Policy and Strategic Plan at all levels.
E2. Increased budgetary allocation of resources by government and her partners for the implementation of the National Nutrition Policy and Strategic Plan.
E3. Government shall strive to build institutional and human capacity for the effective delivery of nutrition services, including the design, development and implementation of relevant nutrition programmes, projects and interventions in the public sector.
E4. Establishment of a well defined coordination mechanism for nutrition services, programmes and projects at central, district and community level.
E5. Government shall ensure evidence based programming of nutrition programmes, projects, activities, interventions and services through the generation and dissemination of nutrition research information and findings and appropriate documentation and dissemination of best practices.
E6. Results-oriented monitoring and evaluation.
","Monitoring Activities:
• Quarterly Field Monitoring Visits:
Field monitoring visits will be undertaken to selected sites to check the progress on service delivery and the implementation of the activities. The visits will assist in identifying challenges faced and serve as the basis for dialoguing with service providers and implementers in focusing towards the achievement of the results. The quarterly field monitoring visits will also help in checking compliance to the laid down nutrition implementation procedures and guidelines. Quarterly monitoring visits will be led by the OPC, Department of Nutrition and HIV and AIDS, although multisectoral and multi-agency teams will also be encouraged. A quarterly field monitoring report will be produced by the monitoring team and will include (a) key findings of the visit, (b) main challenges observed in the course of implementing the NNPSP activities, and (c) recommendations on resolving bottlenecks.
• National Integrated Nutrition Surveillance:
National Integrated Nutrition Surveillance System will be used to track the progress on the output and outcome indicators on a Monthly/quarterly basis. The results would be discussed in the quarterly review meetings. Because these will happen throughout the implementation period, the results will also be used for the evaluation at the outcome and impact levels.
• Bi-annual Nutrition Review Meetings:
These will be held to review the implementation of the activities of the NNPSP. It will also review quarterly review reports by the Nutrition and Food Security M&E working group that reports on output as well as outcome indicators. While primarily a coordination activity, the quarterly review meeting will provide a useful forum for stakeholders to appreciate the in loads made towards the NNPSP goals and challenges constraining progress. The outcome of the quarterly
review meetings will be a concise brief outlining the next steps.
• Nutrition Steering Committee Meetings/Government Development Partner Meetings:
These will focus on policy issues and discuss policy implementation, resource mobilization and progress towards policy outcomes. The meetings will discuss issues that have a bearing on the Nutrition policy such as inadequacies in the policy provisions that constrain the implementation and compliance, emerging issues on the ground that need to be addressed at the policy level as well as funding prospects for nutrition activities. The objective will be to ensure that the whole Nutrition Programme as envisaged in the NNPSP is moving towards the achievement of the Planed objectives.
• Develop an operational database and Coordination of Information:
The OPCDepartment of Nutrition and HIV and AIDS will ensure the establishment of a coordinated management information system to be able to collect data, store them, and make them easily accessible to facilitate analysis and reporting on the NNPSP. In this regard, an inventory of all agencies implementing nutrition activities will be created. The data base would include- names of nutrition projects/service providers, type of activity, budget, output and outcome indicator targets, geographical location of services/project, target group and achievements for a particular period among others.
Evaluation activities:
• Construction of Baselines and Targets:
This will be a key activity as the ability of the nutrition response via the NNPSP to monitor the performance will depend on it, focusing on those targets without the baselines. In particular, baselines on the key outcome indicators in the NNPSP will be useful for determining the impact of the response at the end of the implementation period. Performance targets at annual, mid-term and end of the implementation of the plan will be critical in undertaking performance monitoring.
• Annual Nutrition Sector Reviews:
These will be undertaken to review the implementation progress, challenges and the status of the outcome indicators. While focusing also on coordination and the extent to which nutrition activities are being implemented in accordance with the agreed frameworks, the sector reviews will be foras where knowledge on the implementation experiences, good practice and challenges will be shared. An outcome of the meetings will be the identification of the implementation bottlenecks and recommendations to improve the performance towards the achievement of the results.
• Periodic Nutrition Surveys:
These will be used to track among others (a) the effectiveness of the interventions; and (b) impact on malnutrition levels. They will include the existing sector surveys on nutrition, Malawi Vulnerability Assessment and Mapping (VAM) work, National Statistical Office Surveys such as MICS and MDHS, Micronutrient Surveys, and National Nutrition Surveys. Impact studies focusing on specific interventions will also form part of the tracking studies. These will be population-based surveys and will be used to identify and understand the core factors and patterns fuelling chronic malnutrition, and influencing the demand for and supply of various nutrition services.
• Mid-Term Evaluation:
The Nutrition National Strategic Plan will be evaluated mid-way through the implementation with the aim of gauging implementation progress at midstream, and devise ways of improving the performance at post mid-term of the plan. The mid term evaluation will either be conducted by an independent assessor or internally by stakeholders but led by the OPC, Department of Nutrition and HIV and AIDS.
• End of NNPSP Evaluation:
The end of NNPSP evaluation will be undertaken at the end of the implementation period of the Plan in 2011 or early 2012. The focus of the end of NNPSP evaluation will be to learn lessons to inform the future national nutrition initiatives and strategies in the country. The evaluation will be undertaken by an independent reviewer. Its main aim will be for reprogramming and replanning.
M & E components for each objective, listed under Annex 3
","","","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 in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Refined sugar|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","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202009%20National%20Nutrition%20Policy%20Strategic%20Plan%202009.pdf"
"26001","CIV","Côte d'Ivoire","","Arrêté interministériel No. 25 du 18 janvier 2007 rendant obligatoire la fortification en fer et en acide folique de la farine de blé panifiable en Côte d'Ivoire. ","Legislation relevant to nutrition","","French","3","2008","","","République de Côte D'Ivoire","","2007","Adopted","","2007","","Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","","","","","Cet arrête définit la farine fortifiée et fixe des conditions pour son importation.
I) Définition
Au sens de l'arrêté susvisé, on entend par farine fortifiée, la farine de blé panifiable de la position tarifaire 11 01 00 00 00 destinée à la consommation humaine enrichie en fer et en acide folique, dans les proportions respectives d'au moins soixante parties par million (60 ppm) et un et demi de partie par million (1, 5 ppm) de ces micronutriments qui doivent être apportés sous forme électrolytique.
Est interdite en Côte d’Ivoire, l’importation de la farine de blé planifiable destinée a la consommation humaine non fortifiée en fer et en acide folique.
","Folic acid|Iron|Food fortification|Wheat flours|Mandatory fortification|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Imported products|Monitoring mechanism established","","https://www.codinorm.ci/produits-certifies/doc/circulaires/CIRCULAIRE%20FARINE%20FORTIFIEE.pdf","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV-2008-Circulaire.pdf"
"11503","KEN","Kenya","","Food Security and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2008","","","Republic of Kenya","","2008","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Sub-national|Other","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","Other|Oxfam|Population Services International","Help Age International","","","","","National NGOs","Action Aid Kenya, Sacred Africa","Research/academia","University of Nairobi, Friedman School of Nutrition of Tufts University (USA), Kenya Agricultural Research Institute, and Kenya Institute for Public Policy Research Analysis; Kenya Industrial Research and Development Institute; National Council for Science","Private sector","","Other","Media, Kenya Association of Manufacturers; Kenya Private Sector Alliance; Jua Kali Association","Goals:
- To ensure that all Kenyans have the means to access affordable, nutritious and personally acceptable foods.
- To guarantee a sustainable, safe and high quality food supply.
- To promote food consumption patterns that maximize health and minimize disease.
","Programs:
- Household resource productivity.
- National food availability.
- Food safety and quality control.
- Nutrition improvement in public institutions, and among partners and consumers.
- Food and nutrition in schools.
- Food and nutrition in emergency and crisis.
- Food and nutrition information and communication.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"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"
"7965","LBR","Liberia","","National Food Security and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2008","","","Ministry of Agriculture Republic of Liberia","","2008","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade","","","","","","","","","","","","","","","","","","The key objectives of the FSNS are to make certain that all Liberians have reliable access to the food they need and are able to utilize that food to live active and healthy lives. As such, ensuring food security and good nutrition is not a policy choice of government that it can decide to accept or reject, but a right of the citizens of Liberia which the government is obligated to respect, promote, and protect. Although the strategy encompasses the food security and nutritional needs of all Liberians, it prioritizes the needs of food insecure and nutritionally vulnerable groups in society, including the elderly who have little support, female-headed households, orphans, and HIV-affected households. In addressing the needs of nutritionally vulnerable households and in working to safeguard the food security and good nutritional status of others, two demographic groups are targeted - infants and children under 5 years of age and pregnant and lactating women. The period from conception through the first two years of life is crucial in terms of food security and nutrition, as growth failure in a child during this period cannot be fully corrected later in life. Consequently, the central outcome measures of whether this strategy can be judged successful are those that establish whether the food and nutritional needs of young children in Liberia are being met. If these needs are satisfied, prospects are good that all Liberians will be properly nourished and food secure.
","PRIORITIES FOR ACHIEVING FOOD SECURITY AND IMPROVED NUTRITION IN LIBERIA
- Enhancing food availability - Formulate policy statement on rice self-reliance
- Production - Exploit all opportunities for food production, address production constraints
- Improve post-harvest processing - Diversify food produced
- Safeguard communal property resources
- Food imports - Maintain predictable and stable food imports
- Strategic food reserve - Strengthen strategic food reserve mechanisms
- International food aid - Make appropriate use of international food assistance
- Improving access to food - Broaden secure access to factors of production
- Improve agricultural markets
- Strengthen social safety nets
- Better food utilization and improved nutritional status - Promote child growth
- Take essential nutrition actions
- Save the acutely malnourished
- Address food and nutrition needs related to HIV infection
- Improve care
- Fortify foods
- Enforce food standards
- Diversify diets
- Increase access to safe water, sanitation, and proper housing
- Reducing vulnerability, improving resilience
- Enabling factors - Meet capacity needs
- Improve knowledge on household food security
- Strengthen community-level action
","The central outcome measures of whether this Food Security and Nutrition Strategy for Liberia can be judged successful are those that establish whether the food and nutritional needs of young children in Liberia are being met. If these needs are satisfied, prospects are good that all Liberians will be able to enjoy the chance of living active and healthy lives and to contribute to the emergence of a peaceful, secure, and prosperous Liberia. As such, the FSNS adopts child nutritional indicators based on anthropometry - stunting (low height for age), underweight (low weight for age), and wasting (low weight for height) prevalence levels - as key indicators of progress towards the objectives of the strategy.Of course, these indicators must be assessed in context, particularly in light of trends. While child nutritional indicators integrate the contributions of factors relating to food availability, access, and utilization, they are static indicators. That is, they do not give any indication of what the nutritional status of the children will be in the future. Consequently, the monitoring of trends in the underlying determinants of child nutrition - food security, but also nutritional care, and the provision of health services and a healthy environment - is necessary to assess the likely sustainability of current child nutritional status and any progress achieved under the FSNS.(pg.4)
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","","http://www.fao.org/righttofood/inaction/countrylist/Liberia/FoodandNutritionStrategy_2008.pdf","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202008%20National%20Food%20Security%20and%20Nutrition%20Strategy.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
- Inovovať Metodický pokyn MZ SR č. 13010/2004 pre primárnu prevenciu kardiovaskulárnych ochorení v súlade s pôvodným zámerom a doplnený o novorealizované úlohy a ciele Kardiovaskulárneho programu.
- Vykonať štatistiku o výskyte nadváhy a obezity (BMI + obvod pása) štatistiku o výskyte hypercholesterolémie, artériovej hypertenzie, Diabetes mellitus typ II. a metabolického syndrómu.
- Realizovať celoslovenský výskum telesného vývinu detí a dorastu.
- Vytvoriť programy na podporu zdravej výživy pre deti vo včasnom veku presadzovaním dojčenia a podporou programu Mother and Baby Friendly Hospital Initiative s osobitým dôrazom na marginalizované rómske komunity a ostatné znevýhodnené skupiny obyvateľstva
- Zabezpečiť metodické pokyny pre zdravotnícke zariadenia ambulantnej zdravotnej starostlivosti v špecializovaných odboroch pediatrická endokrinológia, (obezita, metabolický syndróm, diabetes mellitus), pediatrická kardiológia (artériová hypertenzia), pediatrická gastroenterológia, hepatológia a výživa (porucha lipidov a výživa) a pediatrická nefrológia (hypertenzia, obezitová nefropatia).
- Vypracovať liečebný program obezity pre deti a dorast.
- Zabezpečiť kvalitu a bezpečnosť potravín pre racionálne stravovanie s dôrazom na zabezpečenie teplej stravy vo všetkých typoch škôl (materské, základné, stredné, vysoké) v spolupráci so zariadeniami školského stravovania. V nadväznosti na legislatívu EÚ podporovať Program „Školské mlieko“. Zrušiť v školách (základných a stredných) automaty na sladkosti.
- Podporiť činnosť športových krúžkov vo voľnom čase, zvýšiť telesnú aktivitu aj pre chronicky choré deti v školských kluboch, sprístupniť po vyučovaní a cez víkendy telocvične, ihriská na školskom dvore .
- Zabezpečiť finančné dotácie na žiaka, na podporu stravovania v škole, finančná podpora pre deti z nízkopríjmových rodín.
- Aktualizovať softvér Pyramída.
- Monitorovať fyzickú aktivitu detí a dorastu vrátane monitorovania stavu pohybového aparátu, zdravotne oslabených a zdravotne postihnutých detí a dorastu.
- Pripraviť všeobecne záväzný právny predpis, ktorý upraví povinnosť zabezpečiť primeranú úroveň fyzickej aktivity detí a dorastu podľa potrieb zdravého fyzického a duševného vývinu.
","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Breastfeeding 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|School milk scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Conditional cash transfer programmes|Vulnerable groups","","http://www.health.gov.sk/Clanok?narodny-program-starostlivosti-o-deti-a-dorast","http://www.health.gov.sk, http://www.uvzsr.sk, http://www.szuba.sk","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SVK%202008%20Child%20and%20Adolecents%20Programme.pdf"
"39439","CHL","Chile","","Política Nacional de Inocuidad de los Alimentos","Food security or agriculture sector national policy, strategy or plan with nutrition components","","Spanish","","2009","","","","","2009","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Finance, budget and planning|Trade","","","","","","","","","","National NGOs","","","","","","","","Objetivos
El logro de este propósito requiere trabajar simultánea y coordinadamente en un conjunto de objetivos que den debida cuenta de las principales debilidades y fortalezas del sistema nacional de inocuidad de los alimentos y de los principales desafíos del país en este ámbito. Los objetivos planteados son los siguientes:
1.- Perfeccionar el marco regulatorio haciéndolo más consistente con el objetivo de proteger la salud de las personas y los derechos de los consumidores.
2.- Fortalecer las capacidades científicas y tecnológicas necesarias para hacer más consistentes y eficiente la evaluación y gestión de los riesgos alimentarios.
3.- Modificar los sistemas de control y vigilancia de los alimentos de tal forma que sean más preventivos e integrados y con mayor capacidad de respuesta ante crisis alimentarias.
4.- Favorecer el comercio internacional perfeccionando los procesos de control y certificación de las exportaciones y actualizando los procedimientos de autorización de las importaciones de alimentos.
5.- Promover en la industria alimentaria, en todos sus eslabones, prácticas de autocontrol basadas en la prevención y control de los peligros y el desarrollo de la trazabilidad de los alimentos, sin perjuicio de las actividades ineludibles de fiscalización, control y vigilancia que el Estado debe ejecutar.
6.- Desarrollar un marco institucional que facilite y promueva la coordinación y la complementación de las entidades públicas y abra espacios de participación a los consumidores y a todos los actores de la cadena alimentaria.
","Líneas de acción
a) Mantener actualizadas las normativas de inocuidad con respecto al Codex Alimentarius, en los casos que corresponda. En forma periódica se realizarán evaluaciones del estado de situación del Reglamento Sanitario de los Alimentos identificando las brechas de estándares de inocuidad en relación al Codex Alimentarius, en aquellos casos en que esto corresponda. Esta acción será realizada por el Ministerio de Salud.
b) Realizar una revisión de la legislación nacional a fin de analizar si está dando debidamente cuenta de los fraudes alimentarios. Se estudiará la posibilidad de establecer tipos penales específicos que sancionen los fraudes alimentarios, ya sea en las etapas de producción, transformación, comercialización o exportación de productos alimenticios.
"," Sistema de control y vigilancia
En cuanto al objetivo 3, “Modernizar los sistemas de control y vigilancia de los alimentos de tal forma que sean más preventivos e integrados y con mayor capacidad de respuesta ante emergencias alimentarias”, se conseguirá a partir de los cuatro lineamientos estratégicos que se señalan a continuación.
3.1.- Ampliar y consolidar las prácticas y mecanismos de autocontrol de los peligros alimentarios.
3.2.- Mejorar los programas de control e higiene de los alimentos.
3.3.- Desarrollar un sistema de información de inocuidad integrado, consistente y eficaz.
3.4.- Modernizar la gestión de emergencias alimentarias.
Ampliar y consolidar las prácticas y mecanismo de autocontrol de los peligros alimentarios.
","","","Hygienic cooking facilities and clean eating environment|Food security and agriculture","","http://web.minsal.cl/sites/default/files/files/Pol%C3%ADtica%20Nacional%20%20de%20Inocuidad%20de%20los%20Alimentos.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHL%202009%20Pol%C3%ADtica%20Nacional%20%20de%20Inocuidad%20de%20los%20Alimentos.pdf"
"22869","PHL","Philippines","","Republic Act No. 10028: Expanded Breastfeeding Promotion Act of 2009 ","Legislation relevant to nutrition","","English","","2009","","","14th Congress of the Republic of the Philippines, Senate of the Philippines","7","2009","Adopted","3","2010","President of the Philippines","Health|Education and research|Social welfare|Trade|Justice|Labour|Other","Commission on Higher Education, Department of Education, Technical Education and Skills Development Authroity (TESDA), Department of Labor and Employment, Civil Service Commission, Department of the Interior and Local Government, Department of Social Welfare and Development, Department of Trade and Industry","","","","","","","","","National NGOs","Professional and nongovernmental organizations","","","","","","","","","","","An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202009%20Republic%20Act%20No.%2010028%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202009.pdf"
"26012","SEN","Senegal","","Décret nº 2009-872 rendant obligatoire l’application des normes sur les huiles comestibles raffinées enrichies en vitamine A et la farine de blé tendre, enrichie en fer et acide folique","Legislation relevant to nutrition","","French","","2009","","","Ministère du Commerce","9","2009","Adopted","9","2009","le Président de la République : Le Premier Ministre","Cabinet/Presidency|Health|Food and agriculture|Finance, budget and planning|Trade|Industry","Le Ministre d’Etat, Ministre de l’Economie et des Finances, le Ministre d’Etat, Ministre des Mines, del’Industrie, de la Transformation alimentaire des Produits agricoles et des P.M.E., le Ministre de la Santé, de la Prévention et de l’Hygiène publique et le Ministre du Commerce sont chargés, chacun en ce qui le concerne, de l’application du présent décret","","","","","","","","","","","","","","","","","","","","","Article premier. L’enrichissement des huiles comestibles en vitamine A et de la farine de blé tendre en fer et acide folique visées par le présent décret est rendu obligatoire sur le territoire national.
Art. 2. L’application des normes sénégalaises cidessous indiquées est rendue obligatoire, ainsi que leurs révisions ultérieures.
Norme NS 03072 sur l’huile comestible de palme raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03073 sur l’huile comestible de coton raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03074 sur l’huile comestible de palmiste raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03075 sur l’huile comestible d’arachide raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03076 sur l’huile comestible de sésame raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03077 sur l’huile comestible de tournesol raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03078 sur l’huile comestible de colza raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03079 sur l’huile comestible de maïs raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03080 sur l’huile comestible de soja raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03081 sur les principes généraux régissant l’adjonction d’éléments nutritifs aux aliments ;
Norme NS 03052 sur la farine de blé tendre enrichie en fer et acide folique. Spécifications:
----
Norme NS 03052 sur la farine de blé tendre enrichie en fer et acide folique. Spécifications:
- Teneur en fer (sulfate ferreux ou fumarate ferreux > 45mg/kg ; en fer électrolytique à >90mg/kg)
- La teneur en acide folique est à 1,1mg/Kg
Norme NS 03072 sur l’huile comestible de palme raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03073 sur l’huile comestible de coton raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03075 sur l’huile comestible d’arachide raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03076 sur l’huile comestible de sésame raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03077 sur l’huile comestible de tournesol raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03078 sur l’huile comestible de colza raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03079 sur l’huile comestible de maïs raffinée enrichie en vitamine A. Spécifications ;
Norme NS 03080 sur l’huile comestible de soja raffinée enrichie en vitamine A. Spécifications ;
- La teneur en vitamine A (palmitate de rétinol) est fixée à 67UI (20 mg/kg) d’huile.
Norme NS 03074 sur l’huile comestible de palmiste raffinée enrichie en vitamine A. Spécifications ;
- La teneur en acides gras saturés (AGS) doit être ≤ 30%
- Le taux d’enrichissement en vitamine A (palmitate de rétinol) est fixé à 67UI (20mg/kg) d’huile
","Vitamin A|Folic acid|Iron|Wheat flours|Edible oils and margarine|Mandatory fortification|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","http://www.jo.gouv.sn/spip.php?article7722","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202009%20JOURNAL%20OFFICIEL%20DE%20LA%20REPUBLIQUE%20DU%20SENEGAL%20D%C3%A9cret%20n%C2%B0%202009%20872%20.pdf"
"8405","SLE","Sierra Leone","","Sierra Leone National Food and Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2009","","","MINISTRY OF HEALTH AND SANITATION","8","2009","","","","MINISTRY OF HEALTH AND SANITATION","Education and research|Finance, budget and planning|Food and agriculture|Health|Nutrition council|Trade","Ministry of Education, Youth and Sports (MOEYS), Ministry of Finance, Development and Economic Planning (MOFDEP), Ministry of Agriculture, Forestry and Food Security (MAFFS), Ministry of Marine Resources and Fisheries (MMRF), Ministry of Health and Sanitation, Reproductive and Child Health (RCH) Directorate, Health Coordinating Committee, Nutrition Technical Task Force, Ministry of Trade and Industries (MOTI)","","","","","","","","","National NGOs","","","","Private sector","","","","Specific Objectives (SO)
I. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels on Nutrition issues and its relationship to development.
II. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy daily dietary needs of the population.
III. To promote adoption of appropriate feeding practices of 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 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
","SO1. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels at national and district levels on Nutrition issues and its relationship to development.
Policy: All relevant organizations should integrate nutrition considerations in programmes and activities
SO2. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy daily dietary needs of the population.
Policy: Small scale farmers should be provided effective support to improve their access to domestic food production and supplies.
SO3. To promote adoption of appropriate feeding practices of households.
Policy:
a. Protect, promote and support early and exclusive breastfeeding for infants from birth until six months, followed by introduction of nutritious and appropriate complementary foods with continued breastfeeding for up to two years and beyond.
b. Promote appropriate feeding practices for the family especially pregnant and lactating women at facility and community levels.
SO4. To strengthen preventive measures against nutrition related diseases
Policy: Antenatal, Post natal and the Family Package services should be promoted and introduced at the community level especially through outreach clinics
SO5. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
Policy:
a. Patients in hospitals should be provided with optimum dietary services to complement their clinical management.
b. Community-based Management of Acute Malnutrition (CMAM) approach should be integrated into child survival and development initiatives
c. Supplementary feeding programme should be integrated to ensure continuum of care for malnourished children.
SO6. To institute nutritional surveillance system for monitoring the food and nutrition situation in the country.
Policy: A regular and coordinated food and nutrition system that assists in long term health and development planning, programme management, timely warning and design of intervention programmes should be instituted
SO7. To promote operational research and periodic surveys into food and nutrition issues
Policy: Effective operational research and periodic surveys aimed at improving food security and nutrition should be integrated into programmes of relevant research institutions
SO8. To coordinate activities of relevant agencies involved in food and nutrition issues
Policy: Nutrition Division of the Ministry of Health and Sanitation should ensure that activities to address nutrition issues are reflected in plans of other programmes of the Ministry and implemented in a coordinated manner< /p>
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Right to food|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Other B-vitamins|Iodine|Iron|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202009%20National%20Food%20and%20Nutrition%20Policy.pdf"
"17832","SDN","Sudan","","National Nutrition Policy and Key Strategies","Comprehensive national nutrition policy, strategy or plan","","","","2009","","","Federal Ministry of Health Republic of Sudan","","2009","Adopted","","2009","Federal Ministry of Health","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Justice|Other|Trade|Women, children, families","Federal Ministry of Health Republic of Sudan","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","","","","","","","National NGOs","National NGOs","","","Private sector","Iodized salt producers and traders, Millers, Schools, Universities","Other","Other: Religious leaders, Community leaders, Local administration","Objective 1: Ensure the prevention and treatment of nutrition related disorders in emergency and non-emergency situations.
Objective 2: Reduce nutritional risk for individuals throughout their life-cycle through implementation of integrated health, nutrition, and food security interventions.
Objective 3: Increased optimal use of available food and micro level resources to maximize nutritional benefit.
Objective 4: To reduce nutrition risk and improve malnutrition prevention and treatment programming.
Objective 5: Ensure that the nutritional needs of people living with HIV & AIDS and their families are adequately addressed
Objective 6: Ensure quality food production that meets food safety standards.
Objective 7: Increased knowledge & awareness & improved nutrition practice at community level
Objective 8: Increase skills and capacity of nutrition staff and non-nutrition staff working in areas related to the direct and underlying causes of malnutrition.
Objective 9: Multi-sectoral coordination and collaboration to address malnutrition comprehensively and effectively, to bring about sustained change in population nutrition status (linked to Objective 3).
Objective 10: Strengthen nutrition information, research, and nutrition advocacy systems, to feed into national and local planning, analysis, monitoring and evaluation.
","Strategy 1:
a. Prevent chronic malnutrition through improved dietary intake and reduced infant morbidity.
b. Prevent, detect and treat acute malnutrition (including response to emergencies) through provision of appropriate services through the public health system.
c. Prevent, detect, and treat Micronutrient Deficiency Disorders (MDDs) through a combination of supplementation, fortification, education, and food based approaches.
d. Prevent obesity and lifestyle diseases through the promotion of optimal eating and physical exercise habits.
Strategy 2:
a. Improve maternal nutrition status
b. Improve infant and young child nutrition status
c. Address the nutritional needs of school age children and adolescents
d. Address the nutritional needs of adults and older persons
Strategy 3:
- a. Support optimal use of available food and micro level resources to maximize nutritional benefit
- b. Using an integrated approach to address malnutrition and morbidity
Strategy 4:
a. Reduce nutrition risk caused by excess morbidity through increased coverage and accessibility of quality of basic child health care services (IMCI).
b. Improve nutrition related programming through coordinated engagement of a wide range of health providers in nutrition related activities and the establishment of strong linkages between facility and community based nutrition activities.
Strategy 5:
a. Develop systems and guidelines to support the nutritional needs of people living with HIV & AIDS and their families
Strategy 6:
b. Develop systems and guidelines to safeguard quality food production that meets food security standards.
Strategy 7:
a. Utilise social mobilization, nutrition education/behavior change communication and advocacy strategies to promote improved knowledge and nutritional practices through all health facilities, at community level and through the general media.
Strategy 8:
a. Support and develop technical and managerial/planning capacity in nutrition for nutritionists and dieticians
b. Support and develop appropriate nutrition capacity of wider public health staff
c. Support and develop appropriate nutrition knowledge/ capacity of technical staff in related sectors
Strategy 9:
a. To promote and facilitate multi sectoral coordination and collaboration to address malnutrition at Federal and State levels
b. Nutrition information, research and advocacy
Strategy 10:
a. Strengthen and further develop timely & accurate nutrition information systems for action.
b. Carry out research in areas that will improve the understanding of nutritional risk in Sudan.
c. Utilisation of nutrition information in advocacy efforts across a range of nutrition related issues.
","-Prevalence of moderate and severe underweight (children 6-59 months)
-Prevalence of moderate and severe stunting (children 6-59 months)
-Prevalence of moderate and severe wasting (children 6-59 months)
-Use of iodised salt at household level
-Vitamin A supplementation(6-59 months) within the last 6 months
-Vitamin A supplementation of postpartum women
","","","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|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|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 gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|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","","http://www.fmoh.gov.sd/Health-policy/nationalnutritionpolicy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN%202009%20National%20Nutrition%20Policy.pdf"
"39482","CIV","Côte d'Ivoire","","Politique nationale de nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","","Ministère de la santé et de l’hygiène publique","","2010","Adopted","","","Ministère de la santé et de l’hygiène publique","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Transport|Consumer affairs|Trade|Environment|Industry|Information|Other","Ministère des infrastructures économiques","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","associations de consommateurs","","","Private sector","","","","VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
- Promouvoir l’habilitation des populations cibles à améliorer leur situation nutritionnelle et de santé ;
- Renforcer les systèmes de coordination à tous les niveaux ;
- Promouvoir l’engagement des autorités nationales, régionales, locales et traditionnelles ;
- Accorder la priorité aux stratégies préventives dans la lutte contre la malnutrition, notamment du nourrisson et du jeune enfant ;
","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
- Promotion de l’extension des Unités Nutritionnelles (UNT, UNTA, UNS) pour la prise en charge des cas de malnutrition sévère, modérée, surtout dans les zones d’insécurité alimentaire ;
- Suivi des enfants sortis des UNTA/CNS au niveau des sites communautaires;
- Mise en place d’un système de référence et de contre référence ;
- Organisation des stratégies avancées pour le dépistage et le traitement ;
- Introduction de la supplémentation en zinc dans le schéma de prise en charge de la diarrhée chez les enfants;
- Promotion du suivi et de la croissance des enfants de 0-5 ans dans les centres de santé et centres sociaux;
- Renforcement de l’intégration des interventions nutritionnelles aux autres programmes de santé maternelle et infantile (déparasitage, Prévention de la Transmission Parents Enfant (PTPE), supplémentation en fer et acide folique, traitement présomptif intensif du paludisme des femmes enceintes, vitamine A, PEV, PF, …) en adoptant l’approche « Actions Essentielles en Nutrition » ;
- Promotion l’utilisation des aliments fortifiés localement pour la récupération des enfants modérément malnutris ;
- Mise en œuvre du protocole national de prise en charge de la malnutrition
- Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) : Promotion et protection de l’allaitement exclusif des nourrissons de la naissance jusqu’à six mois, y compris les nourrissons nés de mères séropositives qui ne peuvent pas remplir les conditions à moindre risque d’alimentation de remplacement ; Promotion de l’allaitement continu jusqu’à vingt-quatre mois ou plus, avec une alimentation de complément appropriée à l’âge de l’enfant à partir de six mois;
- Promotion de l’allaitement Maternel par la redynamisation des « Hôpitaux Amis des Bébés (IHAB) » en vu de décerner un label;
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’exercice physique ;
- Promotion de régimes et pratiques alimentaires adéquats et des modes de vie sains contre les excès alimentaires.
2. Au niveau communautaire
- Prise en charge et suivre au niveau des sites communautaires les enfants sortis des UNTA/CNS ;
- Institutionnalisation de la semaine d’intensification des activités de nutrition au niveau communautaire couplée à des campagnes de dépistage de la malnutrition en stratégie avancée dans les zones à forte prévalence ;
- Mise en oeuvre de l’approche FARN (Foyer d’Animation et de Réhabilitation nutritionnelle qui utilise la « Déviance Positive » pour l’amélioration de la qualité et de l’efficacité des prestations au niveau communautaire;
- Intensification de la prévention de la malnutrition saisonnière (soudure) due à l’insécurité alimentaire et aux maladies infectieuses (maladies diarrhéiques, infections respiratoires aiguës, rougeole et paludisme).
- Soutien des suppléments alimentaires aux groupes vulnérables (enfants, femmes enceintes et allaitantes) ;
- Renforcement du lien entre les sites de nutrition communautaire et les centres de santé, ainsi que l’utilisation des soins de santé primaires par la communauté (PEV, PCIME, CPN, etc.).
- Promotion de l’utilisation des aliments fortifiés localement pour la récupération des enfants modérément malnutris ;
- Promotion du suivi et promotion de la croissance des enfants de 0-5 ans;
- Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) ;
- Promotion de l’allaitement Maternel par la redynamisation des groupes de soutien
- Mise en place des Communautés Amis de la nutrition des bébés en vu de décerner un label;
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’exercice physique ;
- Promotion de régimes et pratiques alimentaires adéquats et des modes de vie sains contre les excès alimentaires.
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
- Promotion de l’allaitement Maternel ;
- Institutionnalisation de la supplémentation en vitamine A chez les enfants à partir du 6ème mois jusqu’à 59 mois tous les 6 mois en routine ou en campagne et des femmes dans le post partum immédiat ;
- Supplémentation en fer/ acide folique chez la femme enceinte et allaitante;
- Supplémentation en zinc dans le traitement de la diarrhée ;
- Supplémentation en Fluor dès 6 mois;
- Fluoration de l’eau de consommation publique en vue de la prévention des caries dentaires ;
- Promotion de la consommation des aliments locaux riches ou enrichis en micronutriments
- Promotion de la fortification alimentaire en micronutriments (fer/acide folique, vitamines du groupe B, vitamine A…) :
- Mise en place d’une politique pour faciliter l’accès de la population aux denrées alimentaires fortifiées en micronutriments ;
- Promotion de la consommation du sel iodé comme stratégie pour éliminer les TDCI
- Renforcement des activités des structures de contrôle du sel iodé et autres aliments fortifiés notamment les sites sentinelles ;
- Déparasitage : développement des approches intégrées de lutte contre l’anémie (supplémentation en FAF, déparasitage et distribution de moustiquaire) chez les femmes enceintes et les enfants d’âge préscolaire (1-5ans) et scolaire dans les formations sanitaires, dans les écoles et au niveau communautaire ;
- Dépistage et prise en charge des cas.
C. N°3 : Amélioration de la sécurité alimentaire des ménages
- Promotion de la diversification de la petite production familiale (jardin potager/fruitier, pisciculture, petit élevage ;
- Diversification et amélioration de l’utilisation des aliments au niveau des ménages.
D. N°4 : Promotion de la sécurité sanitaire des aliments
- Renforcement de l’application de la législation sur le sel iodé ;
- Mise en place du code réglementant la commercialisation des substituts du lait maternel ;
- Mise en place du code réglementant la commercialisation des produits alimentaires et des boissons non alcoolisées auprès des enfants ;
- Promotion des normes et standards des aliments ainsi que des mesures d’hygiène de l’eau et des aliments;
- Renforcement du code du travail en vue de protéger la santé et la nutrition du nourrisson et du jeune enfant, ainsi que la nutrition et la santé des mères et des travailleurs en général (congés de maternité payés, prolongation de congés de maternité, création d’espace d’allaitement maternel dans les lieux de travail et lieux publics (des crèches « amis des bébés »….) ;
- Elaboration et promulgation des réglementations/normes nationales sur la fortification des aliments locaux ou importées.
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
- Evaluation de l’ampleur des maladies chroniques non transmissibles liée à l’alimentation (diabète, goutte, maladies cardiovasculaires (MCV), Surpoids/obésité et cancer) ;
- Prévention et gestion des carences nutritionnelles et des maladies de surcharge
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’activité physique ;
- Promotion des styles de vie sains ;
- Intégration de la nutrition dans la stratégie de lutte contre le VIH/SIDA – concernant l’allaitement maternel et substituts au lait maternel, l’alimentation de complément du jeune enfant, l’alimentation des personnes vivant avec le virus de sida tant au niveau sanitaire qu’au niveau des sites de nutrition communautaire ;
- Promotion du suivi du statut nutritionnel ;
- Prise en charge des cas de malnutrition ;
- Elaboration, adoption ainsi que la diffusion d’une stratégie nationale sur l’alimentation du nourrisson et du jeune enfant dans le contexte du VIH/Sida ;
- Intégration de l’alimentation du jeune enfant dans les guides et protocoles nationaux pour le conseil et le dépistage volontaire, la prévention de la transmission du VIH de la mère à l’enfant, ainsi que la prise en charge pédiatrique du VIH/SIDA.
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
- Supplémentation en micronutriments ;
- Promotion d’une collation fortifiée ;
- Déparasitage;
- Promotion des jardins potagers ;
- Promotion des services de restauration dont les cantines scolaires ;
- Promotion de l’éducation nutritionnelle (promotion de la nutrition et de l’hygiène) ;
- Promotion des « écoles amies de la nutrition ».
G. N° 7 : Intégration de la nutrition en milieu carcéral
- Supplémentation en micronutriments ;
- Déparasitage ;
- Promotion du suivi du statut nutritionnel ;
- Promotion des jardins potagers ;
- Promotion des bonnes pratiques nutritionnelles (promotion de la nutrition et de
- l’hygiène alimentaire) ;
- Prise en charge des cas de malnutrition.
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
- Mise en place d'un système d'identification des personnes âgées (65ans et plus) ;
- Définition d'une politique de suivi et de prise en charge nutritionnelle;
- Promotion de la consommation des fruits, des légumes et autres aliments riches en micronutriments ;
- Promotion de l’exercice physique.
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
- Promotion du droit à une alimentation et à une nutrition adéquate (quantité et qualité) ;
- Promotion de la notion de nutrition et de sécurité alimentaire des ménages auprès des décideurs ;
- Intégration de la lutte contre la malnutrition dans tous les programmes de développement ;
- Intégration des indicateurs de nutrition parmi les indicateurs de développement et de pauvreté.
Sensibilisation
- Promotion du changement de comportement durable de la population en matière de nutrition et santé (IEC, éducation nutritionnelle, …) à tous les niveaux ;
- Promotion des Actions Essentielles en Nutrition (AEN) ;
- Développement d’un système de communication qui prend en compte la promotion des bonnes pratiques nutritionnelles et la lutte contre les tabous et autres interdits alimentaires.
Mobilisation sociale
- Mobilisation de la communauté pour les activités de santé /nutrition (supplémentation en micronutriments, suivi promotion de la croissance, dépistage communautaire de la malnutrition….).
J. N°10 : Promotion de la recherche en matière de nutrition
- - Recherche opérationnelle
- - Recherche fondamentale
- - Recherche appliquée
K. N°11 : Développement des compétences en matière de nutrition
- Développement des connaissances des prestataires de services en matière de nutrition
- Amélioration des conditions des prestataires à la pratique des activités de la malnutrition (locaux, matériels, intrants, médicaments, personnel qualifié) ;
- Intégration des Actions Essentielles en Nutrition (AEN) notamment la prise en charge de la malnutrition, l’alimentation du nourrisson et du jeune enfant… dans le curriculum des écoles de formation médicale et paramédicale ;
- Renforcement des capacités des établissements sanitaires dans la prise en charge nutritionnelle selon les protocoles mis en place.
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
- Promotion de l’allaitement maternel ;
- Soutien alimentaire (surtout dans les zones affectés par des pénuries alimentaires) et supplémentation en micronutriments en priorisant les enfants, les femmes enceintes et allaitantes ;
- Renforcement des capacités des structures de prise en charge des cas de malnutrition ;
- Intensification et extension des activités de nutrition communautaire dans les zones exposées aux catastrophes naturelles avant une catastrophe pour assurer une bonne préparation à l’urgence et aussi après la catastrophe pour assurer une réhabilitation plus rapide des communautés affectées ;
- Intégration d’une dimension nutritionnelle dans les activités de réhabilitation, (ex. vivre contre travail (VCT), activi
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|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|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition in the school curriculum|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Vitamin B12|Other B-vitamins|Iodine|Iron and folic acid|Zinc|Fluoride|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC146623","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202010%20Politique%20Nationale%20de%20Nutrition.pdf"
"8216","IRN","Iran (Islamic Republic of)","","5th development plan","Multisectoral development plan with nutrition components","","","","2010","","2015","MOH","","2009","Adopted","","2009","Undersecretary for Health policy , MOH","Health|Trade","MOH Health, Trade: Ministry of Health, Ministry of Commerce","","","","Iran Nutrition Society","","","","","","Imam Khomeini Relief Foundation","","","","","","","","","","","","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|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Total carbohydrate|Fibre|Sugar intake|Added sugars|Fruit and vegetable intake|Fruits|Vegetables|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|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|Regulation on marketing of complementary foods|Nutrition in schools|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|School 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|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Menu labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of subsidies 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|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Nutrition education|Wheat flours|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|Nutritional care & support for people with TB|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","","","WHO Global Nutrition Policy Review 2009-2010",""
"39466","MYS","Malaysia","","National Strategic Plan for Non-Communicable Disease","NCD policy, strategy or plan with healthy diet components","","English","","2010","","2014","Ministry of Health Malaysia","","2010","Adopted","","2016","Ministry of Health Malaysia","Health|Food and agriculture|Education and research|Women, children, families|Development|Sport|Transport|Trade|Information|Other","Ministry of Health Malaysia, Ministry of Education, Ministry of Women, Family and Community Development, and other related ministries and government agencies","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","National NGOs","","Research/academia","Academia","Private sector","Federation of Malaysia Manufacturers (MAFMAG)","","Paediatric Society, Civil Society, Associated of Registered Childcare Providers of Malaysia","OBJECTIVES
The general objective of the NSP-NCD is to prevent or delay the onset of CVD and diabetes and their related complications, and to improve their management, thus enhancing quality of life of our population, leading to longer and more productive lifes.
The specific objectives are:
1. To raise the priority accorded to NCDs in development work at global and national levels, and to integrate prevention and control of such diseases into policies across all government departments;
2. To establish and strengthen national policies and plans for the prevention and control of NCDs;
3. To promote interventions to reduce the main shared modifiable risk factors for NCDs: tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol;
4. To promote research for the prevention and control of NCDs;
5. To promote partnerships for the prevention and control of NCDs;
6. To monitor NCDs and their determinants, and evaluate progress at the national, regional and global levels.
","Strengthening existing content & creating new content for health promotion addressing the main diabetes (NCD) risk factors; unhealthy eating and physical inactivity (other NCD risk factors will also be included). The main messages are:
- Increase the awareness of overweight and obesity as a major public health threat
- Inculcate healthy eating habits among Malaysians
- Inculcate active living (physical activity) / exercise among Malaysians
- Increase the awareness of other NCD risk factors and importance of early and regular screenings (family history, smoking status, mental stress, alcohol abuse, dyslipidaemia, hypertension and elevated blood glucose)
- Increase the awareness of Malaysians on total cardiovascular risks
Strengthening of the School Health programmes to include a component involving the family and community, in both health education and health-promoting activities, with emphasis on:
- Increase and re-orient physical education in the curricula
- Promote extracurricular physical activity
- Improve access to healthy food at schools
- Increase barrier to unhealthy food at schools
- School-based NCD risk factor screening & intervention
Strengthening of the Workplace-based Health programmes, in both health education and health-promoting activities, with emphasis on:
- Promoting physical activity
- Improve access to healthy food & increase barrier to unhealthy food
- Workplace-based NCD risk factor screening & intervention
Strengthening of the Community-based Health programmes, in both health education and health-promoting activities, with emphasis on:
- Promoting physical activity
- Improve access to healthy food & increase barrier to unhealthy food (e.g. Kafeteria Sihat and Pasaraya Sihat, or Healthy Cafeteria and Healthy Supermarket)
- Community-based NCD risk factor screening & intervention
Identification and involvement of all relevant stakeholders in strengthening Community-based health programmes in the promotion of healthy diet and physical activity.
Continue to collaborate with the food industries (including food technologists and retailers) to increase the production and promotion of low fat, low sugar foods.
Continue to establish partnerships with the media and advertising industries to promote the messages of healthy eating and being active, together with factual information on obesity and weight reduction. This includes engaging presenters/hosts and celebrities to use the ‘celebrity status’ as ‘role models’ for healthy eating and being physically active.
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Promotion of availability of fresh local fruits and vegetables, via subsidies for farmers, and to hold more regular fairs (e.g. Malaysian Agriculture, Horticulture & Agrotourism (MAHA) show in all states).
To continue to regulate and decrease the content of salt and sugar in all processed food and drink, via regulations and self-regulation by industries
","Table 3: Key Performance Index For NSP-NCD In Malaysia
Diabetes Mellitus (≥18 years):
No. NHMS III (2006) 11.6%
Proposed Target* (2016) <13.6%
Obesity (BMI ≥27.5kg/m2) (≥18 years):
No. NHMS III (2006) 26.2%
Proposed Target* (2016) <33.7%
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.moh.gov.my/images/gallery/nspncd/NSPNCD.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MYS%202010%20National%20strategic%20plan%20for%20NCD.pdf"
"14985","TJK","Tajikistan","","Poverty Reduction Strategy of the Republic of Tajikistan 2010-2012","Multisectoral development plan with nutrition components","","English","","2010","","2012","The Government of Tajikistan","","2010","Adopted","","2010","Government of Tajikistan","Education and research|Finance, budget and planning|Food and agriculture|Health|Social welfare|Sub-national|Trade","Ministry of Health, Ministry of Agriculture, Academy of Agricultural Sciences, Ministry of Economic Development and Trade, Local Authorities, Ministry of Education, Ministry of Finance, Ministry of Labour and Social welfare","","","","","The World Bank","","","","","","","","","","","","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.
- To make food available and accessible (economic and physical access) based on the sustainable development of the agricultural sector
- To ensure food security and to provide nutritional food for the population, particularly the more vulnerable segments
- To ensure a stable food supply
Expansion of access to the water, sanitation, and housing and municipal services
- Improve access to drinking water in compliance with government standards
- Improve access to basic sanitation and hygiene services
- Improve sanitation and hygiene conditions
Development of the Health Sector
- To improve child and maternal care
- To reduce child, infant and maternal mortality
- To facilitate breastfeeding
Development of the Educational System
- Promotion of equal access to basic education and other levels of education, taking into account students’ abilities
- Creating of conductive, healthy conditions for children (light, heating, sanitation and hygiene)
"," Food Security and Development of the Agricultural Sector
- Increase the efficiency of all agricultural sectors
- Improve the conditions for the development of rural entrepreneurial activity
- Provide guarantees and secure land use rights
- Provide equipment for information collection and evaluation in order to implement the Law ―On salt iodization
- Enrich processed flour with iron
- Support scientific research to supply laboratory equipment for food safety assessment
- Draft and/or adapt the recommended, temporary, national, physiological and sanitation standards for food quality and safety
Expansion of access to the water, sanitation, and housing and municipal services
- Protect public health zones
- Restore and rebuild the heating, sewage and water supply networks, interior plumbing systems and the water supply systems of towns, district centers and rural localities
- Develop and implement law on drinking water and water supply
- Improve and modernize the water distribution system
Development of the Health Sector
- Address medical problems related to nutrition
- Support scientific and practical research to ensure proper nutrition
- Take steps to prevent and treat malnutrition
- Implement State Guarantee Program and the norms of healthcare
- Facilitate breastfeeding
Development of the Educational System
- Support for children from poor families: arrange hot food and compensation for needy families
- Conduct a survey to determine the effectiveness of school meals
- Design a targeted program to organize school meals taking into account specific regional conditions
- Arrangement for a daily hot meal for students in the elementary grades
- Establish drinking water and heating sources
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
- Law developed and implemented
- Firs phase of program on ‘Improvement of drinking water supply of population 2007-2020’ Implemented
- Proportion of schools provided with water, heating system, sanitation and hygiene conditions meeting relevant standards: 50% by 2012
- Drinking water according to GOST in cities 96% and villages 51% by 2012
Development of the Health Sector
- Mortality of children under 5 years old (per 1000 birth): 37.0 by 2012
- Infant mortality under 1 year old (per 1000 birth): 35.0 by 2012
- Maternal Mortality (per 1000 birth): 60.0 by 2012
- % of population covered by State Guarantee Program
- Number and percentage of children who receive the services based on the principals of IBDOR
- Implemented Law on breastfeeding
- Number of events conducted on importance of breastfeeding
Development of the Educational System
- Proportion of children who receive hot meals: 55% by 2012
- Proportion of children who receive compensation: 15% by 2012
- Proportion of students (boys and girls) in elementary grades in urban and rural areas who receive hot meals at school
- Percentage of children covered by schools that have fulfilled the minimum standards
Organization of healthy nutrition
- Reduction in the level of diseases as a result of food, strengthening of legislation, regulations, laboratories and personnel
- Strengthening of the regulatory and legal framework
- Enhancement for laboratory and scientific research
- Reduction in the level of food-related diseases
- Development and implementation of a scientifically justified strategy for preparing healthy food for schoolchildren
","Outcome indicators|Process indicators","","Breastfeeding|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Iodine|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/PRS20102012FINALEnglish..pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202010%20PRS%202010-2012.pdf"
"23595","BWA","Botswana","","National Health Policy 2011","Health sector policy, strategy or plan with nutrition components","","","","2011","","2021","Ministry of Health","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Ministry of Local Government; Ministry of Infrastructure,Science and Technology; Ministry ofDefense, Justice and Security; Ministry of Transport and Communications; Ministry ofEducation and Skills Development; Ministry of Labour and Home Affairs; Ministry of Lands and Housing; Ministry of Environment, Wildlife and Tourism; Ministry of Finance and Development Planning; Ministry of Presidential Affairs and Public Administration; Ministry ofMinerals, Energy and Water Resources; Ministry of Youth, Sports and Culture; Ministry ofForeign Affairs and International Cooperation","","","","","","","","","National NGOs","","","","Private sector","","","","4.7.2.1 Goal
Increase access to affordable healthy food and promote healthy eating habits and increased physical activity in order to reduce malnutrition as well as preventing chronic diseases such as diabetes, cardiovascular disease, osteoporosis, etc.
4.7.2.2 Objectives
• To reduce obesity;
• To prevent children from obesity and malnutrition;
• To increase accessibility to affordable, healthy foodstuffs to all population particularly in deprived and rural areas; and
• To implement a physical exercise programme along with the health and wellness week in all work places and schools.
MDG Targets
1. Underweight children for under 5 (%) to reduce by half: baseline (1990-94) 17.0%; target (2015) 8.5%
","","","","","Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202011%20National%20Health%20Policy.pdf"
"23500","CMR","Cameroon","","Plan National de Développement Sanitaire ","Health sector policy, strategy or plan with nutrition components","","French","","2011","","2015","Ministère de la Santé Publique","","2011","Adopted","","","Le ministre de la santé publique","Food and agriculture|Health|Trade","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)|Plan International","","","","","","","","","","","","","","Cibles de couverture du niveau communautaire
Principales Interventions à haut impact, Couverture de base de qualité, Phase I 2011-2013, Phase II 2014-2015
1.5 Allaitement maternel exclusif (0-6 mois), 21%, 52%, 65%
1.6 Prise en charge thérapeutique de la malnutrition (< de 5 ans), 32%, 52%, 65%
2.6 Prévention et traitement de l'anémie ferriprive pendant la grossesse, 61%, 65%, 80%
2.8 Supplémentation en multi micronutriments pendant la grossesse, 0%, 65%, 80%
2.9 PTME (test, conseil, AZT et conseil sur l'alimentation du jeune enfant), 20%, 65%, 80%
2.19 Supplémentation en Vitamine A, 58%, 80%, 90%
3.2.4 Prise en charge de la diarrhée par le zinc, 1%, 65%, 70%
","Santé de la mère
- Supplémentation en micro nutriments (Fer, acide folique, calcium…)
- Supplémentation en micronutriments
- C Post natale :
- Examen de la mère et du nouveau né
- Le counseling en PF et l’allaitement
- Supplémentation en micronutriments (Vit A, fer, acide folique, …)
Santé de l’enfant
- PEC de la malnutrition - PEC communautaire de la malnutrition aigüe - Voir PCIME
- Fortification alimentaire en micronutriments - Voir PCIME Clinique
- Surveillance communautaire de la croissance de l’enfant - Voir PCIME communautaire
- Démonstrations diététiques en stratégies fixes et avancées - Voir PCIME clinique et communautaire
- Déparasitage des enfants - Voir PCIME clinique
Prévention primaire de la malnutrition et des maladies non transmissibles
- Alimentation et nutrition du jeune enfant
- Promotion de l’allaitement maternel et alimentation de complément
- Sensibilisation des femmes et des communautés à la pratique de l’allaitement maternel optimal
- Promotion des Actions Essentielles en Nutrition et des pratiques d’hygiène chez le jeune enfant
- Promotion de la surveillance de la croissance de l’enfant à base communautaire
- Promotion de la supplémentation en micro nutriments
- Contrôle et suivi de l’enrichissement des aliments
- Nutrition de la femme enceinte/mère allaitante
- Supplémentation en micronutriments (fer acide folique, calcium des femmes enceintes ou allaitantes, vitamine A postpartum)
- Contrôle de la supplémentation en micronutriments des femmes enceintes ou allaitantes
- Alimentation adéquate de la femme en âge de procréer pendant la grossesse et l’allaitement
- Promotion de l’alimentation de la femme allaitante et enceinte
- Prise en charge nutritionnelle des femmes enceintes/mères allaitantes VIH positives
- Promotion d’une alimentation saine et équilibrée aux femmes enceintes/allaitantes séropositives
- Prévention primaire des maladies non transmissibles à travers la nutrition et les Activités Physiques et Sportives
- Promotion de la consommation des fruits et légumes
- Promotion de la consommation des aliments adaptés et contrôlé
- Fortification alimentaire
- Suivi de la fortification des aliments
- Prévention de la sédentarité et de l’obésité
- Promotion des activités physiques et sportives
","","","","Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Calcium|Iron|Zinc|Food fortification|Deworming|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation","","http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/cameroon/pnds_2011-2015_14_juillet_2011_vf.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/2011%20CMR%20PNDS.pdf"
"25997","CMR","Cameroon","","Arrete Conjoint No. 2369 MINSANTE/MINIMIDT/MINCOMMERCE du 24 Aout 2011 Rendant d'Application Obligatoire la Norme sur la Farine de Froment Enrichie en Fer, Acide Folique, Zinc et Vitamine B12.","Legislation relevant to nutrition","","French","","2011","","","Republique du Cameroun","8","2011","Adopted","8","2011","Le Ministre de la Sante Publique ; Ie Ministre de l'Industrie, des Mines et du Developpement Technologique ; Ie Ministre du Commerce","Health|Trade|Industry","","","","","","","","","","","","","","","","","","","","","","Article 1er
Est à compter de la date de signature du présent arrêté, rendue d'application obligatoire la norme NC 01: 2000-03, Rev. 1 (2011) sur la farine de froment enrichie en fer, acide folique et vitamine B12.
Article 3-
(1) Les importateurs et les producteurs locaux sont tenus de disposer d'un certificat de conformité avant toute distribution et mise en consommation de leur produit sur le territoire national.
(2). Le certificat de conformité est présenté à toute réquisition des services publics compétents, notamment lors des opérations douanières d'importation.
----
Norme NC 01: 2000-03, Rev. 1 (2011):
1.1 La présente norme s’applique à la farine de froment enrichie en fer, acide folique, zinc et vitamine B12 destinée à la consommation humaine et dérivée du blé ordinaire, Triticum aestivum L., ou de blé ramifié, Triticum compactum Host., ou tous mélanges de ces derniers, livrée en vrac ou préemballée et prête à la vente aux consommateurs ou destinée à être utilisée en panification courante, panification spéciale, viennoiserie, pâtisserie et biscuiterie.
4.2.3 Teneur en éléments nutritifs essentiels La farine de froment enrichie en fer, acide folique, zinc et vitamine B12, doit présenter les taux d’enrichissement indiqués dans le tableau 3 ci-dessous :
Elements nutritifs essentiels Taux d’enrichissement en mg/kg
Fer (Fumarate) 60
Acide folique 5,0
Zinc (Oxyde de zinc) 95
VitamineB12 (Cyanocobalamine) 0,04
","Vitamin B12|Folic acid|Iron|Zinc|Food fortification|Wheat flours|Mandatory fortification|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Local products|Imported products","","http://extwprlegs1.fao.org/docs/pdf/cmr168783.pdf","","2nd WHO Global Nutrition Policy Review 2016-2017Document retrieved from FAOLEX Database: http://www.fao.org/faolex/en/","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR-2011-Arrete%20Conjoint%20sur%20la%20farine%20de%20froment.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR-2011-Arrete%20Conjoint%20sur%20la%20farine%20de%20froment.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:
- Percentage of target group trained
- Percentage of facilities equipped with relevant resources (child and adult mid-upper arm circumference [MUAC] tapes , height boards, weighing scales, food scales)
- Number of relevant supplies enlisted, ordered and stocked (vitamin A, iron/folate, zinc, therapeutic vitamin and mineral complex [CMV], ready-to-use therapeutic food [RUTF], fortified blended food [FBF])
- Number of guidelines, protocols, job aids and counselling cards) developed, distributed and used
- Number of laws enacted and regulations gazetted
- Number of IEC materials (posters, leaflets, DVDs) developed, distributed and used
- Level and reach of promotional and social marketing activities
- Number and distribution of surveillance sites operational
- National nutrition surveillance system operational
- Availability of survey results in all concerned agencies
- Percentage of health facilities offering adequate treatment of acutely malnourished children
- Percentage of maternity wards meeting the Ten Steps to Successful Breastfeeding
- Level of salt monitoring and testing
- Coverage of supplementation programmes
OUTCOME INDICATORS:
- Percentage of children 0–36 months old seen for any reason whose anthropometric measurements have been taken and whose mothers have received counselling on adequate nutrition
- Percentage of children who are exclusively breastfeeding at 6 months of age
- Percentage of children under 5 years old who are stunted
- Percentage of children who are still breastfeeding with appropriate complementary food at 12–15 months old
- Percentage of households who are using salt adequately iodised to 50–80 ppm
- Percentage of population knowing about and consuming vitamin A-rich foods
- Percentage of women who have received a vitamin A capsule postpartum
- Percentage of children 9 months to 6 years old who have received a vitamin A capsule within the past 6 months
- Percentage of women who have received iron supplementation for duration of pregnancy
- Number of under-5s receiving zinc supplements
- Percentage of population knowing and consuming zinc-rich foods
- Number of HIV-positive adults treated for malnutrition in outpatient facilities
- Number of HIV-positive adults treated for malnutrition in inpatient facilities
- Percentage of adult PLHIV with BMI < 18.5 kg/m2
- Number of people living with HIV receiving adequate counselling for appropriate nutrition15
- Increased proportion of children and adults at healthy body weight by 3 percentage points within 10 years
- Increase in diabetics with normal blood sugar readings
- Decrease in diabetics with continuous poor control over their blood sugar for over a period of 6 months
- Percentage of patients with hypertension with records of blood pressure in the previous 9 months
- Percentage of patients with hypertension in whom the last blood pressure (measured in the previous 9 months) is 150/90 or less
- Reduction of the prevalence of low birth weight babies to 10 percent of all live births
- Reduction of iodine deficiency rates among women of reproductive age
- Reduced HIV incidence and AIDS mortality rates
- Reduced incidence and mortality rates for vaccine-preventable diseases
- Increased immunization coverage rates
IMPACT INDICATORS:
- Percentage of children under 5 who are underweight
- Percentage of children under 5 who are stunted
- Percentage of children under 5 who are wasted
- Percentage of women of reproductive age who are well nourished
- Percentage of women with BMI < 18.5
- Percentage of pregnant women with haemoglobin < 10g/dl
- Proportion of children 8 – 12 years with urinary iodine below 100μg/l
- Proportion of children 8 – 12 years with urinary iodine below 50μg/l
- Percentage of children 6–60 months old receiving vitamin A supplementation in the previous 6 months
- Percentage of women given vitamin A supplementation postpartum
- Population-based percentage of overweight or obese adults, adolescents and children (BMI ≥ 25)
- Prevalence of hypertension
- Prevalence of diabetes mellitus
- Percentage of HIV-positive adults exiting treatment for SAM and MAM from malnutrition
- Percentage of relapse of malnutrition in HIV-positive adults
- Percentage of PLHIV in the “Working” category of the three WHO-recommended functional status categories
","","","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"
"22870","PHL","Philippines","","The Implementing Rules and Regulation of Republic Act No. 10028","Legislation relevant to nutrition","","English","9","2011","","","Department of Health, Republic of the Philippines","8","2011","Adopted","9","2011","","Finance, budget and planning|Health|Labour|Other|Trade","Bureau of Internal Revenue (BIR), Department of Health (DOH), Department of Labor and Employment (DOLE), Local Government Units (LGUs), Department of Trade and Industry (DTI)","","","","","","","","","","","","","","","","","","","","","Section 1. Title - These rules shall be known and cited as the Rules and Regulations Implementing Republic Act No.10028 also known as the """"Expanded Breastfeeding Promotion Act of 2009.
Section 2. Purpose - These Rules are promulgated to prescribe the procedure and guidelines for the Implementation of the Expanded Breastfeeding Promotion Act of 2009 in order to facilitate the compliance therewith and to achieve the objectives there of pursuant to Section 18 of RA 10028.
Section 3. Construction - These Rules shall be liberally construed and applied in accordance with and in furtherance of the policy and objectives of the law. In case of conflict and/or ambiguity, which may arise in the implementation of these Rules, the agencies concerned shall issue the necessary clarification.
Section 4. Declaration of Policy - The State adopts rooming-in as a national policy to encourage, protect and support the practice of breastfeeding. It shall create an environment where basic physical, emotional, and psychological needs of mothers and infants are fulfilled through the practice of rooming-in and breastfeeding. The State shall likewise protect working women by providing safe and healthful working conditions, taking into account their maternal functions, and such facilities and opportunities that will enhance their welfare and enable them to realize their full potential in the service of the nation. This is consistent with international treaties and conventions to which the Philippines is a signatory such as the Convention on the Elimination of Discrimination Against Women (CEDAW), which emphasizes provision of necessary supporting social services to enable parents to combine family obligations with work responsibilities; the Beijing Platform for Action and Strategic Objective, which promotes harmonization of work and family responsibilities for women and men; and the Convention on the Rights of the Child, which recognizes a child's inherent right to life and the State's obligations to ensure the child's survival and development. Breastfeeding has distinct advantages which benefit the infant and the mother, including the hospital and the country that adopt its practice. It is the first preventive health measure that can be given to the child at birth. It saves children from dying. It also enhances the mother-infant relationship. Furthermore, the practice of breastfeeding could save the country valuable foreign exchange that would otherwise be used for milk importation. Breastmilk is unequalled as the best food for infants because it contains essential nutrients completely suitable their needs. It is also nature's first immunization, enabling the infant to fight potential serious infection. It contains growth factors that enhance the maturation of an infant's organ systems' Towards this end, the State shall promote and encourage breastfeeding and provide the specific measures that would present opportunities for mothers to continue expressing their milk and/or breastfeeding their infant or young child.
","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food safety|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Functioning implementation and monitoring mechanism|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12092","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20The%20Implementing%20Rules%20and%20Regulation%20of%20Republic%20Act%20No.%2010028.pdf"
"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)","Objectives/Benefits/Outcomes:
Set up a comprehensive nutrition and physical activity scheme with initiatives targeted at various stakeholders and with an impact on the rate of obesity:
− Reduction in prevalence of obesity and overweight
− Increase in the rate of physical activity
− Enhanced nutritional status, which can be measured using a composite score like the FCS (Food Consumption Score) developed by the World Food Program
3.8 Women and child health
- Improved health of newborn, infants, and children
- Improved health of women, with a focus on targeted areas of need
- Outcomes
− A higher percentage of infants exclusively breast-fed for the first six months
− An enhanced prenatal care system focusing on appropriate prenatal care and guidance:
− Nutrition training and vitamin supplementation
− Prenatal screening and testing
− Suitable prenatal services provided in the community for low-risk pregnancies, with appropriate referral to secondary care
− Increased effective utilization of secondary prenatal services, concentrating on higher-risk pregnancies
− Enhanced postpartum care services, including evaluation and treatment for postpartum depression
− Nutrition guidelines for newborns, infants, and children
− A regularly updated and implemented childhood immunization program
− Enhanced screening for domestic violence
− Appropriate policy to support maternal and child health initiatives
− Enhanced screening programs for women
","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:
3.2.1 Health promotion in schools (link it to other projects like tobacco cessation)
3.2.2 Wellness promotion in the workplace, led by government offices with established health promotion programs
3.2.3 Media awareness campaigns for nutrition and physical activity
3.2.4 Prevention guidelines for healthcare services
3.2.5 Policies to reduce fast-food consumption
3.2.6 Government offices have established workplace health promotions
3.2.7 Promoting healthy food options (restaurants and key retail outlets)
Activities:
- Consolidate and align current school health initiative through a joint SCH, SEC, and PHC task force
- Provide a baseline measurement of existing school health programs
- Conduct benchmarking on school health programs internationally
- Design and pilot a school health promotion program
- Enable access to dietary services within provider settings (primary care)
- Assist at-risk patients with access to physical fitness services (e.g.,through subsidised volume contracts)
- Design and execute media awareness campaigns on nutritionand physical activity
- Benchmark workplace wellness programs, including local examples (e.g., QP)
- Align with occupational health
- Pilot corporate wellness programs with select organisations
- Design and enforce a policy initiative to mandate workplace wellness programs across all government offices
- Identify and implement best-practice policy initiatives on fast-food consumption and tailor them to the local context
- Perform baseline measurements (fast food, key retail outlets) on the existing availability of healthy food options
- Develop and implement a strategy to promote healthy food options (e.g., healthy food options on fast-food menu, education on healthy food choices)
- Ensure that food labelling meets standards, are easy to understand, and provide sufficient information on the healthiness of food
Project 3.8 Women and child health
3.8.1 Exclusive BF and complementary feeding education program
3.8.2 Enhancement of prenatal care services
3.8.3 Improved postpartum services
3.8.4 Maintained childhood vaccination coverage
3.8.5 Domestic violence victim support services available
3.8.6 Maternity leave policy reviewed and revised
3.8.7 Women’s health screening program
Activities:
- Launch a national awareness campaign regarding the importance of BF (exclusive BF for six months, but continued for one year)
- Support BF in the hospital setting during the immediate postpartum period
- Educate postpartum nurses on the importance of BF
- Ensure the presence of lactation consultants in the postpartum wards to support mothers
- Implement WHO infant and young child feeding guidelines
- Establish and disseminate national prenatal care guidelines based on best practice
- Incorporate education on BF into prenatal care programs
- Review current prenatal care services within primary care, identify gaps in workforce and infrastructure, and improve services as required
- Support management of low-risk prenatal care in the community or primary care setting
- Certify that appropriate referral practices are in place for effective utilization of all levels of care, including secondary prenatal care services being used for high risk pregnancies
- Review current postpartum care services, including screening for postpartum depression, and ensure adherence to best practice guidelines
- Evaluate the need for midwifery services
- Ensure regular review and update of the national childhood immunization program
- Develop and implement a policy mandating that students be up-to-date on
","Project 3.2 Nutrition and physical activity
Indicators:
- School health promotion set up
- Prevention guidelines and dietary services
- Physical fitness contracts
- Media awareness campaigns
- Workplace wellness
- Policy to mandate workplace wellness in government offices
- Policy initiatives to curb fast-food consumption
Project 3.8 Women and child health
- BF and complemen-tary feeding promotion
- Improved prenatal and postpartum services
- Improved coverage of childhood vaccination program (number of children and types of vaccines)
- Increased utilization of domestic violence counseling services
- New maternity leave policy
- Improved screening of women’s health issues
","","","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"
"8234","UGA","Uganda","","Uganda Nutrition Action Plan 2011-2016: Scaling Up Multi-Sectoral Efforts to Establish a Strong Nutrition Foundation for Uganda's Development","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2016","Government of Uganda","","2011","Adopted","","2011","presidential cabinet","Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Other|Trade","Government of Uganda Prime Ministry & Ministry of Public Service, Ministry of Agriculture, Animal Industry & Fisheries, Ministry of Health, Ministry of Education & Sports, Ministry of Trade and Cooperatives, Ministry of Gender, Labour & Social Development","","","","","","USAID, others development partners","","","","","","","","","","","5.1 Goal
The goal of the Uganda Nutrition Action Plan is to reduce malnutrition levels among women of reproductive age, infants and young children from 2011 through 2016 and beyond.
5.2 Objectives, Strategies, and Strategic Interventions
Objective 1: Improve access to and utilisation of services related to maternal, infant, and young child nutrition
Objective 2: Enhance consumption of diverse diets
Objective 3: Protect households from the impact of shocks and other vulnerabilities that affect their nutritional status.
Objective 4: Strengthen the policy, legal, and institutional frameworks and the capacity to effectively plan, implement, monitor, and evaluate nutrition programmes.
Objective 5: Create awareness of and maintain national interest in and commitment to improving and supporting nutrition programmes in the country.
","5.2 Objectives, Strategies, and Strategic Interventions
Objective 1: Improve access to and utilisation of services related to maternal, infant, and young child nutrition
Strategy 1.1: Promote access and utilisation of nutrition and health services to all women of reproductive age, infants, and young children.
Interventions
1) Promote and support health and nutrition education to increase the level of awareness of good nutrition.
2) Promote integration of nutrition services in all routine and outreach health services and programmes targeting children and mothers.
3) Manage nutrition for sick children, pregnant and lactating mothers, and other women of reproductive age.
4) Integrate the management of severe and moderate acute malnutrition into routine health services.
5) Promote utilisation of antenatal and postnatal care services among all pregnant and lactating mothers to monitor child growth, and the health and nutrition status of both the mother and the child.
6) Promote and support breastfeeding policies, programmes, and initiatives.
7) Promote and support appropriate complementary feeding practices.
8) Support and scale up community-based nutrition initiatives.
9) Promote proper food handling, hygiene, and sanitation through increased knowledge, use of safe water, and hand washing practices at household level.
Strategy 1.2: Address gender and socio-cultural issues that affect maternal, infant, and young child nutrition.
Interventions
1) Promote male involvement in family health services and in food security and nutrition programmes.
2) Advocate and seek solutions for reducing workload for all women, especially pregnant women and lactating mothers.
3) Address detrimental food taboos and norms that impair nutrition of women, infants, and young children.
Objective 2: Enhance consumption of diverse diets
Strategy 2.1: Increase access and use of diverse nutritious foods at household level
Interventions
1) Promote production and consumption of diversified nutritious foods at household and community levels.
2) Advocate for and support integration of nutrition in agricultural programmes at national and local government levels.
3) Increase consumption of both raw and processed nutritious foods.
4) Promote and support local food processing and value addition at household and community levels.
5) Promote and support the utilisation of safe labour-saving technologies at household and community levels.
6) Support on farm enterprise mix to promote stable diversified food production.
7) Promote production and consumption of indigenous foods to enhance diet diversification.
8) Promote positive indigenous dietary practices.
Strategy 2.2: Enhance post-harvest handling, storage, and utilisation of nutritious foods at household and farm levels.
Interventions
1) Promote and support adoption of post-harvest handling and storage technologies at household and community levels.
2) Provide an enabling environment to the private sector to manufacture, market, and distribute appropriate post-harvest handling and storage technologies.
Strategy 2.3: Promote the consumption of nutrient-enhanced foods.
Interventions
1) Promote production of fortified common staples by local manufacturers.
2) Promote production of bio-fortified varieties.
3) Promote consumption of nutrient-enhanced foods through increased awareness of their benefits.
4) Support local production of ready-to-use therapeutic and complementary food.
Objective 3: Protect households from the impact of shocks and other vulnerabilities that affect their nutritional status.
Strategy 3.1: Develop preparedness plans for shocks.
Interventions
1) Strengthen and scale up early warning systems on food and nutrition information from community to national levels.
2) Support and promote urban farming to serve the most vulnerable households in urban areas.
3) Develop, promote, and implement in a timely fashion a comprehensive package of nutrition services and food items to provide during emergencies and recovery periods.
4) Make integration of nutrition in all disaster management programmes mandatory.
5) Promote and support diversified production of drought-resistant crops including vegetables and raising of animals tolerant to heat stress at household and community levels.
6) Carry out sensitisation programmes for communities to raise their awareness of prevention, mitigation, and response to risks of malnutrition during shocks.
Strategy 3.2: Promote social protection interventions for improved nutrition.
Interventions
1) Provide social transfers to and support livelihoods for the most vulnerable households and communities.
2) Develop and implement programmes for special social assistance and for livelihood promotion and protection in areas with high levels of malnutrition.
3) Advocate for and promote school feeding programmes.
4) Manage cases of SAM by integrating care into routine health services and providing follow-up support and monitoring at household and community levels.
5) Promote social protection interventions for improved nutrition.
Objective 4: Strengthen the policy, legal, and institutional frameworks and the capacity to effectively plan, implement, monitor, and evaluate nutrition programmes.
Strategy 4.1: Strengthen the policy and legal framework for coordinating, planning, and monitoring nutrition activities.
Interventions
1) Fast-track enactment of the Food and Nutrition Bill, which will provide the statutory mechanism for establishing the FNC and its secretariat.
2) Revitalise and legalise the functionality of the FNC and establish its secretariat/coordinating unit.
3) Review the Food and Nutrition Policy to integrate emerging issues.
4) Revise the draft Uganda Food and Nutrition Strategy to align it with the prevailing national, regional, and global nutrition agenda and disseminate the Strategy widely.
5) Advocate for the enactment of bylaws and ordinances that promote nutrition and food security at district and sub-county levels.
6) Integrate nutrition issues into plans and budgets at all levels of governments by mainstreaming nutrition and creating vote functions for nutrition.
7) Support the development of nutrition curricula for all levels of education and training.
8) Advocate for establishment of lower and middle cadre nutrition courses in the education structure.
9) Review and integrate nutrition issues in the existing curricula of formal and non-formal education and in pre- and in- service training.
Strategy 4.2: Strengthen and harmonise the institutional framework for nutrition from local to central government levels.
Interventions
1) Review the country’s current institutional framework for nutrition and implement a suitable one.
2) Establish an interim multi-sectoral coordination mechanism for nutrition programming and M&E.
3) Strengthen human resource capacity for nutrition programming at all levels in all sectors.
Strategy 4.3: Strengthen human resource capacity to plan, implement, monitor, and evaluate food and nutrition programmes in the country.
Interventions
1) Design and implement a capacity-strengthening plan for nutrition programming at national, local government, and community levels.
2) Establish a food and nutrition M&E system for tracking performance of nutrition indicators and for timely decision-making.
3) Conduct a national food and nutrition baseline survey to establish up-to date nutrition baseline monitoring indicators.
4) Conduct periodic district-level food and nutrition surveys in vulnerable areas and among vulnerable populations.
5) Undertake mid-term and end-of-term impact evaluation of the UNAP.
6) Strengthen district-level food and nutrition surveillance systems.
Strategy 4.4: Enhance operational research for nutrition.
Interventions
1) Conduct formative research studies on best practices for nutrition.
2) Research, document, and disseminate findings on positive indigenous dietary practices.
3) Compile food composition data for all foods consumed in Uganda.
4) Identify and conduct research relevant to scaling up food and nutrition interventions.
5) Collate and share research findings and best practices for scaling up food and nutrition in Uganda.
Objective 5: Create awareness of and maintain national interest in and commitment to improving and supporting nutrition programmes in the country.
Strategy 5.1: Increase awareness of and commitment to addressing nutrition issues in the country.
Interventions
1) Develop and implement a nutrition communication strategy.
2) Produce annual policy statements and periodic policy briefs on the national food security and nutrition situation.
3) Commemorate nutrition-related events and take advantage of other opportunities to raise the profile of nutrition.
Strategy 5.2: Advocate for increased commitment to improving nutrition outcomes.
Interventions
1) Develop and implement a nutrition communication strategy.
2) Develop and implement a comprehensive and sustainable nutrition advocacy plan.
3) Produce and publish an annual report on the state of the food security and nutrition situation in the country.
","Key Nutrition Outcome Indicators
1. Stunting among under-5s: baseline 38%, target 32%
2. Underweight among under-5s: baseline 16%, target 10%
3. Underweight among non-pregnant women age 15-49 (BMI less than 18.5 kg/m2): baseline 12%, target 8%
4. Iron deficiency anemia among under-5s: baseline 73%, target 50%
5. Iron deficiency anemia among women age 15-49: baseline 49%, target 30%
6. Vitamin A deficiency among under-5s: baseline 19%, target 13%
7. Vitamin A deficiency among women age 15-49: baseline 20%, target 12%
8. Low birth weight (newborns weighing less than 2.5 kg: baseline 13%, target 9%
9. Exclusive breastfeeding to age 6 months (percentage of infants): baseline 60%, target 75%
10. Dietary diversification index (percentage calories consumed from foods other than cereals and starchy roots): baseline 57%, target 75%
11. Calorie consumption (average daily energy intake per capita): baseline 2,220 kcal, target 2,500 kcal
","","","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|Vitamin A deficiency|Maternal, infant and young child nutrition|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|Nutrition in schools|Provision of school meals / School feeding programme|Home grown school feeding|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Staple foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20Uganda%20Nutrition%20Action%20Plan.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.
","• % of national food requirements supplied by domestic production
• No. of rural households with calorie availablity < xxx/person/day
• % of low birth weights and stunted children under five years
• % of households eating < 2 meals/day
• % of population with anaemia, vitamin A and iodine deficiency
• % of pregnant women and children under 5 with specific nutrient/micro-nutrient deficiencies
• % of districts reporting food shortages
• % of land used for crops of high nutritional value
","Outcome indicators","","Low birth weight|Stunting in children 0-5 yrs|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Food safety|Food security and agriculture|Household food security|Food sovereignty|Vulnerable groups","","https://www.grain.org/media/W1siZiIsIjIwMTMvMDIvMjgvMTRfNDJfMTFfODBfVGFuemFuaWFfQ0FBRFBfUG9zdF9Db21wYWN0X0ludmVzdG1lbnRfUGxhbi5wZGYiXV0","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA-2011-TAFSIP.pdf"
"11543","ATG","Antigua and Barbuda","","Antigua and Barbuda Food and Nutrition Security Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","","Government of Antigua and Barbuda","","2012","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Sub-national|Other","THE GOVERNMENT OF ANTIGUA AND BARBUDA","Food and Agriculture Organisation (FAO)|Other|World Health Organization (WHO)","THE CARIBBEAN FOOD AND NUTRITION INSTITUTE (CFNI/PAHO/WHO), PAHO, WHO, FAO","","","","","","","","","","","","","","","The long-term goal of the Policy is to achieve sustainable food and nutrition security and to eliminate all forms of malnutrition in order to have a well-nourished and healthy population that can fulfil its aspirations to good health and economic well-being and effectively contribute to national socio-economic development.
Specific Objectives:
- Ensure that a sufficient quantity of nutritious food of appropriate quality is available to all people in Antigua and Barbuda, through increased domestic production and a sustainable level of imports, with special emphasis on a structured food import replacement programme (Food Availability).
- Ensure that all individuals in Antigua and Barbuda have access to adequate resources to acquire appropriate foods for a nutritious diet (Food Accessibility).
- Ensure that all individuals in Antigua and Barbuda reach a state of nutritional well-being through food choices and consumption that reflect Recommended Dietary Allowances (RDAs) (Food Utilization/Nutritional Status/).
- Ensure that all people in Antigua and Barbuda have access to adequate, safe and nutritious food at all times, are not at risk of losing access to it due to shocks, and consume/utilize foods that reflect physiological needs (Stability of Food Supply).
","- Increase household food production and trading
- Improve income generation and job creation opportunities Improve nutrition and food safety
- Increase safety nets and food emergency management systems
- Improve analysis and information management system
- Provide capacity building
- Hold stakeholder dialogue
","","","","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|Overweight in school children|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Capacity building for the Code|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ATG%202012%20FoodNutritionSecurityPolicyAG.pdf"
"23550","AZE","Azerbaijan","","Azerbaijan 2020: Look into the future concept of development ","Multisectoral development plan with nutrition components","","English","12","2012","","2020","Government of Azerbaijan- Presidential website","12","2012","Adopted","12","2012","President of Azeraijan","Cabinet/Presidency|Health|Food and agriculture|Trade","","","","","","","","","","","","","","Private sector","Food Producers","","","- Development of the agrarian sector, the strengthening of food security, expansion and development of trade and types of services and the improvement of the foreign trade and investment structure will be priority spheres.
- The production of eco-friendly agricultural and food products in the country will be stimulated. Also, purposeful measures will be taken to protect genetic reserves and biodiversity and to improve the production of saplings and seedlings, and breeding work.
","","","","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Biofortifcation|Food security and agriculture|Vulnerable groups","","http://www.president.az/files/future_en.pdf","Link to the adoption decree: http://ru.president.az/articles/7022","WHO 2nd Global Nutrition Policy Review","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AZE%202014-2020%20AZERBAIJAN%202020-%20LOOK%20INTO%20THE%20FUTURE-%20CONCEPT%20OF%20DEVELOPMENT.pdf"
"39419","BDI","Burundi","","Plan National d'investissement agricole","Food security or agriculture sector national policy, strategy or plan with nutrition components","","French","","2012","","2017","Ministere de l'Agriculture et de l'Elevage","","2011","Adopted","","2011","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Transport|Trade|Environment","Ministères ( agriculture, environnement, santé, finances)","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","Objectifs
- assurer la sécurité alimentaire pour tous,
- augmenter les revenus des ménages,
- procurer des devises,
- fournir la matière pour le secteur industriel et créer des emplois dans le secteur de la transformation et des services connexes à l’agriculture
","- Accroissement durable de la production et de la sécurité alimentaire
- Professionnalisation des producteurs et promotion de l’innovation
- Développement des filières et de l’agro-business
- Renforcement des institutions publiques
","pages 61-64
","Outcome indicators|Process indicators","","Underweight in children 0-5 years|Nutrition counselling on healthy diets|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202012%20Plan%20National%20D%27Investissement%20Agricole.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.
- Implementar, en lo relacionado con SAN, la Política Nacional de Sanidad Agropecuaria e Inocuidad de Alimentos para el Sistema de Medidas Sanitarias y Fitosanitarias, Conpes 3375 de 2005 y los Conpes 3376 de 2005, 3458 y 3468 de 2007; 3514 de 2008 y 3676 de 2010.
- Fortalecer la vigilancia en salud Pública
- Lograr una acción articulada intra e itersectorial en torno a la SAN con la participación de todos los actores que en ella intervienen.
- Dimensión de los medios económicos
- Contar con una adecuada oferta del grupo de alimentos prioritarios establecidos en este plan Garantizar el acceso al grupo de alimentos prioritarios
- Calidad de vida y bien - estar
- Lograr que la población colombiana consuma una alimentación completa, equilibrada, suficiente y adecuada
- Mejorar el nivel de aprovechamiento y utilización biológica de alimentos
","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"
"17873","COG","Congo","","Décret nº 2012-674 du 24 mai 2012 portant création, attributions, organisation et fonctionnement de la commission nationale de fortification des aliments","Legislation relevant to nutrition","","French","","2012","","","Government","5","2012","","","","","Health|Finance, budget and planning|Trade|Industry","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","","","","","Il est créé, dans le cadre de la lutte contre les carences en vitamines et minéraux, une commission nationale de fortification des aliments, placée sous l’autorité conjointe des ministres chargésde l’industrie, du commerce et de la santé. Elle est présidée par le ministre chargé de l’industrie. La commission est chargé, notamment, de : définir les normes en matière de fortification des aliments; proposer au Gouvernement les mesures réglementaires devant régir la production, l’importation, la commercialisation et le transit des aliments fortifiés; élaborer et mettre en oeuvre un plan de communication et de marketing social pour la promotion de la consommation des aliments fortifiés; définir les mécanismes de contrôle de qualité et de la conformité à la norme des aliments fortifiés en vitamines et minéraux, commercialisés en République du Congo; susciter et entretenir l’engagement du Gouvernement, des industriels et des partenaires au développement, pour assurer le soutien institutionnel, matériel et financier nécessaire pour garantir la pérennité du processus national de fortification des aliments; proposer des plans d’action et des mécanismes de mobilisation des ressources requises pour leur exécution; développer et mettre en oeuvre un plan de recherche sur la fortification des aliments en vitamines et minéraux; suivre et évaluer la mise en oeuvre du processus national pour la fortification des aliments.
","Mandatory fortification|Local products|Imported products|Subsidies for production","","","","ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX, the legislative database of the FAO Legal Office. FAOLEX No: LEX-FAOC113981. http://faolex.fao.org.","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%202012%20Fortification%20des%20Aliments.pdf"
"22902","COG","Congo","","Décret nº 2012-674 du 24 mai 2012 portant création, attributions, organisation et fonctionnement de la commission nationale de fortification des aliments","Legislation relevant to nutrition","","French","","2012","","","Government","5","2012","Adopted","5","2012","Président de la République","Finance, budget and planning|Health|Industry|Trade","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","","Il est créé, dans le cadre de la lutte contre les carences en vitamines et minéraux, une commission nationale de fortification des aliments, placée sous l’autorité conjointe des ministres chargésde l’industrie, du commerce et de la santé. Elle est présidée par le ministre chargé de l’industrie. La commission est chargé, notamment, de : définir les normes en matière de fortification des aliments; proposer au Gouvernement les mesures réglementaires devant régir la production, l’importation, la commercialisation et le transit des aliments fortifiés; élaborer et mettre en oeuvre un plan de communication et de marketing social pour la promotion de la consommation des aliments fortifiés; définir les mécanismes de contrôle de qualité et de la conformité à la norme des aliments fortifiés en vitamines et minéraux, commercialisés en République du Congo; susciter et entretenir l’engagement du Gouvernement, des industriels et des partenaires au développement, pour assurer le soutien institutionnel, matériel et financier nécessaire pour garantir la pérennité du processus national de fortification des aliments; proposer des plans d’action et des mécanismes de mobilisation des ressources requises pour leur exécution; développer et mettre en oeuvre un plan de recherche sur la fortification des aliments en vitamines et minéraux; suivre et évaluer la mise en oeuvre du processus national pour la fortification des aliments.
","Food fortification","","http://faolex.fao.org/cgi-bin/faolex.exe?database=faolex&search_type=query&table=result&query=ID:LEX-FAOC113981&format_name=ERALL&lang=eng","","Summary obtained from FAOLEX. FAOLEX No: LEX-FAOC113981","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202012%20D%C3%A9cret%20Cr%C3%A9ation%20commission%20nationale%20de%20fortification%20des%20aliments.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:
- To improve the nutritional status of women of reproductive age (15-49 years)
- To improve the nutritional status of children under 5 years of age
- To reduce the prevalence of micronutrient deficiencies in the population
- To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
- To improve access to quality curative nutrition services
- To improve prevention, management and control of diet related NCDs
- To improve nutrition in schools, public and private institutions
- To improve nutrition knowledge attitudes and practices among the population
- To strengthen the nutrition surveillance, monitoring and evaluation systems
- To enhance evidence-based decision-making through research
- To strengthen coordination and partnerships among the key nutrition actors and mobilize essential resources
","Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Activity:
- Provide IFA supplements to adolescent girls and pregnant women
- Provide supplementary foods to pregnant and lactating women according to the admission criteria on integrated management of acute malnutrition guidelines
- Conduct routine weight Monitoring and appropriate counseling for the pregnant women
- Procure and distribute nutritional commodities and equipment to health facilities.
- Conduct nutrition education on healthy dietary practices to Women of reproductive age
- Review, develop, print and disseminate and distribute guidelines
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Activity:
- Scale up Baby Friendly Hospital Initiative (BFHI)
- Baby Friendly Community Initiative (BFCI)
- Sensitize women of reproductive age (WRA)
- Sensitization on the importance of exclusive breastfeeding for the first six months of baby’s life
- Support monitoring of the Code of Marketing of Breast milk Substitutes
- Advocate workplace support of breastfeeding mothers
- Train and equip health workers to promote appropriate infant and young child feeding practices
- Provision of BCC/IEC (ACSM) materials to the Health facilities and communities
- Sensitize WRA on timely introduction of optimal complementary foods with continued breastfeeding for at least two years
- Promote proper hygiene practices, and timely seeking of health care
- Train HWs, CHEWs and CHWs on new growth standards and CHANIS
- Equip Health Facilities and community units with anthropometric equipment
- Provide monitoring and reporting tools
- (CHANIS, MCH booklet and job aids)
- provide children aged 6-59 months with two doses a year of Vitamin A supplements
- Provide multiple micronutrients powder for children 6-59 months
- Review, develop, print and disseminate and distribute guidelines
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Activity:
- Review, develop and disseminate national micronutrient deficiency prevention and control strategy and guidelines
- Train service providers on micronutrients deficiency prevention and control strategies including logistic and supply chain management
- Advocate and create public awareness on food fortification, supplementation and dietary diversification
- Scale up and strengthen the existing strategies of micronutrient supplementation at all levels
- Procure and distribute micronutrient supplements (VAS, MNPs and IFA)
- Scale up fortification of widely consumed food stuffs
- Monitor the quality of fortified foods regularly at all levels
- Conduct M&E of micronutrient deficiency prevention and control interventions
- Train CHEWs and CHWs on micronutrient deficiency prevention and control strategies
- Review of policy to include use of CHWs in delivery of micronutrient supplements
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Activity:
- Build the capacity of the counties to develop nutrition response plans
- Review, develop and disseminate guidelines for disaster preparedness, response and management of nutrition emergencies
- Conduct nutrition surveillance in emergency affected areas
- Map partners, review and develop TORs
- Hold and document regular joint planning and review meetings
- Timely provision of food and non-food items
- Scale up delivery of essential nutrition services (High Impact Nutrition Interventions)
- Capacity strengthening of health workers to provide nutrition care and support at all levels
- Mobilize resources for emergency response
- Develop, disseminate and implement the national monitoring plan for nutrition commodities in emergency
- Monitor food safety of nutrition commodities for use in emergencies
- Create public awareness on importance of nutrition in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Activity:
- Review, develop and disseminate national guidelines on nutritional care in the management of common diseases
- Mobilize resources for nutritional care and treatment for common diseases
- Train health workers on clinical nutrition management
- Procure and distribute essential nutrition commodities (micronutrient supplements, therapeutic milks and feeds) and equipments (anthropometric and others)
- Develop and disseminate nutrition commodities monitoring plan
- Monitor food safety of nutrition commodities
- Conduct M&E of curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Activity:
- Review, develop and disseminate a comprehensive strategy and guidelines for prevention, management and control of dietrelated NCDs
- Train service providers on prevention, management and control of diet-related NCDs
- Create public awareness on the importance of prevention, management and control of diet-related NCDs
- Map partners, review and develop TORs
- Hold and document regular joint planning and review meetings
- Conduct M&E of diet-related NCDs
- Conduct screening for noncommunicable diseases
- Scale up community screening for BMI and waist circumference
Strategic objective 7: To improve nutrition in schools, public and private institutions
Activity:
- Conduct situation analysis on school/institutional feeding including the Early Childhood Development Education Centres(ECDE), Daycare centres
- Review, develop and disseminate nutrition guidelines for school and other institutions
- Mainstream basic nutrition training in all schools and other institutions
- Implement appropriate nutrition interventions (school meals, micronutrient supplementation, nutrition assessment, de-worming among others) in schools and other institutions
- Mobilize resources to sustain optimal institutional feeding programmes
- Integrate nutrition education in school curricula at all levels
- Conduct M&E of nutrition interventions in schools and other institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Activity:
- Conduct situation analysis on school/institutional feeding including the Early Childhood
- Development Education Centres(ECDE), Daycare centres
- Develop, print and disseminate national nutrition advocacy, communication and social mobilization (ACSM) strategy at all Levels
- Train service providers on communication and advocacy skills
- Review, develop, print, disseminate and distribute IEC materials
- Mark national/ international Nutrition Days (World Breastfeeding Week, African Food and Nutrition Security Day, Iodine Deficiency Disorders Day, Malezi Bora among others)
- Promote optimal nutrition through all channels of communication at all levels
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Activity:
- Launch and Implement M & E framework for the nutrition sector
- Define and Integrate core Nutrition indicators in HIS/KNBS/NMEF- VISION 2030
- Review, develop and disseminate guidelines and tools on surveillance, M&E
- Conduct data audits at all levels
- Develop and disseminate quarterly nutrition bulletins
- Hold feedback meetings among nutrition stakeholders at all levels
- Update and maintain national nutrition website
- Review, and disseminate Nutrition M&E tools based on new information
- Train all health managers and service providers on use of DHIS and interpretation of M&E data
- Conduct support supervision at all levels
Strategic objective 10: To enhance evidence-based decision-making through research
Activity:
- Establish nutrition research committee with clear terms of reference at county level
- Conduct need-based research to inform policy, programme design and implementation
- Mobilize resources to address critical gaps in nutrition research
- Disseminate research findings to key stakeholders at all levels
- Support relevant research institutions (equipment, laboratory supplies and technical support) to conduct nutrition research
- Procure and distribute equipment (Computers, printers, copiers, scanners and external hard discs)
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Activity:
- Map partners, review and develop TORs
- Hold and document regular joint planning and review meetings to align the annual nutrition planning process to the nutrition action plan.
- Mobilize financial and human resources for nutrition interventions at all levels
","Output Indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
- % of pregnant women who take iron and folic acid supplements for at least 90 days during pregnancy
- % of pregnant and lactating women with MUAC < 21 cm receiving supplementary food
- % of pregnant women monitored for their weight
- Proportion of health facilities with nutrition commodities and equipment for maternal nutrition interventions
- No. of maternal nutrition guidelines disseminated in use at county level
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
- % of Health facilities certified as Baby Friendly
- % of community units that are implementing Baby Friendly Community Initiative
- % of infants who are breastfed within one hour of birth
- % of children < 6 months who are breastfed exclusively
- % of companies/suppliers complying with the Code of Marketing of Breast Milk Substitutes
- % of agencies/companies which support breastfeeding in the workplace
- % of health workers trained on appropriate infant feeding practices per county
- % of health facilities per county provided with Behaviour Change Communication/Information, Education and Communication (BCC/IEC) materials
- % of children aged 6-23 months who are consuming 3+ or 4+ food groups per day (dietary diversity)
- % of children < 5 years whose growth is monitored
- % of children < 5 years screened at community level and referred for nutrition management
- Proportion of health facilities equipped with anthropometric equipment and reporting tools
- % of children aged 6-59 months receiving Vitamin A supplements twice a year
- % of children < 5 years with diarrhoea who are treated with zinc supplements
- % of children aged 6-59 months receiving multiple micronutrient powders as per recommended dose
- No. of infant and young child feeding guidelines in use at County level
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
- # of health workers at all levels trained on prevention, management and control of micronutrient deficiencies
- No. of advocacy workshops on micronutrient interventions conducted at all levels
- No. of micronutrient intervention campaigns (Radio, TV, Community etc) launched
- Proportion of U5 children who receive multiple micronutrient supplements
- % U5 children supplemented with vitamin A
- % of women of reproductive age supplemented with iron and folic acid
- % of households consuming adequately fortified foods in the country
- % of widely consumed basic commodities which are fortified with necessary micronutrients
- No. of private sector actors/industries fortifying their foods products as per the national guidelines
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
- Proportion of counties with emergency nutrition response plans
- Number of counties reporting on a timely basis on nutrition surveillance
- Number of counties holding regular coordination meetings
- Proportion of facilities experiencing no stock-outs of essential nutrition commodities
- Proportion of health facilities offering the essential nutrition services package
- Number of health workers in emergency districts trained on essential nutrition services package.
- Proportion of counties mobilizing resources for nutrition emergency response
- Number of counties meeting the SPHERE standards on IMAM and national targets on IFE
- National nutrition commodities monitoring plan developed and disseminated for use by the counties
- Proportion of counties implementing the nutrition commodities monitoring plan used during emergencies
Strategic objective 5: To improve access to quality curative nutrition services
- Number of agencies integrating nutritional care standards in their plans
- Proportion of resources committed to nutrition care services
- Number of health workers trained on curative nutrition services
- Number of community individuals and private sector players sensitized on quarterly basis
- Proportion of health facilities providing curative nutrition services
- Proportion of facilities experiencing no stock-outs of essential nutrition commodities
- Reduced inpatient length of stay
- National nutrition commodities monitoring plan developed and disseminated for use by the counties
- Proportion of counties implementing the nutrition commodities monitoring plan
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases.
- Proportion of counties implementing nutrition guidelines on NCDs
- Proportion of the population who are screened for non-communicable diseases
- Proportion of Counties conducting sensitization meetings on healthy diets and physical activity
- % no. of population whose BMI is monitored regularly
Strategic objective 7: To improve nutrition in schools, public and private institutions
- Situation analysis on school/ institutional feeding conducted, documented and disseminated
- School/institutional feeding guidelines reviewed and disseminated
- Proportion of schools and institutions mainstreaming basic nutrition in their operations
- Number of counties holding stakeholders’ meetings on sustainable institutional feeding programmes
- Proportion of counties monitoring nutrition interventions in schools and institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
- Formative and periodic assessment reports available and disseminated
- Proportion of Counties implementing ACSM strategy
- Proportion of service providers trained on nutrition communication and advocacy skills
- Number and type of nutrition communication materials developed and disseminated at all levels
- Proportion of counties marking Nutrition Days
- Proportion of media houses disseminating nutrition messages
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
- # Core nutrition indicators integrated into HIS, KNBS, NMEF for Vision 2030
- Surveillance protocol and reporting formats disseminated and implemented
- Surveillance protocol and M&E tools (reporting formats etc.) available online
- Number of nutrition bulletins disseminated annually
- # of nutrition stakeholder forum held at county level to support and strengthens feedback mechanisms
- Number of nutrition M&E tools disseminated
- Proportion of health facilities reporting quality nutrition data
- Proportion of counties conducting scheduled support supervision visits
- Proportion of county health facilities equipped with facilities for data entry and analysis
Strategic objective 10: To enhance evidence-based decision-making through research
- Nutrition Research Coordinating Committee established and executing its appropriate mandate
- Number and type of nutrition priority research studies conducted and disseminated among relevant nutrition stakeholders
- Number of agencies and institutions making decisions based on empirical evidence for nutrition intervention programming and planning
- Number and type of best-practices documented and disseminated for evidence-based programming
- Facilities equipped with facilities for data entry and analysis
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
- Number of inter- and intra-sectoral coordination meetings held at all levels
- Number of functional nutrition coordination committees in place and executing their mandates at all levels
- Number of new partners supporting nutrition activities at all levels
- Proportion of counties integrating nutrition priorities in their county plans
- % of the resource mobilized for nutrition activities from government and partners against the budget activities
Outcome indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
- % reduction of Vitamin A deficiency among women of reproductive age
- % reduction of iron deficiency among women of reproductive age
- % reduction of iodine deficiency among women of reproductive age
- % reduction of overweight and obesity among women of reproductive age
- % reduction of zinc deficiency among women of reproductive age
- % reduction underweight among women of reproductive age
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
- % reduction of children <5 years with malnutrition (stunting, wasting, underweight, obesity)
- % reduction of children< 5 years who are micronutrient deficient (iron, vitamin A, zinc, Iodine)
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
- Decreased prevalence of micronutrients deficiencies
- Decreased prevalence of Vitamin A deficiency by 5%
- Decreased prevalence of iron deficiency by 10%
- Decreased prevalence of iodine (goiter rate) deficiency by 1%
- Increase in the population knowledge on micronutrient deficiency and curative and preventive measures
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
- Improved nutritional status of populations in emergencies
- Reduced morbidity and mortality of the affected population
Strategic objective 5: To improve access to quality curative nutrition services
- Proportion of population accessing curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
- % reduction of incidences of noncommunicable diseases
- % of population screened for noncommunicable diseases
- % reduction of population prevalence rates for obesity and overweight
- % of population with normal range BMI
- % of households consuming diversified diets
Strategic objective 7: To improve nutrition in schools, public and private institutions
- % of pupils in Primary Schools with adequate nutrition status
- % population in public institutions with adequate nutrition status
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
- % of population adopting healthy diets and lifestyle
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
- % health facilities nationwide conveying accurate and complete monitoring data to central level
- # of core nutrition indicators included in HIS, NMEF, MTEF planning and budgeting framework
- Coordination and information exchange strengthened among nutrition stakeholders
Strategic objective 10: To enhance evidence-based decision-making through research
- Evidence based nutrition interventions planned and programmed
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
- Increased human, financial and material resources allocation by government and partners to support nutrition activities
","","","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"
"36226","KWT","Kuwait","","Kuwait Action PIan for SFA intake reduction and TFA Elimination. Kuwait Salt lntake Reduction Strategy Preliminary Plan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2018","","","2012","","","","","Health|Food and agriculture|Consumer affairs|Trade|Industry","","","","","","","","","","","","","","","","","","","Kuwait Action Plan for SFA intake reduction and TFA Elimination
Program 2 Regulatory:
2.1- Food labeling regulations
2.1.a- Review the current GSO regulation for food and nutrition labeling
2.2- SFA and TFA standards
2.2.a- Review GSO proposal for SFA and TFA standards
2.2.b- Inform Standards Committee in Kuwait to request GSO to study the proposed recommendations
2.3. National policies on Food Subsidies
2.3.1 Review current food subsidy policy(ies)
2.3.2 Requested lifting of subsidy on full fat dairy produce, cooking oils Specified lifting of subsidy on full fat cheese (4 different Qrpes of cream cheese).
2.4 Develop guidelines on governmental procurement policies for reducing intake of SFA and banning the use of TFA in governmental Institutions (MOH hospitals, Ministry of Defense, Ministry of Interior, public authorities, schools and universities)
2.5Regulations on Food advertising
Kuwait Salt Intake Reduction Strategy Preliminary Plan
legislative:
Activate and adapt the following technical regulations: - labeling of prepackaged food stuffs (GSO s lzoL3l - Requirements of nutritional labeling (GSO 2233120721)
Review the types and quantities of subsidized food items
Taxing high salt food items
Cooperation between the two ministers to monitor school canteens and prevent selling of high salt food items
","","","","Saturated fat intake|Trans fat intake|Sodium/salt intake|Nutrition in the school curriculum|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Taxation on unhealthy foods|Removal of subsidies on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/KWT_NCD_KWT_B17_Action%20PIan%20for%20SFA%20%20reduction%20and%20TFA%20Elimination%202012-2018.pdf","","",""
"40732","NAM","Namibia","","Namibia’s Fourth National Development Plan 2012/13 to 2016/17","Multisectoral development plan with nutrition components","","English","","2012","","2017","Office of the President National Planning Commission","","2012","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Labour|Other","Office of the President National Planning Commission, Home Affairs","","","","NGO service providers","Other","Bank of Namibia","","","National NGOs","","","","","","","","Desired Outcome 3 (DO3): By 2017, Namibians have access to a quality health system, both in terms of prevention, cure, and rehabilitation, characterised by an improvement in healthy adjusted life expectancy (HALE) from baseline 57 (2011) to 59 (2017).
Desired Outcome 4 (DO4): By 2017, the proportion of severely poor individuals has dropped from 15.8% in 2009/10 to below 10%.
Desired Outcome 9 (DO9): Agriculture experiences average real growth of 4% per annum over the NDP4 period.
","The drivers of health outcomes are multifaceted and include factors such as income, sanitation, education and health service provision. It is important to recognise the need for multi-sectoral approach that include not only the health sector, but also improvements in poverty, education, sanitation, food security (through agriculture) and infrastructure.
","","","","School-based health and nutrition programmes|Provision of school meals / School feeding programme|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20NDP4_0.pdf"
"11533","SLE","Sierra Leone","","Sierra Leone National Food and Nutrition Security Policy 2012 - 2016","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Ministry of Health and Sanitation","","2012","Adopted","","","SUN","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade","Ministry of Health and Sanitation, MAFFS, MEST, MOFED, MFMR and MOTI","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","SUN","Helen Keller International (HKI)","NGOs and Faith Based Organisations, NFFA","","","","","","","Research/academia","schools, research and training institutions, SLARI and Njala University","Private sector","food production parties","Other","Nutrition Technical Committee; Small scale farmers, relevant organizations that could provide storage, facilities, resources; banks, microfinance institutions, mass media","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:
- Communicate nutrition policy at national and district levels
- Develop mechanism to involve other sectors in formulation of food and nutrition activities at national and district levels
- Develop a continuous programme for dissemination of information to key decision makers at national and district levels
- Explore avenues within programmes of relevant sectors to integrate nutrition using the “Nutrition Lens” (NL) approach7
SO 2 Strategies:
- Ensure availability of adequate and appropriate technologies together with improved agricultural inputs at the appropriate time especially for the poorer groups
- Expand Operation Feed the Nation programme9 to cover all vulnerable districts
- Integrate nutrition activities into the Farmer Field School programme, which is designed for decentralized community-based market organizations10 or Agricultural Business Centres.
- Establish partnership with consumer protection organisations
- Strengthen and implement community based agriculture extension services
- Collaborate with private sector to improve food storage, processing with value addition, marketing and distribution systems for local markets
- Document, promote and improve indigenous food processing techniques and their use at the household level
- Train communities on different food processing, preservation and packaging techniques
- Promote food diversification in communities and at all levels
- Identify and implement income generating ventures which are sustainable for rural women
- Encourage and provide support for dry-season gardening for vulnerable households to ensure access to food supplies all year round.
- Strengthen and implement national food standards and laws including code and guidelines on food safety and hygiene for locally produced and imported foods
SO 3 Strategies:
- Develop, adopt and implement Code on Marketing of Breast Milk Substitutes
- Promote and strengthen the implementation of Baby Friendly Hospital Initiative (BFHI) and Baby Friendly Community Initiative (BFCI)
- Support the promotion of exclusive breast feeding for HIV - exposed infants aged 0 – 6 months and continuous breast feeding until 12 months while complementary food is added at 6 months and mother continues to take triple ARV or lifelong ART.
- Promote complete weaning from breast milk at 12 months for HIV- exposed infants while mothers who do not yet require ART for their own health should stop triple ARV one week after the cessation of all breast feeding.
- Promote appropriate complementary feeding for children from six months to two years, and optimum feeding practices for children 2-5 years
- Develop nutrition messages aimed at decision makers in households (fathers, grandmothers)
- Integrate feeding counseling for pregnant and lactating women into antenatal, post natal and outreach services.
- Support adequate dietary and nutritional intake as part of successful treatment programme for persons with TB and/or HIV through provision of nutritional counseling and linking individuals to services
SO 4 Strategies:
- Ensure mass distribution/routine of vitamin A capsule to children 6-59 months of age and postpartum women
- Ensure routine de-worming of children 12-59 months and pregnant women in the second trimester
- Intensify the delivery of the integrated ante-natal, post natal and family packages using available structures at community level.
- Promote the production and consumption of locally available micronutrient-rich foods.
- Fortify widely consumed foods such as wheat flour and locally produced complementary foods with iron, B vitamins, vitamin A and other appropriate minerals
- Collaborate with relevant programme managers to strengthen and implement packages (ante-natal, post natal and family)
- Ensure that all salt for human and animal consumption is fortified with adequate levels of iodine
- Strengthen other public health measures to protect the vulnerable groups, such as increased access to potable water and sanitation facilities
- Ensure that all health and other relevant personnel are trained on the appropriate application of guidelines for the nutritional management of people living with HIV/AIDS (PLHIV) and tuberculosis (TB) patients.
- Use Essential Nutrition Actions (ENA) to consolidate the technical content of the various nutrition messages to serve as the basis for education and information sharing
- Promote and implement community based Growth Monitoring and Promotion (GMP)
- Use all available channels of communication1 for public education on food and nutrition
SO 5 Strategies:
- Ensure effective therapeutic and supplementary feeding for sick and malnourished children based on local foods
- Establish functional nutrition units comprising nutrition and catering staff and headed by a nutritionist/dietician in all hospitals
- Revise national protocol on CMAM Conduct training and capacity building activities for health workers and health volunteers to equip them to implement the CMAM approach and protocols as well as supplementary feeding.
- Use all available channels of communication for sensitizing communities on availability of services for malnourished children
- Scale up the Community-Based Integrated Management of Child Illness (CBIMCI) initiative in all districts of the country
- Create awareness and mobilize communities to utilize available nutrition services within the PHUs
- Conduct training and capacity building activities for health workers and health volunteers on nutritional assessment, education and counseling with specific focus on PLWHA and TB clients including infant feeding.
- Scale up nutritional rehabilitation of malnourished PLWHA and TB clients (incl. support for affected households where necessary), as well as livelihood activities to enable continuum of care
SO 6 strategies:
- Develop early warning system incorporating food security and nutrition status indicators
- Adapt child growth chart using the new 2006 WHO standards
- Promote and implement Community based Growth Monitoring and Promotion (CBGMP)
SO 7 strategies:
- Collaborate closely with researchers to identify and carry out action oriented research on food and nutrition issues.
- Ensure that appropriate nutrition issues are incorporated into national surveys
- Collaborate closely with researchers in conducting nutrition surveys
SO 8 Strategies:
- Develop and implement appropriate structures to implement and coordinate nutrition activities
- Strengthen linkages among key stakeholders to enhance effective implementation of nutritional activities including food security
","","","","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|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|Fruit and vegetable intake|Fruits|Vegetables|Minimum dietary diversity of women|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|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|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|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|Vitamin A|Vitamin B12|Micronutrient supplementation|Nutrition education|Wheat flours|Rice|Staple foods|Complementary foods|Biofortifcation|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","","","The Food and Nutrition Security Implementation Plan has been aligned with the WHA Global Nutrition Targets as follows: 1) Stunting (baseline: 34%, 2017 target: 28.5%); 2) Anaemia in women of reproductive age (baseline: 45%, 2017 target: 36%), anaemia in children (baseline: 76%, 2017 target: 51%); 3) Low birth weight; 4) Child overweight (baseline: 8%, 2017 target: 5.6%); 5) Exclusive breastfeeding (baseline: 32%, 2017 target: 60%); and, 6) Wasting (baseline: 6.9%, 2017 target: 4.8%).","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLE%202012%20Sierra%20Leone%20Nutrition%20Policy%20pdf%20version.pdf"
"22867","SLE","Sierra Leone","","Sierra Leone Food and Nutrition Security Policy Implementation Plan 2012-2016","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Government of Sierra Leone","9","2012","","","","","Health|Food and agriculture|Education and research|Social welfare|Trade|Environment|Industry|Justice|Other","Standards Buerau, Decentralization Secretariat (DECSEC), Ministry of Energy and Water Resources, Ministry of Information, Ministry of Local Government, National Commission for Social Action (NaCSA), Sierra Leone Agricultural Research Institute (SLARI), Sierra Leone Roads Authority (SLRA)","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","National NGOs","Network of HIV Positives (NETHIPS)","","","Private sector","Banks/ Micro-finance Institutions","","","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
- To advocate to policy makers, policy advisors and programme designers at national and district levels on nutrition issues and its relationship to national development
- To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy daily dietary needs of the population
- To promote adoption of appropriate feeding practices of households
- To strengthen preventive measures against nutrition related diseases
- To promote provision of curative services to individuals who are either malnourished or present a condition requiring diet therapy
- To institute nutritional surveillance system for monitoring the food and nutrition situation in the country
- To promote operational research and periodic surveys into food and nutrition issues
- To coordinate activities of relevant agencies involved in food and nutrition issues
Nutrition Indicator Targets of the implementation plan
- Stunting 28.5%
- Underweight 13.1%
- Wasting 4.8%
- Overweight 5.6%
- Child mortality 98/1000 live births
","Strategic interventions
2.1 Priority Food and Nutrition Interventions
1. Improve breastfeeding and complementary feeding
- Early initiation of breastfeeding
- Exclusive breastfeeding
- Complementary feeding
2. Increase micronutrient intake
- Vitamin A supplementation and fortification
- Iron folate supplementation and fortification
- Zinc in ORS for diarrhoea treatment
- Iodine fortification
- Micronutrient Powders
- Consumption of micronutrient rich foods
3. Improve diarrhoea and parasite control
- Household water treatment
- Hand washing with soap and water
- Food safety and hygiene
- Insecticide Treated Nets (ITN) distribution
- Intermittent Preventive Treatment for pregnant women (malaria)
- Deworming
4. Treatment of acute malnutrition
- Treatment of <5 children with SAM
- Treatment of < 5 children with MAM
5. Improve household food security
- Household Food production
- Consumption of diversified foods
- Food processing and value addition
- School feeding
- School gardens
- Kitchen gardens
- Food/Cash for work, Cash transfer
- Blanket feeding for <2s
- Blanket feeding for lactating and pregnant women
- Supplementary feeding for malnourished Lactating &Pregnant women, all pregnant teenage girls and mothers with multiple births
6. Improve maternal nutrition
- Family Planning
- Nutrition education
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
- Nutrition for PLHIV/AIDS/TB & OVCs
- NCDs preventive measures
","Indicators of each priority intervention
1. Improve breastfeeding and complementary feeding
- Timely initiation of breastfeeding within one hour of birth
- Infants 0-5 months exclusively breastfed
- Children 6-23 months old with minimum acceptable diet
- Timely initiation of semi/sold foods at 6 months
2. Increase micronutrient intake
- Children < 5 years with Vitamin A deficiency
- Children 6-59 months with anaemia
- Women 15-49 years with anaemia
- Prevalence of stunting among children < 5 years
- School aged children with low urinary iodine (less than 100 μg/l)
3. Improve diarrhoea and parasite control
- Prevalence of diarrhoea among children <5
- Malaria prevalence among children under five years
- Prevalence of anaemia among pregnant women
- Children < 5 infected with Soil Transmitted Helminths
4. Treatment of acute malnutrition
- SAM prevalence among children 6-59 months
- GAM prevalence among children 6-59 months
5. Improve household food security
- Food consumption score
- Food diversity score
- Post-harvest loss score
- Value added products seen in the market
- Household expenditure on food
- Incidence of low birth weight
- Prevalence of underweight among children <2 years
6. Improve maternal nutrition
- Average age at first pregnancy among women 20-49 (years)
- Median number of months since preceding birth
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
- Prevalence of malnourished PLHIV
- OVCs 5-18 years food insecure
- Prevalence of malnutrition among TB patients
- Prevalence of overweight and obesity in women
- Prevalence of NCDs (diabetes, hypertension, coronary heart disease)
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","http://scalingupnutrition.org/wp-content/uploads/2013/04/Sierra-Leone-Food-and-Nutrition-Policy-Implementation-Plan-2012-2016.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Sierra-Leone-Food-and-Nutrition-Policy-Implementation-Plan-2012-2016.pdf"
"14872","YEM","Yemen","","National Agriculture Sector Strategy 2012- 2016","Food security or agriculture sector national policy, strategy or plan with nutrition components","","","","2012","","2016","Ministry of Agriculture and Irrigation","","2012","","","","","Education and research|Environment|Food and agriculture|Other|Sub-national|Trade","Ministry of Agriculture and Irrigation Ministry of Agriculture and Irrigation","United Nations Development Programme (UNDP)","UNDP","","","","","","","National NGOs","","","","Private sector","","","","Vision Statement: The agriculture sector in Yemen will play the primary role in raising rural incomes and creating jobs, and increasing food security, while protecting the environment and natural resources.
Objectives
The overall objective of the agriculture sector is to increase growth, sustainability, and equity by raising agricultural output, and to increase rural incomes, particularly for the poor. More specifically, the objectives in the agriculture sector are to:
- Raise domestic food production through improvement in input supply, increased farmer awareness, and greater availability of agricultural credit;
- Lead efforts to fight poverty in the rural community through higher income to farmers and increased rural employment;
- Preservation of the environment and natural resources, and activating the role of community participation to ensure sustainability.
- Improve marketing efficiency and decrease post harvest losses and development of exporting capacities
","To achieve these overall objectives, it is important that development of the agriculture sector include the following strategic elements:
- Given the scarcity of arable land, the emphasis will be on raising productivity in both crop and livestock production
- More efficient use of water in irrigated agriculture through adoption of modern irrigation techniques, and increase efforts to expand rain-fed agriculture
- An increased role for rural women in meeting food needs and protecting the environment
- Watershed management, terraces rehabilitation and wadi banks protection
","","","","Nutrition sensitive actions|Food security and agriculture","","http://www.agriculture.gov.ye/PDF/NASS_Final_March2012_%20En.pdf","Policy approved by the Cabinet on 13/3/2012 by the Cabinet Decree No. (37 – 2012)","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/yemen/putting-policies-in-place","https://extranet.who.int/nutrition/gina/sites/default/filesstore/YEM%202012%20NationalAgricultureStrategy_2012-2016.pdf"
"14829","ZWE","Zimbabwe","","Food and Nutrition Security for Zimbabwe in the context of Economic Growth and Development","Comprehensive national nutrition policy, strategy or plan","","","","2012","","","Food and Nutrition Council","","2012","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Sport|Trade|Transport|Women, children, families","Food and Nutrition Council Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Sport, Trade, Transport, Women, children, families: Labour and Social Services, Energy,","","","","","","","","","","","","","","","","","Policy Commitments
1. Policy Advice and Analysis:
The government of Zimbabwe is committed to ensuring that policy instruments that protect and enhance food and nutrition security particularly amongst the most vulnerable, are formulated and inform Government and non-Government decision-making and action.
2. Agriculture and Food Security:
The Government of Zimbabwe is committed to ensuring food security for all, including access to adequate, diverse and nutritious food by all people at all times
3. Social Assistance and Social Protection:
The government of Zimbabwe is committed to ensuring that where social protection including social assistance programmes are implemented , these must contribute and enhance food and nutrition security of the most vulnerable in the short and medium term.
4. Food Safety and Standards:
The government of Zimbabwe is committed to the provision of safe and wholesome food to all. Consequently, all food whether imported or locally produced shall meet national Public Health legislation and international standards for quality and safety.
5. Nutrition Security:
The government of Zimbabwe is committed to ensuring nutrition security for all through the implementation of evidence-based nutrition interventions that are integrated within a broad public health framework including health services, water and sanitation.
6. Food and Nutrition Security Information:
The Government of Zimbabwe is committed to ensuring a national integrated food and nutrition security information system that provides timely, reliable information on the food and nutrition security situation, effectiveness of programmes and informs decision-making.
7. Enhancing and strengthening national capacity for food and nutrition security:
The Government of Zimbabwe is committed to enhancing and strengthening national capacity in food and nutrition security primarily through supporting and reinforcing local community capacity and responsibility for food and nutrition security, applied context-specific research and learning and multi-sectoral professional training in food and nutrition security
","","Activity and Output (Quartely):
- Performance and capacity of integrated food and nutrition security team
- Resources for food and nutrition security mobilised
- Trainings for food and nutrition security held
- Food and nutrition security interventions in place
- Learning and scale-up achieved
Outcome (Annually):
- Socioeconomic policies in place that promote equity in food and nutrition security
- Food security
- Social assistance
- Food safety and Standards
- Nutrition security
- Information: Assessment, analysis and early warning
- National capacity for food and nutrition security
- Sector-specific policies and strategies in place
Impact (Every 3-4 years):
- Prevalence of stunting (<-2 Z scores height for age)
- Prevalence of underweight (<-2 Z scores weight for age)
- Prevalence of wasting (<-2 Z scores weight for height)
- Prevalence of thinness among women aged 15- 49 (BMI<18.5) l Prevalence of obesity among women aged 15- 49 (BMI >25)
- Prevalence of micronutrient deficiencies
- Percentage of households living below poverty line
- Percentage food insecure households
- Food diversity/ consumption score
- Child mortality, access to clean water, adequate sanitation
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Maternal, infant and young child nutrition|Breastfeeding in difficult circumstances|Nutrition in schools|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Food labelling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"23744","BLZ","Belize","","National Plan of Action for the Prevention and Control of non-Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2023","Ministry of Health","","2013","","","","","Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Trade","Ministry of Health","Other|World Health Organization (WHO)","PAHO","","","","","","","National NGOs","","","","Private sector","","","","To reduce premature mortality from NCDs the chronic disease burden by 25% by 2023. This will be achieved by combining integrated action on NCD risk factors and their underlying determinants and strengthen health systems so as to reduce NCD morbidity & mortality.
","Risk factor reduction, health promotion and communications:
Objectives
- To stimulate inter-sectoral action that promotes the availability, accessibility and consumption of healthy foods by the Belizean public.
- To develop and implement policies and strategies that promote physical activity.
Activities
- Review Food & Nutrition Security policy ensuring the inclusion of salt reduction, saturated fats, trans fats & sugar
- Continue the efforts with the Bureau of Standards in food labelling
- Develop/revise school physical education and nutrition policies
- Implement and monitor policies related to alcohol, tobacco, physical education, nutrition and healthy eating
- Devise and implement a comprehensive health communication strategy
- Vendor education, industry dialogue and support for the voluntary reduction of salt, fat and sugar in locally produced food
- Support population-based,community and work-based initiatives for physical activity and health living
- Maintain social mobilization activities such as Wellness Week, Caribbean Nutrition Day to engage more people in healthier living
- Engage media in the promotion of NCD agenda e.g.increasing public awareness on diet and physical activity; voluntary regulation of alcohol advertising and promotion, especially ads aimed at young people, particularly during primetime
- Operational Food & Nutrition Security policy by end 2015
- Operational policies to support healthy eating and physical education in schools by end 2015
- Policies to reduce the impact on children of marketing of foods &non-alcoholic beverages high in saturated fats, trans fatty acids, free sugars, or salt by end 2023
","- 10% relative reduction in the prevalence of insufficiently physically active adolescents, defined as less than 60 minutes of moderate to vigorous intensity activity daily b by end 2030 (baseline: tbd)
- Age-standardised prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruit & vegetables per day(baseline total/males/females: <2/day)
- Age-standardised prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol Q5.0 mmol/l or 190 mg/dl); and mean total cholesterol concentration(baseline (%) total/males/females: 5.1/4.1/6.0)
- 10% reduction in sedentarism by end 2023 (baseline adults (%) total/males/females:
77.7/75.4/80.4)
- 0% increase in adult and/or overweight, obesity and Type II diabetes by end 2023 (baseline diabetes (%) total/males/females:13.1/8.3/17.6); baseline overweight/obesity (%): 66.3/59.2/80.4)
- 25% relative reduction in the prevalence of raised blood pressure by 2023 (baseline (%) total/males/females: 28.7/28.6/24.4)
- 0% increase in the prevalence of overweight and obesity in adolescents by end 2023
","","","Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Food labelling|Regulating marketing of unhealthy foods and beverages to children","","http://www.iccp-portal.org/sites/default/files/plans/Belize%20NCD%20Strategic%20Plan%20-2013-2023.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLZ_2013_NPAPCNCDs.pdf"
"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
- Federation BiH is committed to creating an environment and other necessary conditions for best start in life for every child, including particularly nutrition of pregnant women, nursing mothers, children under five years of age, and children from marginalised groups.
- Federation BiH is encouraging an integrated approach in activities of all sectors which, through their direct or indirect involvement, affect the nutrition of children. This includes both commitment and responsibility of all sectors to contribute by their policies and activities to optimal growth, development and health of children.
- For this reason, the Government of the Federation BiH calls on all sectors and partners to jointly participate, following the principle “health in all policies”, in creating and implementing policies, strategies, standards and rulebooks, which will constitute a legal basis for ensuring optimal nutrition of children, and thereby enable their proper growth, development and health.
- Federation BiH is committed to improving access to and the quality of information and services that protect, promote and support optimal nutrition and eating habits, in line with national and international recommendations and standards.
- FBiH is particularly committed to protection and promotion of exclusive breastfeeding of infants up to six months of age, timely and adequate complementary feeding, as well as the adoption and implementation of the International Code of Marketing of Breast-milk Substitutes.
- Support to improving child nutrition will be achieved through the existing health care system, with an emphasis on expanding the network of baby-friendly and child-friendly hospitals, counselling services, and promotion of integrated early childhood development services, as well as through other sectors within their respective scopes of remit.
- Federation BiH is committed to the continuous monitoring of diet, nutrition and health status of infants and children, as well as evaluation of the results of the measures undertaken with the aim of their improvement.
- In order to prevent diseases resulting from inadequate nutrition, including diseases caused by lack of micronutrients, Federation BiH will pay particular attention to development of specific programmes and measures to reduce the risk of these diseases.
- In order to achieve this, it is necessary to involve participants from all sectors, wider community and parents who have an impact on the nutrition of infants and children
","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:
- Advocacy and raising awareness of professionals, decision-makers and the public on the importance of adequate child nutrition for proper growth and development, prevention of diseases, particularly mass non-communicable chronic diseases resulting from inadequate nutrition, as well as achievement of full development potential.
- Ensuring accessible and high quality services, counselling and information for pre-pregnant and pregnant women, mothers and children, and implementation of integrated programmes and activities for improvement of child nutrition, with a focus on breast feeding protection and improvement as well as appropriate, safe and timely complementary feeding practices alongside nutrition programmes that will be implemented in crèches, preschools, schools and other institutions in collaboration with the health sector.
- Training and informing professionals, particularly in the health sector, education sector as well as sectors important for food production and trade, media and consumers.
- Providing safe and good quality nutritious foods through sustainable food production and supply system, proper nutritional composition of foods aimed at infants and children as well as strengthening the segment pertaining to food safety and quality.
- Protecting children and their families from the pervasive effect of marketing of foods that are high in salt, sugar and fat, and supporting initiatives to changing existing practices with the aim of improving the nutritional profile of processed foods.
- Strengthening and improving the information system for monitoring and evaluation pertaining to food and nutritional status of children, with a focus on child growth and nutritional status that are related to the dietary habits and behaviours.
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"
"25991","BFA","Burkina Faso","","Arrete Interministeriel N°2012-0232 MICA/MS/MEF/MAH portant enrichissement obligatoire des huiles végétales raffinees en vitamine A et de la farine de blé tender en fer et en acide folique","Legislation relevant to nutrition","","French","","2013","","","Gouvernment de Burkina Faso","10","2012","Adopted","10","2012","Le Ministre de l’Industrie, du Commerce et de l’Artisanat, Le Ministre de la Santé, Le Ministre de l’Economie et des Finances, Le Ministre d l’Agriculture et de l’Hydraulique.","Health|Food and agriculture|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","","","","","L'article 1: L'enrichissement des huiles comestibles raffinées en vitamine A et de la farine de blé tendre en fer/acid folique visés par présent arreté est rendu obligatoire sur le territoire national conformément aux normes nationales dont la liste figure ans les tableaux ci-dessous:
*Voir Tableau 1 et 2*
","Vitamin A|Folic acid|Iron|Food fortification|Wheat flours|Edible oils and margarine|Mandatory fortification|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","http://extwprlegs1.fao.org/docs/pdf/bkf165715.pdf","","2nd WHO Global Nutrition Policy Review 2016-2017Document retrieved from FAOLEX Database: http://www.fao.org/faolex/en/","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA-2012-Arrete%20interministeriel%20des%20huiles%20et%20de%20la%20farine.pdf"
"26151","BFA","Burkina Faso","","Arrêté interministériel N°2013/MS/MASA/MEF/MICA, portant règlementation de l’importation, de commercialisation et de l’utilisation du sel au Burkina Faso","Legislation relevant to nutrition","","French","","2013","","","MINISTERE DE LA SANTE, MINISTERE DE L’AGRICULTURE ET DE LA SECURITE ALIMENTAIRE, MINISTERE DE L’ECONOMIE ET DES FINANCES, MINISTERE DE L’INDUSTRIE, DU COMMERCE ET DE L’ARTISANAT","","2013","Adopted","","","Gouvernement de Burkina Faso","Health|Food and agriculture|Finance, budget and planning|Trade|Industry","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 1 : le présent arrêté vise à règlementer l’importation, la commercialisation et l’utilisation du sel au Burkina Faso.
Article 2 : tout sel importé et commercialisé sur le territoire national doit être iodé.
Article 9 : la non observation des dispositions des articles 4, 5, 8 ci-dessus constitue des infractions passibles de sanctions administratives, pénales et pécuniaires.
","Iodine|Food grade salt|Mandatory fortification|Mandatory salt iodization|Sanctions exist","","","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202013%20Arr%C3%AAt%C3%A9%20Sel%20iod%C3%A9_0.pdf"
"17834","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2015","Government of the Federal Democratic Republic of Ethiopia","","2013","Adopted","","","National Nutrition Coordination Body (State Ministers of Health, of Education, of Industry, of Water and Energy, of Trade, of Agriculture, of Labour and Social Affairs, of Finance and Economic Development, and of Women, Children and Youth Affairs)","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry","","","","","","","","","","","","","","","","","","Strategic Objective 1: Improve the nutritional status of women (15-49 years) and adolescents (10-19 years)
- 2015 Targets:
- Reducing the proportion of adolescent girls aged 15-19 with a BMI<18.5 from 36% to 25%
- Reducing the prevalence of anaemia among pregnant women from 22% to 12%
Strategic Objective 2: Improve the nutritional status of infants (0-6 months), young children (6-24 months) and children under 5 years
- 2015 Targets:
- Increase the proportion of infants 0-6 months old who are exclusively breastfed from 52% to 70%
- Increase the proportion of breastfed children aged 6-23 months with the mnimum acceptable dietary score from 4% to 20%
- Reduce the prevalence of Bitot’s spots in children aged 6-59 months from 1.7% to less than 0.5%
- Reduce the percentage of children 6-12 years old with median urinary iodine concentration of less than 100µg/l to below 50%
- Increase the proportion of households using iodized salt from 15.4% to 95%
- Reduce the prevalence of anaemia in children 6-59 months from 44% to 25%
- Increase zinc supplementation in the treatment of diarrhoea from 5%to 50%
- Maintain coverage of vitamin A supplementation /de-worming at over 90%
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
- Targets:
- Increase the proportion of households consuming fruits and vegetables by 30%
- Increase fruit and vegetable production from 894,000 (2011) tons to 5,905,000 tons by 2015 to improve food diversification at community level
- Increase potable water coverage from 60% to 76%
- Increase the proportion of primary schools with school gardening to 25%
- Increase the proportion of schools that provide biannual de-worming to 60%
Strategic objective 5: Improve multisectoral coordination and capacity to ensure implementation of the NNP
- 2015 targets:
- Increase the proportion of the health development army (HAD; women) trained iun the preparation of complementary food to 60%
- 100% of nutrition sensitive sectors will integrate nutrition in their annual work plan in line with NNP
- 100% of nutrition sensitive sector ministries will assign nutrition focal persons for the sector
- Conduct five National Nutrition Coordinating Body (NNCB) meetings (two meetings per year)
- 100% of the regions will establish a Regional Nutrition Coordinating Body and technical committee
","","Impact Objectives: Improve Nutritional status of women and children
- Proportion of under 5 children with height-for- age Z-score below -2 SD (Prevalence of stunting) (2010/ 2011(Baseline): 44.4%, 2012/ 2013 target: 38%, 2014/15 target: 30 %)
- Proportion of under 5 children with weight-for- age Z-score below -2 SD (Prevalence of under-weight) (2010/ 2011(Baseline): 28.7%, 2012/ 2013 target: 25%, 2014/15 target: 21%)
- Proportion of under 5 children with weight-for- height Z-score below -2 SD (Prevalence of wasting) (2010/ 2011(Baseline): 9.7%, 2012/ 2013 target: 7%, 2014/15 target: 3 %)
- Proportion of women of reproductive age (15-49 years) with BMI <18.5 (2010/ 2011(Baseline): 27%, 2012/ 2013 target: 24%, 2014/15 target: 19%)
- Proportion of newborns who weighed less than 2.5 kg at birth (2010/ 2011(Baseline): 10.8%, 2012/ 2013 target: 11%, 2014/15 target: 9 %)
(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"
"26009","GIN","Guinea","","Arrete No. A/2013/6547/MSHP/CAB/DRH Modifiant l'arrete No.684/PM/SGG/ du 14 Fevrier 2001, Portant Utilisation du Sel Iode dans la Prophylaxie des Troubles dus a la Carence en Iode (TDCI) ","Legislation relevant to nutrition","","French","","2013","","","Journal Officiel de la Republique de Guinée","","2013","Adopted","12","2013","Ministre de la Santé, du Commerce, de l'Industrie, de l'Economie, du Budget, de l'Agriculture, de l'Elevage, de la Pêche et de la Décentralisation.","Health|Food and agriculture|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","","","","","Article 1er: Le présent arrêté a pour objet de contrôler la production, l'importation, la commercialisation et l'utilisation du sel alimentaire iodé pour renforcer la lutte contre les troubles dus à la carence en iode (TDCI) et promouvoir la santé de la population en Guinée.
Article 8:
La teneur du sel en iode, exprimée en parties par million (ppm) ou mg/kg, doit être comprise dans les limites suivantes:
- 30-60 ppm d'iode, soit 50,6-101,2 ppm d'iodate de potassium, en poids sec, à la production, à l'importation et à l'exportation;
- 20-60 ppm d'iode, soit 33,7-101,2 ppm d'iodate de potassium, en poids sec, à la vente (magasins de dépôt et de vente, marchés, supermarchés, et superettes).
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","","","2nd WHO Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN-2013-Utilisation%20du%20sel%20iode.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","","","","","","","","PLAN OF ACTION FOR PREVENTION AND CONTROL OF CHRONIC DISEASES AND THEIR RISK FACTORS
GOAL: TO PREVENT AND REDUCE THE BURDEN OF CHRONIC DISEASES AND RELATED RISK FACTORS IN GUYANA
…
2. Healthy eating (INCLUDING THE REDUCTION OF TRANS FAT AND REFINED SUGAR INTAKE)
Objective To stimulate intersectoral action that promotes the consumption of safe, healthy, tasty foods in Guyana
Expected result 2.1) Legislation, regulations, multisectoral policies, incentives, plans, protocols and programmes developed and implemented to promote food security and healthy eating. For example: a) POS #7 CFNI,CARDI) and the regional intergovernmental agencies to enhance food security, b) POS # (CRNM) supports pricing and tariffs to assure that healthy foods are available at affordable prices, c) )Reduction of transfat from the food supply b) National nutritional and quality criteria for food manufacturers in keeping with regional standards e) POS #9 Userfriendly food labeling
Indicators:
2.1.1) Legislation and regulations, multi-sectoral policies, incentives, plans, protocols and programmes that aim to improve dietary and lifestyle behaviours by 2016 supported by CARPHA
2.1.2) Incentives or disincentives to increase healthy eating and physical activity by 2016
2.1.3) Guyana adopts CROSQ developed regional standards for salt, fat and sugar content on imported and locally produced foods by 2016
2.1.4) All imported and locally produced foods with required nutritional labeling by 2016
Activities:
2.1.1.1) Food policy review at country level
2.1.1.2) Recommended legislation and regulations to improve diet and physical activity adapted, debated and enacted
2.1.2.1) Design and implement Incentives Program (taxes and subsidies) for producers and buyers - that subsidize low calorie nutritious foods, preferably local
2.1.4.1) Policy dialogue with local food manufacturers and fast food restaurants to ensure their use of national dietary guidelines in product development and menus
2.1.5.1) Develop and implement trans fat free policies and programmes by 2015
Expected result 2.2) National nutrition standards and food based dietary guidelines for school meals and food sold at workplaces and institutions
Indicators:
2.2.1) Model nutritional standards for schools, workplaces and institutions developed by 2013
2.2.2) Adopt and implement food based dietary guidelines in at least 2 sectors by 2015.
Activities:
2.2.1.1) Implement food based nutritional dietary guidelines in schools, workplaces and institutions
Specific Objective 2.3) POS# 12 A comprehensive public education campaign to promote balanced diet
2.3.1) Comprehensive public education campaigns to promote: healthy eating in 2013, 2014 and 2015
Objective 3. Healthy eating including reduction in salt intake
Expected result 3.1) Salt content of processed and prepared foods reduced.
Indicators:
3.1.1) Bureau of Standards adopts CROSQ standards for salt by 2016
3.1.2 National Nutrition Strategy to reduce salt and fat content of processed and prepared foods implemented (including in schools, workplaces and fast-food outlets) by 2016.
Activities:
3.1.2.1) Advocacy to local food manufacturers, fast food restaurants and importers to reduce the salt content of their products
Expected result 3.2) Salt consumption of the population reduced.
Indicators:
3.2.1) Salt consumption declines by 20% by 2020 ( WHO recommends less than 5grams of salt or 2 grams of sodium per person per day)
3.2.2) Use baseline and on going sampling for tracking salt consumption in population starting in 2014.
Activities:
3.2.1.1) Design and mount a public education campaign about the risk of salt to health, not to add salt at the table, and healthy, tasty alternatives.
3..2.2.1) Implement population based surveys to track salt consumption
","","","","","Sodium/salt intake|Regulation/guidelines on types of foods and beverages available|Food-based dietary guidelines (FBDG)|Food labelling|Menu labelling|Reformulation of foods and beverages|Salt/sodium|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/GUY_NCD_GUY_B3_CNCD-Strategy-2020__August_2013-Final.pdf","","WHO Noncommunicable Disease Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GUY%202013%20CNCD-Strategy-2020__August_2013-Final.pdf"
"36100","ISL","Iceland","","Action plan to reduce the prevalence of obesity","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Icelandic","","2013","","","Ministry of Welfare","2","2013","","","","","Health|Education and research|Social welfare|Finance, budget and planning|Transport|Trade|Sub-national|Other","Office of Medical Director for Health","World Health Organization (WHO)","","","","","","","","National NGOs","VIRK; Icelandic Medical Association; Association of Icelandic Physiotherapists; Icelandic Sports Academy Association","Research/academia","Landspítali University Hospital; University of Iceland; Faculty of Health Sciences.","","","Other","Laboratory of Nutrition; Health Care Centers and Health Care Providers; Media; Food Industry","1. Tillögur að forgangsaðgerðum
Forgangsverkefni stjórnvalda er að kalla eftir samstarfi allra ráðuneyta til að samhæfa aðgerðir til þess að draga úr óheilbrigðum lifnaðarháttum og vaxandi þyngd þjóðarinnar.
- Skattur á óhollustu – ívilnun á hollustu
- Rannsóknir á lifnaðarháttum – regluleg vöktun – mat á árangri aðgerða
- Efling þjónustu heilsugæslunnar
- Ávísun á hreyfingu
- Næringarráðgjöf innan heilsugæslunnar
- Samnorrænt hollustumerki
- Klínískar leiðbeiningar um offitu fyrir börn (endurskoðaðar) og fyrir fullorðna
- Mat á heilsufarsáhrifum (health impact assessment)
- Kortleggja fitufordóma og vinna gegn þeim
","","","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Fibre|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education","","https://www.velferdarraduneyti.is/media/Rit_2013/Adgerdaraaetlun-til-ad-draga-ur-tidni-offitu.pdf","Link only available for download trough Internet Explorer (Google Chrome does not work with this link)","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ISL%202013%20Action%20Plan%20for%20Obesity%20Reduction.pdf"
"24476","LSO","Lesotho","","Lesotho United Nations Development Assistant Plan (LUNDAP)","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team of Lesotho","12","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Environment|Industry|Justice|Labour|Sub-national","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf"
"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","","","","","Goal: Ensure food security (availability and access to safe and nutritious food) throughout the country at household levels
Targets:
- Prevalence of hunger reduced to <5%;
- Ratio of local agricultural produce to agricultural imports increased to -----;
- 80% of inhabited islands have all items of food basket available throughout the year;
- 10% of local and imported agricultural products are tested for chemical contamination;
- All items of food basket are tested for nutrient content; Prevalence of food borne diseases reduced to <5%;
- Price controlled in 50% of items of food basket;
- 80% of eligible families provided with food subsidy
Goal: Ensure care givers practice appropriate IYCF and dietary practices
Targets:
- <10% of children under 5 years are undernourished and
- <15% stunted,
- <8% wasted
- <5% of children are obese
- >95% coverage of monthly growth monitoring in children under 2 years
- 60% of children exclusively breastfed for 6 months
- <10% of infants under 6 months fed with BMS;
- 75% of infants fed with the 3 IYCF practices
- <25% of infants fed with commercial baby food
- 60% of infants over 6months to 2 years fed with fruits and vegetables daily;
- All hospitals confirm to the 10 steps of a Baby Friendly Hospital
- All marketed BMS and packaged infant food conform to labelling and marketing regulations
- All food advertisements giving appropriate warnings
Goal: Reduce micronutrient deficiencies among children and women
Targets:
- Prevalence of Vitamin A deficiency in children under 5 years reduced to 35%
- Prevalence of iron deficiency in children under 5 years reduced to 30%
- >95% of household use salt is adequately fortified with iodine
- >80% of children under 5 years provided with vitamin A supplementation
- Prevalence of anaemia in pregnant women decreases to 10%
Goal: Reduce obesity among adults
Targets:
- 30% of young people and adults consume >400grams of fruit and or vegetables per day;
- 30% of adults’ daily energy intake from saturated fats is <10% ;
- 30% of adults’ daily energy intake from free sugars is <10% among adults;
- 60% of adults consume <5grams of salt per day
- 50% adults engaged in at least 20 minutes of continuously physical activity for 5 days a week
Goal: Strengthen national coordination and capacity for food and nutrition security
Target:
- Food and nutrition council meet regularly and review progress annually;
- National food basket established;
- National food based dietary guidelines developed;
- Sector work plans of agriculture, fisheries, trade, health, social protection and education have outputs linked to the integrated food and nutrition framework;
- Referral and coordination procedure developed between local health service providers and public health institutions at atoll and national level;
- At least 2 staff trained up to postgraduate level in each of the 3 areas (food security, food safety and nutrition) working in respective national programmes at national level;
- At least 1 staff trained in nutrition and food safety (certificate 3/4) working in nutrition area at atoll level;
- At least 1 staff trained in fisheries, agriculture and food production (certificate 3/4) working in nutrition programme at national level;
Goal: Ensure appropriate data and information is available for decision making
Target:
- National food availability data published in statistical year book
- Food quality control data maintained and analyzed
- Local food consumption baseline data collected and analyzed
- Food borne disease surveillance system established and data analyzed annually
- Growth monitoring data analyzed annually
- Studies on food production and dietary practices conducted including a Total Dietary Study
","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"
"36057","MHL","Marshall Islands","","Republic of the Marshall Islands Food Security Policy","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2013","","","Ministry of Resources and Development","","2013","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Environment|Other","Nitijela, Local Government,Council of Iroij, Office of the Chief Secretary (OCS), Internal Affairs (MIA), Marshall Islands Marine Resources Authority (MIMRA)Economic Policy, Planning and Statistics (EPPSO), Ministry of Finance (MOF), Ministry of Resources and Development (MRD - Agriculture, Energy and Trade), Ministry of Health (MOH),Ministry of Education[MOH -including National Training Council (NTC)], Environment [including Office of Environmental Policy and Planning Coordination (OEPPC) and Environmental Protection Authority(EPA)]","","","","","","RMI Regional, Bilateral and Multilateral Development Partners.","","","National NGOs","","Research/academia","College of Marshall Islands (CMI), University of South Pacific (USP)","Private sector","Private sector and including Chamber of Commerce(COC) and Farmer and Fisher Organizations, Marshall Islands Shipping Company (MISC), Tobolar","Other","Civil Society Organizations (including Church-based Organizations)","Goal:
To ensure access to nutritious, quality, safe and affordable food for all Marshallese people at all times
","Five Priority Strategic Action Areas:
1. Stimulating sustainable local food3 production and preparation and better linking producers to consumers.
2. Strengthening access to nutritious food for vulnerable households and individuals.
3. Educating the public about food security and nutrition and encouraging home gardening.
4. Facilitating efficient national food distribution channels.
5. Building safety, quality and resilience into food supply and production systems.
","M&E matrix on p. 20
","","","Low birth weight|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fruit and vegetable intake|Breastfeeding promotion/counselling|Nutrition in the school curriculum|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Removal of subsidies on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MHL%202013%20Food%20Security%20Policy.pdf"
"23565","RUS","Russian Federation","","Государственная Программа Российской Федерации ''Развитие здравоохранения"" [National Programme of the Russian Federation 'Development of the Health Sector']","Health sector policy, strategy or plan with nutrition components","","Russian","","2013","","2020","Ministry of Health","4","2014","Adopted","4","2014","Government of the Russian Federation","Food and agriculture|Health|Trade","Ministry of Agriculture, Federal Medical-Biological Agency, Ministry of Health, Ministry of Industry and Trade","","","","","","","","","","","","","","","","","Основное мероприятие 1.1 ""Развитие системы медицинской профилактики неинфекционных заболеваний и формирования здорового образа жизни, в том числе у детей.
Основное мероприятие 4.3 ""Выхаживание детей с экстремально низкой массой тела""
","- разработка и обеспечение реализации механизмов мотивирования граждан к ведению здорового образа жизни;
- обеспечение безопасности продуктов питания и здорового питания;
- предотвращение передачи ВИЧ-инфекции от матери к ребенку при грудном вскармливании в послеродовой период;
","- снижение младенческой смертности до 6,4 случая на 1000 родившихся живыми;
- снижение смертности от болезней системы кровообращения до 622,4 случая на 100 тыс. населения
- показатель 1.4 ""Потребление овощей и бахчевых культур в среднем на потребителя в год (за исключением картофеля)""
- показатель 1.5 ""Потребление фруктов и ягод в среднем на потребителя в год""
Ожидаемые результаты реализации подпрограммы: увеличение потребления овощей и бахчевых культур в среднем на потребителя в год (за исключением картофеля) до 121 килограмма; увеличение потребления фруктов и ягод в среднем на потребителя в год до 82 килограммов
","Outcome indicators","","Maternity protection|Low birth weight|Fruit and vegetable intake|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Vulnerable groups","","http://programs.gov.ru/Portal/programs/passport/1","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202014%20National%20Health%20Policy_0.pdf"
"23165","RWA","Rwanda","","National Food and Nutrition Policy 2013-2018","Comprehensive national nutrition policy, strategy or plan","","English","10","2013","","2018","Government of Rwanda","10","2013","Adopted","","","Cabinet of Ministers","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Trade|Sub-national|Other","Ministry of Agriculture and Livestock Resources, Ministry of Defence, Ministry of Disaster Management and Refugees, Ministry of local government, Ministry of Gender and Family Promotion","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Other","","","","","","National NGOs","","","","","","","","Strategic objectives
1. Sustain the position of food and nutrition as central priorities of the Government across Sectors at all levels and among Development Partners.
2. Prevent stunting in children under two years of age.
3. Strengthen, expand and promote services and practices that result in household food security year round.
4. Prevent and manage all forms of malnutrition.
5. Strengthen nutrition education in schools and higher learning institutions through curricular and extracurricular activities.
6. Strengthen emergency preparedness and response in areas for nutrition and food security of families and individuals
7. Improve governance systems and accountability (planning, budget allocation, implementation and monitoring and evaluation) for nutrition and food security.
","Strategic Direction 1: Food and nutrition advocacy to sustain commitment and mobilise resources for policy implementation
Strategic Direction 2: Prevent stunting in children under two years of age at national scale
- National level 1st 1000 Days Campaign
- Refocused and strengthened District Plans to Eliminate Malnutrition (DPEM) and District Food and Nutrition Steering Committee (DF&NSC)
- Village level: “1st 1000 Days Community-Based Food and Nutrition Programs”
Strategic Direction 3: Promote services and practices that result in improved household food security
Strategic Direction 4: Prevention and management of all forms of malnutrition
Strategic Direction 5: Improving food and nutrition in schools
Strategic Direction 6: Assuring food and nutrition in emergencies
Strategic Direction 7: Supporting programmes and services
","Community based monitoring of food and nutrition needs to be strengthened. This includes development of key indicators by and for the 1st 1000 Days groups and community leaders. Frontline personnel need to monitor household participation in 1st 1000 Days CBNP.
Further improvements to multisector monitoring and evaluation systems to support nutrition and household food security programmes and strategies.
","","","Breastfeeding|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Overweight and obesity in adults|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School milk scheme|School gardens|Dietary guidelines|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Maize flours|Milk|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","http://extwprlegs1.fao.org/docs/pdf/rwa151338.pdf","FAO FAOLEX database","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA-2013-2018-National%20Nutrition%20Policy.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"
"25933","KNA","Saint Kitts and Nevis","","National Policy & Plan for Non-Communicable Diseases (NCDs) Prevention and Control ","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","","","2015","","","","","Health|Education and research|Finance, budget and planning|Development|Trade","","","","","","","","","","","","","","","","","","Food, nutrition and physical activity are cornerstones in the prevention, treatment and control of specific NCDs.
6.1 The Ministry shall provide national dietary guidelines which shall be disseminated throughout the Federation.
6.2 The national dietary guidelines shall be utilized in institutional settings such as school meals and hospital dietetics as well as restaurants and food vendors in order to promote balanced eating and restrict transfats.
6.4 Health promotion programs shall be planned in collaboration with various health and non-health entities to promote appropriate diets and healthy lifestyles at all levels of the society e.g. schools, health institutions, restaurants and other eating establishments.
","2. HEALTHY EATING (INCLUDING REDUCTION OF SALT, FAT, SUGAR)
Objective: To stimulate inter-sectoral action that promotes the availability, accessibility and consumption of safe, healthy, tasty foods available to the people of St Kitts and Nevis.
2.1.1) The Federation has legislation and regulations, multisectoral policies, incentives, plans, protocols and programmes that aim to improve dietary and lifestyle behaviour by 2015 supported by Food and Agricultural agencies.
2.1.3) All imported foods have required nutritional labeling by 2015 and locally produced foods by 2017
2.2.1) Model nutritional standards for schools, workplaces and health institutions are developed by 2015.
2.2.2) National foodbased dietary guidelines is adopted and implemented in at least 2 sectors by 2015.
2.3.1) Comprehensive public education campaign to promote healthy eating conducted locally by 2013
3.1.1) At least 80% of large food manufacturers following the CAIC pledge to reduce salt and fat content of processed and prepared foods (including in schools, workplaces and fast-food outlets) by 2015
3.2.1) ) Country using baseline and ongoing spot urine sampling for tracking salt consumption in population by 2014.
3.2.2) Salt consumption declines by 10% in the Federation by 2015
","","","","Fat intake|Trans fat intake|Sodium/salt intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Healthy food environment in workplaces|Healthy food environment in hospitals","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KNA-2013-2017-NCD%20Action%20Plan.pdf"
"23216","WSM","Samoa","","National Food and Nutrition Policy 2013","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2018","Ministry of Health, Samoa","","2013","Adopted","","2014","Ministry of Health","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade","Ministry of Health, Samoa, and partners. Those partners included in the action plan can work together with MOH to achieve a coordinated approach for implementing the strategies for the Food and Nutrition Policy goals.The key health sector partners are-• The Public• Government Ministries and Agencies• Development Partners• Private Health Providers• Health Professional Associations• Traditional Health Providers (including Traditional Birth Attendants)• Non-government organizations (NGOs)• Religious Organizations• Community Based Organisations• Academic Institutions","","","","","","","","","","","","","","","","","1. FOOD, NUTRITION AND HEALTH
1.1. Inform disaster risk management
1.2. Promote appropriate infant and young child feeding
1.3. Prevent malnutrition and micronutrient deficiencies
1.4 Strengthen food and nutrition education
1.5 Strengthen promotion of dental health
1.6 Promote healthy eating and lifestyles
1.7. Promote healthy food business practices
2. FOOD AVAILABILITY, ACCESS AND USE
2.1. Improve access to affordable and nutritious food
2.2. Strengthen the promotion of local food production
2.3. Strengthen the community’s understanding about the nutritional value of
food
2.4. Collaborate with key partners to promote the preparation of healthy, safe
food in the community
2.5. Advocate for food pricing and taxes to promote healthy food availability
2.6. Strengthen monitoring and evaluation of food security
2.7. Collaborate with sector partners to promote sustainable food
2.8. Collaborate with sector partners on strategies that reduce the negative
effects of food production and use on the environment
3. FOOD SAFETY
3.1. Protect the community from public health risk
3.2. Promote awareness about food safety issues
3.3. Prevent and manage food borne disease outbreaks
3.4. Monitor and evaluate food safety
","1.1.1 Collaborate with Disaster Advisory Committee on developing operational guidelines for nutrition and infant and young child feeding during emergencies in readiness for first response(during initial rapid assessments)
1.1.2 Contribute technical and expert advice during national disaster relief efforts and monitor food and nutrition related issues for the Disaster Plan procedures
1.2.1 Promote national and community support for and awareness about infant and young child feeding issues
1.2.2 Collaborate with sector partners to ensure IYCF capacity building and continued education for health staff and other relevant stakeholders
1.2.3 Build capacity for and monitor Baby Friendly Hospital Initiative and breastfeeding initiatives in other settings e.g. health centres, workplaces, community settings
1.2.4 Finalise, implement and enforce the draft Food (Marketing of Products for Infants and Young Children) Regulations
1.2.5 Strengthen protection of breastfeeding rights of working women
1.2.6 Encourage research and monitoring of issues related to IYCF
1.3.1 Implement research that establishes rates of malnutrition and micronutrient deficiencies and develops evidence for responding to the deficiencies
1.3.2 Establish routine data collection and reporting for on anaemia in pregnant women and young children
1.3.3 Promote community awareness about the causes of and solutions for malnutrition and micronutrient deficiencies
1.3.4 Finalise, implement and enforce the Food Safety and Quality Regulations specific to the fortification of flour, rice and iodisation of salt
1.3.5 Advocate adequate iron supplements for deficient groups based on evidence
1.4.1 Collaborate with education sector on policy strengthening activities for food and nutrition
1.4.2 Develop personal food and nutrition knowledge and skills for pre-school and school age children and families
1.4.3 Build capacity for education sector to respond to health promoting school model
1.4.4 Promote local food education
1.4.5 Advocate for continued strengthening for the existing school curricula on nutrition in food and textiles, health, agriculture, environmental science and physical education
1.4.6 Promote food and nutrition policy to be embedded with national education strategies
1.4.7 Advocate for tertiary scholarships to increase the nutrition skills in the workforce
1.4.8 Collaborate with academic institutions to promote food system understandings
1.5.1 Promote dental health information
1.5.2 Improve maternal dental health information distribution
1.5.3 Advocate price control on dental products
1.5.4 Identify dental research priorities
1.6.1 Advocate for and conduct research about people’s attitudes to food and food consumption
1.6.2 Promote increased uptake of fruit and vegetables in the community
1.6.3 Promote regular physical activity for improved physical fitness
1.6.4 Promote reduced smoking and alcohol consumption in the community
1.6.5 Strengthen nutritional component of sport training
1.6.6 Strengthen nutrition curriculum focus for health and allied health workforce training courses
1.6.7 Provide food and nutrition information to the community about the management NCD with a focus on diabetes
1.6.8 Provide information to the community about the prevention of obesity in children
1.6.9 Implement and monitor salt reduction project strategy (ref. Best Buy)
1.6.10 Implement and monitor strategy to control trans-fatty acids in food supply
1.6.11 Collaborate with sector partners for strengthening community-based approaches for reducing obesity
1.6.12 Develop and promote strategies to control the marketing of foods and non-alcoholic beverages to children
1.7.1 Promote healthy lifestyle improvement projects amongst private and public sectors e.g. healthy workplaces
1.7.2 Promote the business sector understanding of issues related to the food system
1.7.3 Collaborate with food safety partners to build food industry capacity to improve food safety
1.7.4 Promote the use of locally produced foods by all food industry partners e.g. supermarkets, hotels, restaurants, small shops, govt catering, institutions (hospitals, boarding schools)
1.7.5 Strengthen capacity building for food importers, distributors and processors on ways to reduce fat, trans fatty acids, salt and sugar in food products
2.1.1 Strengthen promotion of dietary guidelines
2.1.2 Collaborate with primary health care services sector to strengthen actions that reduce obesity
2.1.3 Strengthen capacity building actions for health workers on issues related to food trade and trade agreements e.g. WTO, PICTA
2.1.4 Conduct a feasibility study to analyse the options for Samoa to consider in addressing nutrition related health problems and advise on policy direction to control diet related health problems
2.1.5 Promote transport systems improvement to link locally produced food to market and to promote economic gain
2.2.1 Collaborate with sector partners on key messages they could utilize to promote locally produced food
2.2.1 Advocate for more locally grown food
2.4.1 Promote food preparation messages to the community focusing on lower fat, salt and sugar and safe food preparation
2.4.2 Advocate for new technology/recipe modification to improve the nutritional quality of locally produced processed foods
2.5.1 Review and adjust import duties, price controls and taxes to increase availability of healthy foods and products that support healthy lifestyles
2.6.1 Advocate for research on access to and availability of food
2.7.1 Collaborate with sector partners on strategic directions for food sustainable systems approach
2.7.2 Collaborate with health sector partners to build capacity for continued sustainable food strategy implementation sector wide
2.7.3 Promote environmental health models that integrate food and nutrients for built, natural, social and economic areas
2.8.1 Promote education and awareness about food waste and its impact on the environment
3.1.1 Finalise and implement Food Bill and regulations
3.1.2 Promote key messages on good hygiene and food preparation practices to reduce food borne related incidence in the community
3.2.1 Promote awareness about the dangers of unsafe pesticide use
3.2.2 Promote water quality awareness in the community
3.3.1 Contribute technical and expert advice during national disaster relief efforts
3.3.2 Build capacity of food businesses on issues related to food safety
3.4.1 Regular and planned testing for food contamination
3.4.2 Monthly data collation of reports of food borne illness
3.4.3 Strengthen services for testing food contamination
","Indicators are linked to the activities.
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Dietary guidelines|Fats|Trans fat|Salt/sodium|Sugars|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|Media campaigns on healthy diets and nutrition|Iodine|Iron|Micronutrient supplementation|Nutrition education|Wheat flours|Rice|Food grade salt|Food safety|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Final%20Food%20and%20Nutrition%20Policy%202013.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.
","","","","Breastfeeding|Complementary feeding|Fruit and vegetable intake|Breastfeeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food labelling|Media campaigns on healthy diets and nutrition|Food safety|Food security and agriculture|Water and sanitation|Vulnerable groups","","http://mofa.gov.sc/downloads/seychelles-national-food-nutrition-security-policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"40064","BEN","Benin",""," Stratégie nationale pour l’alimentation du nourrisson et du jeune enfant 2015-2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2014","","2019","Ministère de la santé","7","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Catholic Relief Services|Other, please specify under further details|Plan International|Terre des Hommes","Borne Fonden","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","Université d'Abomey CalaviIRSP","","","","","Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
- Créer un environnement favorable à l’adoption par les mères, les familles et autres personnes ayant à charge des enfants, des pratiques d’alimentation optimales pour le nourrisson, le jeune enfant ;
- Mettre en place un cadre d’interventions essentielles pour le développement des pratiques d’alimentation optimales pour le nourrisson et le jeune enfant.
- Renforcer la communication sur les principaux problèmes touchant l’alimentation du nourrisson et du jeune enfant ;
","Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
- Mettre le nouveau-né au sein dans l’heure qui suit l’accouchement
- Donner le colostrum
- Pratiquer l’allaitement maternel exclusif de 0 à 6 mois
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
- apportés au bon moment, c’est-à-dire introduits quand les besoins en énergie et en éléments nutritifs ne sont plus totalement couverts par le lait maternel ;
- adéquats, c’est-à-dire qu’ils apportent l’énergie, les protéines et les micronutriments suffisants pour satisfaire les besoins nutritionnels liés à la croissance de l’enfant ;
- sûrs, c’est à dire préparés et conservés dans de bonnes conditions d’hygiène et donnés avec des mains propres dans des ustensiles propres, et non au moyen de biberons et de tétines ;
- correctement administrés, c’est-à-dire donnés en suivant les signes d’appétit et de satiété émis par l’enfant, la fréquence des repas et la méthode utilisée pour alimenter l’enfant étant adaptées à son âge.
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
- Donner des conseils sur les types d’aliments à consommer pour garder un niveau de santé optimale ;
- Encourager la consommation quotidienne de fruits et légumes variés, de produits d’origine animale et d’aliments enrichis (farine, sel, huile alimentaire) ;
- Conseiller des collations si nécessaires ;
- Inciter à boire suffisamment d’eau ;
- Conseiller la consommation du sel iodé ;
- Donner des comprimés de fer /acide folique en cas d’anémie ;
- Conseiller la mère à éviter le stress au cours de la période d’allaitement ;
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Minimum acceptable diet|Fruit and vegetable intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Complementary food provision|Vitamin A|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Food grade salt|Edible oils and margarine|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202015%20National_Strategy_Infant_Child_Nutrition1.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202015%20National_Strategy_Infant_Child_Nutrition1.pdf"
"57263","BDI","Burundi","","No Réf : 750/1028/C.M./2014 Normes obligatoires","Government guidance","","French","","2014","","","Ministère du Commerce, de l’Industrie, des Postes et du Tourisme","8","2014","","","","","Trade|Industry|Other","Ministère du Commerce, de l’Industrie, des Postes et du Tourisme, Bureau Burundais de Normalisation et Contrôle de la Qualité (BBN)","","","","","","","","","National NGOs","","","","","","","","","","","","Dans le souci de prévenir les pratiques frauduleuses et de promouvoir la protection de la santé humaine et l’environnement ainsi que la sécurité, le Ministère du Commerce, de l’Industrie, des Postes et du Tourisme porte à la connaissance du public que les normes burundaises dont la liste est en annexe à la présente sont d’application obligatoire.
Le Ministère du Commerce, de l’Industrie, des Postes et du Tourisme invite les acteurs économiques et autres parties prenantes à faire un commentaire sur cette annonce dans un délai ne dépassant pas soixante jours à partir de la présente publication conformément à la loi N°1/03 du 04 Janvier 2011 portant Système National de Normalisation, Métrologie, Assurance de la Qualité et Essais.
Le texte intégral de ces normes peut être obtenu au Bureau Burundais de Normalisation et
Contrôle de la Qualité (BBN).
Normes obligatoires
…
30. NB EAS 38:2000: Labeling of prepackaged foods — Specification
(Etiquetage des denrées alimentaires préemballées – Spécification)
","Food labelling|Ingredients list","","https://bbnburundi.org/wp-content/uploads/2019/04/normes_obligatoires.pdf","NB EAS 38:2014 Labelling and prepackaged foods – SpecificationThis East African Standard adopted as Burundi Standard applies to the labelling of all pre-packaged foods to be offered as such to the consumer or for catering purposes and certain aspects relating to the presentation thereof.","",""
"24708","COM","Comoros","","Plan de mise en œuvre & de suivi évaluation de la politique nationale de nutrition et d’alimentation","Comprehensive national nutrition policy, strategy or plan","","French","","2014","","2019","","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Trade|Labour","","","","","","","","","","National NGOs","","","","","","","","Objectifs :
Le présent plan de mise en œuvre se fixe comme objectifs principaux :
- Planifier et budgétiser les interventions prioritaires à mettre en œuvre entre 2014 à 2019 ;
- Traduire les interventions en actions à tous les niveaux liés à la PNNA ;
- Mettre en place un cadre de suivi et évaluation des actions retenues et mises en place.
","Axes stratégiques
- Axe stratégique 1 : Amélioration de la sécurité alimentaire des ménages
- Axe Stratégique 2 : Développement de la prise en charge de la malnutrition
- Axe stratégique 3 : Développement de la nutrition en milieu pré- scolaire et scolaire
- Axe stratégique 4 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgence
- Axe stratégique 5 : Information Education Communication / Changement de Comportement / Mobilisation sociale
- Axe Stratégique 6 : Développement du contrôle de la qualité des aliments
- Axe stratégique 7: Amélioration des systèmes de collecte, d'analyse, de diffusion des données sur la nutrition
- Axe stratégique 8 : Développement des études et de la recherche en matière de nutrition et alimentation
- Axe stratégique 9: Renforcement du partenariat avec les collectivités locales, les ONG, les associations, les agences d'exécution, le secteur privé dans la mise en œuvre des programmes de lutte contre la malnutrition
","see document P32-37
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Household food security","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA%20M%26E.pdf"
"36093","CZE","Czechia","","Food safety and nutrition strategy for 2014-2020","Comprehensive national nutrition policy, strategy or plan","","English","","2014","","2020","Ministry of Agriculture","","2014","Adopted","1","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Environment|Industry|Other","State Office for Nuclear Safety","","","","","","","","European Food Safety Authority (EFSA)","National NGOs","","Research/academia","","","","Other","Czech Agriculture and Food Inspection Authority; State Veterinary Administration; Central Institute for Supervising and Testing in Agriculture","The fundamental objectives of the CR in the field of food safety is to facilitate the production and marketing of only safe food, to provide verified information on food safety and quality, and thus to improve consumer protection and rightful interests of consumers.
The main objective of the CR in the field of nutrition is to promote healthy diet of the population, in high-risk groups of population in particular, through evidence-based health education and dissemination of information among consumers, producers and distributors conducive to preventing diseases, active strengthening of health and improving the quality of life.
","4.1. Priorities in the field of food safety
4.1.1 Risk assessment
4.1.2 Risk management
4.1.3 Communication and education
4.1.4 Cooperation with the EFSA
4.2 Priorities in the field of nutrition
4.2.1 Health risk assessment
4.2.2 Risk management
4.2.3 Communication and education
","","","","School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Reformulation of foods and beverages|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.bezpecnostpotravin.cz/UserFiles/Koubova/StrategieBP_en.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CZE%202014%20Food%20Safety%20and%20Nutrition%20Strategy.pdf"
"25912","PRK","Democratic People's Republic of Korea","","Strategy for the prevention and control of Non Communicable Diseases in the Democratic People’s Republic of Korea","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","Ministry of Public Health","5","2014","Adopted","","2014","Multisectoral Consultation for the Prevention and Control of Noncommunicable Diseases","Health|Food and agriculture|Education and research|Trade","Implementation bodies for activities for control of unhealthy diet: Ministry of Public Health, Ministry of Food and Daily Necessities, Ministry of Commerce, Committee of Education","","","","","","","","","National NGOs","","","","","","Other","Working People’s organization, Publication and press sector,","Goals by indicators
Basing on the strategic goals proposed in the Global Strategy for the Prevention and Control of Noncommunicable Diseases 2013-2020 adopted at World Health Assembly and the goals of South East Asia Action Plan 2013-2020 signed at WHO South East Asia Regional Meeting, goals by indicators to be achieved until 2025 are as follows.
1. Reduce the total death rate from cardiovascular diseases, cancer, diabetes and chronic respiratory diseases by 25%.
2. Reduce the smoking rate among men of 15 years of age and above by 30%.
3. Reduce by 10% the heavy drinking rate.
4. Reduce the proportion of lack of physical activities by 10%.
5. Reduce the salt intake by 30%
6. Reduce the incidence of hypertension by 25%.
7. Make the number of residents who are treated with medicines and by doctors in order to prevent heart attack and cerebral apoplexy reach to 50%
8. Provide more than 80% of all medicines and equipments needed for the treatment of noncommunicable diseases at health facilities
9. Maintain current incidence of obesity and diabetes.
10. Increase early detection rate of cancerous diseases by ensuring 90% of periodical screening rate among men and women of 40 years of age and above
","Activities for control of unhealthy diet
15. Include activities for promoting healthy diet in national policy and strategy for the prevention and control of noncommunicable diseases
16. Communicate actively for Increasing the usage of iodine salt and promoting breast feeding
17. Communicate actively for promoting folk dishes and maintaining healthy diet
18. Strengthen researches to provide scientific inspection of produced foodstuff
19. Educate children on the harmful effect of processed and instant foods in various forms and ways
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Breastfeeding promotion/counselling|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Iodine|Food fortification|Food grade salt","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/PRK_B3_National%20strategy%20on%20NCD,%202014-2020-E.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRK%202014%20National%20strategy%20on%20NCD-E.pdf"
"23501","GHA","Ghana","","National Nutrition Policy 2014-2017","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2017","Government of Ghana","","2013","","","","no","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Labour|Sub-national|Other","Government of Ghana, Education and research, Finance, budget and planning, Food and agriculture, Health, Industry, Labour and employment, Environment, Gender and Social protection, Informationa and media Relations, Trade, Local Government, M. of Water and Housing","Other","SUN + unspecified 'traditional devlopment partners'.","","CSO's, NGOs","","","","","National NGOs","","Research/academia","","Private sector","food producers","Other","Cross Sectoral Planning Group, Ghana Statistical Service","3.1 Policy Goal
The goal of the NNP is to ensure optimal nutrition of all people living in Ghana throughout their lifecycle.
3.2 Policy Objectives
The NNP has three objectives:
1. To increase coverage of high-impact nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout their lifecycle, with special reference to maternal health and child survival
2. To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
3. To reposition nutrition as a priority multi-sectoral development issue in Ghana.
","3.3 Policy Measures
3.3.1 Policy Objective 1: To increase coverage of high impact
nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout the lifecycle with specific reference to maternal health and child survival
Policy Measures
1. Nutrition of Women in Child-Bearing Age and the New-Born
2. Optimal Nutrition during Infancy and Childhood
3. Nutrition of School-Age Children and Adolescents
4. Nutrition in the General Population
5. Prevent and Manage Obesity and Diet-Related Non-Communicable Diseases
6. Prevent and Manage Acute Malnutrition
7. Nutrition in Emergency Situations
3.3.2 Policy Objective 2: To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
Policy Measures
1. Health, Water, Hygiene, and Sanitation Services
2. Agriculture and Food Security
3. Social Protection and Safety Nets
4. Education
3.3.3 Policy Objective 3: To Reposition Nutrition as a Priority Multi-Sectoral Development Issue in Ghana
Policy Measures
1. Advocacy and Communication
2. Nutrition as a Priority
3. Integration and Coordination
4. Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Minimum acceptable diet|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Dietary guidelines|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","http://ndpc.gov.gh/downloads/Policy%20Almanac/Nutrition%20Policy_September%202013%20(Draft).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202013%20National%20Nutrition%20Policy.pdf"
"23526","GIN","Guinea","","Politique nationale d’Alimentation","Comprehensive national nutrition policy, strategy or plan","","French","4","2014","","","Ministère de la Santé","4","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Transport|Trade|Environment|Industry|Information|Labour","","","","","","","","","","","","","","","","","","
3.3 Objectifs
L’objectif général est d’éradiquer la sous-alimentation et de faire reculer la malnutrition ainsi que ses conséquences économiques et socio-sanitaires.
Les objectifs spécifiques sont :
(i) atteindre l’autosuffisance alimentaire,
(ii) consolider la sécurité alimentaire,
(iii) garantir la couverture universelle de la prise en charge holistique de tous les cas de malnutrition et des maladies provoquées par la malnutrition et,
(iv) parvenir à une couverture universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité
","3.4.1 Axe 1 : La mobilisation nationale pour éradiquer la sous-alimentation
Il s’agit d’aligner les stratégies sectorielles de développement socio-économique pour la sécurité alimentaire et nutritionnelle à travers une meilleure coordination, une analyse approfondie de la situation socio-économique territoriale et la création des synergies pour des effets tangibles sur la sous-alimentation. Les secteurs suivants sont concernés au premier chef : développement agropastoral et halieutique, protection de l’environnement, promotion de l’emploi des jeunes, éducation des filles, alphabétisation, promotion de l’agro-industrie, hydraulique, énergie, eau, transports et travaux publics, communication, douanes, forces de sécurité.
3.4.2 Axe 2 : La mobilisation nationale pour faire reculer la malnutrition
Il s’agit de créer une synergie sectorielle effective pour des interventions sensibles à la nutrition telles que l’éducation nutritionnelle, la fortification alimentaire, l’hygiène alimentaire, l’assainissement du milieu, la sécurité sanitaire des aliments, la communication, l’enseignement supérieur et la recherche scientifique et technique.
3.4.3 Axe 3 : La capacitation des collectivités déconcentrées et décentralisées et des communautés locales à la base
Il s’agit d’engager davantage les autorités des collectivités déconcentrées et décentralisées dans la promotion et le suivi des activités concourant à la sécurité alimentaire et nutritionnelle d’une part et de veiller à l’appropriation effective des activités par les organisations communautaires à la base d’autre part.
3.4.4 Axe 4 : Le renforcement du système de santé pour l’accès universel aux services et soins de santé primaires de qualité
Il s’agit de veiller particulièrement à la prise en charge holistique de tous les cas de malnutrition et à l’intégration effective des interventions essentielles d’alimentation et de nutrition dans le continuum des soins pour protéger les 1000 premiers jours de vie sur l’ensemble du territoire.
","- Le taux d’allaitement exclusif au sein au cours des six premiers mois de la vie,
- Le taux d’émaciation chez l’enfant de moins de cinq ans,
- le nombre d’enfants de moins de cinq ans présentant un retard de croissance,
- Le taux d’anémie chez les femmes en âge de procréer,
- La prévalence de l’insuffisance pondérale à la naissance,
- Le pourcentage d’enfants en surcharge pondérale,
- La prévalence des carences en micro nutriments chez l’enfant (vitamine À, fer, iode et zinc).
","Outcome indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Vitamin A|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Food security and agriculture|Household food security|Water and sanitation|Conditional cash transfer programmes","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN%202014%20Politique%20Nationale%20Nutrition.pdf"
"23505","GNB","Guinea-Bissau","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2014","","2025","MINISTERE DE LA SANTE PUBLIQUE","","2013","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Environment|Industry|Labour","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","communautés de base, chefs traditionnels et religieux","4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
","4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
","","","","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|Underweight in adolescent girls|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in adolescents|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|School-based health and nutrition programmes|Nutrition in the school curriculum|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Food-based dietary guidelines (FBDG)|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|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://scalingupnutrition.org/sun-countries/guinea-bissau","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202014%20POLITIQUE-NATIONALE-NUTRITION.FIN_.FR_.pdf"
"25913","LSO","Lesotho","","National Multi-Sectoral Integrated Strategic Plan for the Prevention and Control of Non-Communicable Diseases (NCDS): 2014-2020","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","","","2017","","","","","Health|Food and agriculture|Trade|Industry","","","","","","","","","","","","","","","","","","Strategic Plan - Target (by 2020)
High intake salt - A 30% relative reduction in mean population intake of salt/sodium
Raised Blood Pressure - A 25% relative reduction in the prevalence of raised blood pressure or contain the prevalence of raised blood pressure
Obesity - Reducing by 50% in rate of increase in & obesity
","8.6. Areas of Intervention
In line with the Framework for implementation of the Ouagadougou Declaration, the Lesotho PHC Plan, and the Health Sector Strategic Plan 2012/13 – 2016/17, Lesotho has prioritized the interventions indicated below.
8.6.1. Leadership and Governance
…
• Policies, regulations and legislation will be developed; with the cabinet and parliamentarians knowledgeable, such legislation would hopefully be approved. These will include, among others, implementation of the FCTC, levies on tobacco and alcohol, strict road traffic regulations and laws, tax exemption of vegetables and fruits as well as main foodstuffs.
…
8.6.2 Health Promotion and Education
…
• The vegetables and fruits are pricy for most households. In the mountain areas cold resistant strains and/or preservation are needed for year- long access. In conjunction with Ministry of Agriculture and Food security (MOAFS), food preservation and household gardens will be re-invigorated. Through support of the MOTI the MOF will exempt critical food stuffs from taxation to bring down their costs. The community consumption of saturated fats and the conflict of interest with commercial food outlets will require carefully prepared messages, especially for the youth. Basotho consume a lot of salt and hardly spice their food (anecdotal); education messages will address the risk of high salt intake, and provide alternatives (explored through research). While there is little information on maternal malnutrition, the high rate of 39% children under 5 years and foetal programming in cases of maternal malnutrition, demand that education during the antenatal and other MCH activities, also integrate nutrition.
…
8.7. Outputs
The following will be the outputs of the plan:
…
12. NCDs risk factors included in Food and Nutrition policies
…
14. Increased access to healthy food (tax exemption)
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Counselling on healthy diets and nutrition during pregnancy|Removal of taxes on healthy foods|Nutrition counselling on healthy diets|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/LSO_B3_Endorsed%20NCD%20Stratergic%20Plan%20-%20Copy.pdf","WHO NCD repository ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO-2014-2020-NCD%20control.pdf"
"39460","MAR","Morocco","","Plan d’action multisectoriel de promotion du mode de vie sain 2014-2020","NCD policy, strategy or plan with healthy diet components","","French","","2014","","2020","Ministry of Health","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Other","Ministère des Habous et des Affaires Islamiques","","","","","","","","","","o Fondation LALLA SALMA de Prévention et de Traitement des Cancers,o Association Marocaine de la Prévention et de l’Education pour la Santé,o Association ANFAS,o Association de lutte contre le tabagisme et les drogues.","","","","","","","Objectif général
La promotion d’un mode de vie sain vise à améliorer la qualité de vie de la
population marocaine en réduisant les facteurs de risque qui contribuent aux
maladies chroniques et à diminuer à long terme la prévalence de ces maladies.
Objectifs spécifiques
- Réduire l’usage du tabac et protéger les non-fumeurs ;
- Améliorer les habitudes alimentaires ;
- Réduire la sédentarité ;
- Enrichir la capacité de promotion de la santé ;
- Ralentir la progression des maladies chroniques.
","Domaine d’intervention 1 : Prestation de prévention primaire
Action1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
Mesure 1 : Elaboration d’une stratégie de communication sur le mode de vie sain (méfaits du tabagisme, alimentation saine et équilibrée, activité physique
Mesure 2 : Sensibilisation de la population sur le mode de vie sain VS
Mesure 3 : Sensibilisation du milieu préscolaire, scolaire et universitaire et des jeunes non scolarisé sur le MVS
Mesure 4 : Sensibilisation dans les lieux de travail sur le MVS
Mesure 5 : Elargissement de l’initiative « milieu de travail sans Tabac » à d’autres secteurs
Mesure 6 : Célébration de la journée mondiale sans tabac, de l’alimentation saine, équilibrée et de l’activité physique.
Mesure 7 : Sensibilisation des laboratoires pharmaceutiques pour introduire les substituts nicotiniques dans la liste des médicaments remboursable
Mesure 8 : Organisation de manifestations événementielles pour la promotion du mode de vie sain
Mesure 9 : Elaborer un plan d’action de réduction du sel, gras trans et sucre
Mesure 10 : Sensibilisation des industriels de l’agroalimentaire, sur l’intérêt de promouvoir une alimentation saine et équilibrée
Mesure11 : Renforcement des espaces propices à l’activité physique
Domaine d’intervention 2 : Développement des compétences et des ressources humaines
Action 2 : Développement des compétences en matière de mode de vie sain
Mesure 12: Formation des professionnels de la santé, de l’éducation nationale et les cadres du ministère des affaires islamiques sur le MVS
Mesure 13 : Développement de la composante mode vie sain dans la formation de base scolaire universitaire et des instituts de formations des professionnels de santé et programme d’analphabétisme
Domaine d’intervention 3: Gouvernance générale et coordination
Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
Mesure 14 : Déclinaison du plan d’action multisectoriel pour la promotion du mode de vie sain au niveau des régions
Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
Mesure 15 : Officialisation du comité interministériel de promotion du mode de vie sain
Action 5: Développement du partenariat en matière du mode de vie sain
Mesure 16 : Développement des partenariats internationaux pour la promotion du MVS
Mesure 17 : Développement des Partenariat public-ONG pour la promotion du MVS
Action 6 : Mise en Place une réglementation relative à la promotion du mode de vie sain
Mesure 18 : Mettre en Place une réglementation anti-Tabac
Mesure 19 : Renforcer le cadre réglementaire et législatif concernant la production et la consommation d’aliments sains et équilibré
Mesure 20 : Renforcement de la disponibilité et de l’accessibilité aux aliments sûrs et sains
Domaine d’intervention 4 : Marketing et communication
Action 7 : Diffusion du plan d’action multisectoriel de promotion de mode vie sain
Mesure 21 : Organisation d’une journée de diffusion du PA multisectoriel
Domaine d’intervention 5 : Surveillance épidémiologique
Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
Mesure 22 : Réalisation des études sur les facteurs de risques des MNT
Domaine d’intervention 6 : Monitoring, évaluation
Action 9 : Assurer le suivi, évaluation des actions multisectorielles de promotion du mode de vie sain
Mesure 23 : Mettre en place un système de monitoring et d’évaluation du PA multisectoriel au niveau national et régional
","- Nombre de secteurs pour lesquels la stratégie a été diffusée.
- Nombre de plans d’actions élaborés
- Nombre de supports didactiques élaborés
- Nombre de messages produits et diffusés
- Nombre d’établissements préscolaire et scolaire sensibilisés
- Nombre de journalistes ayant adhéré au réseau de communication autour du mode de vie sain auprès des jeunes
- Nombre d’espaces omnisport crées
- Nombre d’espaces cyclables crées
- Nombre de piétonnes crées
- Nombre d’Espaces de jeux et aires de jeux aménagés et sécurisés
- Nombre d’heures consacrées au MVS dans les programmes scolaires, universitaires et instituts de formation des PS
- Nombre de conventions de partenariat élaborées dans le domaine de prévention des FR des MNT
","Outcome indicators|Process indicators","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/MAR_B11_MAR_B12_PAM MVS.pdf","More details on activities and indicators pages 15-39","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202014%20Plan%20d%E2%80%99action%20mode%20de%20vie%20sain.pdf"
"24486","NGA","Nigeria","","United Nations Development Assistance Framework ","Non-national nutrition policy document","","English","","2014","","2017","UN country team in Nigeria","7","2013","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Environment|Information|Justice|Labour|Sub-national|Other","Tourism and culture, Youth development","Food and Agriculture Organisation (FAO)|International Food Policy Research Institute (IFPRI)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UN Women, UNODC, UNOPS, UN Habitat, UNITAR, WMO OIC, UNOCHA, ITC, UNEP, IAEA","Other","","Other|Department of International Development (DFID)|The World Bank","GIZ, IMF, KOICA","European Union","","National NGOs","","","","","","","","Outcome 2.2 Health/WASH/Nutrition. By 2017, health related MDGs achieved and sustained through strong and well-coordinated health systems implementing innovative, high impact and cost effective, equitable, gender responsive interventions inclusive of foundational determinants of health at community, LGA states and Federal levels with active engagement of right holders, informed by South-South cooperation and evidence-based learning.
Output 2.2.1 Public agencies and civil society organizations at federal, state, and LGA levels are able to implement updated, harmonized, evidence based, gender responsive policies and plans to facilitate equitable access to quality water supply and sanitation services and the practice of good hygiene by vulnerable populations and institutions based on innovative communication for development and coordination systems
Output 2.2.2 Capacities of government and partners at all levels including intersectoral linkage and coordination are strengthened to implement high impact, equitable, gender responsive and innovative nutrition and food security interventions, enhance nutrition friendly agricultural productivity especially at household level and promote crop and livestock diversification to improve nutrition outcomes (reduce stunting, acute malnutrition, and micronutrient deficiencies rates) amongst most vulnerable groups especially children and women.
","","Under-five mortality rate
% of people with access to (a) improved sanitation and (b) improved water supply
% of infants under 6 months breastfed exclusively
Prevalence of children under 5 years of age that are underweight
Number of states with (a) WASH policies (b) investment plans and (c) M&E frameworks
Number of states with decentralized WASH services and functional LGA WASH departments
Number of additional children provided with access to WASH in schools
Hunger Index
Number of health facilities providing treatment to severely malnourished children under 5 years
% of children aged 6-59 months who received at least one dose of Vit A in last 6 months
# of community structures supported to assist mothers to appropriately feed children under 2 years
Number of community structures/sites supported to alleviate food insecurity
Proportion of States supported to develop a strategic plan for NCDs
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","https://www.unops.org/SiteCollectionDocuments/Information-disclosure/UNDAFs/Nigeria-UNDAF-2014-2017.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202014%20UNDAF.pdf"
"25730","TKM","Turkmenistan","","The national strategy for the implementation in 2014-2020 of tasks defined in the Ashgabat Declaration prevention and control of non-communicable diseases in Turkmenistan and ACTION PLAN for implementation of the National Strategy","NCD policy, strategy or plan with healthy diet components","","English","5","2014","","2020","Turkmen State Publishing Service","","2016","Adopted","5","2014","President of Turkmenistan","Nutrition council|Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Sub-national|Other","State Television, Radio and Cinema Committee of Turkmenistan; Ministry of culture of Turkmenistan; State Food Industry Association of Turkmenistan","World Health Organization (WHO)","","","","","","","","","","Research/academia","","","","Other","Industry of Turkmenistan","The main objectives of the National Strategy for the following:
- Ensure priority prevention and control of non-communicable diseases at the national level to increase the possibilities of prevention of these diseases, as well as at the state level to improve the efficiency of the intersectional Council for the prevention and control of non-communicable diseases and increase intersectional coordination of activities of the Council;
- By creating the conditions that promote health, reduce the influence of risk factors leading to the emergence of non-communicable diseases, form the basis of social indicators;
- In order to create motivation among the population of a healthy lifestyle, strengthen the promotion of healthy lifestyles, raise awareness of the population about this;
- To strengthen the health system and send it to the prevention and control of noncommunicable diseases, as well as to strengthen primary health care, which is the basis of the delivery of health services and meet their needs in that at the level of primary health care;
- Provide the opportunities for public participation in the ongoing activities devoted to healthy lifestyles and promote its educational level of this;
- To improve the quality of research devoted to the prevention and control of noncommunicable diseases, to assist and encourage the work to expand the capacity of the national health research in this direction;
- To evaluate the effectiveness of the work on the prevention and control of noncommunicable diseases, to monitor indicators of infectious diseases and of work done in this direction;
- To support the development and expansion of specialized centers and centers with the best practices for the prevention and control of non-communicable diseases.
","ACTION PLAN
Objective 3: Create the conditions for establishment the interest among the population to a healthy life habits, for promotion a healthy lifestyle, for implementation of informative works and for increasing the literacy about health
20. Support the breast feeding and continue to do that, inform parents about additional feeding which should be given in time and correctly, develop ecology clean areas to supply the baby food factories by the raw materials. Raise the producing of the special products for the babies and small children
21. Follow and monitor the rules of World Health Organization on the sale of baby food and alcohol free beverages. Develop the methods of food preparation according the scientific basis for all level of population and begin to produce them
22. Develop special educational materials for achievement the below goals and for support different producers with technology instructions for new products and sale recommendations. Introduce on the label of products the information about the value of product and amount of its protein, carbohydrate and oil
23. Achieve the supply all the setting of our country including the schools and institutions with high quality and healthy food
24. Grow the producing of the agricultural products which are fully safe for producing main food products. Improve the methods of growing the vegetables and fruits with purpose to decrease the amount of harmful substances of the products (poison substances, pesticides, herbicides, nitrate, etc). Develop an action program for the agricultural, food processing, food marketing institutions and for any companies which are connected with food, state establishments on usage of healthy agricultural products and products which are produced in our country.
25. With the purpose to inform about healthy food in different ways and to reach the users held social publicities and events (actions, companies). Work closely with population and with specialized establishments until getting positive results.
26. At schools, kindergardens, hospitals, state and private establishments conduct the information works connected with healthy food, also strengthen the health, and organize the conditions for having healthy food.
27. Develop the quality and healthy indicators for the food products according World Health Organization, UN Food and Agriculture Department also according the recommendations of Alimentarius International Codex. Achieve the recordings on the labels of food products which are going for sale, the indications about product ingredients, the value of product or its effect to the health.
28. Held works on expanding and raising up the commerce of products which supply the healthy food.
29. Ensure the implementation of the ""The National Program on healthy eating of Turkmen population in years 2013-2017"". valuate the implementation and the results of the actions which were indicated in that program, also organize the work on development of the National program for the next five years
37. Prepare interviews and articles about the risks that lead to non-communicable diseases and their prevention on television and in the press
Objective 5: Widely promote and introduce a healthy lifestyle to the society, also support and continue to increase the literacy rate of citizens about health.
95. To prevent second step of diabetes conduct educational works to increase the literacy rate of citizens about health food and using healthy habits in life
117. Explore from a scientific point of view the relationship between the use of tobacco and alcohol products, poor nutrition, lack of physical activity, planned and preventive vaccination for the prevention of NCDs and communicable and non-communicable diseases
126. Add prevention measures to the epidemiological observation activities at the primary health care points. Doing this, collect data about people's behavior, about their bag habits (like alcoholism, less physical activities, smoking, poor nutrition, getting weight and fatness, high blood pressure, raising sugar in blood, and hyperglycemia), control a sale of products, alcohol, tobacco products which can be dangerous for a health
","Improving the quality and accessibility of health care are the major public health challenges in the delivery of medical health care. In order to provide basic and necessary drugs, as well as the effective management of health to provide public health care is provided to attract financial investments. This will reduce the smoking population to 30%, the use of alcoholic beverages by 10%, the use of salt / sodium in an average of 30%, hypertension 25%, lack of physical activity by 10%. Provision of essential drugs will increase to 80%, other drugs to 50%. The incidence of non-communicable diseases will decrease by 25%. As an alternative against the bad habits will develop physical culture and mass sport.
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Food safety","","https://extranet.who.int/ncdccs/Data/TKM_B3_NCD%20Plan%20of%20actions%20-%20english%20translation%20from%20TKM.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TKM%202014%20NCD%20Strategy_0.pdf"
"39777","ATG","Antigua and Barbuda","","National Policy and Multisectoral Action Plan for the Prevention and Control of Non-Communicable Diseases in Antigua and Barbuda","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","Ministry of of Health and the Environment","4","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Industry","","","","","","","","","","National NGOs","","","","","","","","Strategy 3: Expected Results
NCD risk factors reduced and protective factors strengthened
…
· Policies/cost-effective interventions to reduce the impact on children of marketing of foods and nonalcohol beverages high in saturated fats, trans-fatty acid, sugars and salt implemented
· Baseline survey conducted for mean salt intake (sodium chloride) in grams per day in persons aged 18 +
· A 5% relative reduction of salt intake from baseline by 2019
…
Strategy 4: Expected Results
Health system response to NCDs and risk factors strengthened at all levels of health services and accessibility and quality improved
…
· A 15% relative reduction in age standardized prevalence of raised blood pressure
· A 15% relative reduction in age - standardized prevalence of raised blood glucose/diabetes
· A 5% relative reduction of age - standardized prevalence of overweight/obesity in persons aged 18+ by 2019
· A 5% relative reduction in age - standardized prevalence of overweight/obesity in school -aged children and adolescents by 2019
","Strategic Line of Action 1: Strengthening coordination and management of NCD prevention and control
…
1.3 Strengthen resource mobilization
1.3.1 Establish an earmarked tax for prevention and control of NCD programmes
- Approved Cabinet paper
1.3.2 Establish diversion of existing taxes (sales tax from tobacco, snacks high in salt, trans fat, sugar etc.)
- Approved Cabinet paper
Strategic Line of Action 3: NCD risk factors and protective factors
3.1 Strengthen legislative framework and support
…
3.1.5 Develop Legislation on increased tax on foods in high fat, salt and sugar and utilize tax revenue for strengthening school health promotion (healthy diets, PA)
- Legislation developed, enacted
3.2 Advocacy
…
3.2.2 Conduct national campaign for prevention and control of obesity (particularly focused on childhood obesity)
- # of educational campaigns conducted and assessed
3.2.3 Conduct national campaign, sensitization and education on healthy diets and physical activity
- # of educational campaigns conducted and assessed
3.3 Reduce risk factors and strengthen protective factors via cost-effective interventions
3.3.1 Analyze available data on breast feeding, identify the gaps and develop action plan for strengthening exclusive breast feeding
- Report prepared and at least 70% of mothers exclusive breast feeding
3.3.2 Incorporate recommendations for strengthening school feeding programs for prevention and control of diet-related diseases
- Monitoring and evaluation conducted on school feeding programs
3.3.3 Implement Child Friendly School Initiative to prevent and reduce obesity to protect children from marketing of foods and non-alcoholic beverages high in saturated fats, trans fatty acids, free sugars
- At least 70% of schools joined and implemented the initiative
3.3.4 Develop and implement cost-effective interventions on salt reduction at population level by using WHO Tool Kit for salt reduction
- # of public and school education and training conducted on understanding food labeling and
FBDG
- National salt targets for each food category identified
- Use of salt, saturated fat and sugars reduced
- # of School Cafeteria Meals reviewed and reformed for reduction of salt intake
- A 5 % relative reduction of salt consumption in population by 2019
…
ANNEX 1: Policy links for NCD prevention and control with various sectors
The table below connects the response to NCDs with the priorities of other sectors, making these links explicit and preparing for harmonization of policies across sectors.
Finance and Trade
• Approving dedicated staff and budget for NCD’s.
• Granting concessions on monitoring equipment to persons with NCD’s
• Endorsing Trade treaties supporting ban of trans fat
Social Policy
• Ensuring the equity of access to prevention and care for services related to NCDs
• Reducing the disparities in burden of NCDs among people of different social class (defined by age, sex, income, occupation, education, and geographic location
Education
• Enhancing the academic performance of school children through promotion of healthy behaviours
• Strengthening the work on health promoting schools and related activities to improve the health of students, teachers using the Food Based Dietary Guidelines
• Finalizing the Draft Health and Family Life Education Policy
Agriculture, Lands & the Environment
• Ensuring food availability and security as outlined in the Food and Nutrition Security Policy. (e.g. introduction of new fruits and vegetables for agriculture, promotion of local products)
• Promoting the messages of the Food Based Dietary Guidelines
Civil society
• Work with civil society and women’s groups to enhance the social norms to adopt behaviours that reduce the risk of NCDs
• Empower individuals and communities to manage and cope with existing burdens of NCDs through education, self-management to enjoy improved health and wellness.
Private sector
• Seeking opportunities for work place health promotion extending the concept of occupational health to cover the prevention of NCDs
• Seeking opportunities for consultation and cooperation where appropriate (e.g. physical activity promotion, salt reduction, food product reformulation)
• Seeking opportunities for resource mobilization (financing)
• Setting standards and enforcing these as and where appropriate
Health
• Developing the capacity for health policy makers and civil society to understand the policy concerns of other sectors and to engage in meaningful and lasting dialogue
• Health in All Policies takes into account health implications of decisions, seeks synergies, and avoids harmful health impacts, in order to improve population health and health equity. It ensures that the health implications of all policies are considered in the policymaking process, regardless of the sector in which the policies are being developed. It recognizes that public policies and decisions made in policy areas other than health have a significant impact on population health and health equity.
","","","","Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Sodium/salt intake|Sugar intake|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Reformulation of foods and beverages|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/ATG_B3_ncd%20policy%20pdf.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ATG%202015%20NCD%20policy.pdf"
"40391","BHR","Bahrain","","قرار رقم (14) لسنة 2015 بشأن اعتماد اللوائح الفنية الخليجية للمنتجات الغذائية والزراعية كلوائح فنية وطنية [Resolution on the adoption of the Gulf technical regulations for food and agricultural products]","Legislation relevant to nutrition","","Arabic","9","2015","","","وزارة الصناعة والتجارة","3","2015","Adopted","9","2015","وزارة الصناعة والتجارة","Trade|Industry","","","","","","","","","","","","","","","","","","","","","","قرر الآتي: المادة الأولى
ُتعتمد اللوائح الفنية الخليجية للمنتجات الغذائية والزراعية الصادرة عن هيئة التقييس لدول مجلس التعاون لدول الخليج العربية والوارد بياناتها في القوائم رقم (1) و(2) و(3) المرفقة بهذا القرار كلوائح فنية وطنية اإلزامي
قوائم اللوائح الفنية الخليجية للمنتجات الغذائية والزراعية
القائمة رقم (2): اللوائح الفنية الخليجية ذات العلاقة بالمنتجات الغذائية وعددها 33 لائحة المعتمدة في الاجتماع الثامن عشر لمجلس إدارة هيئة التقييس الخليجية كلوائح فنية وطنية إلازمية
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for all pre-packaged foods|Mandatory for pre-packaged foods with a health claim|Amount of available carbohydrate|Amount of dietary fibre|Amount of protein|Amount of total fat|Energy value (ND)|Claim must be substantiated|Specific nutrition criteria","","","GSO 9:2013 Labeling Of Prepackaged Food Stuffshttps://www.gso.org.sa/store/standards/GSO:615511/GSO%202333:2013?lang=enGSO 2333:2013 Requirements For Nutrition And Health Claim In The Foodhttps://www.gso.org.sa/store/standards/GSO:615544/GSO%209:2013?lang=en ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BHR_2015_Resolution-No14-2015%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC%EF%BF%BC-On-the-adoption-of-the-Gulf-technical-regulations-for-food-and-agricultural-products-as-national-technical-regulations.pdf"
"36190","BRB","Barbados","","National Plan of Action for Childhood Obesity Prevention and Control","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2018","","","2015","Adopted","","2014","MoH","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Sport|Urban planning|Trade|Information|Other","Ministries: Health, Education, Agriculture, Trade, National NCD Comission, National Nutrition Center (NNC), Inter Ministerial Committee, Cabinet, Government Information Services","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","WHO, PAHO, FAO, Unicef, UN Women, WTO, UNDP, UNFPA","","","Japan International Co-operation Agency (JICA)","","European Union","","National NGOs","SCOs, Faith based organizations (FBOs), Parent-Teacher Association","Research/academia","","Private sector","Food producers, distributors, restaurants, marketing agents, media, service operators, food vendors","Other","Inter-American Institute for Cooperation on Agriculture (IICA), Barbados National Standards Institute, Healthy Caribbean Coalition (HCC), education facilitators, health professionals working in primary care and tertiary health institutions","Goal:
The ultimate goal is to reverse the upward trends in obesity by 5% by 2019
Objectives:
- To improve increase exclusive breastfeeding at 6 months by 20% by 2019;
- To reduce prevalence of low physical activity in adolescents by 30%;
- To develop and implement policies and regulations to reduce the impact on children of marketing of foods and non- alcoholic beverages high in saturated fats, trans fatty acids, free sugars or salt; and
- To have at least 70 schools designated Health Promoting Schools by 2019 (Appendix 2).
","The broad strategies discussed and agreed in line with the PAHO Regional Plan of Action for the Prevention of Obesity in Children and Adolescents and the Barbados NCD Strategic Plan are as follows:
1. Strengthening Coordination and Management of Obesity Prevention
2. Strengthening Breastfeeding Practices
3. Promoting Physical Activity
4. Developing and Implementing Dietary Regulatory and Fiscal Policies
5. Implementing Health Promoting School Initiatives
","- To reverse the upward trends in obesity by 5% by 2019
- 20% increase in rate of exclusive breastfeeding for 6 months
Full list of indicators/targets found in Results Framework on p. 16
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://gisbarbados.gov.bb/download/national-plan-of-action-for-childhood-obesity/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB%202015%20National%20Plan%20of%20Action%20for%20Childhood%20Obesity.pdf"
"36189","BRB","Barbados","","Barbados Strategic Plan for the Prevention and Control of Non-communicable Diseases 2015-2019","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2019","National NCD Commission - Barbados Ministry of Health","","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Urban planning|Trade|Other","Ministries of Health, Agriculture, Finance, Trade, Tourism, Transport, Culture and Youth, Education, Urban Development, Attorney-General, Legal Affairs","World Health Organization (WHO)","WHO","Other, please specify under further details","National and international NGOs, Civil Society Organizations, Faith based organizations","","","","","National NGOs","","","","Private sector","food importers, manufacturers and retailers","","media, academia, training institutons, national NCD comission, CARPHA, CARICOM, UWI, medical officers, Heart and Stroke Foundation (HSFB), Diabetes Foundation","To reduce the preventable and avoidable burden of morbidity, mortality and disability due to non-communicable diseases through inter-sectoral collaboration and cooperation
To promote supportive environments to encourage healthy lifestyles and reduce risk factorsfor NCDs
To establish, implement, monitor and evaluate standards for NCD treatment and care so that patients living with NCDs have their risk factors controlled to target and receive evidenced based
","
The four strategies are:
Strategy 1: Strengthening Strategic Management
Strategy 2: Surveillance and Research
Strategy 3: Risk Factor Reduction
Strategy 4: Integrated Disease Management and Patient Education
","Policies to reduce the impact on children of marketing of foods and nonalcoholic, beverages high in saturated fats, trans-fatty acids, free sugars, or salt.
Promote exclusive breast-feeding for first 6 months and continuing along with complementary feeding
Healthy products provided and promoted by food manufacturers, retailers and providers
Support for population based salt reduction increased
Trans-fat in the food supply eliminated High fat content foods reduced
Daily consumption of fruits and vegetables increased
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.iccp-portal.org/sites/default/files/plans/BRB_B3_Barbados%20NCD%20Strategic%20Plan_2015-2019_final.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB_2015_SPNCDs_0.pdf"
"36191","BTN","Bhutan","","Multi-sectoral Action Plan for the Prevention and Control of Non-communicable Diseases in Bhutan ","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","Royal Government of Bhutan","","2015","Adopted","7","2015","80th Lhengye Zhungtshog session","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Trade|Labour","Royal Government of Bhutan","","WHO","","","","","","","National NGOs","","","","","","","","Target areas - 2020 - 2025
Relative reduction in risk of premature mortality from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases - ..... - 25%
Relative reduction in mean population intake of salt/sodium - 15% - 30%
Relative reduction in prevalence of raised blood pressure - 10% - 25%
Halt the rise in obesity and diabetes - ..... - 0 % rise
","Action 2.3, Promote a healthy diet
Action area: 2.3 Promote a healthy diet.
Activities
2.3.1
Develop and implement a national salt reduction strategy by adapting WHO templates
2.3.1.1
Develop national salt reduction strategy and advocate recommended salt consumption
2.3.2
Obligate appropriate industries/food processors to reduce amount of salt and sugar in their products through appropriate guidelines (based on the national salt reduction strategy)
2.3.2.1
Conduct salt content analysis and identify a list of top 10 priority imported products with high salt and trans fat content
2.3.2.2
Promote the industries/food processors to reduce salt, saturated fat and sugars in processed products through awareness activities
2.3.2.3
Restrict import/retail of identified top unhealthy products with high salt and trans fats
2.3.3
Develop regulations and fiscal policies such as taxes and subsidies to promote consumption of fruits and vegetables and discourage consumption of unhealthy food options.
2.3.3.1
Encourage growth of fruits in local farms and increase the supply of fruits for year round through agricultural policy reforms.
2.3.3.2
Develop incentive measures to influence local community groups to produce more fruits and vegetables.
2.3.3.3
Monitoring of local vegetable and fruit consumption by Department of agricultural marketing division
2.3.4
Carry out public campaigns through mass media and social media to inform consumers about a healthy diet high in fruit and vegetables and low in saturated fat, sugar and salt
2.3.4.1
Advocacy and awareness on nutrition including promotion of healthy diet
2.3.5
Establish and promote guidelines that support exclusive breastfeeding for the first six months of life, continued breast feeding until two years and beyond, and timely complementary feeding.
2.3.5.1
Liaise with relevant MoH departments and other stakeholders (women’s groups) to ensure that breast feeding guidelines are promoted.
2.3.5.2
Breast feeding promotion inter-sectorial forums.
2.3.5.3
Growth monitoring for children under 5 years of age
2.3.6
Establish guidelines for nutritional labeling for all pre-packaged foods with the input from relevant stakeholders.
2.3.6.1
Develop nutritional labeling guidelines and include requirement for trans fats and other unhealthy ingredients in the food products
2.3.6.2
Strengthen monitoring and enforcement of mandatory food labeling, contents and safety practices through registration and licensing of food business
2.3.7
Strengthen collaboration between BAFRA and Public Health Laboratory of the MoH in food safety promotion and evidence building
2.3.7.1
Institute a coordination team of PHL and BAFRA and identify priority areas of collaboration for strengthening food safety
2.3.7.2
Publish joint food safety reports for public dissemination ( Refer to 4.3.2.4)
2.3.8
Develop national guidelines for school feeding based on the Bhutan 2011 Food Based Dietary Guidelines aimed at improving the diet of school-aged children.
2.3.8.1
Develop recommendations and guidelines for school feeding.
2.3.8.2
Promote school based organic farming in schools
2.3.8.3
BMI monitoring in school and equipment for measuring BMI in schools
","Annexure 1: Indicator Lists (Tentative)
...
Fruits, vegetables and salt consumption:
7. Age-standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruits and vegetables.
8. Age-standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ years.
...
Metabolic :
11. Age-standardized prevalence of raised blood glucose/diabetes among persons aged 18+ years (fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for diabetes
12. Age-standardized prevalence of raised blood pressure among persons aged 18+ years (defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg); and mean systolic blood pressure.
13. Prevalence of overweight and obesity in adolescents (defined according to the WHO growth reference for school-aged children and adolescents, overweight – one standard deviation body mass index for age and sex, and obese – 2 SD BMI for age and sex).
14. Age-standardized prevalence of overweight and obesity in persons aged 18+ years (defined as body mass index ≥25 kg/m2 for overweight and body mass index ≥ 30 kg/m2 for obesity).
15. Age-standardized prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol ≥5.0 mmol/L or 190 mg/dl); and mean total cholesterol.
...
System response
...
21. National policies that virtually eliminate partially hydrogenated vegetable oils (PHVO) in the food supply and replace with polyunsaturated fatty acids (PUFA).
","","","Overweight in adolescents|Overweight in school children|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.health.gov.bt/wp-content/uploads/moh-files/2015/12/The-Multisectoral-National-Action-Plan-for-the-Prevention-and-Control-of-NCDs-2015-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BTN%202015%20NCD%20Action%20Plan_1.pdf"
"97898","CHL","Chile","","Acuerdo de Producción Limpia Sector Industria del Pan","Voluntary codes or measures relevant to nutrition","","Spanish","","2015","","","","3","2015","","","","","Health|Trade|Industry","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","Objetivo General Contribuir al desarrollo sustentable, mediante el mejoramiento de la gestión productiva, ambiental y sanitaria del Sector Panaderos, con el fin de introducir de manera permanente en sus actividades buenas prácticas en la gestión ambiental integral y de calidad de servicio, para de esta manera generar ventajas de mayor competitividad y reconocimiento por parte del mercado.
Objetivos Específicos
Implementar al interior de las panaderías buenas prácticas de manufactura.
Reducir el contenido de sodio en el pan.
Reducir el envío de residuos sólidos a relleno sanitario.
Reducir el consumo de agua.
Implementar medidas de prevención de riesgos al interior de las panaderías.
Reducir el indicador de consumo de energía por quintal de harina.
Disminuir la generación de emisiones atmosféricas.
Formar capacidades en los trabajadores, en relación a materias de producción limpia y sustentabilidad.
...
Acción 2.8: Las panaderías reducirán anualmente, a lo menos un 5% de sodio en el pan, considerando como línea de base húmeda los 780 mg NaCl/100 g de producto terminado.
Indicador de desempeño: Informe anual de reducción del sodio en el pan.
Plazo: Mes 12 y Mes 24.
...
Acción 2.14: Las panaderías realizarán un informe que dé cuenta de la reducción del 10% de sodio en el pan, considerando como línea de base húmeda los 780 mg NaCl/100 g producto terminado.
Indicador de desempeño: Informe que dé cuenta de la reducción del 10 % de sodio en el pan, considerando como línea de base húmeda los 780 mg NaCl/100 g producto terminado.
Plazo: Mes 24.
...
","Sodium/salt intake|Salt/sodium|Measures to limit sodium content|Bread, bread products and crisp breads (Reformulation sodium)|Voluntary reformulation","","https://www.minsal.cl/sites/default/files/files/APL%20Acuerdo%20de%20Producci%c3%b3n%20Limpia%20Sector%20Panaderos%20RM_%202015.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHL%202015%20APL%20Acuerdo%20de%20Producci%C3%B3n%20Limpia%20Sector%20Panaderos%20RM_%202015.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
- Réduire de 29,8% à 20% la prévalence du retard de croissance chez les enfants de moins de cinq ans ;
- Réduire de 7,5% à 5% la prévalence de la malnutrition aiguë globale;
- Réduire de 14,9% à 10% la prévalence de l’insuffisance pondérale;
- Réduire de 14,8% à 12% la prévalence du faible poids de naissance;
- Réduire de 10% la prévalence du surpoids chez les populations ciblées;
- Réduire la prévalence de l’anémie de 75% à 60% chez l’enfant et de 54% à 42% chez la femme en âge de procréer;
- Eliminer les troubles dus aux carences en iode.
6.4. Objectifs Sectoriels
- Réduire de 20,5% à 15% la proportion de la population n’atteignant pas le niveau minimum d’apport calorique;
- Accroitre le taux d’allaitement maternel exclusif de 12% à 50 %;
- Amener 40% de la population à adopter des Actions Essentielles en Nutrition;
- Assurer une couverture maladie universelle à 80% de la population;
- Réduire la proportion des ménages en insécurité alimentaire en milieu rural en dessous de 10%;
- Réduire la prévalence des maladies liées aux aliments contaminés;
- Assurer l’accès à l’eau propre à la population de 77% à 100% dans les zones à forte prévalence de malnutrition;
- Porter la couverture de cantine scolaires à 100% dans les régions à forte prévalence de la malnutrition et d’insécurité alimentaire;
- Apporter des services sociaux à 70% de la population hautement vulnérable.
","","","","","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|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Growth monitoring and promotion|Provision of school meals / School feeding programme|Vitamin A|Micronutrient supplementation|Wheat flours|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202015%20Politique%20Nationale%20Nutrition_0.pdf"
"25715","HRV","Croatia","","Strateški plan za smanjenje prekomjernog unosa soli [Strategic Plan for Salt Intake Reduction]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Croatian","","2015","","2019","Ministry of Health","9","2014","Adopted","","2014","Ministry of Health","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Other","Ministry of Foreign Affairs and European Affairs; Central Bureau of Statistics","","","","","","","","","National NGOs","Croatian Society for Hypertension; Croatian Society for Atherosclerosis; Croatian Society for Public Health","Research/academia","Croatian Public Health Institute; Faculty of Medicine of the University of Zagreb","Private sector","Food Industry","Other","Croatian Initiative on Salt and Health (CRASH); Mass Media; Croatian Food Agency","- Podrška i opredjeljenje za promjene
- Utvrđivanje stanja (unos i glavni izvori kuhinjske soli u prehrani)
- Ciljani programi za smanjenje unosa kuhinjske soli
- Osmišljavanje kampanje i uključivanje partnera
- Podizanje svijesti potrošača
- Jasno i jednostavno deklariranje proizvoda
- Partnerstvo i dogovori s prehrambenom industrijom 8. Nadzor napretka i stalna evaluacija
VIZIJA: Stanovništvo Republike Hrvatske je umanjilo zdravstvene rizike povezane s prekomjernim unosom kuhinjske soli.
MISIJA: Sustavnim javnozdravstvenim intervencijama i međusektorskom suradnjom povećati razinu svijesti o optimalnom unosu kuhinjske soli uz posljedičnu promjenu navika cjelokupnog stanovništva i osiguranje preduvjeta u svim resorima društva za dostupnost i odabir hrane s manjim udjelom kuhinjske soli.
Cilj Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj jest postupno smanjivati unos kuhinjske soli u općoj populaciji Republike Hrvatske za prosječno 4% godišnje, sa sadašnjih 11,6 grama dnevno na 9,3 grama 2019. godine.
Temeljem iskustva i procjenom rezultata postignutih u drugim državama uz navedeno smanjenje unosa kuhinjske soli za oko 2 g na populacijskoj razini očekuje se značajno sniženje prevalencije arterijske hipertenzije i ostalih kardiovaskularnih i cerebrovaskularnih bolesti.
S obzirom na vodeće uzroke prekomjernog unosa kuhinjske soli definirani su sljedeći prioriteti:
- Razvoj novih receptura za proizvodnju gotove i polugotove hrane
- Smanjenje udjela kuhinjske soli u kruhu i pekarskim proizvodima te ostaloj gotovoj i polugotovoj hrani
- Osiguranje dostupnosti hrane s poželjnim udjelom kuhinjske soli i omogućavanje informiranog te poželjnog odabira hrane od strane potrošača
- Kontinuirana edukacija i informiranje svih dionika (stanovništvo, zdravstveni sektor, cjelokupna prehrambena industrija te ostali dijelovi društva).
Budući da preko 70% dnevnog unosa kuhinjske soli konzumiramo putem gotove ili polugotove hrane, cilj se mora ostvariti u suradnji s ugostiteljstvom i prehrambenom industrijom, naročito pekarskom jer se kruhom i pekarskim proizvodima unosi 30 - 40% kuhinjske soli.
","4.1 Analiza i planiranje
Mjera 1. Izrada plana smanjenja udjela kuhinjske soli u ugostiteljstvu i prehrambenoj industriji po pojedinim grupama hrane
- Aktivnost 1. Izrada plana po vrstama hrane. Izradit će se Nacionalni plan za smanjenje konzumacije kuhinjske soli po vrstama hrane za razdoblje 2015. – 2019.
Mjera 2. Praćenje troškova kroz istraživanje vezano za bolesti povezane s prekomjernim unosom kuhinjske soli
- Aktivnost 1. Nacionalno istraživanje o troškovima. Provest će se Nacionalno istraživanje o ukupnim troškovima bolesti povezanih s prekomjernim unosom soli, ekonomske projekcije i ekonomski modeli za razdoblje 2015. – 2019.
Mjera 3. Istraživanje o konzumaciji soli u Republici Hrvatskoj
- Aktivnost 1. Nacionalno istraživanje o konzumaciji kuhinjske soli. Provest će se Nacionalno istraživanje o smanjivanju konzumacije kuhinjske soli kojim će se pratiti uspješnost provođenja Strategije u Republici Hrvatskoj o unosu i glavnim izvorima soli u prehrani kroz projekt EHIS - European Health Interview Survey.
4.2 Djelovanje prema proizvođačima i distributerima hrane
Mjera 1. Poticanje proizvodnje hrane s manjim udjelom kuhinjske soli u prehrambenoj industriji
- Aktivnost 1. Projekt poticanja proizvodnje hrane s manjim udjelom kuhinjske soli. Izradit će se projekt poticanja proizvodnje hrane s manjim udjelom kuhinjske soli i promicanja društvene odgovornosti i socijalnog marketinga u prehrambenoj industriji.
Mjera 2. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i institucionalnim kuhinjama
- Aktivnost 1. Analiza propisa i izrada i donošenje propisa. Zakonskom i podzakonskom regulativom, uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i u institucionalnim kuhinjama za 20% u razdoblju od 2015. do 2019. godine.
Mjera 3. Uvođenje zakonske i podzakonske regulative sustava jasnog, jednostavnog, obveznog i dodatnog navođenja udjela kuhinjske soli na svim prehrambenim proizvodima.
- Aktivnost 1. Izrada i donošenje propisa . Razviti poseban sustav i kriterije obveznog i dodatnog deklariranja proizvoda u pogledu sadržaja soli i potencijalnih rizika po zdravlje te sustava inspekcije i nadzora kao i kontrolirati provođenje istog i donijeti mjere kojima se propisuju dodatni obvezni podaci za određene vrste hrane ili kategorije hrane u cilju, između ostalog, zaštite javnog zdravlja i zaštite potrošača.
4.3 Djelovanje prema građanima – posredno i neposredno
Mjera 1. Smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja
- Aktivnost 1. Izrada i donošenje propisa. Zakonskom i podzakonskom regulativom, izradom vodiča te uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela kuhinjske soli u gotovoj i polugotovoj hrani te hrani koja se servira u objektima predškolskog i školskog odgoja za 20% u razdoblju od 2015. do 2019. godine.
Mjera 2. Promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli
- Aktivnost 1. Izrada i provedba plana promocije. Utvrđivanje kriterija i promicanje konzumiranja hrane s nižim udjelom kuhinjske soli s ciljem jačanja svijesti o potrebi smanjenja unosa kuhinjske soli uključivanjem svih javnozdravstvenih djelatnika, šire društvene zajednice, odgojno-obrazovnih ustanova, institucija u sustavu sigurnosti hrane, proizvođača hrane, medija, te akademske zajednice, roditelja i djece. Provođenje sustavnih trajnih informativnih kampanja koje moraju uključivati sve značajne institucije u području sigurnosti hrane i zaštite zdravlja potrošača
4.4 Monitoring i evaluacija
Mjera 1. Stalni nadzor i vrednovanje postignutih rezultata
- Aktivnost 1. Praćenje provedbe. Izrada i provedba plana vrednovanja Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj 2015. – 2019.
","- Cilj Strateškog plana za smanjenje prekomjernog unosa kuhinjske soli u Republici Hrvatskoj jest postupno smanjivati unos kuhinjske soli u općoj populaciji Republike Hrvatske za prosječno 4% godišnje, sa sadašnjih 11,6 grama dnevno na 9,3 grama 2019. godine.
- Zakonskom i podzakonskom regulativom, uz provođenje inspekcija, nadzora i istraživanja postići smanjenje udjela soli u gotovoj i polugotovoj hrani te hrani koja se poslužuje u ugostiteljskim objektima i u institucionalnim kuhinjama za 20% u razdoblju od 2015. do 2019. godine.
","Outcome indicators|Process indicators","","Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Salt/sodium|Media campaigns on healthy diets and nutrition|Salt reduction","","https://zdravlje.gov.hr/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HRV%202014%20Strategic%20Plan%20on%20Salt%20Reduction.pdf"
"25716","HRV","Croatia","","Nacionalni program Živjeti zdravo [National Programme 'Living Healthy']","Health sector policy, strategy or plan with nutrition components","","Croatian","","2015","","","Ministry of Health","6","2015","Adopted","","2015","Ministry of Health","Health|Food and agriculture|Education and research|Social welfare|Sport|Trade|Environment|Labour|Other","Ministry of Tourism; Office for the Association of Croatian Government","","","","","","","","","","","Research/academia","Croatian Institute of Public Heath; County Institutes for Public Health; Medical faculties; Faculty of Kinesiology; Food and Biotechnology; Faculty of Education","","","Other","Croatian Employers' Association; Croatian Chamber of Economy; Croatian National Tourist Board; Croatian Food Agency; Association of Independent the Croatian Trade Unions; Child Education Institutions; the Education and Training Agency","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:
- Zdravstveno obrazovanje
- Zdravlje i tjelesna aktivnost
- Zdravlje i prehrana
- Zdravlje i radno mjesto
- Zdravlje i okoliš
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"
"73541","QAT","Qatar","","Market Regulation: Initiative to Regulate Data Relating To Food and Beverage Menus of Restaurants and Cafes","Government guidance","","English","","2018","","","Ministry of Economy and Commerce in cooperation with the Ministry of Public Health ","","2018","Adopted","","2018","government ","Health|Trade","Ministry of Economy and Commerce in cooperation with the Ministry of Public Health ","","","","","","","","","","","","","","","","","","","",""," Ministry of Economy and Commerce in cooperation with the Ministry of Public Health Launches initiative to regulate data relating to food and beverage menus of restaurants and cafes
The ministry of Economy and Commerce seeks to protect consumer rights by stressing a consumer’s right to access correct information and data relating to the products or services he purchases, uses or is offered to him and to ensure the commitment of traders to providing information on displayed products and services
The ministry of public health is specialized in the technical monitoring of restaurants and café where it regularly tests and monitors offered food and beverages to ensure consumer and public health as well as to identify nutritional elements that shall be included in the nutritional card and to promote awareness in society about the importance of providing and displaying information.
Based on circular number 2 of 2018 issued by the Director of the Department of Consumer Protection and Combatting Commercial Fraud, all restaurants, cafes, and similar service providers must comply with the following
The general obligation applicable to restaurants, kitchens and cafes involve the display of the type of the meal and the country of origin (the country of production of the commodity) in the description provided to consumers, whether the meal consists of meat or poultry .
Restaurants, kitchens, and cafes should also provide a description of the condition of the ingredients such as if the meat, chicken and fish are (fresh, refrigerated or frozen). It is also mandatory to display the weight of the main course including meat, chicken, and fish meals.
Restaurant and kitchens should also display the weight of main courses consisting of meat, chicken and fish meals.
Restaurants, cafes, and ice cream shops, are required to display the calorie count of meals and beverages they offer to consumers:
1-First, the café, restaurant or shop should be part of a multinational franchise such as fast-food shops
2- Second, the franchise should involve more than five branches for restaurants, cafes and ice cream shops (except when it comes to movie theatres) that are required to display the calorie count regardless of the number of branches
3- Thirdly, branches must bear the same name.
4- Fourth, all branches must adopt a single or similar menu
How to display data and information relating to calories on meals and beverages
1-The food menu on display at the restaurant (behind the seller)
2-Explanatory labels next to each food and beverage item
3- Menus offered to customers
Note: the country of origin (country of production) and the condition of meat, chicken and fish should be mentioned next to the calorie count.
Implementation stages
A pilot phase to adjust the status over a six -month starting from 10/6/2018
Mandatory phase that starts on 10/12/2018
Note
- All restaurants must provide a calibrated balance by the competent authorities at the Qatar Authority for standardization and Metrology to be used for specified purposes.
- The Ministry of Economy and Commerce, in cooperation with the Ministry of Public Health, will organize monthly training workshops to provide technical support and consultations on the calculation mechanism of food labels and calories before the mandatory phase.
Initiative to regulate data relating to food and beverage menus of restaurants
In line with its efforts to protect consumers rights and promote public health, the Ministry of Economy and Commerce in cooperation with the Ministry of Public Health, issued a circular regarding the presentation of data regarding the presentation of data relating to food, meals, and beverages of all kinds. The initiative aims to ensure consumers’ rights to access correct information and data relating to the products and services they purchase, use, or are offered to them. The initiative also highlights the trader’s role in mentioning this data in products and services. The initiative also aims at raising awareness among consumers who will have access to the nutritional value of food and beverages offered to them, which will give them the opportunity to choose the meals with the appropriate calorie intakes and the nutritional value of food and beverages offered to them, which will give them the opportunity to choose the meals with appropriate calorie intakes and the nutritional elements that suit their daily activities and ensures that visitors of cafes and restaurants have information to choose the best offered product.
","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Menu labelling|Creation of healthy food environment|Mandatory menu or vending machine labelling|Energy value (M/V)|Food chains|Monitoring mechanism established","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT-2018-market%20regulation.pdf"
"36194","MAR","Morocco","","Prevention des Maladies Non Transmissibles: Plan d’action multisectoriel pour la Promotion d’un Mode de vie sain 2015-2020","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2020","Ministre de la santé","","2015","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Industry|Justice|Labour|Other","Ministère des Affaires Générales et de la Gouvernance, Ministère des Habous et des Affaires Islamiques","","","","","","","","","","","","","","","","","Objectif général: Réduire l’exposition aux facteurs de risque modifiables des maladies Non Transmissibles et promouvoir un mode de vie sain.
Objectifs spécifiques:
- Réduire l'usage du tabac et protéger les non-fumeurs
- Réduire la consommation de sel, de gras et de sucre dans les habitudes alimentaires chez la population et améliorer les habitudes alimentaires
- Promouvoir l'activité physique
- Ralentir la progression des maladies chroniques
","Les domaines prioritaires...
Réduction de la consommation de sel via les campagnes médiatiques et reduction de la réduction de la teneur en sel des aliments transformés et servis Et remplacement des gras trans par des gras polyinsaturés
...
Programme de sensibilisation du public sur l'alimentation et l'activité physique
- Action 1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
- Action 2 : Développement des compétences en matière de mode de vie sain
- Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
- Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
- Action 5: Développement du partenariat en matière du mode de vie sain
- Action 6 : Mise en Place d'une réglementation relative à la promotion du mode de vie sain
- Action 7: Diffusion du plan d’action multisectoriel de promotion de mode vie sain
- Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
- Action 9: Suivi et évaluation des actions multisectorielles de promotion du mode de vie sain
","Promotion d'un mode de vie sain:
- Nombre de messages produits et diffusés ( TV, radio)
- Nombre d'établissements scolaires et universitaires sensibilisés
- nombre d'hôpitaux ayant organisé des campagnes
- Nombre de manifestations organisées dans les universités
- Nombre d'industriels de l'agroalimentaire sensibilisés
- nombre de textes élaborés sur l'alimentation saine
","","","Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR_2015_PAM.pdf"
"25893","NRU","Nauru","","Nauru Non Communicable Disease Strategic Action Plan 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","6","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Justice","","","","","","","","","","National NGOs","Nauru National Sustainable Development Strategy 2005-2025 (NNSDS) – Partnership for Quality of Life.","","","","","","","NCDs and nutrition are addressed under key result area 2 of which the goal is to strengthen and improve community preventive and health care services under the principles and concepts of primary health care and healthy islands.
For nutrition, the Plan emphasizes on supporting and strengthening ongoing school feeding programme; introducing and supporting the Baby Friendly Hospital initiative and promotion of exclusive breast feeding; as well as advocating for good family nutrition through home gardening and healthy food preparation.
","6.2. Strengthen food security
Promote breast feeding:
• Re-establish Baby Friendly Hospital Initiative Programme
• Establish community support groups for breastfeeding
• Conduct strategic health communication activities to:
- Strengthen the awareness on importance of exclusive breastfeeding for the first 6 months
- encourage breastfeeding up to 2 years of life
Improve the quality and safety of food produced and consumed in schools
• Develop and implement a school food policy covering food produced, sold and consumed in schools
Provide guidance to canteen staff on healthy and safe food preparation
Conduct regular inspections of school canteens and premises that prepare food for school canteens as a requirement of the Food Bill
Monitor and evaluate the school feeding programme
Provide guidance to food retailers and vendors on sale of healthy meal and snack options for school children
Introduce a weekly fruit and water day in all schools
Integrate vitamin supplementation and provision of school milk into school feeding programme
Conduct an anaemia baseline survey among school children – NIMS Program
Procurement of a vehicle for Food Safety programme
Increase consumption of fruits and vegetable
Establish or revitalize school gardens in all primary schools
Explore opportunities for providing subsidies to imported fruits and vegetables (including frozen and canned) through collection of taxes on unhealthy food
Encourage retailers to promote fresh fruits and vegetables
Promote fresh fruits and vegetables as healthy snacks
Develop Health Promoting Schools Initiative
Promote good health and nutrition
Implement strategic health communication in the promotion of healthy eating
Work with food retailers on establishing and promoting healthy food corners Establish a demo kitchen to demonstrate healthy cooking practices
Reduce population salt intake
Develop comprehensive salt reduction strategy
Conduct strategic health communication activities around salt reduction including awareness raising and communication for behaviour
","Table 3: Target prevalence rates by 2020
Risk factor - Men - Women
Sodium intake* - n.a - n.a
Less than 5 serving of fruits and vegetable per day - 84.4% - 84.2%
Overweight (obesity) -82.1% (55.7%) - 82.1% (60.5%)
High blood pressure - 18.5% - 9.2%
Diabetes - 16.1% - 16.3%
* The baseline for sodium intake will be established during the NCD STEPS survey planned for 2014
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Overweight in adolescents|Raised blood glucose/diabetes|Raised blood pressure|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Salt reduction|Food safety","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NRU-2015-2020-NCD%20Strategic%20Plan.pdf"
"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:
- снижение влияния факторов риска неинфекционных заболеваний за счет создания единой профилактической среды;
- обеспечение профилактики неинфекционных заболеваний на протяжении всего жизненного цикла посредством всеобщего и доступного охвата населения услугами первичной медицинской помощи;
- обеспечение проведения мониторинга состояния здоровья населения посредством создания единого информационного пространства здравоохранения Республики Беларусь.
Данные задачи будут решены посредством реализации мероприятий подпрограммы 2 ”Профилактика и контроль неинфекционных заболеваний“ согласно приложению 2.
","- Разработка и внедрение национальной модели службы планирования семьи
- Развитие сети центров, дружественных подросткам (далее – ЦДП), совершенствование работы по вопросам формирования навыков здорового образа жизни с подростками и молодежью, включая подростков групп риска
- проведение информационнообразовательных кампаний по вопросам профилактики курения, алкоголизма и пропаганды рационального питания, физической активности и здорового образа жизни среди подростков и молодежи, а также их родителей
- подготовка информации к изданию и разработка макета серии книг для детей и подростков «Мы – за здоровый образ жизни: «Твое здоровье и успех»
- Осуществление денежной выплаты многодетным матерям, награждаемым орденом Матери
- Осуществление единовременной выплаты семьям при рождении двоих и более детей на приобретение детских вещей первой необходимости
- популяризация семейных ценностей, здорового образа жизни в рамках телевизионного проекта «Большой завтрак»
- Популяризация здорового образа жизни и профилактика неинфекционных заболеваний, вызванных основными факторами риска (курение, злоупотребление алкоголем, нездоровое питание и недостаточная физическая активность), разработка и внедрение информационной стратегии здорового образа жизни.
- Развитие механизмов продвижения здорового образа жизни на местном уровне.
- Разработка и внедрение рекомендаций по здоровому питанию для различных групп населения.
- Разработка предложений по ограничению рекламы пищевой продукции с высоким содержанием соли, сахара и жира, ориентированной на детей.
- Актуализация и реализация требований к организации питания отдельных категорий населения (детское население, лица, находящиеся в организациях здравоохранения, в учреждениях социального обслуживания, на оздоровлении) с учетом снижения содержания соли, сахара, увеличения количества свежих овощей и фруктов.
- Реализация комплекса мер, направленных на разработку и внесение в законодательство изменений в части ужесточения гигиенических нормативов содержания трансизомеров жирных кислот в отдельных видах масложировой продукции, снижение содержания сахара в рецептурах кисломолочной продукции, другой продукции для детей дошкольного и школьного возраста, снижение содержания соли в колбасных изделиях, плодоовощных консервах, расширение ассортимента хлебобулочных изделий со сниженным содержанием соли.
- Проведение мониторинга организации лечебного (диетического) питания в организованных коллективах (учреждений дошкольного, общего среднего образования идругих).
- Разработка и реализация нормативных правовых актов по вопросам диспансерного наблюдения беременных женщин и женщин, имеющих детей до 18 месяцев, из групп высокого риска инфицирования ВИЧ
- Предоставление для детей, рожденных ВИЧ-инфицированными женщинами, заместительного вскармливания на первом году жизни
","Сводным целевым показателем Государственной программы и целевыми показателями подпрограмм согласно приложению 8 предусматривается обеспечить к 2020 году:
- увеличение физической активности взрослого населения (средняя физическая активность не менее 30 минут в день) до 40 процентов;
- уменьшение потребления поваренной соли в сутки до 5 граммов;
- снижение содержания трансизомеров жирных кислот в продуктах переработки растительных масел до 2 и менее процентов;
- Риск передачи ВИЧ от ВИЧ-инфицированной матери ребенку: 1
","Outcome indicators","","Counselling on infant feeding in the context HIV|Maternity protection|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Fruits|Vegetables|Complementary food provision|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|HIV/AIDS and nutrition|Family planning (including birth spacing)|Conditional cash transfer programmes|Vulnerable groups|Limit on 2 g / 100 g fat in all foods|Fat (marketing)|Salt/sodium (marketing)|Sugars (marketing)|Trans fat (marketing)|Covers children up to 18 years of age|Caring homes (standards)|Government canteens (standards)|Hospitals (standards)|Schools (standards)|Universities (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fats (standards)|Sodium (standards)|Sugars (standards)","","http://www.pravo.by/document/?guid=12551&p0=C21600200&p1=1","Programme 2 of this National Health Policy specifically focuses on NCDs including nutrition actions and goals.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202016%20National%20Programme%20%27Health%20of%20people%20and%20demographic%20saftely%20of%20Belarus%202016-2020%27_0.pdf"
"24693","BEN","Benin","","Plan de Renforcement de L'Allaitement Maternel au Benin 2016-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2020","Direction de la Sante de la Mere et de L’Enfant","8","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Trade|Information","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Catholic Relief Services|International Baby Food Action Network (IBFAN)|Other|Plan International|Terre des Hommes","URC, MCDI, PSI, , BORNEFONden, AFRICARE, COREGROUP","Other, please specify under further details|Swedish International Development Cooperation Agency (SIDA)|The World Bank|US Agency for International Development (USAID)","Coopération Technique Belge, Coopération Française, Coopération des pays Bas","","","","","","","","","","","
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 :
- Renforcement du cadre institutionnel politique et législatif ;
- Promotion de l'initiative ""Hôpitaux Amis des Bébés"" (IHAB) ;
- Renforcement des capacités des agents socio-sanitaires ;
- Organisation communautaire et ""capacitation’’ des femmes pour la prise de décision en faveur de l’allaitement maternel ;
- Renforcement de la communication pour l’allaitement maternel ;
- Renforcement de la coordination intra et inter sectorielle et partenariat ;
- Supervision et Motivation des acteurs, et Suivi-Evaluation ;
- Recherche et développement.
","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"
"26371","BFA","Burkina Faso","","Plan stratégique intègre de lutte contre les maladies non transmissibles ","NCD policy, strategy or plan with healthy diet components","","French","","2016","","2020","Le Ministre de la santé - Burkina Faso","4","2016","","","","","Health|Food and agriculture|Trade|Industry","DPS, DCPM, DN, Autres intervenants; DN, MICA, Agriculture, élevage, LNSP, Ligue des consommateurs, ABNORM, Autres intervenants","","","","","","","","","","","","","","","","","","Axe 6 : Renforcement de la prévention des MNT
Cet axe sera consacré à des actions de prévention des MNT et leurs facteurs de risques. Il s’agira :
- du renforcement des capacités des acteurs pour des actions de prévention des MNT et leurs facteurs de risques ;
- de l’organisation des séances d’information et de sensibilisation des populations sur les MNT ;
- de l’intégration de la prévention des MNT dans les programmes de santé publique (Nutrition, VIH, Vaccination, Santé de la reproduction…) ;
- du passage à l’échelle pour la vaccination contre le HPV et son intégration à la vaccination de routine ;
- de l’introduction de la vaccination périodique contre l’hépatite B dans les milieux professionnels à haut risque (santé, protection civile,…) ;
- du dépistage systématique des MNT dans les structures de soins et la promotion du dépistage dans les communautés ;
- de la collaboration avec les structures de contrôle de qualité des aliments.
...
Action prioritaire 4.1.3 Renforcer la communication pour le changement de comportement dans le domaine des MNT
Action prioritaire 4.1.4 Faire un plaidoyer pour l’augmentation de l’accessibilité des aliments sains
...
","Tableau 6 : Indicateur d'effets
Indicateurs: Pourcentage de personnes de 25 à 64 ans consommant quotidiennement les 5 portions de fruits et légumes
Niveau 2013: 5,1
Attendu 2020: 6,4
Indicateurs: Pourcentage de porteurs d'HTA suivis médicalement
Niveau 2013: 30,3
Attendu 2020: 37,8
Indicateurs: Pourcentage de diabétiques détectés et suivis médicalement
Niveau 2013: 11, 9
Attendu 2020: 14,8
Tableau 7 : Indicateurs d'impacts
Indicateurs: Prévalence de l’obésité
Situation 2013: 4,5%
Cible 2020: 4,5%
Indicateurs: Prévalence de l’HTA
Sitaution 2013: 17,6%
Cible 2020: 17,6%
Indicateurs: Prévalence de la consommation excessive de sel
Sitaution 2013: Pas indiqué
Cible 2020: Pas indiqué
Indiateurs: Prévalence du Diabète
Situation 2013: 4,9%
Cible 2020: 4,9%
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)","","https://extranet.who.int/ncdccs/Data/BFA_B3_Plan%20SIMNT_FINAL_27-09-2016_F.pdf","","WHO NCD Repository ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA_2016_Plan%20Strategique%20MNT.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"
"25995","BDI","Burundi","","Decret N100-68 Du 18 Mars 2015 Portant Reglementation de la Fortification des Aliments au Burundi ","Legislation relevant to nutrition","","French","","2016","","","Republique du Burundi Cabinet du President","3","2015","Adopted","3","2015","Le Président de la République, le Deuxième Vice-Président de la République, le Ministre de la Santé Publique et de la Lutte contre Ie Sida, le Ministre du Commerce, de l'industrie, des postes et du tourisme.","Health|Trade|Industry","Sante publique, Commerce et I'lndustrie","","","","","","","","","","","","","","","","","","","","","Article 1 : Le present decret a pour objet de reglementer la fortification des aliments dans le but d'attenuer les carences nutritionnelles et de traiter les effets devastateurs evitables de la malnutrition en micronutriments sur la sante et Ie developpement cognitif des individus, sur la productivite de la population et sur Ie potentiel de developpement du pays.
Article 2 : II s'applique a tous les aliments importes, fabriques, distribues, emballes, etiquetes, stockes, transportes, exposes a la vente ou la distribution au Burundi pour la consommation humaine tel que stipule a I'article 4.
Article 4 : Aliments a fortifier
Le present decret s'applique a la fortification obligatoire des aliments de base
suivants :
1- La farine de Maïs ;
2- La farine de Manioc ;
3- La farine de Ble ;
4- L'huile vegetale comestible et la graisse ;
5- Tout autre produit que Ie Ministere ayant la sante publique dans ses
attributions aura declare par publication au Bulletin Officiel du Burundi
(BOB), produit vise aux fins du present decre!.
","Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|Food fortification|Wheat flours|Maize flours|Edible oils and margarine|Mandatory fortification|Mandatory fortification of maize flours with folic acid|Mandatory fortification of maize flours with iron|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of maize flours with folic acid aligned with WHO guidance|Fortification of maize flours with iron aligned with WHO guidance|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","http://extwprlegs1.fao.org/docs/pdf/bur143141.pdf","","2nd WHO Global Nutrition Policy Review 2016-2017Document retrieved from FAOLEX Database: http://www.fao.org/faolex/en/","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI-2015-Decret%20Portant%20Reglementation%20de%20la%20Fortification%20des%20Aliments%20au%20Burundi.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"
"39483","MYS","Malaysia","","Policy Options to Combat Obesity in Malaysia","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2016","","","Ministry of Health Malaysia","","2016","","","","","Health|Education and research|Sport|Trade","Ministry of Health Malaysia has formed a Task Force to Combat Obesity in Malaysia chaired by Deputy Director General of Health (Public Health) with members are from several ministries, professional bodies and NGOs (Appendix I)1 Datuk Dr. Lokman Hakim Sulaiman Deputy Director General Of Health Malaysia (Public Health)2 Mrs Rokiah Don Director, Nutrition Division, Ministry of Health3 Dr. Chong Chee Kheong Director, Disease Control Division, Ministry of Health4 Mr Abdul Jabar Ahmad Director, Health Education Division, Ministry of Health5 Dr Fatanah bt Ismail Senior Principal Assistant Director, Family Health Development Division, Ministry of Health6 Mr Cyril Christopher Singham Principal Assistant Director, School Management Division, Ministry of Education7 Dr Abdul Halim Mohd Hussin Director, Psychology Division, Public Service Department8 Mrs Siti Farida Azhar Deputy Director General, Sports Development Division, Ministry of Youth and Sports9 Ms Masni Mustapa Kamarul Basah Principal Assistant Secretary, Family and Community Development Division, Ministry of Women, Family andCommunity Development10 Prof. Emeritus Dr. Mohd Ismail Noor President, Malaysian Association for the Study of Obesity (MASO)11 Dr Tee E. Siong President, Nutrition Society of Malaysia12 Mr Jong Koi Chong Chairman, Malaysia Council for Obesity Prevention (MCOM)13 Mr Ikmal Azam Thanaraj Abdullah Vice President, Malaysian Trade Union Congress (MTUC)14 Dr Mohd Zaidi Saleh EXCO, Malaysia Association of Sports Medicine15 Mrs Munirah Muhtar Secretary, Federation of Malaysia Manufacturers (FMM)16 Ms Rusidah Selamat Deputy Director, Nutrition Division, Ministry of Health17 Mrs Zaiton Daud Deputy Director, Nutrition Division, Ministry of Health18 Mrs Zalma Abdul Razak Senior Principal Assistant Director, Nutrition Division, Ministry of Health19 Mr Nazli Suhardi Ibrahim Senior Principal Assistant Director, Nutrition Division, Ministry of Health20 Dr Feisul Idzwan Mustapha Senior Principal Assistant Director, Disease Control Division, Ministry of Health21 Mr Mohamed Farouk Abdullah Senior Principal Assistant Director, Health Education Division, Ministry of Health22 Dr Saidatul Norbaya Buang Chief Senior Assistant Director, Family Health Development Division, Ministry of Health23 Mrs Norliza Zainal Abidin Principal Assistant Director, Food Safety and Quality Division, Ministry of Health24 Mrs Mahani Wahab Assistant Director, Division of Educational Planning and Research, Ministry of Education25 Prof Dr Norimah A. Karim Chairman, Technical Working Group (Research) Nutrition Division, Ministry of Health","","","","","","","","","","","Research/academia","10 Prof. Emeritus Dr. Mohd Ismail Noor President, Malaysian Association for the Study of Obesity (MASO)","","","","","General Objective
To prioritise policy options on food, physical activity and environment to combat obesity in Malaysia.
Specific Objectives
To prioritise hard policy options to combat obesity in Malaysia.
To prioritise soft policy programmes/ interventions to combat obesity in Malaysia
","Ban sales of food and beverages that are not encouraged to be sold in school canteen.
Ban marketing of unhealthy food/ beverages to children in print and fixed outdoor advertising within 50 metres of schools (media, bus stops, billboards)
Mandatory to provide free, clean and safe (water fountain/ dispenser) in schools, higher learning institutions and workplaces.
Improve provision of quality physical activity in educational settings (from preschool to tertiary level) including opportunities for physical activity before, during and after the formal school day.
Voucher for sport/physical activity equipment.
Mandatory employment of nutritionists in schools for each PPD employed by MOE.
Recognition shall be given to schools for organising physical activity
Institution of Higher Learning and Workplace Setting
Mandatory to sell/ provide fruits in food outlets in government agencies.
Encourage to sell/ provide fruits in food outlets in private sectors.
Mandatory for healthy food choices made available in workplace canteens and higher learning institutions.
Mandatory establishment of sports and welfare club at department and ministries in government agencies.
Encourage physical activity after working hours to government servants in government agencies.
Mandatory for every government servant to involve in physical activity.
Mandatory for government agencies to implement physical activity in every meeting/ seminar/ course that will set example to others.
Specific allocation for procurement of physical activity/ sport related materials, equipment and organising related events in every agency.
Healthy BMI as part of performance appraisal in the workplace.
Qualified physical activity instructor is placed in every agency to implement physical activity.
Promote work-life balance (work efficiently within working hours) in order to encourage employees to carry out physical activity.
General Population Setting
Increase consumption and access to affordable and fresh vegetables (including ulam) and fruits by increasing the number of Pasar Tani outlet.
Mandatory for cafeteria operators and caterers to be trained and certified on healthy food provisions and preparations (as a core module).
Banning television advertising of foods/ beverages high in fat and/ or high in sugar that is appealing to children.
Mandatory for vending machines to sell healthier food and beverages options in public places.
Mandatory to display nutrition information for all vending machines.
Mandatory to display prominently nutrition information on menus at food outlet (e.g.: fast food restaurants, franchise restaurants).
Excise and/ or GST on unhealthy foods (foods high in fats, salt and sugars) e.g.: sweetened creamer, condensed milk, sugar sweetened beverages (SSBs) carbonated drinks, juices, processed foods.
Impose extra charges for excess/ unfinished food taken in hotels/ restaurants (buffet).
Reduce import duty on fruits and vegetables.
Initiatives to reduce sitting time during working hours.
Increase availability of facilities in the community to promote physical activity and exercise in safe environment (e.g.: public parks, public sport complexes, jogging and cycling paths and public gymnasium).
Mandatory for local authority to provide cyclists and pedestrians safe and accessible sidewalks, walking path and cycling paths.
Implement public awareness activities to promote the benefits of physically active lifestyle.
To manage weight and health through skill building in parenting, meal planning and behavioural management through training courses.
Establish a weight management program for overweight and obese individuals in workplace settings.
Develop National Physical Activity Guidelines.
Every local authority has to organise Car Free Campaign once a month to create supportive environment for physical activity.
Provide parking space for bicycle in every station of public transportations.
Increase the limit of income tax deduction/ relief from RM300 to RM600 for procurement of on exercise equipment.
Tax deduction to employers (private sectors) on the expenses made for sports and physical activity equipment as defined in Sport Development Act to the employees.
Mandatory for local media to allocate more airtime/ advertisement space during appropriate time for promotion of physical activity.
Establish public-private partnership to promote healthy eating and physical activity
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Mandatory restriction of operating hours up to 12 midnight for all food outlets.
Mandatory to relocate street stalls to hawker centres for the purpose of ensuring opening time, food safety and healthier choices.
Reduce cooking oil subsidies.
Restrict the number of new food outlets including 24 hours food outlets within 400 metres radius of new resident areas.
Provide incentive (e.g.: provision of raw agricultural inputs, tax discounts for producers) for local production, processing and distribution or importation, and marketing of healthier food options.
Mandatory employment of nutritionists/ dietitians in major food outlets.
Every local authority to provide billboards, advertising space at Ministry of Youth and strategic sites for promotion of physical activity.
","","Outcome indicators","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Added sugars|Fruit and vegetable intake|Right to water|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Menu labelling|Fats|Taxation on unhealthy foods|Removal of taxes on healthy foods|Removal of subsidies on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Food safety|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MYS_2016_Policy%20Options%20to%20Combat%20Obesity%20in%20Malaysia.pdf"
"40739","NER","Niger","","Politique nationale de securite nutritionnelle au Niger","Comprehensive national nutrition policy, strategy or plan","","French","","2016","","2025","Structure chargée de la coordination de la politique nationale de securite nutrionnelle (PNSN)","","2016","Adopted","","2016","Ministère de la Santé","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry","Structure chargée de la coordination de la politique nationale de securite nutrionnelle (PNSN), conseils régionaux , conseils communaux, Ministère de l’Hydraulique et de l’Assainissement, Ministère de l’Environnement, de la Salubrité Urbaine et du Développement Durable,Ministère de la Population, de la Promotion de la Femme et de la Protection de l’Enfant","","","","Organisation de la Société Civile","","","","","National NGOs","","","","","secteurs concernées par l'alimentation","","Les Partenaires Techniques et Financiers","But de la Politique
La présente politique vise à permettre au Niger d’atteindre les Objectifs de Développement Durable (ODD), particulièrement l’ODD2: éliminer la faim, assurer la sécurité alimentaire, améliorer la nutrition et promouvoir une agriculture durable.
Objectif général
La politique nationale sur la sécurité nutritionnelle, qui exprime l'engagement pris par le Gouvernement de la République du Niger, vise à éliminer toutes les formes de malnutrition au travers d’une large mobilisation multisectorielle de ressources institutionnelles, humaines, et financières.
Objectifs spécifiques
- Assurer le développement d’un cadre multisectoriel permettant l’opérationnalisation des services d’appui à la sécurité nutritionnelle.
- Instaurer les accords et mécanismes institutionnels à mettre en place pour la planification, la coordination, les ressources, la mise en oeuvre et le suivi du processus;
- Définir les rôles et responsabilités des secteurs clés du Gouvernement, des institutions et à tous les acteurs concernés pour répondre à cet objectif.
- Définir les cadres de redevabilité pour les principaux acteurs concernés
","Engagement 1: Le Niger s’engage à assurer que les politiques et instruments qui protègent et améliorent la sécurité nutritionnelle et le cadre de vie des Nigériennes et des Nigériens, particulièrement au niveau des groupes vulnérables, soient formulés et guident les décisions et actions du Gouvernement et de ses partenaires.
Engagement 2: Le Niger s’engage à assurer une nutrition et un développement optimal pour chaque enfant, une nutrition adéquate durant l’adolescence en particulier pour les jeunes filles, et un apport nutritionnel approprié pendant la grossesse et l’allaitement.
Engagement 3: Le Niger s’engage à créer les conditions d’une disponibilité accrue de l’approvisionnement et de la consommation d’aliments diversifiés, pour garantir une alimentation quantitativement et qualitativement adéquate aux enfants de moins de cinq ans, aux adolescentes et adolescents, aux femmes enceintes et allaitantes et ceci durant les différentes périodes de l’année y compris la période de soudure.
Engagement 4: Le Niger s’engage à assurer le développement et la mise à l’échelle de stratégies permettant un accès à l’eau potable, et aux infrastructures d’hygiène et d’assainissement pour les enfants, les femmes et les hommes.
Engagement 5: Le Niger s’engage à ce qu’un socle de protection sociale ou des programmes de protection sociale contribuent directement ou indirectement à la promotion de la sécurité nutritionnelle en particulier pour les catégories les plus vulnérables.
Engagement 6: Le Niger s’engage pour une éducation formelle et non formelle qui promeut la sécurité nutritionnelle.
Engagement 7: Le Niger s’engage à lutter contre le surpoids et l’obésité, y compris la surnutrition des enfants, et à réduire l’incidence des maladies non transmissibles (prévenir et contrôler les maladies liées à la mauvaise alimentation et ses conséquences).
Engagement 8: Le Niger s’engage à développer et mettre à l’échelle des stratégies de communication cohérentes et multisectorielles assurant un support politique, des changements sociaux et de comportements favorisant une meilleure nutrition.
Note: for each commitment, stratgies are listed in document pages 15-21
","","","","Maternity protection|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202016%20PNSN_0.pdf"
"36188","SYC","Seychelles","","Seychelles Strategy for the Prevention and Control of Noncommunicable Diseases, 2016-2025 ","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2025","Ministry of Health","","2016","Adopted","6","2016","The Strategy was presented at Cabinet and approved on the 30th of June 2016 (C16/D/MEM/154). The Strategy was subsequently presented by the Minister of Health at the National Assembly with no objection (Nation 28 July 2016).","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Urban planning|Trade|Environment|Industry|Information|Labour","Health, agriculture, communication, education, employment, energy, environment, finance, food, foreign affairs,housing, justice and security, legislature, social welfare, social and economic development, sports,tax and revenue, trade and industry, transport, urban planning and youth affairs and partnershipwith relevant civil society and private sector entities","","","","","","","","","National NGOs","","","","","","","","Targets
The Seychelles NCD Strategy adopts the 9 national voluntary targets agreed by WHO Member States:
1) 25% reduction of NCD
2) 10% reduction in alcohol use
3) 10% reduction in prevalence of insufficient physical activity
4) 30% reduction in mean population salt intake
5) 30% reduction in the prevalence of tobacco use
6) 25% reduction in the prevalence of raised blood pressure
7) 0% increase in obesity and diabetes
8) At least 50% of eligible people receiving drug therapy and counselling to prevent heart attack and stroke
9) At least 80% availability of the affordable technologies and essential medicines, including generics, required to treat major NCDs on both public and private facilities
","1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.pdf"
"36175","LKA","Sri Lanka","","Multisector Action plan for the prevention and control of Non communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","Ministry of Health","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","Ministry of Health Ministry of Health, Ministry of Education, Ministry of Trade, Ministry of Sports, Ministry of Finance, Ministry of Mass communication, Ministry of Local Government","","WHO","","NCD alliance,","","WB","","","National NGOs","","","","","","","","Sri Lanka aims to achieve the following targets by 2025
1. A 25% relative reduction in premature mortality from cardiovascular disease, cancer, diabetes, or chronic respiratory diseases
...
4. A 30% relative reduction in mean population intake of salt/sodium
...
6. A 25% relative reduction in prevalence of raised blood pressure and or contain the prevalence of raised blood pressure
7. Halt the rise in obesity and diabetes
8. A 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes
...
","2.3 Promote healthy diet high in fruit and vegetables and low in saturated fat/trans fat, free sugar and salt
2.3. 1.a Accelerate the implementation of the diet component of the Global Strategy on Diet, Physical Activity and Health
• create a mechanism for monitoring of food and beverages advertisements and complains
• develop national policies on marketing of food and non alcoholic beverages to children
• develop policies to promote availability of healthy food
• develop policies to increase the affordability of healthy food
• set up a committee to review food advertisement before airing
• conduct programme to increase the acceptability of healthy food
• establish policies on taxes and subsidies to promote consumption of fruits and vegetables
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost strengthen the laboratory facilities at MRI and to check salt, fat content in the diet and urinary sodium concentration
• develop the lab at MRI and in a selected hospital
• strengthen of MLT schools at MRI
2.3. 2.e.Increase the availability of healthy foods low in salt, sugar and fats
• advocacy meeting with food producers, processors, retailers to lobby to change the composition of food
• lobby food industry to manufacture healthy food options
• motivate food industry to reformulate processed food
• conduct award programme for companies who prepare healthy food
• establish a mechanism to ensure voluntary reduction of salt, sugar and fat
• establish a mechanism to ensure mandatory reduction of salt, sugar and fat
• evaluate the effects of major interventions for reducing salt
2.3. 2f Take measures to reduce trans fat in processed foods
• conduct a survey to identify sources of trans fat and base line levels
• develop a national strategy to address trans fat
• develop a policy to limit use of trans fat and use of PHVO (partially hydrogenated vegetable oil) in all processed food and restaurants
2.3. 2.g Introduce food labeling to indicate unhealthy foods
• introduce traffic light system for salt, sugar and saturated fat, trans fat, energy content
• indicate the nutrition composition of the food in the labels
• strengthen laboratory network in the country to certify the contents in the food labels (one per
2.3. 2.h Increase tax for unhealthy food
• establish policies on taxes to discourage consumption of unhealthy food high in fat, sugar and salt
• impose taxes on un healthy food and beverages
2.3. 2.i Establish a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
2.3. 3.a Improve awareness of the public on cardio metabolic risk of consuming unhealthy foods through a mass media campaign
• develop IEC materials on salt, sugar, fat
• telecast commercials on sugar , salt, fat reduction
• develop IEC materials on BMI, obesity, overweight prevention
• telecast commercials on fruits and vegetables consumption
• publish newspaper advertisement on healthy foods and unhealthy food habits
• conduct healthy dish competitions
2.3. 3.b Promote maternal and child nutrition
• promote exclusive breast feeding
• implement breast feeding code
• promote complementary feeding
• ensure good maternal nutrition
• improve nutrition in malnourished girl children
2.3. 3.c Improve availability of healthy foods
• implement healthy canteen policy in schools
• establish healthy canteens in work places according to the guidelines
2.3. 3.d Increase availability of food based dietary guidelines
• revise the Sri Lankan food based dietary guidelines
• disseminate the food based dietary guidelines
2.3. 3.e Conduct awareness programmes on healthy foods and food based dietary guidelines
• conduct programmes for pre school teachers, school children, teachers, parents, youth, university students, community groups on food based dietary guidelines
2.3. 3.f capacity building of health workers on food based dietary guidelines
• training programmes on healthy diet for healthcare workers based on food based dietary guidelines
2.3. 3.g Improve obesity management
• develop a teaching module on obesity management guidelines
• establish obesity management clinics
","Availability of policies and mechanisms to increase intake of healthy foods
Prevalence of persons (aged +18 years ) consuming less than five total servings (400 g) of fruit and vegetables per day
Availability of fruits and Vegetables
Availability of fruits and Vegetables Availability of fruits and Vegetables
Availability of food low in food low in salt, sugar and fats
Availability of processed foods with no trans fats
Availability of food labeling with nutrition composition and traffic light system
No. of food items certified by / given the certification on the contents of the food label
Availability of policies on taxing unhealthy diet
Availability of a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
Knowledge of the public on daily requirement of salt, sugar, fats and cardio metabolic risk of consuming unhealthy foods
% of infants receive complementary feeding after 6 months
% of mothers who exclusively breast feed for 6 months and appropriate complementary feeding
No. of schools practicing healthy canteen policy
No. of workplaces practicing healthy canteen policy
Availability of locally relevant food based dietary guidelines
Knowledge of the public on healthy foods
No. of staff trained on food based dietary guidelines
Availability of obesity management guidelines and obesity management clinics
","","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Complementary feeding|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Removal of subsidies on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Food security and agriculture","","http://www.searo.who.int/srilanka/documents/national_ncd_action_plan_sri_lanka.pdf?ua=1","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"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
- Reduction in the prevalence of stunting among children under five years from 34 percent in 2015 (TDHS 2015/16) to 28 percent in 2021 (WHA indicator target 1);
- Reduction in the prevalence of anaemia in women of reproductive age (15-49 years) from 45 percent in 2015 (TDHS 2015/16) to 33 percent in 2021 (WHA indicator target 2);
- Reduction in the prevalence of low birthweight from 7 percent in 2010 (TDHS 2010) to 5 percent in 2021 (WHA indicator target 3);
- Increase in the rate of exclusive breast feeding (0-<6 months) from 43 percent (TNNS 2014) to 50 percent(WHA indicator target 4)
- Maintain prevalence of overweight among children under five years under 5 percent (TDHS 2015/16) (WHA indicator target 5);
- Maintain prevalence of Global Acute Malnutrition (wasting) among children under five at 5 percent (TDHS 2015/16) (WHA indicator target 6);
- Reduction in the prevalence of sub-clinical vitamin A deficiency (VAD) among children aged 6-59 months from 33 percent in 2010 to 26 percent in 2021;
- Maintain median urinary iodine concentration of women of reproductive age (15-49 years) between 100-299 u μg/L by 2021;
- Reduction in the prevalence of underweight in children underfive years from 14 percent in 2015/16 to 12 percent in 2020/21;
- Reduction in the prevalence of anaemia in children aged 6-59 months from 57 percent in 2015/16 (TDHS 2015/16) to 50 percent in 2020/21
- Maintain the prevalence of diabetes among adults under 10 percent by 2021 (Global NCD target);
- Maintain the prevalence of obesity among adults under 30 percent by 2021 (Global NCD target).
","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"
"24490","TZA","United Republic of Tanzania","","United Nations Development Assistance Plan","Non-national nutrition policy document","","English","","2016","","2021","UN country team of Tanzania","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry|Sub-national|Other","","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)","IAEA, ITC, OHCHR, UN Habitat, UNCTAD; UNEP, UNODC, UNV, UN Women, UNCDF, IOM","Other","","","","","","National NGOs","","","","Private sector","","","","Outcome statement: Increased coverage of equitable, quality and effective nutrition services among women and children under five
Output: Improved nutrition specific services for women and children under five available
Output: Relevant MDAs and select LGAs are better able to realize a multi-sectoral nutrition response at national, regional and district level
Output statement: Vulnerable groups have increased access to safe and affordable water supply sanitation and hygiene
Output: Select MDAs are better able to formulate policies, plans and guidelines for the sustainable management of water, sanitation and hygiene
Output: Select LGAs have enhanced capacity to plan and implement sustainable water, sanitation and hygiene services
","Tanzanians’ consistently poor nutritional status demands action. UN Tanzania will therefore support duty bearers to realize a multi-sectoral nutrition response at national, regional and district levels for those living on both the mainland and Zanzibar, supported by an effective nutrition information and surveillance system. The quality and coverage of services for those most at risk of poor nutritional outcomes, namely women and children under five, will also be enhanced.Key government institutions and select LGAs will be supported to effectively integrate nutrition in their planning and budgeting processes, with emphasis given to a multi-sectoral approach with concomitant resources for coordination. It is anticipated that >80% of all LGAs on the mainland will implement nutrition plans and budget that include at least five nutrition specific or sensitive interventions integrated in their MTEFs by 2021. Regional and district nutrition officers plus health workers will be given regular technical and supervisory training to ensure they meet the highest professional standards whilst agricultural extension workers will be afforded supplies and technical expertise to mainstream nutrition in their food security interventions.
Nutrition services for women and children under five will receive a boost with service providers enabled to promote appropriate Maternal, Infant and Young Child Feeding methods through counselling and supplies provision, including use of iron-folic acid supplements during pregnancy, exclusive breastfeeding for infants under five months and provision of vitamin A supplements and deworming for those between 6-59 and 12-59 months respectively. Additional support will be afforded for the treatment of Moderate and Severe Acute Malnutrition (SAM) by health workers, including those operating at the community level. It is anticipated that the numbers of children with Moderate Acute Malnutrition treated in UN supported districts will rise from 5,000 in 2014 to 30,000 by 2021, whilst those treated for SAM will increase from 7,000 to 80,000 over the same five year period. Moreover, small and medium scale producers will be facilitated to provide food fortified with micronutrients specifically Vitamin A, Iron and Iodine.
Implementation of the national Nutrition Action Plan will be monitored through regular sector reviews and remedial action effected where required. Furthermore, regular nutrition surveys at national, regional and district levels will provide timely, quality and disaggregated data for decisionmaking, resource mobilization and effective programming, with accountability improved through the use of nutrition scorecards across mainland and Zanzibar.
Further, the MoHSW will be supported to develop and disseminate the national strategy and guidelines for WASH in health facilities which includes the promotion of sound WASH behaviours and management of medical waste. As a complement, technical and financial assistance will be afforded for the implementation of WASH in priority health facilities alongside schools and communities, with compliance to national guidelines assured. In addition, a National Behaviour Change Communication Strategy for the promotion of sanitation and hygiene will be developed and disseminated.
","% of girls and boys age 6-59 months who receive vitamin A supplement during the previous 6 months
% of pregnant women who receive iron-folic acid supplement for at least 90 days
% of infants 0-5 months (girls and boys) who are exclusively breastfed
% of children aged 0-59 months with Severe Acute Malnutrition (SAM) appropriately treated
% if targeted districts with at least 90% of children aged 6-59 months covered with two annual doses of vitamin A supplement
% of small and medium scale miller fortifying flour in UN supported Districts in mainland
% of mothers/caregivers of children 0-23 months who participate in counselling sessions on IYCF in UN Supported Distrcits
# of SAM children treated according to WHO guidelines in UN Supported Districts
# of MAM children treated according to WHO guidelines in UN Supported Districts
% of children 6-23 months participating in supplementary feeding programme in UN Supported Districts in mainland
% of districts on the mainland with nutrition plan and budget that includes at least five nutrition specific or sensitive interventions integrated in MTEF
% of LGA budgets on the mainland allocated to nutrition activities
% of population using improved safe drinking water source
Status if national WASH behaviour change communication (BCC) strategies
% of LGAs implementing activities based on a comprehensive MIS- informed local plan for WASH
% of schools with a functional WASH package meeting national guidelines in UN supported districts
% of health care facilities complying with national WASH guidelines in UN supported districts
% of water points which are functional
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/---ilo-dar_es_salaam/documents/publication/wcms_549240.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202016%20UNDAP.pdf"
"25934","TZA","United Republic of Tanzania","","Strategic and Action Plan for the Prevention and Control of Non Communicable Diseases in Tanzania 2016-2020","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health, Community Development, Gender, Elderly and Children","5","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Trade|Industry","","","","","","","","","","","","","","","","","","• Reduction in the mean population intake of salt to less than 5gms per day
• 0% increase in obesity prevalence from baseline
• 25% reduction from baseline in the prevalence of raised blood pressure
• 10% reduction from baseline in the proportion of individuals with raised total cholesterol
• 10% reduction from baseline in the prevalence of diabetes
","3.10.3.2.5 Priority actions and activities for strategic intervention to: Reduce modifiable NCDs risk factors and create health promoting environment
3.10.3.2.5.2 Promote community based approaches and sensitization for prevention and control for NCDs
a. Advocate for exercise centers/rooms at workplaces, community and schools
b. Advocate for health diet at schools, hospitals, hotels/ restaurants and other food courts
c. Commemorate NCDs world international days (Cancer, Kidney, Hypertension, Diabetes and sickle cell) to raise community awareness
d. Conduct community sensitization on health diet and physical activities
e. Develop IEC materials on modifiable risks
f. Print and disseminate IEC materials
g. Develop and broadcast health messages on major NCDs and modifiable risks in radios, TV stations and mobile phones
h. Develop and broadcast panel discussion, TV documentaries, radio and TV spots on major NCDs
i. Sensitize alternative healers on sign and symptoms of major NCDs
","Indicators of Success
...
- Age standardized mean population intake of salt (sodium chloride) in grams in persons aged 18+ years
- Age standardized mean proportion of total energy intake from saturated fatty acids in persons aged 18+ years
- Age standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400g) of fruit and vegetables per day
- Proportion of mothers practicing exclusive breastfeeding
- Number and type of public campaigns and social marketing carried out
- School health programs evaluation reports
- Legislation implementation reports on food marketing and labeling
- Market surveys
Expected Outcomes
- A 30% reduction in mean salt consumption
- 30% reduction in the proportion of individuals population consuming less than five total servings (400g) of fruit and vegetables per day from baseline
- Increased proportion of mothers practicing exclusive breastfeeding from baseline
- Increased community awareness of healthy food
- NCD health education implemented in schools
- Policies for nutrition labeling of processed food and meals in place and are implemented
...
0% increase in obesity prevalence from baseline
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Saturated 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)|Food labelling|Media campaigns on healthy diets and nutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA-2016-2020-NCD%20Strategic%20Plan.pdf"
"25954","VUT","Vanuatu","","Vanuatu Non Communicable Disease Policy and Strategic Plan 2016-2020","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health","","2017","","","","","Health|Education and research|Trade","","World Health Organization (WHO)","","","","","","","","","","","","","","","","30% Relative Reduction in Mean Population Intake of Salt/Sodium
2015 Vanuatu Baseline
Rural - 2.3%
Urban - 1.2%
Vanuatu 2025 Goals
Rural ≤ 1.6%
Urban ≤ 0.8%
25% Relative Reduction in the Prevalence of Raised Blood Pressure
2015 Vanuatu Baseline
Men - 30.8%
Women 26.7%
Overall - 28.6%
Vanuatu 2025 Goals
Men ≤ 23.1%
Women ≤ 20.0%
Overall ≤ 21.5%
0% Increase in Obesity
2015 Vanuatu Baseline
Men - 13.9%
Women - 23.3%
Overall - 18.8%
Vanuatu 2025 Goals
Men ≤ 13.9%
Women ≤ 23.3%
Overall ≤ 18.8%
0% Increase in Diabetes
2015 Vanuatu Baseline
Diabetic - 9.3%
Vanuatu 2025 Goals
Diabetic < 9.3%
","2. Promote improved nutrition nationwide
Support enforcement and evaluations of legislation pertaining to the fortification of flour and isodisation of salt under the Food Regulations amendment as well as the 2015 introduced Soft Drink Taxation
Advocate for the adoption of additional legislation preventing the marketing of food and non-alcoholic beverages to children under the latest draft amendments to the Food Regulations.
Provide technical guidance and support to future avenues of government reform and the enforcement of legislation that either directly or indirectly addresses population nutrition.
Review current National Guidelines for Healthy Diet and Lifestyles ensuring alignment with relevant international standards
Develop standardised catering policy framework to mainstream healthy catering across workplaces
Support the HPS committee and MOE in developing mechanisms to encourage schools to adopt the Health Canteen Guidelines and enforce compliance with the 2014 endorsed Swit Drink Policy
Support the MOE curriculum development unit in the revision of food and nutrition curriculum.
Develop standardised and Vanuatu specific messaging including examples of the inclusion of nutrition-sensivity into community development projects.
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Dietary guidelines|Taxation on unhealthy foods|Healthy food environment in workplaces|Wheat flours","","https://extranet.who.int/ncdccs/Data/VUT_B3_Vanuatu%20NCD%20Policy%20and%20Strategic%20Plan%202016-2020.pdf","","2nd WHO Global Nutrition Policy ReviewWHO NCD Document Repository ",""
"24491","ZMB","Zambia","","Zambia- United Nations Sustainable Development Partnership Framework (2016-2021)","Non-national nutrition policy document","","English","","2016","","2021","UN country team in Zambia","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Justice|Sub-national|Other","Community, Mines, Disaster management, Tourism","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)","IOM, UNECA","Other","","Other|Department of International Development (DFID)|The World Bank|US Agency for International Development (USAID)","African Development Bank, Government of Sweden, Embassy of Finland","European Union","","National NGOs","","","","Private sector","","","","Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf"
"24492","AIA|ATG|ABW|BRB|VGB|DMA|GRD|JAM|MSR|KNA|LCA|VCT|TTO|BLZ|GUY|SUR","Anguilla|Antigua and Barbuda|Aruba|Barbados|British Virgin Islands|Dominica|Grenada|Jamaica|Montserrat|Saint Kitts and Nevis|Saint Lucia|Saint Vincent and the Grenadines|Trinidad and Tobago|Belize|Guyana|Suriname","","United Nations Multi-Country Sustainable Development Framework in Caribbean","Non-national nutrition policy document","","English","","2017","","2021","UN country teams in the Caribbean","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Trade|Labour|Other","Social transformation","","","Other","","The World Bank","","Other","CARICOM","National NGOs","","Research/academia","","Private sector","","","","Improve health and wellbeing by addressing the ability of the state to provide services, increasing access to healthy nutrition, a healthy environment and knowledge as preventive measures. Sustainable health financing and direct action to addresses NCDs, SRH and HIV/AIDS and related stigma is also necessary for better health outcomes.
Universal access to quality health care services and systems, and Laws, policies, and systems introduced to support healthy lifestyles among all segments of the population
Laws, policies and systems introduced to support healthy lifestyles among all segments of the population.
","","Number of countries that have achieved targets in reducing prevalence of hypertension rates
Number of countries that have achieved their targets in reduction of diabetes prevalence
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure","","http://www.2030caribbean.org/content/unct/caribbean/en/home/resources.html ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CARIBBEAN%202017%20MSDF.pdf"
"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
- Accroitre les interventions spécifiques à la nutrition qui favorisent la nutrition optimale tout au long de leur cycle de vie en particulier en ce qui concerne la santé maternelle et la survie de l’enfant;
- Accroitre les interventions sensibles à la nutrition pour remédier aux causes sous-jacente de la malnutrition;
","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
- Élaborer des Recommandations Alimentaires Nationales (RAN) et des Guides Alimentaires (GA);
- Promouvoir la consommation des produits locaux et particulièrement de ceux à haute valeur nutritive;
- Encourager la domestication ou la production des produits alimentaires entrant dans la composition alimentaire des menus du terroir;
- Établir les programmes d’éducation sanitaire incluant les principes d’hygiène alimentaire à la vente des aliments sur la voie publique.
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
- Promouvoir la nutrition des adolescentes et des femmes en âge de procréer à travers des interventions alimentaires et la supplémentation en micronutriments;
- Surveiller et soutenir la conformité aux suppléments de fer/acide folique ou aux multi micronutriments pour maintenir une alimentation optimale pendant la grossesse et la lactation;
- Favoriser l’intégration des interventions nutritionnelles dans les services existants de santé maternelle et infantile.
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
- Promouvoir l'initiation précoce et l'allaitement maternel exclusif pour les femmes dans l'emploi formel et informel;
- Promouvoir le changement de comportement et assurer un accès équitable aux pratiques optimales d'alimentation et d'hygiène chez les nourrissons et les jeunes enfants;
- Promouvoir, protéger et soutenir l'allaitement maternel exclusif et créer un environnement favorable qui comprendra l'application de la loi sur la commercialisation des substituts du lait maternel et des mesures de soutien sur le congé de maternité;
- Améliorer l'apport de micronutriments chez les nourrissons et les jeunes enfants grâce à la consommation de régimes diversifiés, de la fortification alimentaire, de la fortification à domicile et de la supplémentation en micronutriments;
- Déparasiter chaque semestre des enfants à partir de 12 mois y compris au niveau des écoles;
- Faciliter un environnement familial, professionnel et social favorable qui permet de fournir une alimentation optimale aux nourrissons et aux jeunes enfants;
- Promouvoir et créer l'accès à une alimentation de compléments adéquate pour les enfants de 6 à 24 mois;
- Améliorer et promouvoir le suivi régulier de la croissance des enfants de 0 à 5 ans.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
- Promouvoir la nutrition pour une croissance et un développement optimal de tous les enfants et adolescents en âge scolaire;
- Sensibiliser les adolescents aux connaissances et aux compétences en nutrition;
- Assurer une composition nutritionnelle optimale de tous les repas scolaires qui relèvent des programmes d'alimentation scolaire parrainés par le gouvernement et les partenaires;
- Intégrer dans les rations des cantines les produits et les recettes culinaires locales;
- Promouvoir la fortification alimentaire, la supplémentation en micronutriments et le déparasitage.
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
- Faciliter la prévention et le contrôle des carences en micronutriments en assurant la supplémentation en micronutriments, des méthodes appropriées d'iodation du sel, de la fortification alimentaire (à grande et petite échelles) et diverses approches alimentaires et de lutte contre les maladies;
- Promouvoir une alimentation optimale et un mode de vie sain parmi tous les groupes d'âge, en particulier les personnes âgées;
- Promouvoir l'équité dans toutes les actions pour s'assurer que les femmes et les hommes sont également habilités à prendre les mesures nécessaires pour améliorer la nutrition.
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
- soutenir les efforts visant à prévenir les maladies non transmissibles grâce à une communication sur le changement de comportement sur la consommation d'aliments sains et promouvoir des modes de vie et une activité physique sains;
- Promouvoir les interventions sur la prévention et la gestion des MNT liées au régime alimentaire.
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
- Prévenir l'apparition d'une malnutrition aiguë sous toutes ses formes (modérée et sévère) chez les enfants de moins de 5 ans grâce à la prestation de qualité des services de santé et de nutrition;
- Améliorer la capacité de gestion de la malnutrition aiguë (modérée et sévère) dans toutes les installations et les communautés;
- S'assurer que le traitement de la malnutrition aiguë sévère est acceptable et accessible au bénéficiaire.
","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|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|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|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|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)|Dietary guidelines|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|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|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Food sovereignty|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://scalingupnutrition.org/wp-content/uploads/2017/05/Version-finale-de-la-PNSAN-Gabon-Mai-2017.pdf","","",""
"38174","KWT","Kuwait","","قرار وزاري رقم (٨/٢٠١٧) بشأن اعتماد اللوائح الفنية والمواصفات القياسية الخليجية كلوائح فنية ومواصفات قياسية كويتية [Kuwaiti technical regulation of Trans Fatty Acids (KWS GSO 2483/2017)]","Legislation relevant to nutrition","","Arabic","8","2017","","","Minister of Public Authority of Industry","3","2017","Adopted","2","2017","Minister of Industry and Trade","Trade|Industry","","","","","","","","","","","","","","","","","","","","","","مادة اولى
تعتبر لوائح فنية كويتية، اللوائح الفنية الخليجية (المواصفات الالزامية وعددها ٦٣) والواردة بالملحق المرفق بالقرار كما تعتبر مواصفات قياسية كويتية، المواصفات القياسية الخليجية (المواصفات الاختيارية وعددها ٣٤٦) والواردة بالملحق المرفق في القرار.
مادة ثانية
تعديل ارقام اللوائح الفنية الكويتية المعتمدة في القرار الوزاري ٢٠٠٨/٥ (المواصفات الاختيارية وعددها ١) كما هو موضح بالملحق رقم (٢) المرفق بالقرار
مادة ثالثة
تلغى جميع القرارات السابقة بشأن اعتماد اللوائح الفنية والمواصفات القياسية الكويتية التي تتعارض مع هذا القرار
مادة رابعة
ينشر هذا القرار في الجريدة الرسمية ويعمل به من تاريخ نشره بالنسبة للمواصفات القياسية و بعد ستة اشهر من تاريخ نشره بالنسبة للوائح الفنية وعلى الجهات المختصة تنفيذ ما جاء به من احكام
صدر في ١ جمادى الاخرة ١٤٣٨ هـ
الموافق: ٢٧ فبراير ٢٠١٧م
وزير الصناعة والتجارة
","Trans fat intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Limit on 2 g / 100 g fats and oils|Limit on 5 g / 100 g fat in all other foods|Nutrient declaration (back-of-pack labelling)|Mandatory for some pre-packaged foods|Amount of trans fatty acids","","http://ftp.sultan.com.kw/pdf/ar_docs/1331,%202017-3-12.pdf","The Kuwaiti Ministerial decision (2017/8) on adoption of GSO standard and regulation of Trans Fatty Acids (GSO 2483/ 2015) GSO 2483:2015 Trans Fatty Acids. This standard applies to the maximum amount allowed for trans fatty acid and declaring the trans fatty acid on the nutrition label per servinghttps://www.gso.org.sa/store/gso/standards/GSO:693058/GSO%202483:2015?lang=en ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KWT-2017%20-%20KWS-GSO%202483%202017-TFA-Short%20.pdf"
"40320","MDG","Madagascar","","Plan stratégique national de lutte intégrée contre les maladies non transmissibles et la prévention du handicap","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2021","Ministère de la santé publique","2","2017","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Transport|Trade|Information|Justice","Ministère de l’énergie et des minesMinistère de la population","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","","A1.5 Renforcer la législation (lois sur la santé mentale, commercialisation des aliments, allaitement maternel, personnes handicapées, utilisation du sel, protection des consommateurs
S 2 Réduction de l’exposition aux FdR modifiables et environnementaux (écologiques) des MNT et des Handicaps en créant des environnements favorables à la santé
- 2.2.1 Développer les activités de communication pour un impact comportemental en vue de la prévention des FdR modifiables et l'adoption de mode de vie sain dans la communauté, les écoles et le milieu de travail
","- Prévalence de la consommation quotidienne d’au moins 5 portions de fruits et légumes
","Outcome indicators","","Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/MDG_B3_B DOC PSNLIMNT- PH ce 02072018_.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202017%20Plan%20strat%C3%A9gique%20MNT.pdf"
"39770","NAM","Namibia","","National Multisectoral Strategic Plan For Prevention and Control of Non-Communicable Diseases (NCDs) in Namibia 2017/18 – 2021/22","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Social Services, Primary Health Care Directorate, Family Health Division, Non-Communicable Diseases (NCDs) Programme","11","2017","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information","","","","","","","","","","National NGOs","","","","","","","","3.6 Targets
Namibia aims to achieve the following targets by 2022 and 2025 in line with the global NCD targets.
…
4. A 15% relative reduction in mean population intake of salt/sodium by 2022; and a 30% relative reduction by 2025
…
6. A 15% relative reduction in prevalence of raised blood pressure and/or contain the prevalence of raised blood pressure by 2022; and a 25% relative reduction by 2025
7. Halt the rise in obesity and Diabetes Mellitus by 2022
","6.3 Strategic Objective 3: To reduce modifiable risk factors for Non-Communicable Diseases and underlying social determinants through the creation of health promoting environments
3.1 Promote Healthy Diet high in fruits and vegetables and low in saturated fat/trans-fat, free sugar and salt
3.1.1 Increased intake of healthy foods including adequate levels of fruits and vegetables
INDICATORS
- Availability/number of policies, standards and plans on food security and healthy diet reviewed and implemented
- Number of periodic implementation reports on food security programs
- Availability of updated national Food Based Dietary Guidelines (FBDGs)
- Number of health workers trained on FBDG and nutrition counseling skills
- Number of healthy diet programs implemented at all levels
ACTIVITIES
3.1.1.1- Promote availability and affordability (food security) of healthy foods to all segments of the population
3.1.1.2- Establish policies on taxes and subsidies to ensure availability and consumption of healthy diet, particularly fruits and vegetables
3.1.1.3- Increase availability of fruits and vegetables through home gardening promotion programme
3.1.3.4- Update and disseminate national Food Based Dietary Guidelines (FBDGs) and nutrient profiling of common foods
3.1.3.5- capacity building of health workers on FBDGs and counseling skills
3.1.1.6- Implement mass media campaign on healthy diets, social marketing of foods and promote the intake of fruits and vegetables
3.1.2 Reduced intake of salt in the diet
INDICATORS
- Availability of national salt reduction targets and action plan
- Number of front packing labels enforced
- Number of engagement sessions held with stakeholders on salt reduction measures
- Number of mass media campaigns and meetings on salt reduction
ACTIVITIES
3.1.2.1- Develop and implement a national salt reduction action plan focusing on foods that contribute most to population salt intake
3.1.2.2- Set target levels for the amount of salt in foods and meals and enforce reformulation of food products and meals to contain less salt/sodium
3.1.2.3- Enforce front-of-pack labelling
3.1.2.4- Establish policies for food procurement that encourage the purchase of products with lower salt /sodium content
3.1.2.5- Conduct behavior change communication and mass media campaigns on salt reduction
3.1.2.6- Engage food producers, processors, retailers, restaurants and catering services to progressively reduce salt in their products
3.1.2.7- Assess the population’s baseline salt intake and at regular intervals
3.1.3 Reduced consumption of saturated fats/trans fats and sugars
INDICATORS
- Acts and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods available
- Policy on taxation of sugar-sweetened beverages and foods
- Number of WHO recommendations on the marketing of foods and nonalcoholic beverages to children enacted
- Reports of monitoring of implementation of diet related policies and regulations
ACTIVITIES
3.1.3.1- Develop legislation and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods and the packaging, labeling and marketing of food products and beverages
3.1.3.2- Replace trans-fats and saturated fats with unsaturated fats through reformulation, labelling and appropriate fiscal policies
3.1.3.3- Reduce sugar consumption through effective taxation on sugar-sweetened beverages
3.1.3.4- Implement the WHO recommendations on the marketing of foods and non-alcoholic beverages to children
3.1.4 Reduced risk of overweight, obesity and metabolic syndrome
INDICATORS
- WHO recommended infant and young child feeding practices endorsed and implemented
- Number of schools with nutrition in the curriculum
- Proportion of schools implementing the nutrition component of the school health policy
- Nutrition and physical activity programs incorporated into the school health policy
ACTIVITIES
3.1.4.1- Promote and support recommended infant and young child feeding practices
3.1.4.2- Implement nutrition labelling to reduce total energy intake (kcal), sugars, sodium and fats
3.1.4.3 -Limit portion and package size to reduce energy intake and the risk of overweight and obesity
3.1.4.4- Implement nutrition education and counselling in different settings including preschools, schools, workplaces and hospitals
3.1.4.5- Ensure the inclusion of nutrition and physical activity in the school health policy/strategy and curriculum
3.1.4.6- Introduce obesity management guidelines and services
","Comprehensive National Monitoring Framework for the prevention and control of NCDs
Framework element; Indicator Name; Baseline (year); 2025 Target
• Diabetes and obesity; Age-standardized prevalence of obesity and overweight among adults aged 18+ years; 32% women (35-64yrs) 12% men (35-64yrs); 0% increase
• Additional indicator - unhealthy diet; Age-standardized prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day.; No data; 30% relative increase
• Diabetes and obesity; Age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).; 7% men (35-64yrs) 6% women (35-64yrs); 0% increase
• Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.; 44% women (35-64yrs) 45% men (35-64yrs); 25% relative reduction
","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Fruit and vegetable intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Household food security|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/NAM_B3_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202017_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs_1.pdf"
"83694","PER","Peru","","Decreto Supremo N° 017-2017-SA que aprueba el Reglamento de la Ley N° 30021, Ley de Promoción de la Alimentación Saludable [Decree that approves the Regulation of Law No. 30021, Law for the Promotion of Healthy Eating]","Legislation relevant to nutrition","","Spanish","12","2017","","","Ministerio de Salud","6","2017","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade","el Presidente del Consejo de Ministros, el Ministro de Economía y Finanzas, la Ministra de Salud, la Ministra de Educación, el Ministro de Agricultura y Riego, el Ministro de la Producción la Ministra de Desarrollo e Inclusión Social y el Ministro de Comercio Exterior y Turismo","","","","","","","","","","","","","","","","","","","","","ÚNICA.- Derogación de normas
Deróguese el Reglamento que establece los parámetros técnicos sobre los alimentos y bebidas no alcohólicas procesados referentes al contenido de azúcar, sodio y grasas saturadas, aprobado por Decretos Supremos N° 007-2015-SA, y el Decreto Supremo No. 027-2016-SA, que establece medidas destinadas a promover la alimentación saludable en el marco de la Ley N° 30021, Ley de Promoción de la Alimentación Saludable para Niños, Niñas y Adolescentes y la Resolución Ministerial 908-2012/MINSA, que aprueba la Lista de Alimentos Saludables recomendados para su expendio en los Quioscos Escolares de las instituciones Educativas y cualquier otra norma que contravenga lo dispuesto en la Ley N° 30021 y el presente Reglamento.
...
CAPÍTULO II DE LOS PARÁMETROS TÉCNICOS
Artículo 4.- De los parámetros técnicos sobre los alimentos procesados referentes al contenido de azúcar, sodio, grasa saturada, grasa trans.
Los parámetros técnicos a considerarse para la aplicación del presente Reglamento se detallan a continuación y su entrada en vigencia se contará a partir de la aprobación del Manual de Advertencias Publicitarias que hace referencia la Segunda Disposición Complementaria Final del presente Reglamento.
Parámetros Técnicos Plazo de entrada en vigencia
Sodio en Alimentos Sólidos
A los seis (6) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 800 mg/100g
A los treinta y nueve (39) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 400 mg/100g
Sodio en Bebidas
A los seis (6) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 100 mg/100ml
A los treinta y nueve (39) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 100 mg/100ml
Azúcar Total en Alimentos Sólidos
A los seis (6) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 22.5g/100g
A los treinta y nueve (39) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 10g/100g
Azúcar Total en Bebidas Grasas
A los seis (6) meses de la aprobación del Manual de Advertencias Publicitarlas
A los treinta y nueve (39) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 5g/100ml
Grasas Saturadas en Alimentos Sólidos
A los seis (6) meses de la aprobación del Manual de Advertencias Publicitarlas
A los treinta y nueve (39) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 4g/100g
Grasas Saturadas en Bebidas
A los seis (6) meses de la aprobación del Manual de Advertencias Publicitarlas
A los treinta y nueve (39) meses de la aprobación del Manual de Advertencias Publicitarlas
Mayor o igual a 3g/100ml
Grasas Trans
A los seis (6) meses de la aprobación del Manual de Advertencias Publicitarlas
Según la Normatividad Vigente
A los treinta y nueve (39) meses de la aprobación del Manual de Advertencias Publicitarlas
Según la Normatividad Vigente
Los parámetros técnicos que serán aplicables a partir de los treinta y nueve (39) meses de aprobación del Manual de Advertencias Publicitarias, a los que se hace referencia en el cuadro anterior podrán ser actualizados tomando como base la evidencia científica, información relacionada a alimentación saludable y las normas internacionales sobre las materias con una anticipación no menor a los doce (12) meses de su entrada en vigencia.
...
CAPÍTULO V: DE LA PUBLICIDAD DE ALIMENTOS Y BEBIDAS NO ALCOHÓLICAS DIRIGIDA A NIÑOS, NIÑAS Y ADOLESCENTES Y SU VIGILANCIA
Artículo 13.- Ámbito de aplicación de las disposiciones sobre publicidad
Las disposiciones de publicidad dirigida a niños, niñas y adolescentes menores de 16 años se encuentran establecidas en los artículos 8, 9 y 10 de la Ley 30021.
Las advertencias publicitarias contempladas en el artículo 10 de la Ley, son de aplicación a todos los alimentos procesados que superen los parámetros técnicos señalados en el artículo 4 del presente Reglamento independientemente de la forma o medio de comercialización.
...
","Overweight and obesity in school age children and adolescents|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Advertising (in streets and stores)|Internet|Printed materials (marketing)|Radio|TV|Salt/sodium (marketing)|Saturated fat (marketing)|Sugars (marketing)|Trans fat (marketing)|Covers children up to 16 years of age|Mandatory health message on FNAB marketing|Mandatory health warning or message only","","https://www.gob.pe/institucion/minsa/normas-legales/189343-017-2017-sa","https://extranet.who.int/nutrition/gina/en/node/23222 ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PER%202017%20Decreto%20Supremo%20N%C2%B0%20017-2017-SA_0.PDF"
"39764","PRT","Portugal","","Estratégia Integrada para a Promoção da Alimentação Saudável (EIPAS) [Integrated Strategy for the Promotion of Healthy Eating]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Portuguese","","2017","","","Finanças, Administração Interna, Educação, Saúde, Economia, Agricultura, Florestas e Desenvolvimento Rural e Mar","12","2017","Adopted","12","2017","Despacho n.º 11418/2017, Diário da República, 2.ª série — N.º 249 — 29 de dezembro de 2017","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry","Finanças, Administração Interna, Educação, Saúde, Economia, Agricultura, Florestas e Desenvolvimento Rural e Mar","","","","","","","","","National NGOs","","","","","","","","","B. Eixos estratégicos, objetivos e medidas
Eixo 1: Modificar o meio ambiente onde as pessoas escolhem e compram alimentos através da modificação da disponibilidade de alimentos em certos espaços físicos e promoção da reformulação de determinadas categorias de alimentos.
Pretende -se neste eixo estratégico fazer com que as ofertas e as escolhas saudáveis sejam mais fáceis em termos de preço, acesso e atratividade, promovendo a melhoria da disponibilidade e a composição dos alimentos, em particular nos seus conteúdos em sal, açúcar e ácidos gordos trans.
Para atingir este objetivo apresentam -se as seguintes medidas:
1 — Monitorizar o teor de sal nas seguintes categorias de alimentos: grupo do pão e cereais de pequeno -almoço, carnes e derivados de carne (carne picada — derivado de carne), refeições prontas a consumir, batatas fritas e outros snacks, molhos, sopas prontas a consumir, queijos e conservas de pescado e refeições produzidas pela restauração (sopa e
prato de refeição) (2, 5) Nota 1.
2 — Monitorizar o teor de açúcar nas seguintes categorias de alimentos: bebidas não alcoólicas, laticínios, bolachas e sobremesas doces, produtos de pastelaria, cereais de pequeno- almoço, refeições prontas a consumir, molhos, gelados e fruta em conserva (2, 6) Nota 1.
3 — Monitorizar o teor de ácidos gordos trans nas seguintes categorias de alimentos: bolachas, produtos de pastelaria, batatas fritas, cereais de pequeno -almoço, cremes de chocolate para barrar e margarinas (2, 7).
4 — Promover a adequação dos perfis nutricionais para determinadas categorias de alimentos, nomeadamente relativamente à quantidade de sal, açúcar e ácidos gordos trans:
4.1 — Para os produtos alimentares, pretende- se atingir os valores definidos pelo Regulamento (CE) n.º 1924/2006 do Parlamento Europeu e do Conselho, de 20 de dezembro de 2006, relativo às alegações nutricionais e de saúde sobre os alimentos, que define um alimento com baixo teor de sal quando este não contiver mais de 0,3 g de sal por 100 g ou 100 ml;
4.2 — Para a sopa e prato de refeição define -se que a quantidade de sal presente deve ser inferior ao valor de referência de 0,2 g de sal por 100 g de alimento. Este valor de referência está de acordo com o definido no documento «Proposta de Estratégia para a redução do consumo de sal na população portuguesa através da modificação da disponibilidade da oferta», consensualizado pelo grupo de trabalho interministerial para propor um conjunto de medidas para a redução do consumo de sal pela população Nota 2;
4.3 — Para os produtos alimentares, pretende- se atingir os valores definidos pelo Regulamento (CE) n.º 1924/2006 do Parlamento Europeu e do Conselho, de 20 de dezembro de 2006, relativo às alegações nutricionais e de saúde sobre os alimentos, que define um alimento com baixo teor de açúcar quando este não contiver mais de 5 g de açúcares por 100 g para os sólidos ou de 2,5 g de açúcares por 100 ml para os
líquidos (2, 5, 6, 8).
4.4 — Para as gorduras de origem industrial vendidas para o fabrico de produtos alimentícios, bem como no produto final, deve ser estabelecido um teor em ácidos gordos trans não superior a 2 g por 100 g de gordura.
5 — Propor metas a atingir na reformulação destas categorias de alimentos em conjunto com as entidades do setor, tendo por base as Recomendações da OMS (9, 10) e como objetivo geral:
5.1 — Fazer com que o consumo de sal per capita se aproxime de 5 g/dia em 2020;
5.2 — Fazer com que o consumo diário de açúcar simples se aproxime de 50 g/dia e um máximo de 25 g/dia em menores de idade em 2020;
5.3 — Fazer com que o consumo de ácidos gordos trans se aproxime de zero em 2020.
6 — Estender a todos os serviços e organismos da administração direta e indireta do Estado o Despacho n.º 7516 -A/2016, publicado no Diário da República, 2.ª série, n.º 108, de 6 de junho de 2016, relativo aos contratos a celebrar, para instalação e exploração de máquinas de venda automática.
7 — Propor a existência de dispensadores de água gratuitos ou a distribuição de água nos serviços e organismos da administração direta e indireta do Estado e nos demais serviços sob gestão pública e promover o seu consumo (3, 4).
8 — Propor que nos eventos públicos organizados pelos serviços e organismos da administração direta e indireta do Estado exista obrigatoriamente a oferta de água, fruta e ou produtos hortícolas, de preferência respeitando critérios de disponibilidade sazonal e de proximidade.
9 — Alargar as orientações já existentes para a oferta alimentar em meio escolar e provenientes do Ministério da Educação a todos os níveis de educação e ensino, nomeadamente ao ensino superior.
10 — Estabelecer orientações para a oferta alimentar em instituições da economia social, em particular as que dão apoio à população idosa (11).
11 — Incentivar as compras públicas de produtos alimentares a utilizar cadeias curtas, modos de produção integrada ou biológica. Para tal, propõe- se a elaboração de um guia que contenha indicações claras, quer quanto aos critérios de adjudicação quer quanto aos fatores e subfatores em que estes se densificam. Esse guia deverá aproximar o produtor do consumidor, nomeadamente nos serviços alimentares tutelados por serviços e organismos da administração direta e indireta do Estado.
12 — Estender as orientações para os refeitórios escolares da DGE, relativas à utilização de sal iodado, a outras cantinas/refeitórios para além dos escolares (10, 12).
13 — Incentivar o consumo de fruta e hortícolas nas escolas, aumentando o número de beneficiários do regime de distribuição nas escolas (RE) (13), que engloba os atuais regimes de distribuição de fruta e produtos hortícolas (RFE) e o regime de distribuição de leite nas escolas (RLE).
14 — Incentivar transversalmente o consumo de categorias de alimentos diretamente relacionados com a prevenção de doença crónica, nomeadamente fruta e produtos hortícolas frescos.
15 — Incentivar a retirada de saleiros das mesas em estabelecimentos de restauração coletiva, propondo que os saleiros sejam dispensados apenas por solicitação explícita do cliente.
16 — Incentivar e alargar o âmbito de aplicação das boas práticas relacionadas com as orientações para os refeitórios escolares da DGE no âmbito dos concursos para aquisição de serviços de fornecimento de refeições escolares.
17 — Incentivar as empresas do setor agroalimentar a reduzir o tamanho das porções dos alimentos e bebidas pré -embalados.
18 — Incentivar a restauração a disponibilizar ementas adaptadas para as patologias mais prevalentes.
19 — Alargar as políticas de limitação do volume e oferta dos pacotes de açúcar individuais à totalidade dos agentes económicos responsáveis pela refinação e distribuição do açúcar.
20 — Incentivar a restauração a evitar a disponibilização de bebidas açucaradas na modalidade «free refill».
Eixo 2: Melhorar a qualidade e acessibilidade da informação disponível ao consumidor, de modo a informar
e capacitar os cidadãos para escolhas alimentares saudáveis
Pretende- se neste eixo estratégico identificar atividades/iniciativas que facilitem o acesso por parte do cidadão a informação de qualidade para uma escolha informada. Atualmente existe bastante informação sobre alimentação, mas é difícil aos cidadãos distinguir informação isenta e de fácil compreensão fornecida por autoridades independentes e credíveis, devendo o Estado assumir um papel importante nesta matéria.
Para atingir este objetivo selecionaram- se as seguintes medidas:
1 — Incentivar a utilização de modelos de informação nutricional adicional nos rótulos dos produtos alimentares que facilitem as escolhas dos consumidores, nomeadamente através da produção de linhas orientadoras para os operadores do setor alimentar.
2 — Incentivar a utilização de informação relativa ao teor de ácidos gordos trans na declaração nutricional nas embalagens dos alimentos.
3 — Incentivar a adoção de medidas pelos operadores económicos, no sentido de limitar a publicidade destinada a menores de idade de produtos alimentares com excesso de sal, açúcar, gordura, nomeadamente trans e energia Nota 3.
4 — Incentivar a adoção de medidas pelos operadores económicos, no sentido de limitar as comunicações comerciais e a publicidade a produtos alimentares com excesso de sal, açúcar, gordura, nomeadamente trans e energia em eventos em que participem menores, designadamente atividades desportivas, culturais, recreativas ou outras.
5 — Utilizar os novos meios de comunicação digital para promover mensagens de qualidade sobre alimentação saudável.
6 — Promover o envolvimento das autarquias em iniciativas para o fornecimento de informação sobre alimentação saudável através dos seus próprios meios.
7 — Desenvolver iniciativas em parceria com associações do setor agroalimentar com o objetivo de disponibilizar informação sobre alimentação saudável nos pontos de venda.
8 — Promover a inserção de mensagens simples e curtas sobre alimentação saudável nos documentos periódicos destinados ao grande público por parte dos Ministérios envolvidos do grupo de trabalho, sempre que possível.
9 — Desenvolver uma plataforma de divulgação e monitorização das iniciativas previstas nesta Estratégia Integrada para a Promoção da Alimentação Saudável.
10 — Promover a inclusão de iniciativas de promoção da alimentação saudável nos programas de promoção de saúde pública, atividade física e de envelhecimento ativo dos municípios.
11 — Promover uma campanha pública de informação ao consumidor sobre alimentação saudável, incluindo informação relativa à rotulagem nutricional.
Eixo 3: Promover e desenvolver a literacia e autonomia para o exercício de escolhas saudáveis pelo consumidor
Pretende- se neste eixo estratégico capacitar os cidadãos de vários níveis de literacia para as escolhas saudáveis na medida em que as doenças crónicas têm cada vez mais um gradiente social, sendo mais prevalentes nas populações com menor escolaridade e com situação económica mais frágil. Por outro lado, para o sucesso deste eixo programático é necessário envolver e capacitar outros profissionais que não apenas os da saúde, para a promoção de hábitos alimentares saudáveis, nas populações com quem trabalham, dotando- os de conhecimento e capacidades para estas intervenções.
Assim, para atingir este objetivo selecionaram -se as seguintes medidas:
1 — Promover a literacia alimentar de grávidas e nos pais sobre a importância da alimentação saudável nos primeiros 1000 dias de vida da criança.
2 — Promover estratégias de educação alimentar em ambiente escolar, nomeadamente através da promoção da Dieta Mediterrânica, da preparação e confeção de alimentos e do melhor conhecimento do ciclo de produção dos alimentos.
3 — Melhorar a qualificação dos profissionais dos serviços de ação social na área da alimentação saudável, em particular dos que contactam com populações com baixos níveis de rendimento e literacia e que são responsáveis pela gestão de programas de distribuição de alimentos.
4 — Melhorar a qualificação dos profissionais da área do turismo e restauração na área dos hábitos alimentares saudáveis, em particular no que diz respeito aos riscos do consumo excessivo de sal, açúcar e ácidos gordos trans.
5 — Promover iniciativas que valorizem o conhecimento sobre o valor nutricional de alimentos estratégicos e característicos presentes na Roda da Alimentação Mediterrânica, nomeadamente pescado, hortofrutícolas, azeite, pão, leguminosas e produtos lácteos.
6 — Promover iniciativas que valorizem o consumo de proximidade e de raças/variedades autóctones e de alimentos típicos da Dieta Mediterrânica. Deverão em particular ser valorizadas ervas aromáticas e/ou especiarias, como substitutos do sal e a salicórnia como alternativa ao sal.
7 — Desenvolver medidas de acompanhamento complementares à distribuição de leite e hortofrutícolas nas escolas, potenciando a eficiência do regime de distribuição nas escolas (RE) na promoção de hábitos alimentares saudáveis.
8 — Promover o envolvimento dos municípios e das freguesias na realização de ações de formação na área da alimentação saudável para todos os seus trabalhadores integrados nos serviços de alimentação e refeitórios.
9 — Aumentar o conhecimento dos cidadãos sobre o conceito de Dieta Mediterrânica e como favorecer escolhas saudáveis a partir deste modelo alimentar.
10 — Aumentar o conhecimento dos trabalhadores dos serviços de alimentação e refeitórios sobre como incorporar o pescado e hortofrutícolas na elaboração de ementas e confeção das refeições.
11 — Promover iniciativas que permitam sensibilizar a população relativamente ao impacto na saúde do consumo excessivo de sal, bem como iniciativas que promovam a utilização de substitutos do sal como por exemplo as ervas aromáticas e especiarias e alternativas ao sal como a salicórnia.
12 — Promover iniciativas que permitam sensibilizar a população relativamente ao impacto na saúde do consumo excessivo de açúcar.
13 — Promover iniciativas que incentivem a alimentação saudável junto da população universitária.
14 — Capacitar os diferentes profissionais de saúde para a importância de sensibilizar os pais para a importância da amamentação (4).
15 — Capacitar os profissionais de saúde, docentes e encarregados de educação para promover o gosto e a preferência por alimentos saudáveis em menores de idade (4).
Eixo 4: Promover a inovação e o empreendedorismo direcionado à área da promoção da alimentação saudável
Pretende -se neste eixo estratégico identificar iniciativas que utilizem a inovação e o desenvolvimento tecnológico para modificar conhecimentos, atitudes e comportamentos face à alimentação saudável, aproveitando a capacidade empreendedora do microtecido económico e empresarial português.
Para atingir este objetivo selecionaram -se as seguintes medidas:
1 — Construir um portal de informação sobre pescado e seu valor nutricional, disponibilizando materiais interativos para o sistema de ensino e para o apoio da presença do pescado nas ementas escolares.
2 — Promover a utilização dos meios digitais nas instituições públicas (ex.: salas de espera, balcões de atendimento) para a promoção da alimentação saudável.
3 — Propor o alinhamento das prioridades de financiamento das linhas de investigação nos laboratórios do Estado e agências de financiamento com as prioridades nacionais da área da promoção da alimentação saudável.
4 — Propor a criação de sistemas de monitorização inovadores e sustentáveis que permitam avaliar permanentemente a ingestão alimentar.
5 — Permitir o acesso a dados de informação nutricional de alimentos de forma gratuita e universal através de uma plataforma digital para fomentar a criação de novas iniciativas empreendedoras que promovam a alimentação saudável.
","","","","Breastfeeding|Iodine deficiency disorders|Fat intake|Trans fat intake|Sodium/salt intake|Free sugars|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|School fruit and vegetable scheme|School milk scheme|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Trans fat|Salt/sodium|Sugars|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Portion size control|Media campaigns on healthy diets and nutrition|Iodine|Food grade salt","","https://dre.pt/pesquisa/-/search/114424591/details/normal?l=1","https://extranet.who.int/ncdccs/Data/PRT_B22_Anexo%204.pdf","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRT%202017%20EIPAS.pdf"
"41583","PRT","Portugal","","Estratégia Integrada para a Promoção da Alimentação Saudável","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2017","","","Diário da República","12","2017","","","","","Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry","Gabinetes do Ministro da Agricultura, Florestas e Desenvolvimento Rural, da Ministra do Mar, dos Secretários de Estado dos Assuntos Fiscais, das Autarquias Locais, da Educação, Adjunto e da Saúde e Adjunto e do Comércio e das Secretárias de Estado da Indústria e do Turismo.","","","","","","","","","","","","","","","","","Eixo 1: Modificar o meio ambiente onde as pessoas escolhem e compram alimentos através da modificação da disponibilidade de alimentos em certos espaços físicos e promoção da reformulação de determinadas categorias de alimentos.
Pretende -se neste eixo estratégico fazer com que as ofertas e as escolhas saudáveis sejam mais fáceis em termos de preço, acesso e atratividade, promovendo a melhoria da disponibilidade e a composição dos alimentos, em particular nos seus conteúdos em sal, açúcar e ácidos gordos trans.
...
5 — Propor metas a atingir na reformulação destas categorias de alimentos em conjunto com as entidades do setor, tendo por base as Recomendações da OMS (9, 10) e como objetivo geral:
5.1 — Fazer com que o consumo de sal per capita se aproxime de 5 g/dia em 2020;
5.2 — Fazer com que o consumo diário de açúcar simples se aproxime de 50 g/dia e um máximo de 25 g/dia em menores de idade em 2020;
5.3 — Fazer com que o consumo de ácidos gordos trans se aproxime de zero em 2020.
...
Eixo 2: Melhorar a qualidade e acessibilidade da informação disponível ao consumidor, de modo a informar e capacitar os cidadãos para escolhas alimentares saudáveis
Pretende -se neste eixo estratégico identificar atividades/iniciativas que facilitem o acesso por parte do cidadão a informação de qualidade para uma escolha informada. Atualmente existe bastante informação sobre alimentação, mas é difícil aos cidadãos distinguir informação isenta e de fácil compreensão fornecida por autoridades independentes e credíveis, devendo o Estado assumir um papel importante nesta matéria.
...
Eixo 3: Promover e desenvolver a literacia e autonomia para o exercício de escolhas saudáveis pelo consumidor
Pretende -se neste eixo estratégico capacitar os cidadãos de vários níveis de literacia para as escolhas saudáveis na medida em que as doenças crónicas têm cada vez mais um gradiente social, sendo mais prevalentes nas populações com menor escolaridade e com situação económica mais frágil. Por outro lado, para o sucesso deste eixo programático é necessário envolver e capacitar outros profissionais que não apenas os da saúde, para a promoção de hábitos alimentares saudáveis, nas populações com quem trabalham, dotando -os de conhecimento e capacidades para estas intervenções.
...
Eixo 4: Promover a inovação e o empreendedorismo direcionado à área da promoção da alimentação saudável
Pretende -se neste eixo estratégico identificar iniciativas que utilizem a inovação e o desenvolvimento tecnológico para modificar conhecimentos, atitudes e comportamentos face à alimentação saudável, aproveitando a capacidade empreendedora do microtecido económico e empresarial português.
...
","","","","","Breastfeeding|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Nutrition in the school curriculum|School meal standard|School fruit and vegetable scheme|School milk scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Fats|Trans fat|Salt/sodium|Sugars|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Food grade salt","","https://dre.pt/application/conteudo/114424591%20https://eipas.pt/sobre-a-eipas/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PRT%202017%20Estrat%C3%A9gia%20Integrada%20para%20a%20Promo%C3%A7%C3%A3o%20da%20Alimenta%C3%A7%C3%A3o%20Saud%C3%A1vel.pdf"
"25932","QAT","Qatar","","Qatar Public Health Strategy 2017-2022","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2022","Ministry of Public Health","","2018","","","","","Health|Development|Trade|Environment","","","","","","","","","","","","","","","","","","Healthy Lifestyle Objectives
HL1 Reduce risk factors of chronic noncommunicable diseases (unhealthy nutrition and physical inactivity)
HL2 Increase overall public awareness on the positive health effects of healthy nutrition and engaging in regular physical activity
HL3 Formulate and promote culturally appropriate and sustainable policies and legislations aimed at food diversity, healthy eating habits and increasing physical activity in the population
HL4 Stimulate/increase the practice of regular physical activity across the population, with particular emphasis on schools, workplaces and targeted communities
HL5 Establish wellness services and health coaches in primary healthcare centers focused on patients at risk of one of the four major risk factors (obesity, smoking, physical inactivity and malnutrition)
HL6 Enhance collaboration with the private sector to promote the importation, production and distribution of food products which contribute to a healthier and more balanced diet
Cardiovascular Disease
CVD1 Reduce the prevalence and burden associated with cardiovascular disease through promotion of healthy behaviors including education programs at primary care centers
Maternal and Child Health Objectives
MC4 Implement initiatives to encourage and promote breastfeeding through education and counselling within primary care
","","","","","Raised blood glucose/diabetes|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","https://extranet.who.int/ncdccs/Data/QAT_B3_QPHS%202017-2022.pdf","WHO NCD repository ","",""
"39772","VCT","Saint Vincent and the Grenadines","","National Action Plan for the Prevention and Control of Non-Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2025","Ministry of Health, Wellness & the Environment","","2017","","","","","Health|Food and agriculture|Education and research|Trade|Environment","","","","","","","","","","National NGOs","","","","","","","","RESULTS FRAMEWORK
GOAL: To achieve a 16% relative reduction in premature deaths from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases by 2025
EXPECTED RESULTS
…
Strategy 2: Multisectoral policies and partnerships developed and implemented
Indicators/Target
• Reduction strategies and actions implemented to reduce the impact on children re: marketing of foods and non-alcohol beverages high in saturated fats, trans-fatty acid, sugars and salt by 2019.
• Guideline and Protocol for engagement of private sectors to manage conflict of interest developed and operationalized by 2020.
• National Child Nutrition Policy and Action Plan for the control of children in marketing of foods (high in saturated fats, trans-fatty acids, sugars and salt and non-alcoholic beverages) approved and implemented by 2018.
Strategy 3: NCD risk factors reduced and protective factors strengthened
Indicators/Target
…
• Baseline established for at least 2 food (bread & green seasoning) categories before adopting national salt targets by 2018.
• 10% relative reduction in salt consumption by 2025
…
• At least 7 national campaigns, sensitizations, public education on salt reduction conducted by 2025.
• 25% relative reduction in age-standardized of raised blood pressure by 2025
• 5% relative reduction in overweight and obesity in by 2025
• 5% relative reduction in age-standardized of diabetes by 2025
• 5% relative reduction in age-standardized of raised cholesterol by 2025
• 5% relative increase in adolescent fruit and vegetables consumption (at least 5 servings per day) by 2025
• 5% relative increase in adult fruit and vegetables consumption (at least 5 servings per day) by 2025
Strategy 4: Health system response to NCDs and risk factors strengthened at all levels of health services and accessibility and quality improved
Indicators/Target
…
• At least 75% of patients with hypertension and diabetes controlled by 2025
• 5% relative reduction in age-standardized prevalence of raised blood glucose/diabetes by 2025
• 5% relative reduction in age-standardized prevalence of overweight/obesity in persons aged 18+ by 2025
• 5% relative reduction in age-standardized prevalence of overweight/obesity in school-aged children and adolescents by 2025
…
...at least 55% of mothers exclusive breast feeding at 6 months
","Activity Plan
Strategic Line of Action 1: Strengthening coordination and management of NCD prevention and control programmes.
1.3 Strengthen resource mobilization
1.3.1
- Lobby for tax subsidies for healthy foods for schools and hospitals.
- Do costing for specific areas where tax revenue will be used for the prevention and control of NCD
…
Strategic Line of Action 2: Building healthy and active communities through multisectoral policies and partnerships.
2.1 Strengthen Multisectoral policies and partnerships
2.1.1 Develop and implement National multisectoral policies and plans for the prevention and control of NCDs (including alcohol, tobacco, salt, sugar, trans fat, obesity etc.)
- National Child Nutrition Policy (including childhood obesity prevention) and Plan of Action approved and implementation initiated by 2018
- School Nutrition Policy and Plan of Action approved and implementation initiated by 2018
- 80% of primary and secondary schools implemented School Nutrition Policy by 2019
…
Strategic Line of Action 3: Addressing NCD risk factors and protective factors
3.1 Strengthening Legal and Policy Framework
…
3.1.3 Adopt Regional Standard on food labeling (front-of--package] to be adopted by Nation Bureau of Standards.
3.2 Reduce risk factors and strengthen protective factors via cost-effective interventions
3.2.1 Strengthening maternal and child health programme (with emphasis on exclusive breast feeding at least first 6 months at primary and secondary birthing centers).
3.2.2 Incorporate recommendations for strengthening school feeding programs for prevention and control of diet-related diseases.
3.2.3 Implement Child Friendly School Initiative.
- Prevent and reduce obesity to protect children from marketing of foods and non- alcoholic beverages high in saturated fats, trans fatty acids, free sugars
3.2.4 Implement, monitor and evaluate cost-effective interventions on salt and sugar reduction
- Baseline survey conducted for mean salt intake (sodium chloride) in grams per day and glucose levels in persons aged 18 + by 2019 by STEPS Survey
- Salt & Sugar reduction demonstration project implemented using social marketing approach by 2018
- National salt target and timeline in selected food categories identified (e.g. bread and green seasoning) by 2019
…
- National Food Based Dietary Guidelines revised and widely disseminated by 2019
- Establish baseline on salt, sugar and saturated/trans fat intake
- At least 75% of School Cafeteria Meals reviewed and reformed for reduction of salt and sugar intake
...
ANNEX 2: Policy Links for NCD Prevention & Control with Various Sectors
The table below connects the response to NCDs with the priorities of other sectors, making these links explicit and preparing for harmonization of policies across sectors.
Finance and Trade
• Approving dedicated staff and budget for NCD’s.
• Granting concessions on monitoring equipment to persons with NCD’s
• Endorsing Trade treaties supporting ban of trans fat
Social Development
• Ensuring the equity of access to prevention and care for services related to NCDs
• Reducing the disparities in burden of NCDs among people of different social class (defined by age, sex, income, occupation, education, and geographic location
Education
• Enhancing the academic performance of school children through promotion of healthy behaviors
• Strengthening the work on health promoting schools and related activities to improve the health of students, teachers using the Food Based Dietary Guidelines.
Agriculture,
• Ensuring food availability and security as outlined in the Food and Nutrition Security Policy. (e.g. introduction of new fruits and vegetables for agriculture, promotion of local products)
• Promoting the messages of the Food Based Dietary Guidelines
Civil society
• Work with civil society and women’s groups to enhance the social norms to adopt behaviors that reduce the risk of NCDs
• Empower individuals and communities to manage and cope with existing burdens of NCDs through education, self-management to enjoy improved health and wellness.
Private sector (**Include private sector medical)
• Seeking opportunities for work place health promotion extending the concept of occupational health to cover the prevention of NCDs
• Seeking opportunities for consultation and cooperation where appropriate (e.g. physical activity promotion, salt reduction, food product reformulation)
• Seeking opportunities for resource mobilization (financing)
• Setting standards and enforcing these as and where appropriate
Health
• Developing the capacity for health policy makers and civil society to understand the policy concerns of other sectors and to engage in meaningful and lasting dialogue
• Health in All Policies takes into account health implications of decisions, seeks synergies, and avoids harmful health impacts, in order to improve population health and health equity. It ensures that the health implications of all policies are considered in the policymaking process, regardless of the sector in which the policies are being developed. It recognizes that public policies and decisions made in policy areas other than health have a significant impact on population health and health equity.
","See goals.
","","","Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Front of pack labelling|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Salt reduction","","https://extranet.who.int/ncdccs/Data/VCT_B3_NATIONAL ACTION PLAN FOR THE PREVENTION AND CONTROL OF NCDS 2017-2025.doc","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VCT%202017%20NATIONAL%20ACTION%20PLAN%20FOR%20THE%20PREVENTION%20AND%20CONTROL%20OF%20NCDS%202017-2025.pdf"
"24469","STP","Sao Tome and Principe","","Plan cadre des nations unies pour l’aide au développement dans une optique d’un développement equitable, inclusive et durable à Sao Tomé e Principe- UNDAF 2017-2021","Non-national nutrition policy document","","French","","2017","","2021","UN Country team of Sao Tomé e Principe","","2017","","","","","Health|Education and research|Finance, budget and planning|Trade|Other","Foreign affairs, Employment","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Other|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC","","","Other|The World Bank","Banque Africaine de Développement, Fond Monétaire International, Portugal, Brésil, et autres","","","","","","","Private sector","","","","Effet 1 : Les disparités et les inégalités sont réduites à tous les niveaux à travers la participation effective des groupes vulnérables et clés, et le développement et l'utilisation par ces groupes des services de protection et des services sociaux de base.
","53. Le SNU combinera les mesures d’accompagnement pour renforcer les capacités des partenaires nationaux et les investissements visant la mise à niveau des infrastructures de santé, de protection, de nutrition et d’éducation, ainsi que des infrastructures d’assainissement et d’eau améliorées. Ces actions vont cibler tous les niveaux à savoir central, local et la RAP.
56. Santé et Nutrition. Le SNU centralisera ses contributions au renforcement du système de santé en vue de l’utilisation des services intégrés de santé de qualité basée sur la personne et la couverture universelle, particulièrement en ce qui concerne la formulation des principaux cadres programmatiques de développement à moyen et long terme du secteur, surtout pour les plus démunis, les femmes et les enfants, et en particulier dans les communautés et districts identifiés comme les plus vulnérables en tenant compte de l’équité sociale et économique.
57. Des accents seront mis sur des interventions du SNU ayant des impacts élevés notamment: (i) l’accélération de la réduction de la mortalité maternelle, néo-natale et infanto-juvénile à tous les niveaux, (ii) l’amélioration de l’accès universel aux interventions essentielles (prévention, diagnostic, traitement et suivi) du VIH/SIDA et contre la tuberculose, tout en soutenant le gouvernement à inverser les tendances (réduction significative de la morbidité et mortalité), (iii) le continuum vers l’élimination du paludisme, (iv) l’amélioration de la situation nutritionnelle, surtout la réduction de la malnutrition chronique parmi les enfants de moins de cinq ans, (v) l’amélioration des soins essentiels du nouveau-né et le renforcement de la vaccination de routine visant l’élimination de la rougeole, (vi) le renforcement de la lutte contre les maladies tropicales négligées, (vii) le renforcement de la lutte contre les maladies non transmissibles (MNT) surtout le diabète et les maladies cardiovasculaires, en supportant le gouvernement dans la mise en oeuvre du plan stratégique de lutte contre les MNT, qui est aligné au plan d’action mondial 2013-2020, (viii) l’augmentation de l’offre et l’amélioration de la qualité des services intégrés de santé de reproduction des adolescents et des jeunes et en repositionnant la planification familiale en rehaussant la prévalence d’utilisation des contraceptives modernes à 50% (37,4% en 2014).
59. Les interventions viseront également la poursuite de l’amélioration du taux de couverture vaccinale chez les enfants (prévoyant l’élimination de la rougeole et l’introduction de nouveaux vaccins le VPI, le Rota virus, l’HPV) et les femmes, en adoptant des stratégies de proximité pour rattraper les non-vaccinés, à combattre la malnutrition chronique des enfants de moins de cinq ans, et à renforcer la nutrition des femmes enceintes et allaitantes.
64. Eau et assainissement. Les Nations Unies vont contribuer à l’élaboration et au suivi de la mise en oeuvre d’une politique nationale de l’eau et de l’assainissement à l’aide d’une participation multisectorielle, y compris de la société civile, pour s’assurer que les ressources et les services d’eau et assainissement sont gérés d’une façon équitable et durable
67. Apportera un appui renforcé aux producteurs en vue d’améliorer les productions, la sécurité alimentaire et la commercialisation des produits agricoles. Le développement des capacités organisationnelles et techniques des producteurs et du secteur privé dans les districts, ainsi que le développement de l’éducation nutritionnelle qui y sont considérées en conséquence comme des actions prioritaires.
","","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Raised blood glucose/diabetes|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Food security and agriculture|Water and sanitation","","http://www.st.undp.org/content/dam/sao_tome_and_principe/docs/Publication/undp_st_UNDAF_S%C3%A3o%20Tom%C3%A9%20e%20Pr%C3%ADncipe_2017-2021_fr.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/STP%202017%20UNDAF.pdf"
"40332","SEN","Senegal","","Plan stratégique lutte contre les maladies non transmissibles 2017-2020","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2020","Ministère de la Santé et de l’Action sociale","7","2017","","","","","Health|Education and research|Finance, budget and planning|Sport|Transport|Trade|Environment|Other","Douanes","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Objectifs strategiques 3
Améliorer les compétences individuelles en matière de santé et de lutte contre les MNT
Objectifs Spécifiques
3.1. Amener au moins à 80% le nombre de personnes qui connaissent les 4 principaux facteurs de risque associés aux MNT (alimentation trop grasse, trop huilée, trop sucrée, trop salée, insuffisance de la consommation de légumes et fruits, obésité et manque d’activités physiques, tabagisme et alcoolisme);
3.2. Amener au moins à 80% le nombre de personnes qui sont au courant de l’existence de lois protégeant contre certains facteurs de risque des MNT (tabac, alcool, composition des aliments, produits de dépigmentation, environnement…);
3.3. Amener au moins à 50% le nombre de personnes qui affirment avoir réduit leur consommation de sel;
","- Interventions prioritaires
Ainsi, en plus des programmes de sensibilisation et d’éducation des populations sur les facteurs de risques, la mise en place de législations et de politiques fiscales (telles que l’application des sanctions (verbalisation), la taxation sur le tabac, l’alcool, les boissons sucrées, la lutte contre la publicité du tabac et des produits de dépigmentation) de même que la subvention pour soutenir l’accès à des aliments sains (fruit, légumes…) seront encouragés.
D’autres actions seront aussi encouragées notamment en organisant des lieux de vie propices à la santé (pistes cyclables, installations sportives et de loisirs attrayants, préservation des espaces naturels et de détente, préparation de repas sains dans les cantines au travail, à l’école ou dans les niches socio-économiques défavorisées (gares routières), etc.…).
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Salt reduction|Nutrition education|Food safety","","https://extranet.who.int/ncdccs/Data/SEN_B3_Plan Stratégique MNT VF Juillet 2017.pdf","","WHO NCD Document Repository",""
"41889","TJK","Tajikistan","","ПОСТАНОВЛЕНИЕ О СТРАТЕГИИ УСТОЙЧИВОГО РАЗВИТИЯ ШКОЛЬНОГО ПИТАНИЯ В РЕСПУБЛИКЕ ТАДЖИКИСТАН НА ПЕРИОД ДО 2027 ГОДА / On Sustainable Development of School Nutrition in Tajikistan up to 2027","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","9","2017","","2027","Government of Tajikistan","9","2017","Adopted","9","2017","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Sub-national|Other","National Standards Agency","","","","","","","","","","","Research/academia","Agricultural Institutes; Nutrition Research Institutes","","","Other","Public Schools","6. Стратегия предусматривает поэтапное расширение охвата системой школьного питания общеобразовательных учреждений в зависимости от экономических возможностей, социального и демографического развития Республики Таджикистан и отдельных регионов.
7. Стратегия разработана с учетом возможности предоставления бесплатного питания детям из необеспеченных семей и частичного софинансирования стоимости школьного питания для семей с низким уровнем доходов.
28. Реализация стратегии будет осуществляться в соответствии с целями, задачами и основными направлениями развития системы школьного питания, определенными в концепции улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан.
29. Целью стратегии является обеспечение условий для сохранения и укрепления здоровья и совершенствования образовательных результатов учащихся через устойчивое развитие школьного питания в Республике Таджикистан.
30. Для обеспечения устойчивого развития школьного питания в Республики Таджикистане требуется решение следующих задач:
- совершенствование государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан;
- организационное обеспечение и координация деятельности государственных органов, заинтересованных лиц и организаций;
- обеспечение стабильного финансирования и планирования;
- разработка и реализация государственной программы развития школьного питания;
- участие общества в развитии школьного питания и связанных с ним секторов экономики.
31. Решение предусмотренных настоящей стратегией задач осуществляется путем разработки и реализации краткосрочных, среднесрочных и долгосрочных программ, пилотных проектов и иных мероприятий по отдельным направлениям реализации настоящей стратегии
","32. Основными направлениями действий по совершенствованию государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
- разработка и утверждение порядка финансирования питания учащихся общеобразовательных учреждений, определяющий категории учащихся, имеющих право на получение дотации на школьное питание, в том числе получение бесплатного, частично дотируемого школьного питания, и порядок их предоставления;
- в рамках действующей системы государственных закупок разработка и утверждение типовых требований по осуществлению закупок товаров и услуг для организации школьного питания;
- разработка и утверждение нормативов предоставления субсидий на частичное возмещение затрат на строительство, реконструкцию, модернизацию и создание новых предприятий, производственно-логистических центров и комбинатов социального питания, а также на компенсацию логистических издержек, обусловленных поставками товаров местных производителей.
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
- определение объема средств, направляемых из бюджета на реализацию мероприятий, связанных с развитием системы школьного питания, контролирует эффективность их расходования; утверждение и ежегодная индексация нормативов финансирования школьного питания за счет государственного бюджета;
- определение размеров субсидий, выделяемых для частичной или полной компенсации стоимости школьного питания для целей оказания адресной поддержки детям из малообеспеченных семей в соответствии с установленными категориями нуждаемости населения;
- обеспечение консолидации средств бюджетов различных уровней, финансовой помощи и средств, поступающих от родителей и иных источников, для софинансирования программ школьного питания;
- (...)
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
- разработка рационов питания на основании проводимых научных исследований с учетом необходимости удовлетворения физиологических потребностей учащихся общеобразовательных учреждений в основных пищевых веществах и энергии;
- разработка необходимых для организации питания учащихся меню в соответствии с рекомендуемым для использования в школьном питании ассортиментом основных продуктов, а также с учетом региональных и возрастных особенностей питания и состояния здоровья учащихся;
- разработка санитарно-эпидемиологических требований к организации питания учащихся общеобразовательных учреждений, а также рекомендации по созданию условий, обеспечивающих сохранение и укрепление здоровья обучающихся;
- разработка мер, направленных на развитие системы производства, переработки, поставок и реализации продукции для школьного питания; - разработка мер по поддержке местных производителей сельскохозяйственной продукции, используемой в школьном питании, включая определение видов такой продукции и требований к ней;
- разработка и реализация пилотных проектов апробации различных моделей развития производства и переработки продукции на местном уровне, обобщение и распространение наиболее ценного опыта.
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
- проведение разъяснительной и просветительской работы, пропаганда принципов здорового питания, в том числе через средства массовой информации;
- привлечение к работе по развитию местного производства учащихся и аспирантов сельскохозяйственных вузов для оказания помощи в обустройстве пришкольных хозяйств, проведения научно-исследовательских работ, оптимизации процессов производства и переработки сельскохозяйственной продукции и реализации научно-исследовательских проектов, связанных с развитием сельского хозяйства;
- обеспечение расширения знаний административных работников, учителей и иных сотрудников учреждений общего образования об отрицательном влиянии недостаточного питания на способность к обучению, приобретение профессии;
- внесение изменений в учебные планы в целях формирования у учащихся знаний о значении полноценного питания, умения осуществлять оценку правильности своего питания, навыков приготовления здоровой еды в рамках курсов домоводства, навыков выращивания сельскохозяйственной продукции с использованием местных ресурсов в рамках трудового воспитания и уроков биологии;
- участие общеобразовательных учреждений в мероприятиях, связанных с выбором вариантов организации школьного питания и контролем за его качеством; - предоставление родителям информации об ассортименте питания учащихся, включая указание в ежедневном меню наименований блюд и объемов порций, а также замены блюд для детей с пищевыми аллергиями и сахарным диабетом.
- осуществление переподготовки младшего медицинского персонала, работающего в образовательных учреждениях, в том числе в целях своевременного выявления детей с пониженным весом, обследования условий жизни семей школьников;
- обеспечение участия медицинского персонала родителями (семьями), включая принятие мер для навыков в области здорового питания и гигиены;
- обеспечение распространения знаний о последствиях недостаточного и неправильного питания, формирование навыков организации здорового питания, распространение знаний о возможных способах улучшения питания, в том числе за счет изменения рациона питания и расширения доступа к ресурсам, позволяющим обеспечить производство продуктов питания.
46. На первом этапе (2017 - 2018 годы) осуществляется формирование базовых условий, необходимых для развития системы школьного питания в Республике Таджикистан и решения задач, определяемых настоящей стратегией:
- развитие нормативной правовой базы школьного питания;
- формирование эффективной организационно-управленческой инфраструктуры;
- разработка пилотных проектов по внедрению моделей организации школьного питания, определение условий и стоимости их реализация;
- развитие кадрового потенциала; - развитие системы мониторинга, разработка методик определения целевых индикаторов и показателей, проведение научных исследований.
47. На втором этапе (2019 - 2020 годы) осуществляется:
- внедрение моделей организации школьного питания в рамках разработанных пилотных проектов с уточнением их стоимости;
- мониторинг и анализ достигаемых результатов;
- отбор наиболее перспективных моделей организации школьного питания и связанных с ними решений.
49. На третьем этапе (2021 - 2026 годы) осуществляется:
- выполнение мероприятий национальной программы школьного питания в соответствии с утвержденными календарными планами;
- распространение системы школьного питания на все районы Республики Таджикистан;
- постепенный переход к самостоятельной реализации программ улучшения школьного питания, финансируемых за счет средств государственного бюджета и иных источников.
","38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
- уровень достижения установленных рациональных норм питания обучающихся в учреждениях общего образования, в том числе по качеству, калорийности, разнообразию, количеству белков, жиров, углеводов, витаминов, макро- и микроэлементов, потребляемых обучающимися с учетом школьного питания;
- уровень охвата учреждений общего образования школьным питанием, соответствующим, установленным требованиям;
- количество обучающихся, обеспеченных школьным питанием, соответствующим установленным требованиям, в том числе с учетом частично дотируемого и бесплатного школьного питания;
- увеличение объема производства продуктов для обеспечения системы школьного питания, в том числе специализированных продуктов (детского и лечебного питания), полуфабрикатов, обогащенных продуктов;
- объем государственных и местных закупок продовольствия и услуг по обеспечению школьного питания, в том числе у местных производителей;
- сокращение затрат при производстве и переработке пищевой продукции для школьного питания, а также при предоставлении питания обучающимся.
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
- улучшение питания учащихся и рост уровня жизни семей в Республик, Таджикистан, в особенности семей с недостаточным уровнем дохода;
- pocт посещаемости, повышение качества обучения и успеваемости учащихся;
- снижение уровня заболеваемости учащихся, в том числе хроническими заболеваниями, укрепление здоровья населения Республики Таджикистан, в том числе за счет формирования культуры здорового питания;
- создание гарантированного рынка сбыта сельскохозяйственной продукции, в том числе продукции местных производителей, повышение производительности и уровня доходов в сельском хозяйстве;
- технологическую модернизацию и реструктуризацию отрасли, развитие современной производственно-логистической инфраструктуры;
- формирование устойчивых, долгосрочных хозяйственных связей между производителями сельскохозяйственной продукции и организациями школьного питания;
- ускоренное развитие отраслей, связанных с переработкой, транспортировкой, хранением и реализацией продовольствия;
- рост уровня защищенности от внутренних и внешних угроз продовольственной безопасности.
","","","Right to food|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Distribution of take home rations|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Food sovereignty|Vulnerable groups","","http://base.mmk.tj/view_sanadhoview.php?showdetail=&sanadID=602&language=ru","","http://extwprlegs1.fao.org/docs/pdf/taj189452.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202017%20School%20Nutrition.pdf"
"25901","TTO","Trinidad and Tobago","","National Strategic Plan for the Prevention and Control of Non Communicable Diseases: Trinidad and Tobago 2017 - 2021","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","The Ministry of Health, Trinidad and Tobago","","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Transport|Urban planning|Trade|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","By 2025, reduce the burden of preventable mortality (before the age of 70) due to heart diseases, diabetes, cancer, and stroke by 25%
AND In five years, reduce the prevalence of:
i. High blood pressure by 20%;
ii. High cholesterol by 20%;
iii. High blood sugar by 20%;
iv. Adult overweight/obesity by 10%;
v. Adolescent overweight/obesity (ages 13 – 15 years) by 12%;
vi. Child overweight/obesity by 15%;
• Increase by 50% the proportion of persons who are aware of their disease status with regards to hypertension, diabetes dyslipidaemia and cervical cancer; and
• Increase by 50% the proportion of persons with hypertension, diabetes, and dyslipidaemia for whom the condition is controlled in keeping with recommended targets.
• Increase the prevalence of adult (aged 18+ years) population consuming ≥ five total servings (400 grams) of fruit and vegetables per day by 20% by 2018;
","1.3 Increase availability, accessibility, and consumption of healthy foods and promote physical activity
1.3.1 Development of policies on marketing of high fat, high sugar, high salt foods, and sugar sweetened non-alcoholic beverages in keeping with WHO guidelines, and policies on access to health nutrition for children along the life course.
1.3.2 Establish baseline for population sodium and Trans fat intake.
1.3.3 Implement Workplace Health Promotion policy promoting physical activity and access to healthy foods in public sector Ministries
1.3.4 Develop health education and social marketing campaigns promoting healthy eating and active living in collaboration with public, private, and civil society stakeholders.
","","","","Breastfeeding|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Sugar intake|Growth monitoring and promotion|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/TTO_B3_TTO%20National-Strategic-Plan-%20for%20Prevention%20and%20Control%20of%20NCDs-2017-2021.pdf","WHO NCD Document Repository ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TTO-2017-2021-NCD.pdf"
"74266","CAF","Central African Republic","","Plan stratégique MNT","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2022","Minstére de la Sante Publique","","2018","","","","","Health|Development|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","5.5. Cibles volontaires
...
4°) Réduction relative de 30 % de l’apport moyen en sel/sodium dans la population
...
6°) Baisse relative de 25 % de la prévalence de l’hypertension artérielle ou limitation de la prévalence de l’hypertension artérielle, selon la situation nationale
7°) Arrêt de la recrudescence du diabète et de l’obésité
...
6.1. Processus de mise en œuvre
Activités
...
Domaine d’intervention 2 : Promotion d’une alimentation saine
3.61.Prendre des textes législatifs pour définir les normes en matière de la teneur en sel, en acide gras trans des aliments préemballés importés
3.62.Organiser deux ateliers de formation pour renforcer les capacités de 20 Experts du Comité sur le contrôle biologique et chimique des aliments
3.63.Doter les Experts du Comité en outils et kits de contrôle biologique et chimique des aliments
3.64.Prendre des textes législatifs pour appliquer les contraventions aux normes des produits alimentaires préemballés
3.65.Informer les commerçants sur les normes en sel et acides gras trans des produits alimentaires conditionnés et les mesures conservatoires
3.66.Elaborer, valider, multiplier et diffuser 10000 exemplaires d’un guide illustré sur les normes en sel, sucre, l’utilisation des acides gras trans dans les aliments, ainsi que la consommation de fruits et légumes
3.67.Organisation de 152 Emissions radio pour sensibiliser les ménages sur la nécessité de la réduction de la teneur en sel/sodium, sucre et l’utilisation des acides gras trans dans les préparations alimentaires à domicile
3.68. Sensibiliser 500 vendeuses (et vendeurs) de repas sur le guide de réduction de la teneur en sel/ sodium et l’utilisation des acides gras trans
3.69.Vulgariser 5000 directives sur la commercialisation des aliments et des boissons non alcoolisées destinés aux enfants auprès de 800 membres groupements, des ONGs , des Enseignements, des médias et d’Association de Commerçants
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Promotion of fruit and vegetable intake|Trans fat|Salt/sodium|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Food safety","","https://extranet.who.int/ncdccs/Data/CAF_B3_Plan%20strat%20MNT%202018%202022%20RCA.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CAF%202018%20Plan%20strat%20MNT%202018%202022%20RCA.pdf"
"40048","DJI","Djibouti","","Stratégie Nationale de prévention des différentes formes de la malnutrition à Djibouti","Comprehensive national nutrition policy, strategy or plan","","French","","2018","","2022","Ministère de la santé","","2018","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Trade|Environment|Information","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","GAVI","The World Bank|US Agency for International Development (USAID)","Agence Française de DéveloppementBanque Islamique Fonds Saoudien Fondation Roi Salmane","European Commission|European Union","","","","","","","","","","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 :
- Augmenter les connaissances de la population sur les déterminants et la prévention de la malnutrition ;
- Réduire les prévalences de la malnutrition aigüe, l’insuffisance pondérale et surtout le retard de croissance ;
- Réduire les prévalences du surpoids et de l’obésité ;
- Réduire les carences en micronutriments ;
- Réduire les prévalences des maladies chroniques.
","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)
- Allaitement Maternel 0-6 mois : intervention pour couple mère enfant
- Alimentation de complément 6-23 mois : intervention pour couple mère enfant
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
- Promotion de la nutrition adéquate des femmes ;
- Promotion de la prise de Fer‐Acide Folique et prévention de l’anémie chez les femmes et les enfants ;
- Promotion de la consommation de sel iodé par tous les membres de la famille en cas de prévalence élevé du trouble dû à la carence en iode.
- Promotion des pratiques optimales de l’allaitement maternel jusqu’à 6 mois ;
- Promotion de l’alimentation de complément et l’allaitement maternel continu pour les enfants de 6 à 24 mois ;
- Promotion des soins nutritionnels pour les enfants malades et malnutris ;
- Prévention de l’avitaminose A chez les femmes et les enfants
11.10. Prévention contre le surpoids et les maladies métaboliques
","- Taux d’anémie chez les filles adolescentes ;
- Proportion des filles qui adoptent au moins 3 pratiques familiales essentielles et 3 actions essentielles de nutrition
- Taux d’anémie chez les femmes enceintes ;
- Taux de la malnutrition chez les femmes enceintes ;
- % des femmes qui connaissent une bonne alimentation pour elle et pour leur futur bébé ;
- Score de diversification alimentaire chez les femmes en âge de procréer
- Proportion des nouveaux nés mis aux seins dans l’heure qui suit la naissance ;
- Proportion des nourrissons de 0 à 6 mois allaités exclusivement ;
- Proportion des mères qui introduisent des aliments de compléments à partir de 6 mois ;
- Proportion des enfants de 6 à 23 mois ayant une alimentation adéquate ;
- Taux d’anémie des enfants de 6-23 mois à travers la supplémentation en multi micronutriments
- Taux d’anémie chez les couches vulnérables ;
- Taux de couverture en vitamine A ;
- Taux de couverture de déparasitage
- Taux d’avitaminose A chez les couches vulnérables ;
- Taux des Troubles du au Carences en Iode (TDCI) chez les couches;
- Taux de la malnutrition ;
- Proportion des ménages qui adoptent au moins 3 pratiques familiales essentielles et 3 actions essentielles de nutrition par les communautés
- Prévalence des personnes en surpoids et obèses ;
- Prévalence du diabète (taux de glycémie élevé) dans la population ;
- Prévalence d’hypertension (pression artérielle élevée) dans la population ;
- Taux de cholestérol élevé dans la population.
","Process 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|Minimum acceptable diet|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Infant feeding in emergencies|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin A|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food grade salt|Edible oils and margarine|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DJI%202018%20National%20Strategy%20Malnutrition.pdf"
"40327","MRT","Mauritania","","Plan Stratégique National intégré et multisectoriel de prévention et de lutte contre les Maladies Non Transmissibles 2018-2022","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2022","Ministère de la Santé","","2018","Adopted","","2018","Ministre de la santé","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Urban planning|Trade|Environment|Industry|Justice|Other","Ministère de l'énergie","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
- Sensibiliser la population sur les avantages de l’allaitement maternel exclusif au sein jusqu’à 6 mois
- Faire du plaidoyer pour la révision de la durée du congé de maternité pour permettre l’allaitement exclusif pendant 6 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
- Mettre en place un mécanisme intersectoriel pour mettre en œuvre les recommandations pour une alimentation saine en milieux éducatifs.
- Elaborer un Guide pour promotion d’une alimentation saine à l'usage des enseignants et des encadreurs pédagogiques.
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
- Elaborer un programme de communication sur la relation «Alimentation et Santé» en ciblant les professionnels travaillant avec les enfants et les parents d’élèves
- Elaborer les outils d'information et de formation destinés aux enfants, adolescents et les parents ainsi qu’à tous les professionnels travaillant avec les enfants et adolescents.
- Inclure des messages de santé dans les publicités sur les aliments.
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","- Réduction relative de 10 % de la consommation moyenne en sel dans la population, pour arriver à 32% d’ici à 2025
- Nombre de personnes sensibilisées
- Nombre de séance de plaidoyer organisé
- Nombre de Mécanisme intersectoriel mis en place
- Nombre de Guide élaborés
- Nombre d’Outils pédagogiques
- Nombre de service ayant bénéficié de renforcement de compétence
- Nombre de Programme de communication sur la relation Alimentation et Santé
- Nombre d’outils d’information et de formation destiné aux enfants adolescents et les parents
- Nombre de Messages de santé inclus dans les publicités sur les aliments
","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Maternity protection|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/MRT_B3_PLAN_MNT_VF Mauritanie.rtf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MRT%202018%20Plan%20MNT.pdf"
"36058","NLD","Netherlands","","Nationaal Preventieakkoord [National Prevention Agreement]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Dutch","11","2018","12","","Ministry of Health","11","2018","Adopted","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Sport|Trade|Industry|Information","Sanitary Authority (GGD)","","","","","","","European Union|Research/Academia","National Institute for Public Health (RIVM)","National NGOs","Koninklijke Horeca Nederland (KHN); Dutch cuisine; Voedingscentrum; Vereniging Nederlandse Cateringorganisaties (Veneca) and other related unions","Research/academia","Trimbos Institute","Private sector","Supermarkets; Catering; Public food providers; Food producers; Hospitals; education Institutions","","","In het Nationaal Preventieakkoord staan maatregelen tegen overgewicht en obesitas. Enkele maatregelen die in het preventieakkoord staan:
- Vanaf 2020 bieden minimaal 2.500 sportclubs hun leden en bezoekers gezondere voeding aan in de kantine.
- Vanaf 2020 bieden minimaal 950 scholen hun leerlingen en personeel gezonde voeding aan in de kantine.
- Vanaf 2025 biedt de helft van de ziekenhuizen gezondere voeding aan patiënten, personeel en bezoekers.
- Fabrikanten gaan suikerhoudende frisdranken, snoep en melkproducten gezonder maken. Bijvoorbeeld door er minder suiker in te doen.
- Vanaf 2019 gaan de Rijksoverheid, supermarkten en horeca-bedrijven de Schijf van Vijf bekender maken in Nederland. Zodat mensen zelf nog beter voor gezonde voeding kunnen kiezen.
- De Rijksoverheid wil een nieuw voedselkeuzelogo invoeren. Zodat mensen zelf nog beter voor gezonde voeding kunnen kiezen.
- Mensen en gezinnen met overgewichtsproblemen krijgen zorg en ondersteuning op maat. Vanaf 1 januari 2019 komt de vergoeding voor deze Gecombineerde Leefstijlinterventie in de basisverzekering.
- Sportclubs en sportscholen willen hun aanbod nog beter toegankelijk maken voor mensen die niet genoeg sporten of bewegen.
","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.
- Supermarkten, horeca en catering streven naar een jaarlijkse consumptiegroei van producten uit de Schijf van Vijf. De horeca wordt door Koninklijke Horeca Nederland (KHN) gestimuleerd om meer groenten en minder vlees aan te bieden. Dit gebeurt in samenwerking met Dutch Cuisine.
- Supermarkten verleiden consumenten meer producten te kopen die in de Schijf van Vijf horen onder andere door te communiceren welke producten in de Schijf van Vijf passen.Samen met het ministerie van VWS wordt gekeken naar de uitbreiding van de huidige mogelijkheden hiervoor.
- Met een specifieke trainingsmodule zullen jaarlijks 750 medewerkers van de versafdelingen in de supermarkten worden geschoold op gezonde voeding: Gezonde samenstelling, Gezonde producten, Gezond gewicht en Duurzaamheid. Dit is ruim tweemaal zoveel als voorheen. Er wordt een vernieuwde module opgezet in samenwerking met het Voedingscentrum. Versmedewerkers kunnen hiermee consumenten helpen bij vragen over onder andere etiket lezen, Schijf van Vijf, vet/ zout/suiker/vezels in producten, voedselverspilling, dierenwelzijn en de invloed van voedsel op het milieu.
- Om kinderen en volwassenen te informeren over de vele mogelijkheden om gezonder en lekker te eten en drinken, wordt vanaf 2019 de Schijf van Vijf extra onder de aandacht gebracht door de rijksoverheid, via het Voedingscentrum. Met de integrale aanpak ‘Goed eten met de Schijf van Vijf’ worden consumenten via een crossmediale aanpak geïnformeerd over en gestimuleerd om stappen te zetten naar goed eten volgens de Schijf van Vijf. Door het grootschalig en langdurig aanbieden van kennis en voedselvaardigheden (kiezen, kopen, koken en bewaren) worden consumenten geholpen om stappen te zetten. De doelgroep kinderen wordt nadrukkelijk meegenomen in deze integrale aanpak. Deze aanpak richt zich stapsgewijs op de diverse doelgroepen (variërend in leefstijl, geslacht en sociaaleconomische positie).
- Het ministerie van VWS en CBL zullen in 2019 onderzoeken op welke wijze er een verschuiving kan plaatsvinden naar meer marketing en informatie op de winkelvloer voor en over producten uit de Schijf van Vijf, aansluitend bij de behoefte van kinderen en volwassenen.
- Binnen het Nationaal Actieplan Groente en Fruit worden versnellingen afgesproken tussen CBL, Veneca en GFH om samen met de overheid te komen tot een structurele jaarlijkse toename van de consumptie van groente en fruit via de diverse afzetkanalen. Dit samenwerkingsverband staat open voor andere partijen van het Nationaal Preventiekakkoord.
- Er komt een onderzoek hoe excessieve consumptie voorkomen kan worden onder specifieke doelgroepen, die door andere maatregelen slecht bereikt worden. Het onderzoek vormt bij voldoende perspectief de basis voor een initiatief om deze doelgroepen effectiever te bereiken.
- Ook het aanbod van producten in de catering kan gezonder worden. De Vereniging Nederlandse Cateringorganisaties (Veneca) zal er daarom naar streven dat uiterlijk in 2022 op al haar locaties op een makkelijke en aantrekkelijke wijze volgens de Schijf van Vijf gegeten kan worden. Dit uit zich in de uitvoering van een aantal strategieën die bijdragen aan het makkelijker maken van een gezonde keuze, zoals nudging, prijsbeleid of het kosteloos beschikbaar stellen van water30.
- Daarnaast zal gestimuleerd gaan worden dat in de omgeving van mensen drinkwater makkelijker beschikbaar komt, via onder meer watertappunten op publieke plekken en in scholen. KHN moedigt haar leden aan om het drinken van water en suikervrije dranken te stimuleren ten opzichte van reguliere frisdranken.
- Zoals door de sector eerder is toegezegd, wordt het gebruik van licensed media characters gericht op kinderen onder de 13 jaar op productverpakkingen en point-of-sale materiaal ingeperkt op basis van voedingskundige criteria. Dit wordt in 2019 opgenomen in de Reclamecode voor Voedingsmiddelen. De afspraken uit de Reclamecode voor Voedingsmiddelen op het gebied van kindermarketing worden jaarlijks gemonitord door de rijksoverheid.
- Supermarkten zullen daarnaast het gebruik van branded characters op verpakkingen van kinderproducten van hun huismerken inperken op basis van de criteria van de WHO.
- De rijksoverheid evalueert in 2019 met betrokken partijen het Convenant Sponsoring op Scholen. Hier maken afspraken om een gezonde leefstijl in het onderwijs te faciliteren onderdeel van uit. Op basis van de evaluatie worden zo nodig en in goed onderling overleg de convenantafspraken aangescherpt.
- In het Akkoord Verbetering Productsamenstelling zullen voor productgroepen die een relatief grote bijdrage leveren aan de energie-inname – te weten de suikerhoudende frisdranken, koek en snoep en suikerhoudende zuivelproducten - tot 2020 aanvullende afspraken worden gemaakt om de calorie-inhoud van deze producten te verlagen
- (...)
- (...)
- In 2020 zullen er 2500 sportverenigingen aan de slag zijn met een gezonder aanbod in sportkantines. Veertig procent daarvan zal minimaal op niveau Brons zijn volgens de criteria van het Voedingscentrum. Daar waar mogelijk worden de thema’s roken en alcoholgebruik meegenomen bij de sportverenigingen. Er wordt tevens een landelijke richtlijn ontwikkeld voor de gezonde modelvereniging, waarin beleid op gezonde voeding, roken en problematisch alcoholgebruik tot uiting komt evenals beleid voor het inzetten van de mogelijkheden van de vereniging om gezond gedrag bij leden en buurtbewoners te stimuleren. De inzet op een gezonder voedingsaanbod wordt ook verbreed naar het voedingsaanbod in zwembaden en fitnesscentra.
- Er komt extra aandacht voor een gezonde sportomgeving. Onderdeel daarvan is een gezonder aanbod van eten en drinken en een gezondere sportsponsoring. In de integrale aanpak voor gezonde sportkantines wordt het stimuleren van gezonde voeding meegenomen naast de thema’s roken en problematisch alcoholgebruik. De Federatie Nederlandse Levensmiddelen Industrie (FNLI) en NOC*NSF zullen zich landelijk inzetten voor gezondere sportsponsoring door middel van communicatie over de Reclamecode voor Voedingsmiddelen en het enthousiasmeren van beide achterbannen om in lijn met deze code te handelen.
- Er wordt een convenant gezonde sportevenementen gesloten, geïnitieerd door de gemeenten Amsterdam, Rotterdam, Utrecht, Den Haag, Eindhoven, sportmarketingbureaus en Jongeren Op Gezond Gewicht (JOGG) in samenwerking met NOC*NSF, met als doel een beweging in gang te zetten om de sport te associëren met een gezonde leefstijl. Het convenant zal hieraan een bijdrage gaan leveren door in te zetten op de beschikbaarheid van gezonde voedingskeuzes bij sportevenementen en geen reclame die gericht is op kinderen onder de 13 jaar voor producten die niet in de Schijf van Vijf vallen.
- In 2020 zijn er 950 gezonde schoolkantines. Daarmee is 50% van alle schoolkantines gezond. Aanvullend is er voor kinderen in het onderwijs en de kinderopvang extra aandacht voor gezonde voeding via respectievelijk de Gezonde School- en de Gezonde Kinderopvang aanpak. Binnen de Gezonde School wordt het onderwijs laagdrempelig de kans geboden om in te zetten op bijvoorbeeld kooklessen, moestuinen of het bezoeken van lokale boerderijen. In het verlengde hiervan zal op korte termijn worden bezien hoe dergelijke lokale initiatieven of pilots, in het bijzonder gericht op arme wijken, expliciet een plek kunnen krijgen. Dit moet bijdragen aan een gezonder eetpatroon (en meer sporten en bewegen) bij kinderen in het onderwijs. De Nederlandse frisdrankproducenten stoppen met de verkoop van de traditionele, suikerhoudende frisdranken aan middelbare scholen en adviseren cateraars van middelbare scholen om vanaf 1 januari 2019 alleen nog water en laagcalorische en calorievrije frisdranken te verkopen.
- Uiterlijk in 2021 zijn de bedrijfsrestaurants bij de rijksoverheid gezond (minimaal niveau zilver volgens de criteria van het Voedingscentrum). Bij de aanbesteding worden de criteria van het Voedingscentrum als uitgangspunt genomen. De eventuele criteria van een mogelijk nieuw, breed gedragen voedselkeuzelogo zullen uiteraard ook meegenomen worden bij het gezonder maken van het aanbod in de bedrijfsrestaurants. De VNG stimuleert gemeenten om het voedingsaanbod in gemeentehuizen gezond(er) te krijgen.
- KHN stimuleert het gebruik van kleinere porties bij haar leden om mensen gezonder te laten eten.
- De Nederlandse Attractieparken zullen inzetten op een gezonder en bewuster voedingsaanbod in 2020 en verder. Om hieraan bij te dragen wordt door de attractieparken via JOGG en de Club van Elf in samenwerking met het Voedingscentrum onderzocht hoe dit stapsgewijs gerealiseerd kan worden.
- Om gezonder eten ook onderweg makkelijker te maken, wordt samen met relevante partijen gewerkt aan een gezonder voedingsaanbod in en rond snelwegen en openbaar vervoer.
- In 2025 is voor patiënten, personeel en bezoekers in 50% van de ziekenhuizen het voedingsaanbod gezond, uiterlijk in 2030 is het voedingsaanbod in alle ziekenhuizen gezond. Daarnaast wordt ingezet op een gezonder voedingsaanbod in andere typen zorginstellingen.
- Projecten gericht op ontwikkeling van gezonde voedingsproducten (minder zout, suiker, vet, meer vezels) en onderzoek naar interventies gericht op het maken van gezonde keuzes (persoonlijke voedingsadviezen, aantrekkelijk aanbod van gezonde producten, incl. groenten en fruit) en een gezonde groene leefomgeving krijgen prioriteit. De topsectoren Agri&Food en Tuinbouw & Uitgangsmaterialen zetten in 2019 minimaal €10 miljoen aan publieke middelen in, vanuit de beschikbaar gestelde middelen (ministeries van LNV, VWS en EZK). Bedrijven uit de land- en tuinbouw, levensmiddelenindustrie, retail, catering, horeca, ICT- en technologie investeren een zelfde bedrag.
","We spreken gezamenlijk de volgende ambities uit:
- Een daling van het percentage jeugdigen met overgewicht van 13,5% naar 9,1% of lager en een daling van het percentage jeugdigen met obesitas van 2,8% naar 2,3% of lager in 2040.
- Een daling van het percentage volwassenen met overgewicht van 48,7% naar 38% of lager en een daling van het percentage volwassenen met obesitas 14,5% naar 7,1% of lager in 2040.
- Een evenredige daling van 40% t.o.v. 2017 van het aantal Nederlanders dat lijdt aan obesitas gerelateerde ziekten (zoals diabetes mellitus type II, hart-, vaat-, en leverziekten) in 2040.
Om bovenstaande ambities te bereiken dragen we allen bij aan het behalen van de volgende doelen in 2040:
- Alle inwoners van Nederland eten en drinken op een wijze die bijdraagt aan een gezond gewicht en een gezond voedingspatroon, door: • de Schijf van Vijf als leidraad te nemen en • een consumptie van de hoeveelheid kilocalorieën naar een niveau passend bij lengte, leeftijd, geslacht en gezonde leefstijl.
- 75% van de inwoners van Nederland beweegt (inclusief intensief bewegen) volgens de Nederlandse Beweegrichtlijn (t.o.v. 47% in 2017).
- Inwoners van Nederland hebben een gezonde sociale, economische en fysieke omgeving, die gezond leven stimuleert. Dit uit zich expliciet in (groene) buurten, zorg- en welzijnsinstellingen, sportaccommodaties, onderwijs, bedrijven, horeca en catering, overheidsgebouwen, supermarkten en op centrale plekken rond het (openbaar) vervoer.
- Voor mensen met overgewicht of obesitas is een passend sport- en beweegaanbod en passende ondersteuning, begeleiding en zorg toegankelijk.
","Outcome indicators|Process indicators","","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|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School fruit and vegetable scheme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Vulnerable groups","","https://www.rijksoverheid.nl/onderwerpen/gezondheid-en-preventie/nationaal-preventieakkoord","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202018%20National%20Prevention%20Agreement.pdf"
"39424","TUN","Tunisia","","Stratégie Nationale Multisectorielle de Prévention et Contrôle des Maladies Non Transmissibles (MNT)","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Environment|Industry|Information","","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Health Organization (WHO)","","","","","","","","National NGOs","ONGs, associations, société civile","","","","","","","2.1.2. Principes directeurs et résultats attendus (impact) de la stratégie MNT
- Intégrer réellement la lutte contre les MNT dans le projet de développement de la Tunisie soit « la santé dans toutes les politiques », déjà inclus dans le plan de développement et économique social du pays 2016-2020.
- Adopter une approche intra-sectorielle pour de meilleures efficacité, efficience et coordination entre les différents départements du secteur santé et un mécanisme de gouvernance intersectorielle afin d’inciter les différentes institutions gouvernementales (publiques et semi-publiques), les organisations non gouvernementales et la société civile à concevoir et mettre en oeuvre des programmes de prévention et de contrôle des maladies non transmissibles à l’échelle centrale, régionale et locale
- Renforcer les capacités de la population pour la prévention des facteurs de risque dans leur quotidien et contre les facteurs de risque dans certains groupes dans le domaine des MNT.
- Renforcer le système de soins de base (public et privé) pour l’habiliter à la prévention et la prise en charge des principales maladies non transmissibles tout en garantissant l’équité et l’accessibilité aux soins.
Cibles tunisiennes chez les 15 ans et plus 2018-2025, adaptées des cibles OMS
- Baisse de 25% du risque de décès prématuré lié aux MNT
- Baisse relative d’au moins 10 % de l’usage nocif de l’alcoolisme chronique
- Baisse de 10% de l’activité physique insuffisante
- Réduction de 30% de l’apport moyen en sel
- Stabilisation de la prévalence de l’HTA
- Stabilisation de la prévalence du -Diabète-Obésité
- Prise en Charge des sujets à risque de MNT (IDM/AVC et autres) dans les CSB et chez les MG
","2.2. Axes Stratégiques de la Prévention et Contrôle des MNT
AXE 1 : LA GOUVERNANCE NATIONALE DE LA PREVENTION ET CONTROLE DES MNT, BASEE SUR LA MISE EN PLACE DE MECANISMES DE COORDINATION INTRA ET INTER SECTORIELS EST ASSUREE
- Créer (ou identifier) une structure au sein du ministère de la santé (comité, unité,…), qui sera chargée de la coordination, ainsi que du suivi et évaluation des activités du plan.
- Mettre en place au sein du gouvernement, un comité multisectoriel de pilotage, qui aura la mission de coordonner l’élaboration des plans d’action des différents secteurs, de faciliter l’octroi des ressources nécessaires, d’assurer le suivi et évaluation de la mise en oeuvre du plan. Ce comité qui devrait s’intégrer dans le cadre de l’Objectif 3 des ODD, devra avoir un rôle décisionnel, et le ministère de la santé assurera le rôle de leadership de ce comité.
- Mettre en place des comités multisectoriels régionaux pour faciliter la mise en oeuvre de la mise en oeuvre des activités dans chaque région et en assurer le suivi
- Proposer au sein de ce comité les aspects concernant les financements innovants (taxation sur les produits néfastes à la santé) qui pourraient servir à financer en partie les investissements dans la prévention des MNT
- Développer au sein de ce comité la revue des aspects législatifs concernant le renforcement des mesures de prévention et de contrôle des MNT en Tunisie
AXE 2 : LES FACTEURS DE RISQUE (FR) MODIFIABLES DES MNT SONT REDUITS EN TENANT COMPTE DES CIBLES NATIONALES PAR RAPPORT AUX CIBLES VOLONTAIRES DE L’OMS
- Axe 2.1. Promotion d’une alimentation saine
- Axe 2.2. : promotion de l’activité physique
- Axe 2.4. : réduction des autres facteurs de risque
Axe 2.4.1 : réduction de la consommation de l’alcool
AXE 4: UN PLAN DE COMMUNICATION POUR LA PREVENTION ET LE CONTÔLE DES MNT EST ELABORE ET MIS EN ŒUVRE
AXE 5 : UN SYSTEME DE SUIVI ET EVALUATION (S&E) DES MNT ET DE LEURS FACTEURS DE RISQUE EST MIS EN PLACE ET EST FONCTIONNEL ET EFFICACE
","Dans le domaine de la Gouvernance
1) Stratégie nationale multisectorielle MNT élaborée
2) Mécanisme de coordination intra et intersectoriel mis en place
Dans le domaine de la Prévention et de la réduction des Facteurs de Risque
2) Campagnes de sensibilisation sur les facteurs de risque des MNT réalisées
3) La réduction du sel dans le pain est adoptée par d’autres boulangeries dans les autres gouvernorats
4) Au moins un nouveau produit agroalimentaire favorable à la santé est fabriqué et mis sur le marché
5) Plaidoyer sur l’étiquetage des produits agroalimentaires réalisé
Dans le domaine de la surveillance et du Suivi & Evaluation
1) Enquête STEPS réalisée et résultats publiés
2) Des réunions de coordination entre les registres du cancer du nord, centre et sud sont organisées
3) Des réunions avec les responsables du système national d’information sanitaire (SNIS) sont organisées sur les MNT et leurs facteurs de risque
","Process indicators","","Overweight in adolescents|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/TUN_B11_Stratégie Nationale MNT 18-25_Finale (dernière version juin 2018).pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202018%20Strat%C3%A9gie%20Nationale%20MNT.pdf"
"39773","UKR","Ukraine","","Національний План Заходів щодо неінфекційних захворювань для досягнення глобальних цілей сталого розвитку [National Action Plan for Non-communicable Diseases for the Attainment of the Global Sustainable Development Goals]","NCD policy, strategy or plan with healthy diet components","","Ukrainian","","2018","","","","","2018","Adopted","7","2018","Кабінету Міністрів України","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","","…
2. Формування інформаційної політики та забезпечення громадської підтримки у напрямі профілактики неінфекційних захворювань
…
2) забезпечення підвищення рівня обізнаності різних груп населення щодо важливості здорового харчування для підтримання належної маси тіла та профілактики неінфекційних захворювань
3) забезпечення надання необхідної інформації про харчування для певних категорій населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями), а також переконливої і аргументованої інформації про значення грудного вигодовування дітей протягом щонайменше шести місяців від народження як основи профілактики виникнення неінфекційних захворювань у дорослому віці; попередження про загрозу для здоров’я дефіциту макро- і мікронутрієнтів
…
3. Формування освітніх матеріалів з питань пропагування здорового способу життя та профілактики неінфекційних захворювань в навчальних програмах
1) упровадження сучасних навчальних та освітніх матеріалів в навчальний процес для дітей дошкільного та шкільного віку, студентів і слухачів післядипломної освіти з включенням до навчальних програм тем щодо формування здорового способу життя, попередження розвитку неінфекційних захворювань
2) розроблення та поширення навчальних матеріалів для різних груп населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями) щодо шкідливого впливу тютюну, надмірного вживання алкоголю, нездорового харчування та низької фізичної активності
3) розроблення та поширення рекомендації щодо здорового та профілактичного харчування для різних груп населення з метою запобігання виникненню аліментарних та аліментарно зумовлених захворювань
4) забезпечення розроблення, затвердження та впровадження в навчальному процесі у вищих закладах педагогічної освіти у системі підготовки фахівців педагогічного профілю та соціальних працівників освітніх матеріалів з питань, що стосуються основних засад здорового способу життя, наслідків нездорового способу життя, необхідності відмови від куріння, надмірного вживання алкоголю, а також здорового харчування та достатнього рівня фізичної активності
…
4. Вдосконалення законодавства з питань охорони здоров’я
…
2) вдосконалення законодавства з використанням найкращих міжнародних практик щодо повної заборони реклами та інших видів стимулювання продажу тютюнових виробів, алкогольних напоїв, слабоалкогольних та енергетичних напоїв, продуктів харчування, що містять надмірну кількість солі, жирів, цукру та трансжирів
…
7. Підтримка та пропагування здорового харчування
1) розроблення нормативно-правових актів щодо регламентації вмісту трансізомерних жирів у харчових продуктах, їх вилучення з харчових продуктів і заміни на ненасичені жири
2) вдосконалення законодавства щодо інформування споживачів про точну кількість солі, цукру, насичених жирів із зазначенням їх співвідношення з рекомендованими нормами споживання під час маркування харчових продуктів
3) вдосконалення законодавчих актів щодо обмеження реклами харчових продуктів з надмірним вмістом солі, цукру та насичених жирів
4) розроблення і подання в установленому порядку на розгляд Кабінету Міністрів України законопроекту щодо оподаткування харчової продукції з надмірним вмістом солі, цукру, насичених жирів
5) розроблення та затвердження основних вимог до харчових продуктів і напоїв, які можуть розповсюджуватися в закладах освіти; унеможливлення доступності і продажу висококалорійних харчових продуктів та напоїв з підвищеним вмістом насичених жирів, солі та цукру тощо в закладах освіти, на прилеглих до них територіях
6) надання підтримки програмам, спрямованим на забезпечення здорового харчування в закладах освіти
7) проведення спільних заходів з виробниками харчових продуктів з метою усвідомлення ними відповідальності, пов’язаної з виробництвом та обігом харчових продуктів з надмірним вмістом солі, цукру, насичених і трансізомерних жирів; надання рекомендацій стосовно зміни технології, рецептур з метою зменшення вмісту солі, цукру, насичених жирів, вилучення трансізомерних жирів і їх заміни на ненасичені жири
8) здійснення ефективних заходів, спрямованих на вивчення питання поширення та зменшення дефіциту певних нутрієнтів (кальцію, йоду, заліза тощо), вітамінів (фолієвої кислоти, вітаміну D тощо) серед різних груп населення
…
19. Проведення моніторингу стану харчування населення
1) проведення репрезентативних досліджень стану фактичного харчування населення залежно від віку і статі, а також оцінки залежності якості харчування від рівня освіти, доходів, місця проживання та професії; забезпечення проведення досліджень щодо поширеності дитячого ожиріння
2) проведення досліджень щодо поширеності метаболічних факторів ризику неінфекційних захворювань (підвищеного рівня холестерину, глюкози тощо)
3) проведення досліджень щодо виконання рекомендацій ВООЗ стосовно грудного вигодовування немовлят
4) забезпечення участі в Європейській мережі дій щодо споживання солі
…
","","","","Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School meal standard|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education","","https://extranet.who.int/ncdccs/Data/UKR_B3_NATIONAL ACTION PLAN.docx","https://www.kmu.gov.ua/npas/pro-zatverdzhennya-nacionalnogo-planu-zahodiv-shchodo-neinfekcijnih-zahvoryuvan-dlya-dosyagnennya-globalnih-cilej-stalogo-rozvitku","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf"
"40346","BEN","Benin","","Plan stratégique intégré de lutte contre les maladies non transmissibles 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé","11","2018","","","","","Cabinet/Presidency|Health|Education and research|Development|Trade","","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","- Promouvoir un régime alimentaire équilibré
- Assurer la consommation d’au moins 5 portions de fruits et légumes par jour
","Adoption de mesures favorisant une alimentation équilibrée
- Proposer un projet de texte pour rendre obligatoire le respect des règles nutritionnelles dans les cantines scolaires, universitaires, administratives, et dans les lieux de restauration publics.
- Diffuser sous toutes formes le guide alimentaire du Bénin (spots, plaquettes, calendriers
- Faire adopter une loi qui règlemente l’apport de sels de gras et de sucre dans l’industrie alimentaire
Plaidoyer pour la mise en place des environnements favorables à la consommation de fruits et légumes
- Proposer et faire adopter un texte pour rendre obligatoire la portion indiquée de fruits et légumes dans le menu proposé dans les cantines scolaires, universitaires, administratives, et dans les lieux de restauration publics.
- Faire le plaidoyer pour la subvention de la production des fruits et légumes (produits maraichers).
Communication pour un changement de comportement
- Diffuser sous toutes formes les informations sur l’importance de fruits et légumes dans notre alimentation (spots, plaquettes, calendriers, affiches, etc.)
","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Fats|Salt/sodium|Sugars|Subsidies on healthy foods|Creation of healthy food environment|Healthy food environment in workplaces|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/BEN_B3_2019_PSILMNT2019-2023_Final.doc","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202019%20Plan%20strategique%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
...
Активности
3. Припремити и спроводити свеобухватну кампању социјалног маркетинга за:
-промовисање здраве конзумације преко фискалних и маркетиншких политика (дуван, алкохол, намирнице);
-преформулацију и унапређење производа (со, масти и шећери);
-смањење соли;
...
6. Пратити преухрањеност код дјеце у Републици Српској кроз COSI (Childhood Obesity Surveillance Initiative - Иницијатива за праћење преухрањености код дјеце - дио за надзор) давати редовне препоруке
7. Осигурати равномјерно високе стандарде промоције, заштите и подршке дојењу у Републици Српској (акредитација болница пријатеља беба)
8. Програм ""Предшколске установе и школе пријатељи здраве исхране у Републици Српској"" проширити у програм „Здрави живот у предшколским установама и школама"" (физичка активност, здравље уста и зуба, мишићно-коштаног система, контрола употребе дувана, алкохола и сл.)
9. Анализирати постојеће мјере политика у свијету које смањују дневни унос соли и дати препоруке за дјеловање у тој области у Републици Српској (5 грама соли, 2 грама натријума дневно)
...
16. Стварати окружење за омогућавање и промовисање здравог живота и смањења дискриминације против особа са хроничним болестима на радном мјесту у Републици Српској кроз: стимулисање развоја свеобухватних здравствених програма на радном мјесту, смањење психолошког стреса и стреса повезаног са радним мјестом, промовисање здраве хране на радном мјесту и политика за контролу употребе алкохола на радном мјесту, увођење адекватних мјера да би се омогућила физичка активност током радног времена и активан превоз на посао и са посла, заштиту, промоцију и подршку дојењу на радном мјесту
...
22. Процијенити одрживост имплементације низа препорука СЗО о оглашавању хране и пића и дати препоруке за дјеловање у тој области у Републици Српској
...
25. Анализирати постојеће мјере свеобухватних фискалних политика у Европи које укључују доступност и прихватање здравих прехрамбених производа, те смањење употребе дувана и алкохола и размотрити одрживост увођења тих мјера у Републици Српској
...
27. Анализирати постојеће мјере политика у свијету које смањују транс-масти и засићене масти у храни и дати препоруке за дјеловање у тој области у Републици Српској
(код избацивања трансмасти избјећи повећање засићених масти у производима, а код смањивања засићених масти избјећи њихову замјену прерађеним угљикохидратима у производима)
...
29. Анализирати постојеће мјере политика у свијету које смањују дневни унос шећера и дати препоруке за дјеловање у тој области у Републици Српској
(унос слободног шећера испод 10% или 5% укупног енергетског уноса)
30. Анализирати унапређење интерпретативног декларисања производа на предњој страни паковања и дати препоруке за дјеловање у тој области у Републици Српској
","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Monitoring of children’s growth in school|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces","","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Documents/Akcioni plan 2019 2026 10.12.2018. za Vladu Republike Srpske.doc","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Pages/Javno_zdravstvo.aspx","",""
"74265","BDI","Burundi","","Plan Stratégique Multisectoriel de prévention et de contrôle de Lutte contre les Maladies Non Transmissibles ","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé Publique et de la Lutte contre le SIDA","8","2019","Adopted","12","2019","Le Ministre de la Santé Publique et de la Lutte contre le SIDA","Health|Food and agriculture|Finance, budget and planning|Trade","","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Tableau VI : Aperçu des actions prioritaires en fonction des objectifs et des domaines d'intervention.
...
Alimentation saine et équilibrée
-Former et certifier les cuisiniers sur l'intérêt de la réduction du sel et du sucre, l'augmentation des fruits et légumes dans les repas, et les caractéristiques d'une alimentation équilibrée
-Organiser des campagnes médiatiques sur la réduction du sel, du sucre, des aliments gras dans les repas et l'intérêt d'une alimentation équilibrée
-Limiter l'importation des aliments conservés
-Augmenter les taxes sur les boissons sucres
-Promouvoir l'allaitement exclusif au sein au moins jusqu'a 6 mois et recommander de continuer
-Introduire la promotion d'une alimentation saine et équilibrée dans les soins de santé primaire
-Promouvoir la consommation des fruits et légumes à tout âge
...
Tableau VIII: Réduction des facteurs de risque
...
Domaine d'intervention 3: Promotion d'une alimentation saine et équilibrée
...
1. Réduction de sel, sucre et gras, dans les aliments et dans les repas
1.1 Former et certifier les cuisiniers sur l'intérêt de la réduction du sel, du sucre et des gras dans les repas
1.2 Organiser des campagnes médiatiques sur la réduction du sel, du sucre et des gras dans les repas
1.3 Encourager la consommation des aliments locaux
1.4 Augmenter les taxes sur les boissons sucrées
2. Promouvoir l'allaitement exclusif au sein au moins jusqu'à 6 mois et recommander de continuer
2.1 Diffuser les outils de communication sur les avantages de l'allaitement exclusif au sein au moins jusqu'a 6 mois
3. Introduire la promotion d'une alimentation saine et équilibrée dans les soins de santé primaire
3.1. Elaborer et diffuser les outils de communication sur l'importance d'une alimentation saine et équilibrée dans les SSP
3.2. Augmenter la production des fruits et légumes dans les ménages
3.3. Augmenter la consommation des fruits et légumes dans les ménages
3.4. Renforcer les capacités des prestataires de soins sur le régime alimentaire sain et équilibre
3.5. Sensibiliser le public sur l'intérêt de la consommation des fruits et légumes
...
Tableau XVIII: Suivi-évaluation de l'impact et des résultats du PSM
Eléments du cadre
Valeurs de référence
Cibles horizon 2023
Cibles horizon 2025
Indicateurs
Techniques de mesure
Consommation de sel
A établir
Réduction relative de 15%
Réduction relative de 30%
Quantité de sel ingérée en moyenne par jour (en gramme)
Quantité de sel de cuisine importée divisée par la population d'au moins 2 ans par jour
HTA
25.2% selon STEPS Kirundo
Baisse relative de 10%
Baisse relative de 15%
Prévalence de l'HTA chez l'adulte
Prise de la TA
Diabète et obésité
1 à 8% selon les études
Augmentation de0%
Augmentation de0%
Prévalences du diabète et de l'obésité
Glycémie capillaire et IMC
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/BDI_B2a_s21_PLAN%20MULTISECTORIEL%20DES%20MNT%20DU%20BURUNDI%20(2019-2023).pdf","","",""
"39760","PYF","French Polynesia","","Programme d’actions Polynésien sur l’alimentation équilibrée et la pratique d’activité physique 2019-2023","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2019","","2023","Ministère de la santé et de la prévention en charge de la protection sociale généralisée-Direction de la santé","","2019","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Trade|Industry|Information|Labour|Other","Communes","","","","","","","","","National NGOs","Associations","","","Private sector","","","","Objectif général :
- Lutter contre le développement des MNT sur l’ensemble de la population en Polynésie française
Objectifs spécifiques :
- Développer des modes alimentaires sains pour la santé
Objectifs opérationnels :
- Agir sur la réglementation pour développer un environnement alimentaire sain
- Promouvoir la qualité nutritionnelle des produits locaux
- Réglementer la distribution et commercialisation des produits dont la surconsommation est néfaste pour la santé
- Poursuivre les campagnes d’informations concernant l’alimentation équilibrée
","II.2. AXE 2 : Actions spécifiques sur l’alimentation équilibrée
- Le progrès nutritionnel
- Fiche Action 15 : Instaurer des chartes d’engagement au progrès nutritionnel des entreprises et commerces alimentaires locaux
- Fiche Action 16 : Collecter et développer les connaissances et les expériences allant dans le progrès nutritionnel et l’innovation alimentaire
- Fiche Action 17 : Développer et accompagner le réseau des entreprises et des commerces alimentaires engagés dans une démarche de progrès nutritionnel
- Fiche Action 18 : Valoriser les expériences et les résultats obtenus
- Fiche Action 19 : Inciter les entreprises locales à s’engager dans une démarche de progrès nutritionnel en développant les cadres réglementaires nécessaires (bonus pour les entreprises)
- L’alimentation de base
- Fiche Action 20 : Labéliser les produits locaux transformés qui respectent les recommandations nutritionnelles
- Fiche Action 21 : Intégrer l’éducation au goût aux programmes d’éducation nutritionnelle
- Fiche Action 22 : Poursuivre le programme allaitement et alimentation saine
- Fiche Action 23 : Accompagner les restaurants scolaires pour améliorer les repas servis aux enfants et aux jeunes scolarisés dans les établissements publics du 1e et 2nd degré
- Fiche Action 24 : Promouvoir la mise en place de fa’a’apu
- La réglementation
- Fiche Action 25 : Réviser la liste des produits de première nécessité
- Fiche Action 26 : Imposer l’étiquetage nutritionnel des produits commercialisés
- Fiche Action 27 : Réflexion sur l’encadrement de la commercialisation et la distribution de produits jugés néfastes pour la santé dans les lieux publics
- Fiche Action 28 : Encadrer la promotion et les parrainages des produits nocifs à la santé et favoriser celles des produits sains
- Fiche Action 29 : Réglementer l’installation des distributeurs et établissements d’alimentation autour des écoles, crèches, garderies et centres d’accueil
- Fiche Action 30 : Mettre en place une taxation nutritionnelle progressive sur l’ensemble des produits riches en sucres, sel et graisses
- Fiche Action 31 : Valoriser les produits en fonction de leur qualité nutritive avec un indicateur visuel
- Fiche Action 32 : Mettre en place une taxe sur les publicités pour les produits sucrés, salés et riches en graisse
","Detailed indicators by action area can be found in tables p61-97
","Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Household food security|Home, school or community gardens|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B23_2019-02-12-Programme AEAP.pdf","","WHO 2019 NCD Country Capacity Survey",""
"96701","MOZ","Mozambique","","Estratégia de Alimentação Saudável, Actividade Física e Saúde 2019-2023","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2019","","2023","Ministério da Saúde","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Industry","Nutriçaõ e Saúde, Agricultura, Educação, Juventude e Desportos, Indústria e Comércio, Finanças,Acção Social, Sociedade Civil, Associação dos Consumidores, Sector Privado, Obras Públicas e Habitação","","","","","","","","","National NGOs","","","","","","","","","","","","","International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruits|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School gardens|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Media campaigns on healthy diets and nutrition|Iodine|Food fortification|Food grade salt|Conditional cash transfer programmes","","https://extranet.who.int/ncdccs/Data/MOZ_B16_s21_Estratégia Alimentação Saudável e Actividade Fisica 2019-2023 MISAU.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MOZ%202018%20Estrat%C3%A9gia%20Alimenta%C3%A7%C3%A3o%20Saud%C3%A1vel%20e%20Actividade%20Fisica%202019-2023%20MISAU.pdf"
"40328","NER","Niger",""," Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles 2019-2021","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","","","2019","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Labour","Assemblée nationaleMinistère en charge de la Renaissance Culturelle","World Health Organization (WHO)","","","","","","","","National NGOs","Société Civile (ONG, Associations et Fondations)","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
- Proposer un projet de textes pour rendre obligatoire le respect des règles nutritionnelles dans les cantines scolaires
- Participer à la mise en œuvre de la stratégie mondiale pour l'alimentation
","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Creation of healthy food environment|Nutrition counselling on healthy diets|Salt reduction|Nutrition education|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/NER_B3_PSNMLMNT NIGER.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202019%20PLan%20strat%C3%A9gique%20national%20MNT.pdf"
"96703","MOZ","Mozambique","","Plano Estratégico Multissetorial de Prevenção e Controlo das Doenças Não Transmissíveis 2020 – 2029","NCD policy, strategy or plan with healthy diet components","","Portuguese","","2020","","2029","Ministério da Saúde","9","2020","","","","","Health|Food and agriculture|Education and research|Trade|Industry","","","","","","","","","","National NGOs","","","","","","","","Visão
Criação de um ambiente favorável que visa minimizar a exposição aos fatores de risco, prolongar a vida das populações e garantir o acesso aos cuidados de saúde às pessoas expostas e/ou afetadas por estas doenças.
Missão
A missão é garantir a promoção e adoção de estilos de vida saudável para prevenção e prestação de serviços de qualidade para o controlo das DNT, à população Moçambicana.
Meta Nacional: Redução de 10% do risco de Mortalidade prematura por Doenças Não Transmissíveis até 2029
Metas Nacio nais a serem ati ngidas at é 2029 (Com linha de base em 2015)
...
10 % Redução da Hipertensão Arterial
Conter o aumento da Diabetes e Obesidade
Pelo menos 46,6% das Pessoas com HTA e Diabetes com conhecimento sobre a sua condição clínica
...
Área de Acção Estratégica 1: Governação e Liderança para Prevenção e Resposta às DNTs
...
Acções prioritárias
...
9. Fortalecer o quadro legislativo que promova e aumente o acesso a uma dieta saudável incluindo redução do consumo de sal e açucares
...
Área de Acção Estratégica 2: Redução dos Factores de Risco
...
Acções prioritárias
...
Promoção da Dieta Saudável
1. Elaborar um plano de acção nacional para uma alimentação saudável a diferentes níveis;
2. Rever e atualizar as normas e diretrizes que promovam a alimentação saudável nas cantinas escolares e reforçar a sua implementação;
3. Desenvolver mecanismos legais e implementar programas de saúde pública para a redução do consumo do sal baseados em evidências e boas práticas (ex: sal no pão);
4. Criar mecanismos legais e institucionais que promovam e aumentem a disponibilidade, acessibilidade e consumo de frutas e vegetais;
5. Reforçar os mecanismos que promovam e protejam a amamentação infantil exclusiva até aos 6 meses.
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Salt/sodium","","https://extranet.who.int/ncdccs/Data/MOZ_B3_s21_Plano%20Estrat%C3%A9gico%20Multissetorial%20de%20Prevencao%20e%20Controlo%20das%20DNTs%202020-2029%20FINALISSIMA.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MOZ%202020%20Plano%20Estrat%C3%A9gico%20Multissetorial%20de%20Prevencao%20e%20Controlo%20das%20DNTs%202020-2029%20FINALISSIMA_1.pdf"
"96705","KAZ","Kazakhstan","","Национальный проект ""Качественное и доступное здравоохранение для каждого гражданина ""Здоровая нация"" [National project ""Quality and affordable healthcare for every citizen ""Healthy Nation""]","Health sector policy, strategy or plan with nutrition components","","Russian","10","2021","","2025","Министерство здравоохранения Республики Казахстан","10","2021","Adopted","10","2021","Постановление Правительства Республики Казахстан от 12 октября 2021 года № 725","Cabinet/Presidency|Health|Finance, budget and planning|Trade","","","","","","","","","","National NGOs","","","","","","","","Направление 4. Увеличение доли населения, ведущего здоровый образ жизни, и развитие массового спорта
Задача 1. Выбор людей в пользу здоровья
...
19 Показатель 3. Снижение заболеваемости ожирением среди детей (0-14 лет)
на 100 тыс населения
","","","","","Overweight and obesity in school age children and adolescents","","https://adilet.zan.kz/rus/docs/P2100000725#z10","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202021%20%D0%97%D0%B4%D0%BE%D1%80%D0%BE%D0%B2%D0%B0%D1%8F%20%D0%BD%D0%B0%D1%86%D0%B8%D1%8F.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","","","","","","","","","","","","","","","","","","","- Généraliser les pratiques de supplémentation en folates pour les femmes enceintes et en désir de maternité à travers des campagnes de sensibilisation des femmes et des professionnels de santé concernés.
- Faciliter la mise en œuvre de l’allaitement maternel et le « peau à peau » dès l’accouchement par la mise au sein en salle de naissance et au bloc opératoire.
- Prévenir l’obésité chez les enfants, par une promotion renforcée de l’activité physique dans le cadre de l’expérimentation de prévention de l’obésité chez les enfants de 3 à 8 ans, associant Assurance maladie et ministère en charge de la santé, qui sera poursuivie pendant 3 ans et renforcée en complétant le forfait avec la proposition de séances d’activité physique et visant à permettre déjà au médecin traitant de l'enfant de prescrire des consultations diététiques, des bilans d'activité physique ou des consultations psychologiques, en fonction des besoins et de la situation de l'enfant et de sa famille.
- Actualiser en cohérence avec les états généraux de l’alimentation, les règles qui encadrent la composition des menus en restauration scolaire en tenant compte des nouveaux repères nutritionnels et mettre en place un choix dirigé de plats et de menus.
- Soutenir le parcours éducatif de santé dans son volet éducation à l’alimentation (portail dédié et vade-mecum pour les intervenants), à l’activité physique et sportive pendant et en dehors des temps scolaires (par exemple : programme ICAPS « Intervention auprès des collégiens centrée sur l’activité physique et la sédentarité »
- Permettre à tous les enfants de Mayotte et de Guyane d’avoir un repas équilibré par jour pour éviter la malnutrition et la dénutrition : projet de l’institut de recherche pour le développement (IRD) de mise au point d’une farine de sevrage riche en protéine distribuée aux femmes et soutien au développement de la restauration scolaire.
- Promouvoir dans les médias audiovisuels une alimentation favorable pour la santé, fondée sur les repères nutritionnels du PNNS actualisés, par une évolution de la « charte alimentaire » du Conseil supérieur de l’audiovisuel.
- Promouvoir la mise sur le marché d’une offre d’aliments transformés de qualité nutritionnelle améliorée (moins de sel, de gras, de sucre…) à travers un nouvel engagement volontaire des acteurs économiques. Réduire dans ce cadre de 20% la consommation de sel de la population.
- Mieux informer les consommateurs sur la qualité nutritionnelle des aliments transformés vendus en vrac et non préemballés ne disposant pas d’étiquetage nutritionnel et en restauration collective et commerciale par l’adaptation du Nutri-Score.
- Promouvoir l’accès à une alimentation suffisante, saine et durable pour les personnes en situation de précarité et mettre à disposition des acteurs de l’aide alimentaire des messages et des outils adaptés à leurs conditions de vie.
- Déployer la charte nationale pour une alimentation responsable et durable dans les Etablissement d’hébergement pour personnes âgées dépendantes (EHPAD) pour améliorer l’alimentation des personnes accueillies, lutter contre le gaspillage alimentaire, garantir un approvisionnement local et de qualité.
- Sensibiliser les séniors aux bienfaits de l’activité physique et de l’alimentation favorable à la santé (ateliers dédiés, parcours sportifs,…) ainsi que sur les mesures préventives des chutes et de la dénutrition, à domicile comme en établissements sociaux et médico-sociaux.
","","","","Anaemia in pregnant women|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Sodium/salt intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Folic acid|Micronutrient supplementation|Nutrition education|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/FRA_B3_plan_national_de_sante_publique__psnp.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA%202018%20Plan%20national%20de%20sante%20publique.pdf"
"66476","UZB","Uzbekistan","","ПОСТАНОВЛЕНИЕ ПРЕЗИДЕНТА РЕСПУБЛИКИ УЗБЕКИСТАН О ДОПОЛНИТЕЛЬНЫХ МЕРАХ ПО ОБЕСПЕЧЕНИЮ ЗДОРОВОГО ПИТАНИЯ НАСЕЛЕНИЯ / [Presidential decree on additional measures for healthy nutrition for the population]","Comprehensive national nutrition policy, strategy or plan","","Russian","","2020","","","National Legal Database","11","2020","Adopted","11","2020","Постановление Президента Республики Узбекистан, от 10.11.2020 г. № ПП-4887","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Information|Sub-national","Ministry of Culture; Antimonopoly Committee; National Sanitary Inspection; National Agency for Standards ","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","1. Установить такой порядок обеспечения здоровья населения, в соответствии с которым:
а) начиная с 1 июня 2021 года обеспечиваются бесплатно:
- микронутриентными порошками — дети в возрасте 6 — 23 месяцев в целях обогащения пищи, приготовленной для них в домашних условиях;
- витамином «А» — дети в возрасте от 6 месяцев до 5 лет;
- специальными препаратами для профилактики гельминтоза — дети в возрасте 2 — 10 лет;
б) начиная с 1 июля 2022 года обеспечиваются бесплатно:
- препаратами йода — беременные женщины и кормящие матери, а также дети в возрасте 3 — 15 лет;
- препаратами железа и фолиевой кислоты — женщины фертильного возраста до 35 лет;
в) начиная с 1 апреля 2021 года, наряду с пшеничной мукой первого сорта, реализация на территории республики пшеничной муки высшего сорта разрешается, при условии ее обогащения микронутриентами.
2. Принять к сведению, что Министерством физической культуры и спорта и Министерством по развитию информационных технологий и коммуникаций разрабатывается платформа «Здоровый образ жизни», мотивирующая население к здоровому образу жизни.
Министерству по развитию информационных технологий и коммуникаций при разработке данной платформы совместно с Министерством здравоохранения создать раздел о правильном питании, предоставляющий возможность расчета индекса массы тела и рекомендации дневной нормы питания с учетом образа жизни человека, а также расчета калорий в употребляемых блюдах, пищевых продуктах и напитках
3. В целях обеспечения оптимального развития и роста детей в период до 5 лет поэтапно внедрить в срок до 1 января 2022 года универсально-прогрессивную модель патронажа, предусматривающую: (...)
4. Создать с 1 января 2021 года в районных (городских) центральных многопрофильных поликлиниках Сырдарьинской области в порядке эксперимента «Кабинеты правильного питания и здорового образа жизни», укомплектованные врачами и средними медицинскими работниками, прошедшими специальную подготовку по правильному питанию и ведению здорового образа жизни.
5. Уполномочить Центр, Республиканский центр повышения квалификации и специализации средних медицинских и фармацевтических работников, а также медицинские высшие образовательные учреждения организовывать курсы переподготовки по диетологии для медицинских работников учреждений первичной медико-санитарной помощи, а также курсы подготовки консультантов по питанию для населения.
6. Возложить на Научно-исследовательский институт санитарии, гигиены и профессиональных заболеваний дополнительные задачи по подготовке санитарных правил и норм, разработке учебных программ и проведению научных исследований о расширении основных видов сырья здоровых и безопасных пищевых продуктов, обогащению пищевых продуктов микронутриентами, здоровому и диетическому питанию исходя из возраста, пола, физиологического состояния, профессии и заболеваемости населения, а также по вопросам медицинской профилактики.
- Научно-исследовательскому институту (У.Х. Адилов): на основе рекомендаций Всемирной организации здравоохранения в срок до 1 февраля 2021 года разработать учебные программы по подготовке специалистов-диетологов и консультантов по питанию;
- совместно с Научно-исследовательским институтом физической культуры и спорта при Узбекском государственном университете физической культуры и спорта в срок до 1 мая 2021 года разработать рекомендуемую среднюю ежедневную норму питания и комплекс физических упражнений для групп населения по возрасту, полу, физиологическому состоянию и профессиям.
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.
9. Установить, что начиная с 2021/2022 учебного года:
- в дошкольных образовательных организациях проводятся занятия «Основы личной гигиены и физического воспитания»;
- в средних общеобразовательных учреждениях республики в программы предметов «Воспитание» и «Окружающий нас мир» для учащихся 1 — 4-х классов, а также предмета «Биология» для старших классов включаются темы «Уроки здоровья» по формированию навыков правильного питания и здорового образа жизни с пересмотром учебных занятий;
- в академических лицеях, профессиональных и высших образовательных учреждениях в рамках предмета «Физическое воспитание» проводятся занятия по формированию здорового образа жизни;
- налаживается подготовка в медицинских техникумах по специальностям валеолог, диетолог и нутрициолог, а также подготовка по специальностям магистратуры (интернатуры, клинической ординатуры) нутрициолог и диетолог на основе годичной учебной программы;
11. Определить, что внедрение маркирования пищевых продуктов знаками, указывающими безопасность или вред для здоровья человека количество соли, сахара и жиров, содержащихся в их составе, осуществляется в два этапа в следующем порядке:
а) начиная с 1 июля 2021 года:
- маркировка пищевых продуктов проводится в добровольном порядке;
- реклама пищевых продуктов, маркированных знаком безопасности, распространяется (размещается) по льготным тарифам;
- не допускается реализация в образовательных, спортивных и медицинских учреждениях пищевых продуктов, не маркированных знаком безопасности, реализация данных продуктов расценивается как нарушение правил торговли;
б) начиная с 1 января 2025 года пищевые продукты, ввозимые на территорию республики, а также производимые в республике для реализации, в обязательном порядке маркируются знаками, указывающими их безопасность или вред для здоровья человека. При этом определение безопасности или вреда пищевых продуктов для здоровья человека осуществляется государственными органами санитарного надзора с учетом содержания в их составе соли, сахара и жиров.
","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:
- микронутриентым порошком — детей в возрасте 6 — 23 месяцев с целью обогащения пищи, приготовленной в домашних условиях;
- витамином «А» — детей в возрасте от 6 месяцев до 5 лет;
- специальными препаратами по профилактике гельминтоза – детей в возрасте 2 — 10 лет;
- препаратами йода – беременных женщин, кормящих женщин, а также детей в возрасте 3 — 15 лет;
- препаратами железа и фолиевой кислотой – женщин фертильного возраста до 35 лет. При этом обеспечение беременных женщин и кормящих матерей до 35 лет — на основе
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
","ИНДИКАТОРЫ определения эффективности реализации Программы мер по формированию у населения образа жизни здорового питания в 2020 — 2025 годах
- Заболеваемость анемией (на 100 тысяч человек) - 2019: 5278.8 -> 2025: 4587.8
- Заболеваемость, обусловленная дефицитом йода (на 100 тысяччеловек) - 2019: 902.2 -> 2025: 760.5
- Заболеваемость кишечными инфекциями (на 100 тысяч человек) - 2019: 140.8 -> 2025: 80.0
- Суточное содержание соли, потребляемой населением (г) - 2017: 15.1 -> 10,5
- Доля детей в возрасте до 5 лет с задержкой роста (%) - 2017: 8.7 -> 2025: 6.1
- Доля детей в возрасте до 5 лет с недостаточным весом (%) - 2017: 2.6 -> 2025: 1.5
- Доля детей в возрасте до 5 лет с избыточным весом (%) - 2017: 4.6 -> 2025: 4.0
- Доля населения старшего возраста, имеющего избыточный вес (БВИ≥25 кг/м²) (%) - 2019: 56.4 -> 2025: 56.4
- Доля населения с ожирением (БВИ≥30 кг/м²) (%) - 2019: 23.5 -> 2025: 23.5
- Доля населения в возрасте 40 лет и старше с высоким фактором риска сердечно-сосудистых заболеваний (%) - 2019: 20.2 -> 2025: 20.2
- Доля сахарного диабета в причинах смерти населения в возрасте 30 — 69 лет (%) - 2019: 5.7 -> 2025: 5.0
","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Sugars|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Multiple micronutrients supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food safety|Food security and agriculture|Vulnerable groups","","https://www.lex.uz/docs/5090384","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202020%20%D0%9F%D0%9E%D0%A1%D0%A2%D0%90%D0%9D%D0%9E%D0%92%D0%9B%D0%95%D0%9D%D0%98%D0%95%20%D0%9F%D0%A0%D0%95%D0%97%D0%98%D0%94%D0%95%D0%9D%D0%A2%D0%90%20%D0%A0%D0%95%D0%A1%D0%9F%D0%A3%D0%91%D0%9B%D0%98%D0%9A%D0%98%20%D0%A3%D0%97%D0%91%D0%95%D0%9A%D0%98%D0%A1%D0%A2%D0%90%D0%9D%20%D0%9E%20%D0%94%D0%9E%D0%9F%D0%9E%D0%9B%D0%9D%D0%98%D0%A2%D0%95%D0%9B%D0%AC%D0%9D%D0%AB%D0%A5%20%D0%9C%D0%95%D0%A0%D0%90%D0%A5%20%D0%9F%D0%9E%20%D0%9E%D0%91%D0%95%D0%A1%D0%9F%D0%95%D0%A7%D0%95%D0%9D%D0%98%D0%AE%20%D0%97%D0%94%D0%9E%D0%A0%D0%9E%D0%92%D0%9E%D0%93%D0%9E%20%D0%9F%D0%98%D0%A2%D0%90%D0%9D%D0%98%D0%AF%20%D0%9D%D0%90%D0%A1%D0%95%D0%9B%D0%95%D0%9D%D0%98%D0%AF.pdf"
"129105","DZA","Algeria","","Arrêté interministériel du 12 Rabie Ethani 1440 correspondant au 20 décembre 2018 portant règlement technique relatif aux spécifications de la margarine, des produits assimilés et des mélanges tartinables","Legislation relevant to nutrition","","French","5","2019","","","Journal Officiel de la République Algérienne N° 33 14 Ramadhan 1440 correspondant au 19 mai 2019","5","2019","Adopted","12","2018","Le ministre du commerce; Le ministre de l’industrie; Le ministre de l'agriculture, du développement rural et de la pêche; Le ministre de la santé, de la population et de la réforme hospitalière","Health|Food and agriculture|Trade|Industry","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 1er. — En application des dispositions de l'article 28 du décret exécutif n° 05-464 du 4 Dhou El Kaâda 1426 correspondant au 6 décembre 2005, modifié et complété, susvisé, le présent arrêté a pour objet de fixer les spécifications techniques de la margarine, des produits assimilés et des mélanges tartinables.
Art. 2. — Les dispositions du présent arrêté s'appliquent aux produits gras contenant au minimum 10% et au maximum 90% de matière grasse, destinés essentiellement à être tartinés.
Art. 3. — Les dispositions du présent arrêté ne s'appliquent pas :
— aux produits dont la teneur en matière grasse est inférieure à deux tiers (2/3) de la matière sèche, sans compter le sel ;
— au beurre et aux produits laitiers à tartiner.
Art. 4. — Au sens du présent arrêté, on entend par :
...
— margarine et produits assimilés : produits qui se présentent sous forme d'émulsions solides ou fluides, composés principalement d'eau, de matières grasses dont la teneur en matière grasse laitière ne doit pas excéder 3% de la teneur totale en matières grasses et la teneur en acides gras trans ne doit pas excéder 2% de la teneur totale en matières grasses ;
...
Art. 5. — Conformément à la réglementation en vigueur, peuvent-être ajoutées aux produits objet du présent arrêté, les substances suivantes :
• vitamines :
— vitamine A et ses esters ;
— vitamine D ;
— vitamine E et ses esters.
• chlorure de sodium (sel de qualité alimentaire) ;
• sucres ;
• protéines comestibles, appropriées ;
• d'autres ingrédients appropriés, y compris les minéraux.
","Ban or virtual elimination of industrial trans fatty acids|Vitamin A|Vitamin D|Food fortification|Edible oils and margarine|Voluntary fortification|Voluntary fortification of margarine or edible oils with vitamin A|Voluntary fortification of margarine or edible oils with vitamin D|Other voluntary fortification|Limit on 2 g / 100 g fats and oils","","https://www.joradp.dz/FTP/JO-FRANCAIS/2019/F2019033.pdf?znjo=33","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DZA%202019%20sp%C3%A9cifications%20de%20la%20margarine%2C%20des%20produits%20assimil%C3%A9s%20et%20des%20m%C3%A9langes%20tartinables.pdf"
"129344","ETH","Ethiopia","","National Food and Nutrition Strategy ","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2021","","","National Food and Nutrition Council members","5","2021","Not adopted","","","","Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Trade|Industry","","","","","","","","","","","","","","","","","","In order to create an enabling policy environment and align with the strategic directions in FNP, FNS will have the following strategic objectives:
Strategic objective 1: Sustainably improve the availability, accessibility and utilization of adequate, diversified, safe and nutritious foods for all citizens at all times.
Strategic objective 2: Strengthen and implement an integrated food safety and quality system.
Strategic objective 3: Improve post-harvest management throughout the food value chain.
Strategic objective 4: Improve nutritional status throughout the life cycle through the provision of nutrition-sensitive and nutrition specific interventions.
Strategic objective 5: Improve the nutritional status of people with communicable, noncommunicable and lifestyle-related diseases.
Strategic objective 6: Strengthen the national capacity to manage natural and man-made food and nutrition emergencies with timely and appropriate responses, including emergency management for internally displaced persons and refugees
Strategic objective 7: Improve water, sanitation, and hygiene (WASH) practices of individuals, households and institutions.
Strategic objective 8: Improve the nutrition literacy of individuals, families and communities along the food value chain, to enable them to make informed decisions on the uptake of diversified, safe, adequate and nutritious food.
Strategic objective 9: Create a functional governance body to strengthen coordination and integration between FNP implementing sectors.
Strategic objective 10: Improve sustainable and adequate financing through government budgets, private sector, community and development partner funding, and innovative financing mechanisms to translate policy into action.
Strategic objective 11: Build the institutional capacities of FNP-implementing sectors via investments in human resources, research, and technological development.
Strategic objective 12: Enhance evidence informed decision-making, learning and accountability.
Strategic objective 13: Ensure effective food and nutrition communication.
","Page 66 - Page 175
","Page 66 - Page 175
","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food safety|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/eth211936.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202021%20National%20Food%20and%20Nutrition%20Strategy.pdf"
"129343","LBN","Lebanon","","National Nutrition Strategy and Action Plan 2021-2026","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2021","","2026","Ministry of Public Health","6","2021","Adopted","6","2021","Ministry of Public Health","Health|Food and agriculture|Education and research|Trade|Industry","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Save the Children","","","","","","","","","","","","","","The current strategy prioritizes optimal nutritional outcomes across the lifecycle amongst all persons residing in Lebanon to contribute to improving overall health and wellbeing.
The outcome objectives of the strategy are to:
a. Improve maternal, infant, and young child nutrition including prevalence of micronutrient deficiencies and stunting.
b. Reduce morbidity and mortality from non-communicable diseases by improving dietary and feeding habits.
c. Improve food security and food safety at the national, community and household levels
","Five key strategy areas
Strategy Area 1: Strengthened multi-sectoral nutrition governance, accountability, and information management
Strategy Area 2: Aligned health systems providing universal coverage of essential nutrition services (HEALTH SYSTEMS)
Action 2.1: Support a strong and resilient primary and secondary health system that provides access to nutrition services
Action 2.2: Ensure the access to maternal and child nutrition services including maternal infant and young child feeding counselling for the prevention and treatment of child malnutrition
Action 2.3: Implement a prevention and treatment of non-communicable diseases program that includes nutrition counselling
Action 2.4: Develop and adopt standard national dietary guidelines
Action 2.5: Develop necessary emergency preparedness plans to respond to nutritional needs of most vulnerable during emergencies
Strategy Area 3: Sustainable, resilient food systems for healthy diets (SUPPLY)
Action 3.1: Improve agriculture production in Lebanon and ensure access to sustainable, diverse and safe food Action 3.2: Improve food production via the Food industry and ensure food is of high nutritional value, safe, and accessible to the people residing in Lebanon
Action 3.3: Implement and enforce the Food safety law and develop relevant legislative decrees
Action 3.4: Ensure emergency preparedness and contingency planning for nutrition and food security in humanitarian crisis or emergency situations
Strategy Area 4: Safe and supportive environment for nutrition for all ages (ENVIRONMENT)
Action 4.1: Implement programs to ensure safe and supportive school nutrition and child environment
Action 4.2: Implement the Infant and Young Child Feeding Policy including BFHI, community support, and limiting the marketing of Breast-Milk Substitutes
Action 4.3: Implement mandatory standards for ingredient listing, backof-pack nutrient declarations and simplified front-of-pack labelling for all pre-packaged foods
Action 4.4: Implement social and behavioural change interventions for individuals of all ages in line with national guidelines
Strategy Area 5: Social protection for nutrition to ensure economic availability of safe food (SOCIAL PROTECTION)
","Page 50- 57
","","","Stunting in children 0-5 yrs|Anaemia|Breastfeeding|Complementary feeding|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Iodine|Iron|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food safety|Food security and agriculture|Home, school or community gardens|Vulnerable groups","","https://faolex.fao.org/docs/pdf/leb216967E.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%202021%20National%20Nutrition%20Strategy%20and%20Action%20Plan%202021%20-%202026.pdf"
"25747","CZE","Czechia","","Zdraví 2020 Národní strategie ochrany a podpory zdraví a prevence nemocí. Akční plán č. 2: Správná výživa a stravovací návyky populace na období 2015–2020 b) Prevence obezity [Health 2020 Action Plan 2b: Obesity Prevention]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Czech","","2015","","2020","Ministry of Health","9","2015","Adopted","3","2014","Government of the Czech Republic","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Labour","","","","","","","","","","","","","","","","Other","Food producers and retailers","3. Rozsah aktivit
...
c) Podniknutí potřebných aktivit
Klíčová priorita 1: Tvorba prostředí s vhodnými potravinami
1. Klíčová priorita: Tvorba prostředí s vhodnými potravinami
1.1. Vytvoření systému společenské odpovědnosti za správnou výživu obyvatelstva.
...
1.2. Reformulace potravin, tj. změna složení potravin ve smyslu snížení soli, cukrů, živočišných tuků a trans mastných kyselin. Podpora vhodných potravin na trhu, aby byly více zastoupené a ekonomicky dostupné.
...
1.3. Podpora nabídky správné výživy ve školách a školských zařízení.
...
1.4. Ochrana dětí před marketingem nevhodných potravin prostřednictvím zákona o regulaci reklamy.
...
Klíčová priorita 2: Podpora získávání a osvojování si správné výživy a zdravého životního stylu v průběhu celého života, zejména u nejvíce zdranitelných skupin obyvatelstva
2. Klíčová priorita: Podpora získávání a osvojování si správné výživy a zdravého životního stylu v průběhu celého života, zejména u nejvíce zranitelných skupin obyvatelstva.
2.1. Zvýšení zdravotní gramotnosti ve správné výživě, diferencované podle věkových skupin v celé populaci.
...
2.2. Individuální poradenství ve výživě zdravotnickými odborníkyve výživě, hrazené z veřejného zdravotního pojištění.
...
2.3. Navýšení nutriční kvality institucionálního stravování (ve školách a školských zařízeních, v závodním stravování, ve vězeňské službě, v nemocnicích a ústavech dlouhodobé a následné péče).
...
2.4. Podpora dostupnosti výživy, získávání a osvojování si správné výživy u nejvíce zranitelných skupin obyvatel v oblasti výživy.
...
Klíčová priorita 3: Posilování zdravotního systému v podpoře správné výživy a zdravého životního stylu
3. Klíčová priorita: Posilování zdravotního systému v podpoře správné výživy a zdravého životního stylu
3.1. Odborné řízení akčního plánu a tvorba systému výživových doporučení, jejich přijetí a garance státem.
...
3.2. Zavedení celoplošného vyhledávání osob v riziku malnutrice v rámci primární i sekundární zdravotnické péče.
...
3.3. Poskytování komplexní diferencované péče nemocným s nadváhou a obezitou.
...
3.4. Vybudování sítě ambulancí nutričních terapeutů (poradenství v primární i sekundární péči ve výživě).
...
3.5. Identifikace a řešení mikronutrientních deficitů v populaci, či ohrožených skupinách (subpopulacích)
3.6. Navýšení dozorové činnosti zaměřené na nutriční složení ve všech typech společného stravování.
3.7. Systémové navyšování či zavádění výuky správné výživy a klinické výživy do studijních pregraduálních plánů lékařských a s výživou spojených nelékařských profesí ve zdravotnictví.
3.8. Vytvoření sítě odborných pracovišť pro vzdělávání, testování nutričního stavu a zdravotně orientované tělesné zdatnosti, preskripci výživy a fyzické aktivity a edukaci široké veřejnosti.
...
Klíčová priorita 4: Podpora dozoru, sledování, hodnocení a výzkumu správné výživy a nutričního stavu obyvatelstsva ČR a jeho podskupin
4. Klíčová priorita: Podpora dozoru, sledování, hodnocení a výzkumu správné výživy a nutričního stavu obyvatelstva ČR a jeho podskupin.
4.1. Monitoring a hodnocení výživy a výživového stavu populace v souvislosti s ukazateli zdraví.
...
4.2. Monitoring vývojových trendů malnutrice a jejích dopadů na zdraví a průběžná a závěrečná evaluace efektivity jednotlivých i celkových výstupů akčního plánu.
4.3. Výzkum v oblasti výživy a zdraví.
...
Klíčová priorita 5: Posílení role veřejné správy v oblasti správné výživy a přizvání k řízení a rozhodování všech složek společnosti a sociálních skupin ČR, tvorba komunit a aliancí
5. Klíčová priorita: Posílení role veřejné správy v oblasti správné výživy a přizvání k řízení a rozhodování všech složek společnosti a sociálních skupin ČR, tvorba komunit a aliancí
5.1. Kraje více aktivní v řízení správné výživy svých obyvatel.
...
5.2. Podpora a rozvíjení komunitních programů, které řeší správnou výživu jako jednu z prioritních oblastí.
...
5.3. Podpora vytváření aliancí, platforem, sítí zájmových skupin společnosti s cílem aktivizace, podpory a rozvoji společnosti v oblasti správné výživy a prevence obezity a podvýživy
5.4. Vytvoření Platformy výživy fyzické aktivity a zdraví, podporované státem, kde se aktivní složky společnosti dobrovolně zavazují k aktivitám, které budují antiobezigenní prostředí.
5.5. Podpora již existujících sítí.
5.6. Podpora vytváření nových sítí.
...
4. Předpokládané benefity APSV a jejich indikátory
...
Benefit splnění klíčové priority 1
Zlepšení dostupnosti vhodných potravin - pokles průměrné spotřeby soli na dospělého obyvatele ČR (věkově standardizováno) o 20 %; cukrů o 10 %, transmastných kyselin pod 1 % celkové přijímané energie. Posílení domácí produkce potravin.
...
Benefit splnění klíčové priority 2
Snížení prevalence osob, které jedí méně než 5 porcí ovoce a zeleniny (400 g) denně (věkově standardizováno) o 20 %. Pokles průměrného příjmu nasycených tuků o 5 % u dospělých (věkově standardizováno). Snížení počtu osob s podvýživou způsobenou chudobou o 5 %. Zlepšení dostupnosti věrohodných informací.
...
Benefit splnění klíčové priority 3
Zlepšení zdravotní situace skrze zlepšení výživy a nutričního stavu obyvatelstva (zlepšení zdravotního stavu obyvatelstva. Ušetření nákladů včasným záchytem a adekvátní léčbou malnutrice (obezity i podvýživy), a tak zabránění rozvinutí:
a) komorbidit obezity ve formě chronických neinfekčních onemocnění a nádorových onemocnění.
b) rozvinuté podvýživy a zvýšeným nákladům na léčbu doprovodných onemocnění.
...
Benefit splnění klíčové priority 4
Vytvoření báze znalostí pro efektivní řízení a zvládání dvojité malnutrice (epidemie obezity a podvýživu) a jejích zdravotních a ekonomických dopadů v ČR.
...
Benefit splnění klíčové priority 5
Prodloužení délky života bez nemoci v jednotlivých krajích o 1 rok. Snížení rychlosti nárůstu prevalence obezity, diabetu mellitu, hypertenze o 10 % u dětí i dospělých. Posílení zdravotních aktivit obyvatelstva.
...
Ad 1.1: Počet legislativních změn a celostátních opatření podporujících správnou výživu; Funkční systém mezirezortní odpovědnosti za správnou výživu; existence státem garantované, pro obyvatele volně přístupné databáze nutričního složení potravin.
Ad 1.2. Pokles obsahu soli v komoditách (chléb a pečivo, masné výrobky a dalších nejvíce obsahem soli a spotřebou zatěžujících komodit) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let; posílení domácí produkce vhodných potravin.
Ad.1.3. Plnění ukazatelů spotřebního koše a pestrosti v 80 % školních jídelen; pokles nabídky nevhodných potravin v doplňkovém prodeji škol a školských zařízení o 100 %; zavedení nutričních doporučení pro školní stravování, proškolení pracovníků ve školním stravování; zvýšení nabídky zeleniny ve školních obědech o 30 %.
Ad 1.4. Pokles marketingu (reklamy) nevhodných potravin v čase od 7 do 19 hod o 50 %
Ad 2.1. Zvýšení zdravotní gramotnosti o výživě o 20 %. Zlepšení dostupnosti věrohodných informací.
Ad 2.2. Počet výkonů edukace ve výživě za kalendářní rok.
Ad 2.3. Minimálně 80 % vydávané stravy odpovídá nutričním doporučením.
Ad 2.4. Snížení počtu osob s podvýživou způsobenou chudobou o 5 %.
Ad 3.1. Řízení AP a vznik sady výživových doporučení.
Ad 3.2. Vybudování systému celonárodního screeningu malnutrice – počty zachycených.
Ad 3.3. Komplexní diferencovaná léčba obezity – počty léčených.
Ad 3.4. Včasná léčba malnutrice – počty léčených.
Ad 3.5. Intervenční programy mikronutrientních deficitů v populaci.
Ad 3.6. Počet provedených šetření.
Ad 3.7. Počet studentohodin.
Ad 3.8. Síť odborných vzdělávacích pracovišť v životním stylu a jejich výkon.
Ad 4.1. Monitoring a hodnocení výživy a výživového stavu populace v souvislosti s ukazateli zdraví.
Ad 4.2. Evaluace AP správné výživy - závěrečná zpráva.
Ad 4.3. Základní a aplikovaný výzkum v oblasti výživy a prevence nemocí - nástroje jeho hodnocení.
Ad 5.1. Počet krajských opatření podporujících správnou výživu. funkční systém odpovědnosti za správnou výživu na úrovni krajů; sběr dat ohledně výživy a zdraví z jednotlivých krajů. Pokles obsahu soli v komoditách regionální produkce (chléb a pečivo, masné výrobky a další komodity, které spotřebou a obsahem soli zatěžují nejvíce) o 20 % za 5 let; pokles přidávaných cukrů v potravinách o 10 % za 5 let.
Ad 5.2. Počet funkčních komunitních programů podporujících správnou výživu, do kterých je kraj zapojen. Zvýšení nabídky zeleniny a ovoce ve školách a školských zařízeních o 30 %.
Ad 5.3. Snížení rychlosti nárůstu prevalence obezity, diabetu mellitu, hypertenze o 10 % u dětí i dospělých.
Obesity Action Indicators
Ad 1.1 Monitoring prevalence nadváhy a obezity a jejich determinant
Ad 1.2. Evaluace AP proti obeziě - závěrečná zpráva
Ad.1.3. Základní a aplikovaný výzkum v oblasti obezity a prevence neinfekčních nemocí -instrumenty jeho hodnocení
Ad 2.1: Navýšení procenta plně kojených dětí do 6 měsíců věku u 5 % (o ¼). Navýšení relativního zastoupení dětí, které mají denně pohybovou aktivitu minimálně ve střední intenzitě zátěže o 10 %. 10% snížení zastoupení dětí a mládeže mladší 18 let, které denně konzumují slazené nápoje. Navýšení zastoupení škol s programem Ovoce a zelenina o 10 %.
Ad 2.2: Dle indikátorů WHO Akčního plánu prevence NCD (i NCD) č. 15: Snížení zastoupení saturovaných mastných kyselin v celkovém energetickém příjmu dospělých pod 10 % (věkově standardizováno). Snížení počtu dospělých osob, které denně konzumují méně než 400 g zeleniny a ovoce o 30 % (i NCD) č. 16.
Ad 2.3: Zastavení nárůstu prevalence nadváhy a obezity u dospělé populace
Ad 3.1. Zvýšení zdravotní gramotnosti v aktivním životním stylu a prevenci nadváhy a obezity o 30 %.
Ad 3.2. Navýšení individuálního poradenství v aktivním přístupu k prevenci a léčbě obezity o 50 % zajišťovaném zdravotnickými odborníky, ve výživě, fyzioterapii, psychoterapii, hrazené z veřejného zdravotního pojištění.
Ad 4.1. Vybudovaná sít obezitologických pracovišť 1. a 2. typu, která odpovídá požadavkům počtu obézních v ČR.
Ad 4.2. Standardizace léčebných postupů při léčbě nadváhy, obezity a jejích komplikací a počet výkonů poskytované léčebně-preventivní péče obézním – navýšení na dvojnásobek současného stavu.
Ad 4.3. Zavedení specializačního vzdělávání v obezitologii - počet lékařů se získáním specializace.
Ad 5.1.: Regionální aktivity cílené na prevenci obezity.
Ad 5.2. Vytvořené aliance a platformy.
Ad 5.3. Zastavení nárůstu prevalence nadváhy a obezity obezity u dospělých.
","","","Outcome indicators|Process indicators","","Breastfeeding|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|School fruit and vegetable scheme|School milk scheme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron|Vitamin D|Micronutrient supplementation|Nutrition education|Food safety|Vulnerable groups","","http://www.mzcr.cz/verejne/dokumenty/akcni-plany-pro-implementaci-narodni-strategie-zdravi-2020_10814_3016_5.html","https://www.mzcr.cz/Verejne/dokumenty/zdravi-2020-narodni-strategie-ochrany-a-podpory-zdravi-a-prevence-nemoci_8690_3016_5.html","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CZE%202015%20Health%202020%20Action%20Plan%20Obesity.pdf"
"130071","ALB","Albania","#N/A","Analiza E Situates Dhe Plani Kombetar I Veprimit Per Ushqimin Dhe Ushqyerjen Per Shqiperine 2003-2008 [National Action Plan and Situational Analysis for Food and Nutrition in Albania 2003-2008]","Comprehensive national nutrition policy, strategy or plan","","Albanian","","2003","","2008","Ministria e Shendetesise [Ministry of Health]","","2003","Adopted","","2003","Government","Health|Food and agriculture|Education and research|Trade","Ministry of Education and Science, Ministry of Food and Agriculture, Ministry of Health, Ministry of Economic Cooperation and Trade","","","","","","","","","National NGOs","","","","","","","","Konkluzione, Prioritete
Revizionim i plote i ligjit “Per Ushqimin”, duke pershtatur ate me direktivat e FAO/OBSH dhe ato te BE ne fushen e kontrollit ushqimor, licencimit, certifikimit, kontrollit te sigurise ushqimore.
Pasqyrimi i koncepteve te sakta ne legjislacionin ekzistues per sistemin HACCP.
Perpilimi i legjislacionit per parandalimin e deficiencave mikronutritive.
Revizionimi i kreut III “Kerkesat ndaj cilesise dhe sigurise se ushqimeve”e neneve perkatese lidhur me sigurine ushqimore, duke e ndare konceptin “siguri ushqimore” nga “cilesi ushqimore”.
Percaktimi i modaliteteve per koordinim, bashkepunim e raportim te ndersjellte te veprimtarise se inspektoriatit sanitar, inspektoriatit te ushqimit dhe inspektoriatit veterinar.
Sigurimi i infrastruktures se nevojeshme per drejtim, ekspertize dhe permiresimin e legjislacionit.
Ngritja e sistemit per monitorimin e ushqimit, vleresimin e gjendjes se ushqyerjes se popullates dhe kontrollin e ushqimit.
Formulimi i nje programi te pergjitheshem per vleresimin e sistemit HACCP.
Organizimi i programeve te trajnimit per personelin e industrise ushqimore dhe te agjencive shteterore per sistemin HACCP;
Inkurajim e mbeshtetje ne pergatitjen e materialeve trajnuese (per sistemin HACCP) per industrine, inspektoret shteterore dhe pale te tjera te interesuara;
Forcimi i bashkepunimit te te gjithe sektoreve qe mbulojne kontrollin dhe sigurine ushqimore.
Decentralizimi (administrimi e ujesjellesave dhe burimeve te ujit te pijshem nga komuniteti)
Rritja e investimeve ne rrjetin shperndares te ujit.
Vendosja e matsave te ujit te pijshem per cdo konsumator
Rishikimi i here pas hereshem te tarifave per ujin per perdorues ne fushen e industrise dhe ate familiare.
Forcimi dhe rritja e nivelit te laboratoreve te kontrollit te ushqimit ne te dy sistemet Shendetesi e Bujqesi.
Monitorimi i mbetjeve te pesticideve ne ushqime me origjine bimore.
Perpilimi i Rekomandimeve Dietetike per popullaten Shqipetare.
Perpilimi i udhezuesit per normat ditore te nutrienteve ne ushqim
Propagandimi dhe ndergjegjesimi i publikut per nje ngrenie te shendeteshme.
Promovimi per ushqyerje te shendeteshme sipas rekomandimeve te OBSH-se (udhezuesi dietetik CINDI) dhe ndermarrje veprimesh per parandalimn e kequshqyerjes fetale.
Parandalimi i kequshqyerjes se gruas ne periudhen e fertilitetit e laktacionit dhe parandalimi i morbozitetit tek to gjate ketyre periudhave.
Promovimi i ushqyerjes ekskluzive deri ne muajin e 6 te te jetes dhe vazhdimi i ushqyerjes se pjeshme me gji edhe pas vitit te pare te jetes si domosdoshmeri per rritjen dhe zhvillimin e femijes.
Promovimi per ruajtjen e tradites per ushqyerjen me gji dhe futjes se ushqimit shtese sipas rekomandimeve te OBSH-se dhe UNICEF. Rezoluta OBSH/FAO.
Zgjerimi i inisiatives per tu bere “Sherbime shendetesore mike te femijes” qe perkrahin dhe mbeshtesin ushqyerjen me gji ne maternitete dhe konsultoret e femijeve.
Promovimi i politikes se hartuar nga OBSH/UNICEF lidhur me 10 hapat per nje ushqyerje te shendeteshme me gji.
Monitorimi per implementimin e Ligjit te Ushqyerjes me gji.
Ndergjegjesimi per ushqyerje te shendeteshme bazuar ne udhezimet e OBSH-se.
Informimi permanent i publikut per ushqyerje te shendeteshme.
Miratimi i nje qendrimi te percaktuar per propagandimin e ushqyerjes se shendeteshme.
Integrimi i edukimit per ushqyerje te shendeteshme ne konceptet baze te kurikulumit ne shkollave fillore dhe 8 vjecare.
Forcimi i bashkepunimit (perfshi edukimin) ndermjet sektorit te shendetit dhe te bujqesise ne nivel nacional dhe lokal. MSH, DKSHP, ISHP, MBU, DBU ne rrethe.
Forcimi i bashkepunimit me shoqata te ndryshme si ajo e konsumatoreve etj
Forcim i bashkepunimit ndersektorial per ndjekjen e problemit te crregullimeve nga deficienca jodike duke involvuar ne proces sektore te tjere te industrise, edukimit, OJQ-te, dhe organizmat nderkombetare, OBSH, UNICEF dhe ICCIDD.
Zbatim i VKM per importimin e kripes se gjelles se jodizuar dhe prodhimin e saj ne vend dhe permiresimi i kuadrit ligjor ekzistues.
Hartimi i ligjit per arritjen e jodizimit universal te kripes qe prodhohet ne vend ose importohet dhe eliminimin e pamjaftueshmerise jodike.
Organizim trajnimesh me inspektoret e ushqimit dhe specialistet e Laboratoreve te Shendetit Publik ne drejtim te kontrollit te jodit ne kripe.
Monitorimi i permbajtes se jodit ne kripen e gjelles ne te gjitha nivelet qe nga prodhimi deri tek konsumatori.
Forcimi i kontrollit te inspektoreve ne dogana dhe ngritja e kapaciteteve te ketyre strukturave .
Promovimi dhe ndergjegjesimi i publikut per perdorimin e kripes se jodizuar.
Krijimi i kuadrit ligjor dhe fillimi i zbatimit te fortifikimit te miellit dhe ushqimeve te tjera me hekur me mikroelemente te tjere.
Integrim i edukimit per shendetin oral ne ate shendetesor te pergjitheshem, duke e perfshire ne konceptet baze te kurikulumit ne shkollave fillore dhe 8 vjecare.
Shnderrimi i kabineteve dentare te shkollave ne qendra te prevencionit dentar.
Fluorinizimi nepermjet te: perdorimit te pastave te fluorinizuara si baze per prevenimin e kariesit dhe periodontiteve per gjithe popullsine.
Nxitje e aksioneve per fluornizimin e ujit te pijshem per popullaten.
Ndermarrje veprimesh per fluorinizimin e kripes se gjelles ne nivel nacional.
Pergatitje rekomandimesh dietetike dhe nxitja per uljen e perdorimit te sheqernave ne konsumin ditor.
Plotesimi i kuadrit ligjor dhe nxitje per kufizimin e pirjes se duhanit.
","7. Aneks 1.
Aksione qe duhen ndermarre ne kuadrin e Planit Kombetar te Veprimit per Ushqimin dhe Ushqyerjen per permiresimin e gjendjes shendetesore te popullates, bazuar ne pemiresimin e cilesise se ushqimit dhe perdorimin e udhezimeve dietetike te pershtateshme.
[see matrix on page 65 - 71]
","","","","Breastfeeding|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|Complementary feeding|Overweight and obesity in school age children and adolescents|Sugar intake|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Iodine|Iron|Iron and folic acid|Food grade salt|Nutrition & infectious disease|Food safety|Food security and agriculture","","http://www.moh.gov.al","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ALB%202003_NatActionPlanFoodNutrition.pdf"
"130068","TZA","United Republic of Tanzania","","National Multisectoral Nutrition Action Plan 2021/22-2025/26","Comprehensive national nutrition policy, strategy or plan","","English","","2021","","2026","Prime Minister’s Offce","","2021","Adopted","","2021","Prime Minister’s Offce","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Industry|Information","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Global Alliance for Improved Nutrition (GAIN)|Other","Irish AID and ASPIRES","US Agency for International Development (USAID)","","","","","","","","","","","","3.3 Objective of the NMNAP II
The objective of the NMNAP II is to address the triple burden of malnutrition in Tanzania with emphasis on nutrition-specific and nutrition-sensitive interventions from various sectors, including health, social protection, education, food, water, community development, finance, industry, and trade. The plan is expected to address the shortfalls of the previous plan, identify and propose high- impact low-cost interventions, and engage all sectors, while harnessing the benefits of the existing frameworks to ensure sustainability. The expected result or desired change for the NMNAP II is that all Tanzanians are better-nourished and leading healthier and more productive lives which contribute to the economic growth and sustainable development of the countr
","In order to achieve the expected result, a total of four (4) KRAs and five (5) strategic outcomes have been defined as follows.
KRAs:
Reducing undernutrition
Reducing micronutrient deficiencies
Reducing overweight and obesity
Strengthening the enabling environments
Strategic outcomes are:
Strategic Outcome 1. Increased coverage of adequate, equitable and quality nutrition services at the community and facility levels.
Strategic Outcome 2. Women, men, children and adolescents practice appropriate nutrition behaviours
Strategic Outcome 3. Sustainable and resilient food systems that are responsive to nutritional needs
Strategic Outcome 4. Strengthened multisectoral and private sector engagement for nutrition Strategic Outcome 5. Enabling environments (adequate policies and frameworks) that are supportiveof adequate human and financial resources for nutrition
","Planned Results
IMPACT RESULTS
Reduced prevalence of stunting among children 0-59 months
Maintain prevalence of global acute malnutrition among children 0-59 months
Reduced prevalence of low birthweight
Reduced proportion of non-pregnant women 15-49 years with anaemia
Reduced prevalence of Vitamin A deficiency among children aged 6-59
Maintain median urinary iodine of women of reproductive age between 100- 299 μg/L by 2026
Maintain prevalence of overweight among children under five
Maintain prevalence of overweight/obesity among women aged 15-49 years
Maintain prevalence of overweight among adults
OUTCOME RESULTS
Increased proportion of children aged 0-5 months who are exclusively breastfed
Increased proportion of children aged 6-23 months who receive a minimum acceptable diet
Increased proportion of children aged 6-59 months who received Vitamin A Supplement during the last 6 months
Increased proportion of households consuming adequately iodized salt
Increased proportion of pregnant women taking iron and folic acid (IFA) for 90+ days during pregnancy
Increased proportion of children under five in need of SAM treatment who are admitted in the program annually
Increased proportion of children under five in need of MAM treatment who are admitted in the program annually
Reduced percentage of people who eat less than 5 servings of fruit and/or vegetables on average per day
Increased production of horticultural crops
Increased milk production
Increased per capital consumption of milk in Tanzanian population
Increased number of primary schools implementing school milk feeding program
Increased Meat production
Increased per capital consumption of meat in Tanzanian population
Increased fish production
Increased per capital consumption of fish in Tanzanian population
Number of adolescents trained on health and wellbeing.
Increased percentage of schools implementing school feeding program
Percentage of rural population with access to piped or protected water as their main source.
Proportional of the households in Rural areas with improved sanitation facilities
Percentage of Regional Centre’s population with access to piped or protected water as their main source.
","","","Low birth weight|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Breastfeeding - Exclusive 6 months|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Provision of school meals / School feeding programme|School milk scheme|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Biofortifcation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Home, school or community gardens|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/tan212099.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202021%20National%20Multisectoral%20Nutrition%20Action%20Plan.pdf"
"23757","JAM","Jamaica","","National Infant and Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","","Government of Jamaica","","2014","Adopted","","2013","Cabinet Office","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Labour|Other","Government of Jamaica Ministries of Health; Education; Commerce; Agriculture; Foreign Affairs; Labour and Social Security; Finance; Planning Institute of Jamaica; Early Childhood Commission","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO; UNICEF; FAO","","","","","","","","","","","","","","","1. To increase access to breastfeeding support in communities and the workplace.
2. To achieve BFHI status in all institutions providing maternity and child health services.
3. To establish a sustainable mechanism for accurate, timely and comprehensive collection and dissemination of data on infant and young child feeding and related indicators to influence policy and programme development.
4. To build capacity within all relevant agencies and at different levels of the health system and community, for the promotion, protection and support of infant and young child feeding.
5. To develop and implement sustainable public education initiatives for the promotion and support of optimal infant and young child feeding practices.
","To ensure that all Jamaican children benefit, a multi-foci strategy will be employed to strengthen the infant and young child feeding programme in Jamaica. The areas of emphasis will be in five priority areas :
3.4.1 Advocacy/Legislation
3.4.2 Training
- General
- Health care workers
- Early childhood education
- Counselling of Parents/Guardians of Young Children
3.4.3 Health Care Delivery
- General
- Antenatal care services
- Intra-partum
- Immediate post-partum and early neonatal
- Post-partum and neonatal
- Neonatal and Infancy
- Special circumstances
3.4.4 Public Information, Education and Communication
3.4.5 Monitoring, Evaluation and Research
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Micronutrient supplementation","","http://jis.gov.jm/media/NIYCF-Policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202014%20NIYCF%20Policy.pdf"
"130362","LBY","Libya","","Strategy to combat noncommunicable diseases","NCD policy, strategy or plan with healthy diet components","","English","12","2016","","2021","Ministry of Health Republic of Liberia","","2017","Adopted","","2017","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","4.0 Non-Communicable Diseases Strategic Plan
3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
...
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
","","","","International Code of Marketing of Breast-milk Substitutes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)","","https://extranet.who.int/ncdccs/Data/LBR_B3_S23_LBR%202017%20NCD%20Policy.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR_2017%20NCD%20Policy.pdf"
"130363","LBR","Liberia","","National Non-Communicable Diseases Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health Republic of Liberia","12","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
...
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
..
Annex 1 NCD Results Framework
...
Indicator
Target (% change vs Baseline)
...
9 Age-standardized prevalence of raised blood pressure among persons aged 18+ years
10% reduction
...
10 Prevalence of overweight and obesity in adolescents
10% reduction
","","","","Overweight in adolescents|Raised blood pressure|International Code of Marketing of Breast-milk Substitutes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/LBR_B3_S23_LBR%202017%20NCD%20Policy.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR_2017%20NCD%20Policy_0.pdf"
"130355","BWA","Botswana","","Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2018-2023","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2023","Republic of Botswana Ministry Of Health & Wellness","","2018","Not adopted","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Ministry of Land Management","","","","","","","","","National NGOs","","","","","","","","3.4.1 Priority Area 1: Primordial Prevention and Health Promotion
Goal 1. Reduce risk factors through awareness, promotion of healthy lifestyles and creation of enabling environments
...
• Objective 1.2. To create a legislative and policy environment conducive to healthy living
...
o Unhealthy diet and physical inactivity
Provide access to healthy food as part of school health programs
...
Manage food taxes and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
...
Promote breastfeeding
...
Table 6: Botswana Multi-sectoral National Strategic Plan implementation framework
Priority area 1: primordial prevention and health promotion
...
2. To create a legislative and policy environment conducive to healthy living
...
Develop and implement national regulations to promote healthy diet, limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, reduce the impact on children of marketing of foods and non-alcoholic beverages high in saturated fats, trans-fatty acids, free sugars, or salt
...
Promote access to healthy food, including at schools (taxation on imports of unhealthy foods, regulations on food provided at schools or packed from home in both private and public schools)
...
Institute fiscal incentives and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
...
Priority area 2: primary prevention, early detection, quality treatment, care and support
Implement screening for overweight and unhealthy living (diet, exercise, smoking, alcohol) at primary care level
Conduct screening for overweight, tobacco, alcohol at schools
Conduct screening for overweight, tobacco, alcohol in the workplace
Conduct screening for obesity, tobacco, alcohol in communities (e.g. churches, places of trade)
...
WHO framework element (where relevant)
Indicator name
Baseline (year)
FY 2023 Target
..
Obesity
Age-standardised prevalence of obesity and overweight among adults aged 18+ years
30.5% (2014)
0% increase
…
Unhealthy diet
Age-standardised prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day
94.8% (2014)
30% relative reduction
…
Diabetes
Age-standardised prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).
4.5% (2014)
0% increase
…
Hypertension
Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.
29.3% (2014)
25% relative reduction
…
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Monitoring of children’s growth in school|Reformulation of foods and beverages|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","https://extranet.who.int/ncdccs/Data/BWA_B3_S23_Botswana%20NCD%20Strategy%20Final.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202018_Botswana%20NCD%20Strategy%20Final.pdf"
"128150","VNM","Viet Nam","","National Strategy on Nutrition for 2021-2030 and Vision to 2045","Comprehensive national nutrition policy, strategy or plan","","English","","2021","","2030","Socialist Republic of Vietnam","1","2022","Adopted","1","2022","Prime Minster, Decision No. 02/QD-TTg","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Industry|Information|Labour","","","","","","","","","","","","","","","","","","II. TARGETS
1. General targets: Implement proper nutrition to improve the nutritional state suitable for each person, locality, region, and ethnicity, contributing to the decrease of disease and increase of stature, stamina, and intelligence of Vietnamese.
2. Specific targets
a) Implementation of a varied, appropriate, and food-security diet for all ages and subjects according to the life cycle
- The percentage of children from 6 to 23-month-old that have correct and sufficient diet will reach 65% by 2025 and 80% by 2030.
- The percentage of adults who consume adequate amounts of fruit and vegetables daily will reach 55% by 2025 and 70% by 2030.
- The percentage of households that suffer from severe and moderate food insecurity will be reduced to below 8% (below 25% for households in mountainous areas) by 2025 and below 5% (below 20% for households in mountainous areas) by 2030.
- The percentage of schools that develop diets that satisfy the recommendation of the Ministry of Health on proper nutrition assurance according to the age and food diversity will reach 60% for urban areas and 40% for rural areas by 2025; strive to reach 90% for urban areas and 80% for rural areas by 2030.
-The percentage of hospitals that provide examinations, advice, and treatments via diet suitable for nutritional status and disease for patients will reach 90% for the central or provincial level; 75% for district level by 2025; 100% for central, provincial level and 80% for district level by 2030.
- The percentage of communes that provide nutritional counseling for pregnant mothers, mothers with children under 2 years old in the basic healthcare service package for primary health care, prevention, and improvement conducted by health stations of communes, wards, or commune-level towns will reach 50% by 2025 and 75% by 2030.
b) Improvement of nutritional status for mothers, children, and teenagers
- The percentage of stunted children below 5 years old will be reduced to below 17% (below 28% for stunted children in mountainous areas) by 2025 and below 15% (below 23% for mountainous areas) by 2030.
- The percentage of underweight children below 5 years old will be reduced to below 5% by 2025 and below 3% by 2030.
- The average height of 18-year-old teenagers will increase by 2 - 2,5cm for males and by 1,5 to 2 cm for females by 2030 compared to those in 2020.
- The percentage of children who are breastfed soon after birth will reach 75% by 2025 and 80% by 2030.
- The percentage of children below 6 months old who are exclusively breastfed will reach 50% by 2025 and 60% by 2030.
c) Control of overweight, prevention of non-infectious chronic diseases, related risk factors in children, teenagers, and adults
- The percentage of overweight will be controlled: below 10% for children below 5 years old (below 11% for urban areas and below 7% for rural areas); below 19% for children from 5 to 18 years old (below 27% for urban areas and below 13% for rural areas); below 20% for adults from 19 to 64 years old (below 23% for urban areas and below 17% for rural areas) by 2025 and maintain such percentages until 2030.
- The average salt consumption of the population (from 15 to 49 years old) will be reduced to below 8 grams/day by 2030.
d) Reduction of micronutrient deficiency in children, teenagers, and women of childbearing age
- The percentage of anemia in pregnant women will be reduced to below 23% (below 30% for mountainous areas) by 2025 and below 22% (below 25% for mountainous areas) by 2030.
- The percentage of anemia in female children from 10 to 14 years old in mountainous areas will be reduced to below 10% by 2025 and below 9% by 2030.
- The percentage of preclinical vitamin A deficiency in children from 6 to 59 months old will be reduced to below 8% (below 13% for mountainous areas) by 2025 and below 7% (below 12% for mountainous areas) by 2030.
- The percentage of children from 6 to 59 months old with low serum zinc levels will be reduced to below 50% (below 60% for mountainous areas) by 2025 and below 40% (below 50% for mountainous areas) by 2030.
- The percentage of households using iodized salt qualified for preventing diseases or iodized salty seasoning daily will increase to above 80% by 2025 and above 90% by 2030.
dd) Improvement of the nutritional reaction in emergency situations and enhancement of strategy implementation resource
- By 2025, 100% of provinces and cities that are potentially affected by climate change, natural disasters, or epidemics will have their response plans; evaluate and implement special nutritional intervention in emergency situations and maintain such percentage until 2030.
- By 2025, 100% of provinces, cities that are allocated the annual local budget will ensure the nutritional activities according to approved plans and maintain such percentage until 2030.
3. Vision toward 2045: All people will achieve their maximum nutritional status; non-infectious diseases related to nutrition will be controlled, thus contributing to the improvement of health and living quality.
","","","","Article 1. The approval of the national nutrition strategy for the 2021 - 2030 period with a vision toward 2045 (hereinafter referred to as ""Strategy"") includes the following contents:
I. VIEWPOINTS
1. All people have the right to equally access nutrition and food in order to obtain the maximum nutritional state, improving their health.
2. Proper nutritional implementation needs to be maintained throughout each person's life so as to improve personal health and family health; thus, contributing to the improvement of protection and healthcare of the community.
3. The state is responsible for developing mechanisms and policies to promote proper nutritional implementation; arrange and allocate intervention resources to improve the nutrition for mothers and children in regions with difficulties, remote areas, ethnic minority areas, mountainous areas, and islands.
II. TARGETS
1. General targets: Implement proper nutrition to improve the nutritional state suitable for each person, locality, region, and ethnicity, contributing to the decrease of disease and increase of stature, stamina, and intelligence of Vietnamese.
2. Specific targets
a) Implementation of a varied, appropriate, and food-security diet for all ages and subjects according to the life cycle
- The percentage of children from 6 to 23-month-old that have correct and sufficient diet will reach 65% by 2025 and 80% by 2030.
- The percentage of adults who consume adequate amounts of fruit and vegetables daily will reach 55% by 2025 and 70% by 2030.
- The percentage of households that suffer from severe and moderate food insecurity will be reduced to below 8% (below 25% for households in mountainous areas) by 2025 and below 5% (below 20% for households in mountainous areas) by 2030.
- The percentage of schools that develop diets that satisfy the recommendation of the Ministry of Health on proper nutrition assurance according to the age and food diversity will reach 60% for urban areas and 40% for rural areas by 2025; strive to reach 90% for urban areas and 80% for rural areas by 2030.
-The percentage of hospitals that provide examinations, advice, and treatments via diet suitable for nutritional status and disease for patients will reach 90% for the central or provincial level; 75% for district level by 2025; 100% for central, provincial level and 80% for district level by 2030.
- The percentage of communes that provide nutritional counseling for pregnant mothers, mothers with children under 2 years old in the basic healthcare service package for primary health care, prevention, and improvement conducted by health stations of communes, wards, or commune-level towns will reach 50% by 2025 and 75% by 2030.
b) Improvement of nutritional status for mothers, children, and teenagers
- The percentage of stunted children below 5 years old will be reduced to below 17% (below 28% for stunted children in mountainous areas) by 2025 and below 15% (below 23% for mountainous areas) by 2030.
- The percentage of underweight children below 5 years old will be reduced to below 5% by 2025 and below 3% by 2030.
- The average height of 18-year-old teenagers will increase by 2 - 2,5cm for males and by 1,5 to 2 cm for females by 2030 compared to those in 2020.
- The percentage of children who are breastfed soon after birth will reach 75% by 2025 and 80% by 2030.
- The percentage of children below 6 months old who are exclusively breastfed will reach 50% by 2025 and 60% by 2030.
c) Control of overweight, prevention of non-infectious chronic diseases, related risk factors in children, teenagers, and adults
- The percentage of overweight will be controlled: below 10% for children below 5 years old (below 11% for urban areas and below 7% for rural areas); below 19% for children from 5 to 18 years old (below 27% for urban areas and below 13% for rural areas); below 20% for adults from 19 to 64 years old (below 23% for urban areas and below 17% for rural areas) by 2025 and maintain such percentages until 2030.
- The average salt consumption of the population (from 15 to 49 years old) will be reduced to below 8 grams/day by 2030.
d) Reduction of micronutrient deficiency in children, teenagers, and women of childbearing age
- The percentage of anemia in pregnant women will be reduced to below 23% (below 30% for mountainous areas) by 2025 and below 22% (below 25% for mountainous areas) by 2030.
- The percentage of anemia in female children from 10 to 14 years old in mountainous areas will be reduced to below 10% by 2025 and below 9% by 2030.
- The percentage of preclinical vitamin A deficiency in children from 6 to 59 months old will be reduced to below 8% (below 13% for mountainous areas) by 2025 and below 7% (below 12% for mountainous areas) by 2030.
- The percentage of children from 6 to 59 months old with low serum zinc levels will be reduced to below 50% (below 60% for mountainous areas) by 2025 and below 40% (below 50% for mountainous areas) by 2030.
- The percentage of households using iodized salt qualified for preventing diseases or iodized salty seasoning daily will increase to above 80% by 2025 and above 90% by 2030.
dd) Improvement of the nutritional reaction in emergency situations and enhancement of strategy implementation resource
- By 2025, 100% of provinces and cities that are potentially affected by climate change, natural disasters, or epidemics will have their response plans; evaluate and implement special nutritional intervention in emergency situations and maintain such percentage until 2030.
- By 2025, 100% of provinces, cities that are allocated the annual local budget will ensure the nutritional activities according to approved plans and maintain such percentage until 2030.
3. Vision toward 2045: All people will achieve their maximum nutritional status; non- infectious diseases related to nutrition will be controlled, thus contributing to the improvement of health and living quality.
III. MAJOR DUTIES AND SOLUTIONS
1. Complete mechanisms and policies on nutrition
a) Review, develop, amend, and complete regulations of the law on proper nutritional implementation; especially nutritional intervention in regions with difficulties, rural and remote areas, ethnic minority areas, mountainous areas, and islands. Complete the national technical nutritional standard system for food; develop financial mechanisms or policies including the payment of health insurance for nutritional activities in healthcare facilities and schools; develop regulations on nutrition labeling on the front of prepackaged products; limit advertisements for unhealthy foods, especially for children; impose excise tax for on sugary drinks.
b) Include the target to reduce stunted, underweight, or overweight children below 5 years old in the socio-economic development targets of the whole country and each administrative division.
2. Improve the inter-sectorial cooperation and social mobilization
a) Develop and conduct mechanisms of the inter-sectorial cooperation on nutrition work from the centrality to locality; focus on integrating, cooperating with programs or projects related to nutrition.
b) Mobilize organizations, individuals, and communities to participate in implementing the Strategy. Encourage social organizations, industrial communities to participate in implementing the Strategy via sponsorship for nutritional activities; ensure nutrition at workplaces; produce healthy nutritional products, and comply with regulations on production and trading of nutritional products, food.
3. Strengthen communication and education on nutrition
a) Strengthen the communication and mobilization to policy-making groups in order to incorporate nutrition work into strategies, programs, projects, or plans implemented in localities.
b) Organize the implementation of communication activities with types, methods, contents suitable for each region, group of subjects in order to improve knowledge; practice proper nutrition especially in preventing stunting malnutrition, micronutrient deficiency; controlling overweight - obesity and other non-infectious chronic diseases related to nutrition for all people.
c) Improve the efficiency of communication, education, or provision of advice on the practice of proper nutrition according to the life cycle. Focus on providing soft skill education; strengthen the cooperation between schools, families, and society to form a healthy lifestyle and habits of proper nutrition.
d) Increase the amount of time for communication and guidance on proper nutrition in the mass media especially on the Vietnam Television, Voice of Vietnam, Television and Broadcasting Station of provinces, online broadcasting system, social media, and other digital communication platforms.
4. Strengthen and improve the quality of human resources
a) Consolidate and develop nutrition staff; ensure the sustainability, especially of the network of specialized nutritionists and medical staff in rural areas; standardize clinical nutritionists.
b) Develop the curriculum; standardize training documents about nutrition in the medical school system; improve nutritional teaching or training capability for the teaching staff of schools; improve the quality of training and advanced training contents on nutrition work in schools, hospitals, and communities.
c) Improve the capability of officers of ministries, divisions, central authorities, unions, social organizations, non-governmental organizations, religious organizations in terms of integrating nutritional activities into programs or projects.
5. Enhance technical expertise for the implementation of nutritional intervention a) Improve meal quality; ensure food security and nutrition security
- Develop and disseminate dietary reference intakes, food pyramid, proper nutrition advice, menu, proportion, diet, and physical activities suitable for every subject.
- Develop regulations and provide guidelines for food labeling, nutrition labeling; enhance education and provision of advice for the people in order to create the needs of using varied, healthy, and nutritious food.
- Develop plans, nutritional agriculture models, and guidelines for food security and meal quality at households.
b) Increase the coverage and enhance the quality of essential nutritional interventions
- Develop and effectively implement programs, projects, and models of essential nutritional intervention such as: nutrition care in the first 1000 days of life (nutrition care for pregnant and breastfeeding women; exclusively breastfeeding for the first 6 months; proper additional meal and continuation of breastfeeding for children from 6 to 23 months old); monitor the children’s growth and development; manage and treat children with acute malnutrition; prevent micronutrient deficiency in mothers and children; ensure clean water, personal and environmental hygiene.
- Provide services of counseling, nutrition recovery, intervention models against obesity, prevention of non-infectious chronic diseases, and related risk factors at all levels. Strengthen the implementation of nutritional intervention for elderly people and occupational nutrition
- Promote the fortification of domestic or imported food products. Encourage people to use fortified foods. Supervise the implementation of regulations on mandatory food fortification.
- Strengthen the in-place food systems that are safe, diverse, nutritious, and sustainable in order to meet the needs of every subject in every region, especially areas affected by natural disasters and epidemics.
- Improve the service provision quality by constructing, standardizing technical procedures, guidelines for groups of nutritional intervention. Incorporate the evaluation of the quality of nutritional intervention into the annual evaluation target of healthcare facilities.
- Integrate nutritional services into other programs in terms of healthcare, education, social-economic development of mountainous areas and ethnic minority areas, new rural areas, poverty reduction, social protection in order to increase investment resources for every subject that needs interventions.
c) Implement nutritional activities at schools
- Promote and improve the quality of school nutrition education, physical education, and sports; integrate them into regular school hours, extracurricular activities; develop appropriate communication models.
- Develop communication documents and organize communication activities for parents of students about proper nutrition, healthy and safe food, prevention of non-infectious diseases, and enhancement of physical activities for children, students. Pay special attention to proper nutrition for children in pre-puberty or puberty.
- Develop guidelines and organize school meals in a manner of nutrition assurance according to age, region, and food diversity assurance (for schools that provide meals for students). Promulgate regulations in order to prevent students from approaching unhealthy food.
- Develop mechanisms for cooperation and connection between the school and families in nutrition care for children, students; inform parents about the nutritional status of children, students in the school.
- Maintain regular deworming in areas with high prevalence of worms and helminths. c) Implement nutritional activities at hospitals
- Develop and implement specialized guidelines for nutritional treatment, clinical nutrition, and dietetics at facilities that provide examination and treatment.
- Organize communication activities and provide nutritional counseling for patients, their families at healthcare facilities.
- Implement regulations on nutrition in hospitals such as nutrition targets and breastfeeding in the criteria for hospital quality.
dd) Strengthen the implementation of emergency nutritional activities
- Develop and incorporate nutrition assurance content into the response plan for natural disasters, epidemics of the central and provinces, cities.
- Improve the nutritional response capability in emergency situations of officers of all levels and related divisions, central authorities.
- Efficiently implement emergency nutritional activities both in the community and hospitals at localities affected by climate change, natural disasters, and epidemics.
6. Promote basic research and technology application research on nutrition and food suitable for Vietnamese. Enhance technical development; research high technology application model serving nutrition purposes.
7. Promote the application of information technology in management, operation, supervision, counseling, statistic, and report of nutrition work nationwide.
8. Actively integrate and strengthen international cooperation on nutrition; resolve regional and global nutrition problems.
a) Actively participate in the nutrition network or movements regional or global.
b) Promote international cooperation to utilize the support for finance, technique, training, and management skills in terms of nutrition work with other countries, international organizations.
","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Sodium/salt 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|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|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|Salt reduction|Iodine|Micronutrient supplementation|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/vie213441.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202022%20Decision%20Approving%20the%20National%20Nutrition%20Strategy%20for%20The%202021%20-%202030%20Period%20with%20a%20Vision%20Toward%202045.pdf"
"130096","BWA","Botswana","","Control of Goods, Prices and Other Charges (Sugar Sweetened Beverages) (Levy) Regulations S.I.No.34 of 2021","Legislation relevant to nutrition","","English","4","2021","","","Republic of Botswana Government Gazette Extraordinary Vol.LIX, No.27 31st March, 2021","3","2021","Adopted","3","2021","Minister of Investment, Trade and Industry","Trade|Industry","","","","","","","","","","","","","","","","","","","","","","2. In these Regulations, unless the context otherwise provides —
“sugar sweetened beverages” means —
(a) waters, including mineral waters and aerated waters, containing added sugar or other sweetening matter, or flavoured;
(b) non-alcoholic beverages; and
(c) fruit or vegetable juices, set out in the Customs Tariff Schedule under the Customs Act.
3. These Regulations shall apply to —
(a) sugar sweetened beverages produced in Botswana; and
(b) sugar sweetened beverages imported into Botswana under the Customs Act.
4. An accountable person who —
(a) imports sugar sweetened beverages that exceeds 4 grams of sugar content per 100ml shall pay a levy at the rate of —
(i) P0.02 per gram of sugar content,
(ii) P0.02 per gram of sugar content deemed as 25 gram sugar content per 100ml, for beverages imported into Botswana which are not labelled; or
(b) produces sugar sweetened beverages that exceeds 4 grams of sugar content per 100ml shall pay a levy at the rate of —
(i) P0.02 per gram of sugar content,
(ii) P0.02 per gram of sugar content deemed as 25 gram sugar content per 100ml, for beverages produced in Botswana which are not labelled.
5. The calculation of the value of the levy for the purposes of assessing the levy on sugar content of sugar sweetened beverages under regulation 4, shall be —
(a) the total sugar content of the sugar sweetened beverages produced in Botswana; or
(b) the total sugar content of the sugar sweetened beverages imported in terms of the Customs Act.
","Sugar intake|Taxation on unhealthy foods|Sugar content specific excise tax|National level SSB tax|Undefined non-alcoholic or aerated beverages (taxes)|Mineral, aerated or flavoured waters (taxes)|Fruit and vegetable juice drinks (<100%) (taxes)|Fruit and vegetable juices (100%) (taxes)|Total sugars (taxes)","","https://botswanalaws.com/consolidated-statutes/subsidiary-legislation/control-of-goods-prices-and-other-charges-subsidiary-legislation#SubLCh43006_CONTROLOFGOODS,PRICESANDOTHERCHARGESACT(SUGARSWEETENEDBEVERAGES)(LEVY)REGULATIONS https://botswanalaws.com/bulletin/subsidiary-legislation/bulletin-2021/control-of-goods-prices-and-other-charges-sugar-sweetened-beverages-levy-regulations https://extranet.who.int/ncdccs/Data/BWA_A3iii_S23_sugar%20levy%20and%20fuel%20levy%20(1).pdf","Republic of Botswana. 2021 Budget Speech https://www.finance.gov.bw/images/speeches/2021_Budget_Speech.pdf134. Mr. Speaker, we have a health problem in Botswana with many people consuming too much sugar, leading to problems of obesity and diseases such as diabetes. In order to address this health challenge and at the same time raise revenues, Government will introduce a levy on sweetened beverages related to their sugar content, at a rate of 2 thebe per gram of sugar above a content of 4g of sugar per 100 millilitres. While this will raise the price of those drinks moderately, it is expected that this will provide an incentive for consumers to switch to drinks with a lower sugar content, and for manufacturers to do the same.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202021%20Sugar%20sweetened%20beverages%20levy.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202021%20Sugar%20sweetened%20beverages%20levy.pdf"