"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" "25381","KEN","Kenya","","The Food, Drugs and Chemical Substances (Food Labelling, Additives And Standards) Regulations","Legislation relevant to nutrition","","English","5","1979","","","Ministry of Health","","1978","Adopted","4","1978","Minister of Health","Health","","","","","","","","","","","","","","","","","","","","","","
4. The label applied to a food shall carry—
(a) on the main panel—
(i) the brand or trade name of that food (if any);
(ii) the common name of the food;
(iii) in close proximity to the common name, a correct declaration of the net contents in terms of weight, volume or number in accordance with the usual practice in describing the food;
(b) grouped together on any panel—
(i) a declaration by name of any preservatives used in the food;
(ii) a declaration of permitted food colour added to the food;
(iii) a declaration of any artificial or imitation flavouring preparation added to the food;
(iv) in the case of a food consisting of more than one ingredient, a complete list of their acceptable common names in descending order of their proportions, unless the quantity of each ingredient is stated in terms of percentages or proportionate compositions; and
(v) any other statement required under the provisions of these Regulations to be declared on the label.
(c) on any panel, the name and address of the manufacturer, packer or distributor of the food.
...
19. Where a statement or claim relating to the carbohydrate, sugar or starch content is made on the label of, or in any advertisement for, a food the label shall carry a statement of the carbohydrate content in grams per 100 grams or on a percentage basis.
...
21. For the purposes of these Regulations a food may be described as low calorie or by any synonymous term if it contains not more than—
(a) 15 calories per average serving; and
(b) 30 calories in a reasonable daily intake.
22. Where a statement or claim relating to the calorie content made on the label of, or in any advertisement for, a food the label shall carry a statement of the calorie content in calories per 100 grams.
...
24. (I) For the purposes of these Regulations a food may be described as low sodium or by any synonymous term if it contains not more than—
(a)10 mg. sodium in an average serving; and
(b) 20 mg. in a reasonable daily intake.
(2) Where a statement or claim relating to the sodium content is made on the label of, or in any advertisement for, a food the label shall carry a declaration of the sodium content in milligram per 100 grams.
…
249. Enriched flour shall be flour to which has been added thiamine, riboflavin, niacin and iron in a harmless carrier and in such amounts that one kilogram of enriched flour shall contain—
(a) not less than 4.5 milligrams and not more than 5.5 milligrams of thiamine;
(b) not less than 2.7 milligrams and not more than 44.4 milligrams of riboflavin;
(c) not less than 35.5 milligrams and not more than 44.4 milligrams of niacin or niacinamide; and
(d) not less than 28.5 and not more than 36.5 milligrams of iron.
...
271. Margarine shall be a food in the form of a plastic or fluid emulsion of edible oils, fats, with water or skimmed milk or other substances, with or without the addition of colouring matter, may contain preservatives, antioxidants, emulsifying agents, the use and limits of which shall be as prescribed in the Second Schedule to these Regulations, Vitamin A and D, and shall contain—
(a) not less than 80 per cent fat; and
(b) not more than 16 per cent water.
...
299.Table salt or salt for general household use shall contain 33.7 mg. per kilogram of potassium iodate, the presence of which shall be declared on the label, and may contain harmless anticaking agents to secure free running properties as prescribed in the Second Schedule to these Regulations.
","Food labelling|Vitamin A|Other B-vitamins|Iodine|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory salt iodization|Ingredients list|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria","","http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN107_1978.pdf http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN228_1978.pdf","http://kenyalaw.org:8181/exist/kenyalex/actview.xql?actid=CAP.%20254","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%201978%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20And%20Standards%29%20Regulations.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%201978%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20And%20Standards%29%20Regulations.pdf" "23871","PHL","Philippines","","An Act for Salt Iodization Nationwide ","Legislation relevant to nutrition","","English","","1995","","","","","1995","","","","","","","","","","","","","","","","","","","","","","","","","","","Sec. 5. Application. — (a) Thus Act shall apply to the entire salt industry, including salt producers/manufacturers, importers, traders, and distributors as well as government and nongovernment agencies involved in salt iodization activities. (b) Iodized salt that conforms to the standards set by the BFAD to meet national nutritional needs shall be made available to consumers Provided, That the implementation of this Act shall be enforced over a staggered period of one (1) year for large and medium producers manufacturers, two (2) years for small producers/manufacturers; and five (5) years for subsistence producers/manufacturers.
(c) All food outlets, restaurants, and stores are hereby required to make available to customers only iodized salt in their establishment upon effectivity of this Act. These establishments shall be monitored with the help of the LGUs through its health officers and nutritionists/dietitians, or in their absence, the sanitary inspectors to check and monitor the quality of food-grade salt being sold or served in such establishments.
(d) In areas endemic to iodine deficiency disorders, iodized salt shall be made available Local government officials at the provincial and municipal levels shall provide mechanisms to ensure enforcement of this provision through ordinances and public information campaigns.
(e) All food manufacturers processors using food-grade salt are also required to use iodized salt in the processing of their products and must comply with the provisions of this Act not later than one (1) year from its effectivity. Provided, That the use of iodized salt shall not prejudice the quality and safety of their food products: Provided, however, That the burden of proof and testing for any prejudicial effects due to iodized salt fortification lies on the said food manufacturers/processor.
(f) Salt producers/manufacturers shall register with the BFAD, which shall maintain updated registry of salt producers/manufacturers and shall monitor compliance with the salt iodization program.
(g) All food-grade salt shall be labeled in a manner that is true and accurate, not likely to mislead purchasers and in accordance with the requirements prescribed by the BFAD.
(h) For a period of three (3) years from the effectivity of this Act, the DOH shall provide free iodized salt to indigents residing in sixth class municipalities as may be allowed by their annual appropriations.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products|Subsidies for production|Monitoring mechanism established|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/PHL%201995%20Act%20for%20Salt%20Iodization%20Nationwide.pdf" "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" "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" "8325","PHL","Philippines","","AO No. 119S 2003 Updated Micronutrient Supplementation","Voluntary codes or measures relevant to nutrition","","English","","2003","","","DOH","","2003","Adopted","","2003","DOH","Sub-national","LGUS","","","","","","","","","","","","","","","","","","","","","This Administrative Order is now being issued to update health workers in the provision of micronutrients . Multiple micronutrient supplementation is also briefly described as one intervention that could be used to address multiple micronutrient deficiencies especially among pregnant and lactating women. Explanations on the prescriptions, administrations, and delivery of supplements as well as the safety of its ingestion are also provided to clarify issues and questions regarding side effects.","Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Micronutrient supplementation","","https://ww2.fda.gov.ph/index.php/issuances-2/food-laws-and-regulations-pertaining-to-all-regulated-food-products-and-supplements/food-administrative-order/156562-administrative-order-no-119-s-2003","","WHO Global Nutrition Policy Review 2009-2010","" "15042","PHL","Philippines","","Revised Implementing Rules and Regulations of Executive Order No.51, Otherwise Known as the """"Milk Code"""", Relevant International Agreements, Penalizing Violations Thereof, and for Other Purposes","Legislation relevant to nutrition","","English","","2006","","","Department of Health","5","2006","Adopted","","2006","","","","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|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: 0-36 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.","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202006%20Revised%20Implementating%20Rules%20and%20Regulations%20of%20Executive%20Order%20No.51%20%28the%20Milk%20Code%29_0.pdf" "24259","VNM","Viet Nam","","Labour Code dated 23 June 1994, as amended to 2 April 2002 (effective 1 January 2003), [Law 35-2002-QH10]. Law amending and supplementing a number of articles of the Labour Code dated 29 November 2006 (effective 1 July 2007) also attached. Published by th","Legislation relevant to nutrition","","English","","2007","","","","","2007","","","","","","","","","","","","","","","","","","","","","","","","","","","This section shows data from the TRAVAIL Database of Conditions of Work and Employment Laws with analyses of national legislation for maternity protection in the areas of: maternity leave, maternity leave benefits. Further data (e.g. on paternity leave) are available at http://www.ilo.org/dyn/travail","Maternity protection|18 weeks or more|100%|Full social security|Paid breastfeeding breaks|Breastfeeding facilities","","","","Maternity protection at work is an essential element in equality of opportunity, treatment and health protection. It seeks to enable women to combine their reproductive and productive roles successfully, and to prevent unequal treatment in employment due to women’s reproductive role. Maternity protection is important for nutrition in terms of achieving good birth outcomes and enabling breastfeeding. Since the ILO was founded in 1919, international labour standards have been established to provide maternity protection for women workers. The ILO Maternity Protection Convention No. 183 represents the minimum standards, whereas the accompanying ILO Maternity Protection Recommendation No. 191 proposes additional measures.ILO maintains the TRAVAIL Database of Conditions of Work and Employment Laws, which provides a picture of the regulatory environment of working time, minimum wages and maternity protection in more than 100 countries around the world. It contains comprehensive legal information, which allows customized research on a specific country, comparison of the legislation of several countries or regions on a particular subject, and searches by text. ILO also periodically publishes reviews of national legislation related to maternity protection at work. Read more about the work of ILO related to maternity protection at","" "25411","VNM","Viet Nam","","Thông Tư Liên Tịch. Hướng dẫn ghi nhãn hàng hóa đối với thực phẩm, phụ gia thực phẩm và chất hỗ trợ chế biến thực phẩm bao gói sẵn [Joint Circular.Guidance on the labeling of goods for food, food additivesand pre-packaged food processing aids]","Legislation relevant to nutrition","","Vietnamese","","2014","","","Bộ Y Tế, Bộ Nông Nghiệp Và Phát Triển Nông Thôn, Bộ Công Thương","","2014","","","","","","","","","","","","","","","","","","","","","","","","","","","Điều 3. Yêu cầu về ghi nhãn sản phẩm
...
5. Khuyến khích tổ chức, cá nhân ghi nhãn thông tin dinh dưỡng theo hướng dẫn của Ủy ban tiêu chuẩn thực phẩm quốc tế (Codex).
...
Điều 7. Thành phần cấu tạo của sản phẩm
1. Tất cả thành phần cấu tạo phải được ghi trên nhãn sản phẩm, trừ sản phẩm có duy nhất một thành phần cấu tạo
....
Điều 11. Các khuyến cáo và cảnh báo an toàn
1. Các khuyến cáo về sức khỏe phải dựa trên các bằng chứng khoa học và được chứng minh khi công bố sản phẩm.
2. Các khuyến cáo về so sánh dinh dưỡng phải tuân thủ theo quy định tại Phụ lục 2 ban hành theo Thông tư liên tịch này. Trong trường hợp Việt Nam chưa cập nhật các khuyến cáo so sánh dinh dưỡng thì có thể theo hướng dẫn của Ủy ban tiêu chuẩn thực phẩm quốc tế (Codex).
","Food labelling|Ingredients list|Claim must be substantiated","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VMN%202014%20Joint%20circular%20on%20the%20labeling%20of%20pre-packaged%20foodstuffs.pdf" "8516","PYF","French Polynesia","","Programme polynésien pour la promotion de l'allaitement maternel","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2015","","2020","Ministère de la santé","","2015","","","","","Health","","","","","","","","","","","","","","","","","","","","","","","Breastfeeding","","https://www.service-public.pf/dsp/wp-content/uploads/sites/12/2019/12/Programme-AM-2015-2020.pdf","","","" "82233","PHL","Philippines","","Tax Reform for Acceleration and Inclusion (TRAIN)","Legislation relevant to nutrition","","English","1","2018","","","Official Gazette","7","2017","Adopted","12","2017","the House of Representatives","Cabinet/Presidency","Secretary of the Senate; Secretary General House of Representatives","","","","","","","","","National NGOs","","","","","","","","","","","","CHAPTER VI – EXCISE TAX ON MISCELLANEOUS ARTICLES
...
SEC. 150-b. Sweetened Beverages. –
“(A) Rate and Base of Tax. – Effective January 1, 2018:
“(1) A tax of Six pesos (P6.00) per liter of volume capacity shall be levied, assessed, and collected on sweetened beverages using purely caloric sweeteneres, and purely non-caloric sweeteners, or a mix of caloric and non-caloric sweeteners: Provided, further, That sweetened beverages using purely coconut sap sugar and purely steviol glycosides shall be exempt from this tax; and
“(2) A tax of Twelve pesos (P12.00) per liter of volume capacity shall be levied, assesed, and collected on sweetened beverages using purely high fructose corn syrup or in combination with any caloric or non-caloric sweetener.
...
“(C) Exclusions. – The following products, as described in the food category system from Codex Alimentarius Food Category Descriptors (Codex Stan 192-1995, Rev. 2017 or the latest) as adopted by the FDA, are excluded from the scope of this Act:
“(1) All milk products, including plain milk, infant formula milk, follow-on milk, growing up milk, powdered milk, soymilk, and flavored soymilk;
“(2) One Hundered Percent (100%) Natural Fruit Juices – Original liquid resulting from the pressing of fruit, the liquid resulting from the reconstitution of natural fruit juice concentrate, or the liquid resulting from the restoration of water to dehydrated natural fruit juice that do not have added sugar or caloric sweetener;
“(3) One Hundered Percent (100%) Natural Vegetable Juices – Original liquid resulting from the pressing of vegetables, the liquid resulting from the reconstitution of natural vegetable juice concentrate, or the liquid resulting from the restoration of water to dehydrated natural vegetable juice that do not have added sugar or caloric sweetener;
...
“(5) Ground coffee, intstant soluble coffee, and pre-packaged powdered coffee products.
","Taxation on unhealthy foods|Volume or weight based specific excise tax|National level SSB tax|Mineral, aerated or flavoured waters with added sugars (taxes)|Mineral, aerated, flavoured waters with non-sugar sweetener (taxes)|Exceptions (taxes)","","https://www.dof.gov.ph/download/ra-10963-train-law/?wpdmdl=20619&refresh=61373a9db40c81631009437 ","","","" "73546","PHL","Philippines","","AO No. 2021-0039. National Policy on the Elimination of Industrially-Produced Trans-Fatty Acids for the Prevention and Control of Non-Communicable Diseases","Legislation relevant to nutrition","","English","","2023","","","Republic of the Philippines. Department of Health","6","2021","Adopted","6","2021","Secretary of Health","Health","","","","","","","","","","","","","","","","","","","","","","II. OBJECTIVES
1. To provide guidelines for evaluation during product registration of prepackaged processed food products containing TFA intended to be manufactured, used, imported, distributed and offered for sale in the Philippine market.
2. To prohibit the importation, local manufacture, distribution, use and sale of PHO, and Oils and Fats blended with PHO; Oils and Fats with TFA content more than 2g per 100g/ml of total fat; and prepackaged processed food products with PHO and high TFA content exceeding 2g per 1OOg/ml of total fat.
3. To set additional requirements for the registration of prepackaged processed food products containing TFA, and specify the transitory period of its implementation.
…
V. GENERAL GUIDELINES
A. Prepackaged processed food products for human consumption, commercial sale or use shall not contain PHO whether as a single ingredient or raw material, or as an ingredient to any prepackaged processed food product. Similarly, the manufacture, trading, importation and distribution in the Philippine market of these products are prohibited in accordance with the DOH AO No. 2021-0039 and this Circular.
B. The manufacture, trading, importation, distribution, and sale of the following shall be prohibited:
l. PHO to be consumed alone or used in the preparation of processed food products;
2. Oils and fats made blended with PHO;
3. Oils and fats with more than 2g TFA per 100g or 100ml of total fat consistent with Section VI. A. 3. of DOH AO No. 2021-0039; and
4. Prepackaged processed food products with PHO and high TF A content as defined in this Circular.
C. Prepackaged processed food products for export shall follow the rules and regulations for PHO and TFA of the country of destination.
D. The label claim TFA-Free, 0 g Trans Fat or No transfat or any similar claim shall be prohibited on the label and in the marketing/advertising of any processed food.
E. The TFA content of food products shall be declared on the Nutrition lnfo1mation/Nutrition Facts panel of the label in accordance with AO No. 2014-0030 or the """"Revised Rules and Regulations Governing The Labeling of Prepackaged Food Products Fu1ther Amending Certain Provisions of Administrative Order No. 88-B s. 1984 or the 'Rules and Regulations Governing the Labeling of Pre-packaged Food Products Distributed in the Philippines,' and For Other Purposes"""", its amendment, or the latest FDA labeling guidelines.
…
VIII. TRANSITORY PROVISIONS
After 18 June 2023, all product formulations and labels of prepackaged processed food containing TF A shall be fully compliant with these guidelines.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Prohibition on the use of industrially-produced trans fatty acids|Limit on 2 g / 100 g fat in all foods","","https://www.fda.gov.ph/wp-content/uploads/2022/01/FDA-Circular-No.2021-028.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202021%20FDA-Circular-No.2021-028.pdf" "8483","PHL","Philippines","","Philippine Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1993","","1998","National Nutrition Council Metro Manila, Philippines","1","1994","Adopted","","1993","The President and Cabinet","","","","","","","","","","","","","","","","","","","Theme1. Assessing, analyzing and monitoring nutrition situations.
Objectives:
1. To strengthen existing institutional capacities for accessing, analyzing, monitoring, evaluating and disseminating data on nutrition situations by conducting the necessary training for personal and providing the needed equipment.
2. To review and strengthen the current nutrition data collection systems and tools such as CHANIS, so as to embrace all the relevant nutrition indicators for more wide-ranging data.
3. To establish modalities of undertaking regular and appropriate monitoring and evaluations of nutrition programs with respect to the nine themes.
4. To ensure that communities participate in the collection of data, assessment and analysis of the nutrition situations within their community by establishing central nutrition data bases at the community, district and national levels.
Theme2. Incorporating nutrition objectives into development programs and policies.
Objectives:
1. To ensure that priority development programs such as agriculture, education and health, have in-built nutrition components.
2. To develop macro-economic policies in national development programs that favour the promotion of food and nutrition components.
3. To develop policies that increase access to food by the vulnerable groups.
4. To promote and sensitize the public and policy-makers on nutrition concerns/issues and considerations.
Theme3. Improving household food security.
Specific Objectives:
1. To enhance food production in all areas of the country to increase the availability of staple foods to meet the country’s needs for internal self-sufficiency, strategic reserves, and export.
2. To promote increases consumption of indigenous and drought resistant food crops and other rare foods by way of and through a variety of educational and communications campaign strategies.
3. To strengthen research and extension service to promote more production and consumption of affordable food crop varieties (including indigenous food crops).
4. To ensure that all agricultural land is efficiently utilized and developed.
5. To develop and improve an early warning system through which the Government and communities can respond to impending acute food shortage.
6. To reduce pre- and post-harvest food loss through improves extension advice and investment in on-farm storage facilities.
7. To improve access to food by households.
8. Strengthen and promote education on population and development.
9. To strengthen and expand collaboration between GoK, NGOs, private sector, donors and communities in the realization of the household food security objectives.
10. To ensure that the implementation of SAPs includes a social dimension facility to assist targeted vulnerable groups to maintain or improve their access to adequate diets.
11. To promote policies aimed at reducing inequalities in the distribution of income to mitigate the household food security and nutritional problems.
Theme4. Preventing specific micronutrient deficiencies.
Specific objectives:
1. To establish and document the magnitude and the extent of VAD, IOD, iron, zinc, vitamin D and calcium deficiencies by the year 2000.
2. To promote the production, accessibility and consumption of (indigenous) micronutrient-rich foods country-wide.
3. To promote and strengthen supplementation and fortification of foods with vitamin A, iron and folic acid.
4. To significantly reduce the prevalence rate (if not eliminate) of VAD.
5. To significantly reduce the prevalence (if not eliminate) of IOD problem.
6. To reduce iron deficiency anemia in pregnant women by one third and create a program which addresses anemia in children.
Theme5. Protecting consumers through improved food quality and safety.
1. To establish an inter-sectoral food surveillance co-ordinating secretariat from the national level to the district level by July 1995.
2. To review the existing regulations governing food quality and safety by statutory boards legally empowered to do so, to keep up with advances of technology and consumer protection/awareness.
3. To carry out regular quality and safety surveillance activities in 50% of relevant areas of food production and consumption by the end of 1996.
4. To intensify implementation and enforcement of existing regulations governing food safety and quality by bodies legally empowered to do so, from below 50% to at least 60% by end of 1996.
5. To inform and educate 50% of food producers, processors, handlers and consumers on food quality and safety aspects by the end of 1996.
Theme6. Promoting healthy diets and lifestyles.
Objectives:
1. To determine, nationally, the extent/magnitude of the diet-related non-communicable disease.
2. To promote the concept of appropriate diets and healthy lifestyles.
3. To promote research on diet-related non-communicable diseases.
Theme7. Improving infant and child feeding practices.
Specific Objectives:
1. To increase the rate of exclusive breastfeeding for 4-6 months by 30% by the end of the plan period.
2. To design new strategies to promote nutritional status of infants and young children.
3. To increase the percentage of mothers who are weaning at the right age 4-6 months from current levels by 30%.
4. To assess nationally the current infant and young child feeding practices by the end of the first year.
5. To increase the number of baby friendly hospitals and health facilities in Kenya, practicing all the 14 steps of the national Policy of Infant and Young Child Feeding practices by 50%.
Theme8. Preventing and managing infectious diseases.
Objectives:
1. To establish, within the first year, a forum which brings together programs tackling health and nutrition issues, to discuss and develop areas of collaboration.
2. To evaluate and review existing curricula in health and non-health training institutions so as to strengthen the nutrition and infectious diseases component for medical students, nurses, nutrition field workers, teachers, community development assistants, other extension workers and community health workers.
3. To increase access to communicable diseases’ preventive, promotive and curative health-care, which includes nutritional aspects, at community level.
4. To review the existing clinical management of communicable diseases, HIV/AIDS and nutritional disorders in Kenya and develop guidelines for dietary supplementation and nutritional rehabilitation.
5. To significantly reduce mortality and morbidity due to malaria, DD and ARI through curative, preventive and promotive strategies (including nutrition) and, achieve and maintain a level of 90% immunization resulting in reduced IMR and U5MR.
6. To determine the health and nutritional status of the elderly and the disabled with a view to developing strategies for the control of any deficiencies identified.
Theme9. Caring for the socio-economically deprived and nutritionally vulnerable groups.
Objectives:
1. To determine the extent and magnitude of malnutrition among the various vulnerable groups.
2. To improve accessibility to health services for the socio-economically deprived and nutritionally vulnerable groups.
3. To reduce the workload of women by improving accessibility to social amenities in rural communities and thereby increase the time allocated to child-caring.
4. To enhance women’s opportunities to control food and resources generated through the food chain activities, and free from mistaken traditional/cultural beliefs.
5. To formulate effective strategies of improving community-based care of the vulnerable groups.
","","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Diet-related NCDs|School-based health and nutrition programmes|Vitamin A|Folic acid|Calcium|Iodine|Iron|Vitamin D|Zinc|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%201994%20National%20Plan%20of%20Action%20for%20Nutrition.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
","
I. FOOD AND NUTRITION INTERVENTIONS TO IMPROVE NUTRITIONAL STATUS, FOOD QUALITY, HYGIENE AND SAFETY
1. Universal nutrition education
1.1 Universal nutrition training
1.2 Nutrition education and communication
1.3 Staff training and research
2. Ensured household food security
This is a very important approach, mainly for the regions prone to food shortages, poor areas and low-income populations. Based on specific situation, VAC development should be introduced and promoted so that every family will have their own VAC system, providing an available food source. The production and consumption of nutritive foods such as beans, peanuts, sesame and soybeans should be promoted. Providing loans to poor households is also needed in order to create more jobs to improve their income. Agricultural services need to be improved, e.g. providing new seeds and seedlings with higher yield, minimizing the use of chemical fertilizers and increasing the use of organic or microbiological fertilizers, improving local food processing and preservation at community and household level, finding or creating new markets, etc. Ensuring equal access to food for every household members is also a key intervention.
3. Control of protein energy malnutrition among children and mothers
4. Control of micro-nutrient deficiencies
5. Prevention of non-communicable nutrition-related chronic diseases
6. Integration of nutrition activities into Primary Health Care
Along with the implementation of the Expanded Program of Immunization, the prevention of infectious diseases (ARI and diarrhea), the promotion of exclusive breastfeeding in the first 4 months and improved complementary feeding practices thereafter, the Integrated Management of Childhood Illnesses (IMCI) be strengthened. The implementation of Reproductive Health Care has to go hand in hand with nutrition and healthy lifestyle education, especially for vulnerable groups.
7. Ensuring Food quality and food safety
Food safety is an important aspect supported by the Government in a separated program. There is a close relation between food hygiene and safety, and nutrition. The main proposed approaches focus on the following points:
8. Monitoring, evaluation and surveillance of nutrition
9. Piloting of Nutrition Models
II. NUTRITION-RELATED AREAS
1. Ensuring National Food Security: The Government needs to have appropriate policies and solutions to diversify agriculture production, increase productivity and decrease manufacturing price. Proper farming patterns should adjust to actual situations of different areas to meet their food demand. Production plans need to be based on actual requirements to ensure food security in parallel with the regulation given by the market and reasonable price policies. Investments in processing and storage of agricultural products and the promotion of safe food production should be paid more attention.
2. Promotion of Hunger Eradication and Poverty Alleviation: This is one of the important policies of the party and government affecting nutrition. It is considered necessary to give prioritized support to the infrastructure of food production in the areas at risk of food insecurity, with high prevalence of malnutrition. For urban areas, support is given to employment in order to increaseincome, which will result in increased food accessibility for the poor and high-risk groups. Nutrition objectives should be incorporated into the program’s objectives.
3. Improved infrastructure and basic service for maternal and child care.
III. SUPPORTIVE POLICIES TO NUTRITION
Based on the national objectives of this strategy, each of the different sectors, social agencies and mass organizations needs to develop practical and specific implementation plans to achieve both their own specific objectives as well as the objectives of this nutrition strategy. Quarterly review meetings will be called by the MOH to review the implementation of this strategy with the participation of related ministries/branches. Semi-annual reports from all provinces/major cities must be sent to the MOH, who will be responsible for reporting the progress to the Prime Minister. A multidisciplinary approach should be strengthened at all levels. Local and central steering committees need to closely communicate.
1. To improve the population's appropriate nutrition knowledge and practices.
2. To reduce maternal and child malnutrition prevalence
3. To reduce micro-nutrient deficiencies
4. To reduce proportion of household with low energy intake
5. To improve food quality and food safety
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)
AIM
To improve knowledge and practice on IYCF (for children aged 0-3 years) of mothers and caregivers in order to improve nutritional and health status for optimal growth and development of Vietnamese children by the year 2010.
II. SPECIFIC OBJECTIVES
1. Specific objective 1
To improve availability and accessibility of appropriate and correct information on IYCF for the population.
2. Specific objective 2
To improve awareness and to change behavior/practice on IYCF for mothers and other caregivers.
3. Specific objective 3
To create an enabling environment and policies, which support proper IYCF practice.
MAIN APPROACHES AND ACTIVITIES ON IYCF IN VIETNAM
I. Improvement of the availability and accessibility of appropriate and correct information on IYCF for the population
II. Improvement of awareness and behavior/practice on IYCF of mothers and other caregivers
- Communication activities will be conducted regularly through mass media: television, radio, newspapers, and journals...1. Specific objective 1
To improve availability and accessibility of appropriate and correct information on IYCF for the population.
Indicators:
Number of communal health stations with communication and counseling corners on IYCF.Number of local health workers being trained on IYCF knowledge and counseling skills.
Number of IEC materials on IYCF published and disseminated.
2. Specific objective 2
To improve awareness and to change behavior/practice on IYCF for mothers and other caregivers.
Indicators:
Number of mothers being trained on IYCF knowledge and skills.
Percentage of infants being breastfed within one hour after birth.
Percentage of children being exclusively breastfed in the first 6 months of life.
Percentage of children being given proper complementary feeding (initiation, quantity and quality of complementary food).
3. Specific objective 3
To create an enabling environment and policies, which support proper IYCF practice.
Indicators:
Number of establishments, workshops, factories achieving the criteria of ""Baby Friendly Initiative""
The establishment of a system of legal documents and supportive policies to reinforce proper IYCF, meeting the need of a legislative corridor for IYCF.
Number of hospitals achieving the criteria of BFHI.
Number of communes (or CHS) achieving the criteria of “Baby Friendly Initiative”.
Establishment of a supervising and monitoring network on IYCF from the central to the local level.
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.
2.2 Overview of National Nutritional Targets:
(a) Integrating the nutritional needs of PLWHA into the training curriculum for health and community workers in the national strategies for ART, home based care (HBC), infant and young child feeding (IYCF), paediatric HIV/AIDS and reproductive health
(b) Providing nutritional supplements to 60 percent of those who need them and are receiving ART in the public, mission andNGOsites
(c) Strengthening the draft of the national food security and nutrition strategy to address the impact of HIV/AIDS with specific focus on vulnerable groups, includingOVCand affected families
3.2 Goals and Strategic Objectives:
The overall goal of the strategy is to facilitate mainstreaming nutrition in HIV/AIDS policies and programmes and to assist alignment of structures and action designed to control and prevent malnutrition among PLWHA (people living with HIV/AIDS).
Strategic objectives:
1. Strengthen human resource capacity in nutrition care and support.
2. Strengthen key areas of policy and guideline development.
3. Develop and produce educational materials and job aids on nutrition and HIV/AIDS.
4. Strengthen communications and advocacy.
5. Strengthen coordination and collaboration.
6. Provide therapeutic and supplemental food and dietary commodities.
7. Develop and maintain quality assurance and standards for services and products.
8. Strengthen the system to ensure continuous monitoring and regular evaluation.
9. Promote research and dissemination.
3.2 Goals and Strategic ObjectivesStrategies:
1.1. Increase the number of nutritionists, front line health personnel and community service providers with the knowledge and skills to provide quality nutritional interventions to PLWHA, OVC and other vulnerable groups.
1.2. Recruit and deploy additional nutritionists to reduce existing deficits.
1.3. Carry out a needs assessment for human resources to provide nutrition and HIV/AIDS in the nongovernmental sectors.
2.1 Update current national policy guidelines: Review IYCF policy and Kenya's Infant and Young Child Feeding Guidelines in the Context of HIV (2004).
2.2 Identify gaps in policies and programmes related to nutrition and HIV/AIDS, as well as opportunities for mainstreaming nutrition interventions in the HIV/AIDS agenda and vice versa.
3.1. Develop improved training manuals suitable for ongoing programme interventions such as CCCs, infant feeding and maternal nutrition, paediatric care,HBCand inpatient care.
3.2. Develop national advocacy strategy and materials for PLWHAand OVC.
4.1. Improve awareness of the added value of integrating nutrition in the management of HIV/AIDS, targeting PLWHAand vulnerable groups such asOVCand TB patients.
4.2. Increase awareness of the importance of integrating the needs of PLWHA,OVCand other vulnerable groups, and affected families in food security and nutrition intervention programmes.
4.3. Support the widespread dissemination and application of the 2006 WHO consensus statement on HIV and infant feeding.
5.1. Improve coordination and networking among public and private stakeholders providing services and/or financing nutrition in HIV/AIDS interventions in line with ongoing coordination byNASCOP and NACC on food support used in HIV and other programmes implemented in the country
5.2. Foster close multi sectoral collaboration and coordination among key sectors including health, agricultural, livestock and fisheries, education, culture and social services, national planning and development, trade and finance
6.1. Increase the coverage of therapeutic and supplemental foods and dietary formulations for malnourished PLWHA, pregnant and lactating women in PMTCT programmes and OVC throughfacility and community delivery systems.
6.2. Increase the percentage of PLWHA, TB patients, OVC and vulnerable groups accessing supplemental quality foods and dietary supplements.
7.1. Standardise and harmonise specifications for appropriate therapeutic and supplementary foods for malnourished PLWHA in care and treatment programs, pregnant/lactating women in PMTCT programs and infants of HIV positive women from 6 months to 2 years old, as well as indicators and end points for 5 to 13 year olds.
7.2. Conduct the Baby Friendly Hospital Assessment and external review of sites offering replacement formula.
8.1. Ensure sustainable system of collecting and collating nutrition data/information needed to inform programs and HIV/AIDS campaigns
8.2. Establish systems for the regular use of M&E information within HIV facilities, by programme managers, for national advocacy purposes and for tracking progress toward universal access targets for care and treatment.
9.1. Identify knowledge gaps related to nutrition and HIV/AIDS policies and programming Support implementation and dissemination of strategic operations and applied research.Actions
(Activities)
1. Develop and produce educational materials and job aids on nutrition and HIV/AIDS.
1.1. Develop training manuals for CCCs, infant feeding and maternal nutrition, paediatric care, HBCand inpatient care.
1.2. Facilitate adaptation and translation of nationally recommended materials for local application to ensure uniformity.
1.3. Facilitate harmonisation of nutrition messages produced and communicated by government and private/NGO actors.
2. Review key policies and guidelines.
2.1. Current national policy guidelines on IYCF and Kenya's Infant and Young Child Feeding Guidelines in the Context of HIV (2004) will be updated with the WHO consensus statement on HIV and infant feeding (2006) and will be disseminated nationally by 2008.
2.2. Review the guidelines for nutrition and HIV/AIDS to update information.
3. Strengthen human resource capacity in nutrition care and support.
3.1. Develop and implement national TOT in nutrition and HIV/AIDS and IYCF and subsequently roll out to in service training of nutritionists and other health staff serving CCCs and district facilities and to pre service training in training institutions.
3.2. Carry out a needs assessment for human resources to provide nutrition and HIV/AIDS in the non governmental health sector.
3.3. Integrate nutrition and HIV/AIDS into the training curricula of agriculture, education, livestock and fisheries, culture and social services sectors.
3.4. Train trainers of extension workers in agriculture, livestock and fisheries, education, and culture and social services sectors.
4. Develop and maintain quality assurance and standards for services and products.
4.1. Develop and disseminate standards/specifications for food and nutrition supplements for PLWHA.
4.2. Develop and disseminate standards/specifications for nutrition assessment and counselling for PLWHA.
4.3. Review existing national guidelines and integrate standards of food/nutrition interventions for PLWHAand OVC. Guidelines include the National Guidelines for Nutrition and HIV/AIDS as wellas guidelines for HBC, ART, TB, PMTCT, IMCI and management of severe malnutrition in children.
4.4. Develop and implement quality monitoring of food and nutritional supplements being distributed to PLWHAfor conformity with standards/specifications.
4.5. Establish standards for best practices for nutritional interventions for PLWHAand OVC.
4.6. Support acquisition of basic equipment for assessing the nutrition status of PLWHA in unequipped facilities.
5. Strengthen communications and advocacy.
5.1. Increase awareness of materials and information on the nutrition and HIV/AIDS guidelines, counselling materials, curricula and training materials, and information and policy recommendations in the food security and nutrition policy sessional paper
5.2. Launch the nutrition guidelines, curriculum and IEC materials and disseminate them and the national advocacy strategy nationally.
5.3. Establish a clinical pathway of care and a continuum of national service delivery framework for HIV positive mothers and their infants.
5.4. Facilitate and lobby for representation in key stakeholder forums to promote national standards on nutrition and HIV/AIDS.
5.5. Develop messages to support a media campaign for nutrition and HIV/AIDS.
5.6. Mobilise political support for nutrition care and support activities to strengthen commitments to improve availability and access to good quality services and products.
5.7. Develop and upload a web page on nutrition and HIV/AIDS on theMoHwebsite.
6. Strengthen coordination and collaboration.
6.1. Support consultative meetings for stakeholders and partners supporting nutrition and HIV/AIDS programmes.
6.2. Coordinate systems for providing nutritional support to PLHWA and OVC at the national and district levels.
6.3. Incorporate nutrition into the District Health Stakeholders Forum in all districts and support
6.4. Facilitate integration of nutrition and HIV/AIDS services plans and budgets in the Medium Term Expenditure Framework (MTEF) process of government and development partners.
6.5. Coordinate consultations with the wider HIV/AIDS network to ensure realisation of GIPA (greater involvement of people with HIV/AIDS) objectives, especially in the fight against stigma.
6.6. Facilitate consultative and joint planning meetings at national, regional, district and constituency levels with extension workers in agricultural, livestock and fisheries, education, and culture and social services sectors to create gender sensitive demand for nutritional services.
6.7. Establish a resource mobilisation mechanism for government and development partners and identify and recruit other partners to participate in the programme.
7. Provide therapeutic and supplemental food and dietary commodities.
7.1. Ensure all service points are stocked with nutritional commodities, namely,MMN, supplementary foodsand therapeutic foods.
7.2. Improve eligible clients' access to dietary supplements.
7.3. Improve all clients' access to safe drinking and cooking water.
7.4. Scale up an improved dry ration for eligible clients.
8. Strengthen continuous monitoring and regular evaluation.
8.1. Institute monitoring and reporting of nutrition and HIV/AIDS service delivery in public and nongovernmental sectors and the community to ensure that standards of care are achieved for HIV positive mothers and ART beneficiaries and to monitor progress toward universal access targetsfor care and treatment.
8.2. Review facility data collection forms 711 and the COBPAR for community activities.
8.3. Train district and service providers on using the data collection system proposed by NASCOP and NACC.
8.4. Assess the level of nutrition risk among vulnerable communities at the district and constituency levels.
8.5. Conduct an operational analysis for innovations in nutritional care.
9. Promote research and dissemination.
9.1. Identify gaps in policies and programmes related to food and nutrition security and HIV/AIDS and further opportunities for integrating nutrition interventions and incorporating HIV/AIDS issues in national food and nutrition policies and programmes.
9.2. Establish national research and policy priorities on nutrition and HIV/AIDS.
9.3. Conduct operational research to strengthen infant feeding practices for HIV positive mothers.
9.4. Establish a national database for research in nutrition and HIV/AIDS.
9.5. Support implementation and dissemination of strategic operations and applied research.
Targeted Outputs:
1.Eighty percent of nutritionists in the districts are trained on nutritional care and support for HIV/AIDS, integrated IYCF counselling and/or clinical nutritional care for children with HIV/AIDS.
2. Fifty percent of front line clinical staff (nurses, clinical officers and doctors) in public facilities are trained on nutritional care and support for HIV/AIDS, integrated IYCF counselling and/or clinical nutritional care for children with HIV/AIDS
3. All ART centres andPMTCT services offer nutritional support (in terms of nutritional counselling, multiple micronutrients (MMN), education and nutritional assessment) to HIV positive clients
4. Eighty percent of public facilities have adequate stocks of recommended therapeutic and supplementary foods for eligible clients.
5. Eighty percent of HIV positive mothers receive counselling on infant feeding before and after giving birth.
6. Eighty percent ofPMTCT sites offer replacement feeding externally reviewed through the Baby Friendly Hospital Assessment.
7. Nutritional indicators are integrated in the national and district HIV/AIDSM&E framework.
8. Nutrition and HIV/AIDS resource packages for service providers and communities are regularly updated.
9. A functionalTWGon nutrition and HIV/AIDS is operational and meets at least quarterly.
6. Strategic areas:
An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Nutrition counselling on healthy diets|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-24 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202007%20S.%20No.%201698%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202007.pdf" "25388","PHL","Philippines","","Guidelines in the Use of Nutrition and Health Claims in Food","Legislation relevant to nutrition","","English","1","2007","","","Republic of the Philippines. Department of Gealth. Bureau of Food and Drugs","","2007","Adopted","1","2007","Bureau Circular 2007-002","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","II. Guidance / Directive
Based on the foregoing premises, the Bureau of Food and Drugs under the Department of Health, hereby adopts the Codex Alimentarius Commission Guidelines for Use of Nutrition and Health Claims (CAC/GL 23-1997, Rev. 1-2004) in the evaluation of the use of nutrition and health claims in food labeling and in the advertisement of food products. The above guidelines shall be used in addition to, and in so far as it is consistent with, existing national laws on labeling and advertisement of consumer products as well as the rules and regulations implementing such laws.
","Food labelling|Claim must be substantiated|Specific nutrition criteria","","http://www.fda.gov.ph/attachments/article/19776/BC%202007-002%20claims%20in%20food.pdf","http://www.fao.org/ag/humannutrition/32444-09f5545b8abe9a0c3baf01a4502ac36e4.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","" "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:
Programs:
IV. Objective
This guide is intended to help health, nutrition, and other professionals to work together and coordinate with each other in nutrition management in emergencies and disasters whether at the local and national level. By improving understanding among the various sectors who are collectively responsible for ensuring adequate nutrition among emergency and disaster-affected population, this guide will promote coordinated and effective action.
This will then ensure that appropriate and quality package of nutrition interventions are delivered to prevent deterioration of the nutritional status of the affected population particularly women, infants, children, older persons, persons with disabilities, and the minority groups in emergencies and disasters.
B. Planning
2. The plans for nutrition management in emergency and disaster situations should define or identify:
a. Nutrition package and services to be delivered, including estimated or forecasted requirements of the following:
1) Food rations for mass and supplementary feeding3. Key services that should be available in the emergency (early, intermediate, and extended) phase
a. Protection and reinforcement of breastfeeding in the general population and among females who are HIV positive
1) All efforts could be exerted to ensure that infants less than 6 months old are exclusively breastfed, infants 6 months and older receive complementary foods with continued breastfeeding up to the second year of life or beyond. Such efforts could include:
a) Linking with other sectors to provide ‘safe havens’ for pregnant and lactating women in the early phase of an emergency. These ‘safe havens’ should be easily accessible areas where privacy, security and shelter are provided with access to water and food for pregnant and lactating women. An alternative would be designating a special area in evacuation centers or camps for pregnant and lactating women.d. Vitamin A supplementation
e. Iron supplementation
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" "39775","VNM","Viet Nam","","National Plan of Action for Child Survival 2009 – 2015 ","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2015","Ministry of Health","","2009","","","","","Health","","","","","","","","","","","","","","","","","","I. GOAL
To maintain and expand the coverage of essential interventions for child survival in order to decrease disparities, improve child health, and reduce child mortalities in all population groups and regions of Viet Nam, towards the achievement of Millennium Development Goal 4 - :reducing child mortality” by the year 2015.
III. Essential CS interventions
The Regional Child Survival Strategy recommended an Essential package as below:
Skilled attendance during pregnancy, intrapartum and postpartum period
Care of newborns
Breastfeeding and complementary feeding
Micro-nutrient supplementation
Immunization of children and mothers
Integrated Management of Sick Children
Use of insecticide-treated bed nets (in malaria prevalent areas)
Objective 1. To obtain universal coverage of essential child survival interventions and improve their availability and accessibility for children particularly in disadvantaged socio-economic, remote and mountainous areas
Activities:
Maintaining and strengthening essential interventions for CS through national MCH care programs and relevant projects that are currently available.
Identifying disadvantaged localities for prioritized investments and resources and localities where MMR and NMR are high.
Enhancing the breastfeeding and reasonable complementary feeding promotion activities through implementation of 2006-2010 National Plan of Action on Child Feeding.
Improving capacity and strengthening operational activities of the Steering Committee for Child Feeding and Breastfeeding in order to enhance advocacy for resource mobilization in implementing child nutritional activities.
Reviewing implementation of 2006-2010 National Plan of Action on Child Feeding and developing 2011-2015 work plan.
Providing training and re-training on breastfeeding to Ob-Ped doctors, midwives, nurses.
Providing training to VHWs on counseling, advocacy for pregnant women to attend facility-based delivery, and implement essential interventions for CS.
Providing training to village midwives or VHWs in mountainous and ethnic
minority areas to have knowledge on pregnancy management, normal delivery, newborn care.
Designing appropriate models to deliver services to all mothers and children such as mobile service team for MCH, nutrition, vaccination at village/hamlet, breast-milk support group at the community, etc.
Targets by the year 2015:
Objective 1. To obtain universal coverage of essential child survival interventions and improve their availability and accessibility for children particularly in disadvantaged socio-economic, remote and mountainous areas
Targets by the year 2015:
Objective 4: To increase community participation and awareness on child survival and best key family practices for child survival and neonatal care at family and community levels
Targets by the year 2015:
3. 95% of children between 0-59 months of age who had diarrhoea to be treated with ORT and 80% of them to be treated by zinc.
1.6 Overall policy goal and objectives
1.6.2 The broad objectives of the FNSP are:
i. To achieve adequate nutrition for optimum health of all Kenyans;
ii. To increase the quantity and quality of food available, accessible andaffordable to all Kenyans at all times; and
iii. To protect vulnerable populations using innovative and cost-effectivesafety nets linked to long-term development.
4. Nutrition Improvement/Nutrition Security
4.2 The life-cycle approach to nutrition improvement
Objectives:
1. improving maternal and newborn nutrition
2. improving early childhood nutrition and survival
3. improving late childhood nutrition
4. improving adolescent nutrition
5. improving adult nutrition
6. improving nutrition of older persons
","4. Nutrition Improvement/Nutrition Security
4.2 Maternal and newborn nutrition
i. Promote actions to ensure pregnant and lactating women and their families have access to and are knowledgeable about their need for an adequate and nutritious diet;
ii. Support the establishment of a monitoring and support system to promote compliance with iron/folate supplementation and healthy weight programme before and during pregnancy and lactation;
iii. Support the development of a universal programme of iron/folate or multi micronutrient supplementation for adolescent girls and young women and promote dietary diversification and consumption of fortified food at the household level;
iv. Promote behavioural changes; strengthen linkages between nutrition care in health facilities and community centres, and monitor birth weights of babies born outside health facilities;
v. Promote early initiation and exclusive breastfeeding;
vi. Promote linkage of nutrition interventions and nutrition education of mothers with Safe Motherhood, Baby Friendly Hospital Initiatives, immunization, malaria control and Integrated Management of Childhood Illness (IMCI); and
vii. Promote workload reduction technologies and increase income-generating activities for women.
Early childhood nutrition
i. Promote and protect exclusive breastfeeding and create an enabling environment which will include enactment and enforcement of a law to regulate marketing of breast-milk substitutes (Code of Marketing of Breast-milk Substitutes) and ensuring supportive labour laws in relation to maternity leave;
ii. Support the development of systems to implement the right to proper nutrition and health care for all children as per the Constitution;
iii. Promote improvements to micronutrient status of children and support micronutrient supplementation;
iv. Ensure equitable access to high impact nutrition and health interventions and increased uptake of optimal feeding and hygiene practices.
v. Support expansion of growth monitoring and promotion to all communities.
Late childhood nutrition
i. Support coordination efforts to improve nutrition through schools, including full integration in the curriculum, routine health/nutrition assessments and school meal standards;
ii. Support adoption of food preparation and eating practices that better ensure children’s adequate nutrition; and
iii. Lay emphasis on improving sanitation and hygiene.
Adolescence nutrition
i. Support coordination efforts to improve nutrition through schools, including full integration within the education curriculum, routine health/nutrition assessments, school meal standards;
ii. Promote the establishment of lifestyle micronutrient supplementation programmes to prevent such deficiencies among young women;
iii. Promote the importance of adequate nutrition for young women especially before pregnancy; and
iv. Promote use of fortified foods in the diet.
Adult nutrition
i. Promote good eating habits and weight monitoring, and establish supportive community based health and nutrition counselling centres;
ii. Support the development and dissemination of national food and dietary guidelines and lifestyle education packages on a regular basis with revisions at least every five years; and
iii. Improve the system of social safety nets to ensure all affected family members have adequate protein, energy as well as necessary micronutrients in their daily diets.
Nutrition for older persons
i. Develop and actively disseminate dietary guidelines and standards for older persons;
ii. Develop and support nutrition care initiatives and support community based life-style and health services; and
iii. Improve the system of social safety nets to ensure the older persons have adequate protein, energy as well as necessary micronutrients in their daily diets.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20Food%20and%20Nutrition%20Security%20Policy%5B1%5D_0.pdf" "23177","KEN","Kenya","","National School Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Public Health and Sanitation/Ministry of Education","","2011","","","","","Health|Education and research|Women, children, families|Social welfare","Ministry of Public Health and Sanitation, Ministry of Gender, Children and Social Development","","","","","","","","","","","","","","","","","","
Nutrition in schools:
1. To sensitize the stakeholders at all levels on the importance of school nutrition services.
2.To ensure all schools have instituted sustainable home-grown meals programmes by 2014. Instituting sustainable home-grown meals programmes.Provide mid morning snacks to pre-primary and primary school children in ASALs and targeted slum schools. Sensitizes the stakeholders on the scaling up of the mid-morning snacks.
3. Enhance nutrition: Review and update the curricula to enhance nutrition information. Develop/harmonize/print training manuals on nutrition, education and counseling. Train TTC lecturers and in-service teachers on nutrition education & assessment. Sensitize school community, and parents on nutrition education. Initiate and strengthen health clubs (4K clubs) in schools. Intiate school gardens including container gardens in urban schools for demonstration.
4. Micronutrient supplementation. 1. To address micronutrient deficiencies. Conduct bi-annual micronutrient supplementation (Vitamin A).
5. Enhance sustainability of school nutrition services. To strengthen mechanisms for sustainability of school nutrition services. Initiate/strengthen school gardens/tree nurseries and income generating activities. Supporting community based growing of food, diversification, milling, fortifying and preservation initiatives. Involve communities in planning, mobilization of resources and management of home-grown meals programmes. Encourage schools to use locally available foods
Food safety: Provision of safe food in schools.
To ensure all food for use should be transported, stored, prepared and served in a hygienic manner. To sensitize school management committee on the importance of medical examination, hygienic food handling and use of protective gear in schools.
","
75 % of pre-primary schools providing mid morning snack by 2014
60 % schools have school gardens by 2014
70 % of children vitamin A supplemented by 2014
50 % of schools with functional kitchen gardens/trees nurseries and income generating activities by 2014
","","","Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20School%20Health%20Strategy%20Implementation%20Plan%202011-2015.pdf" "11517","PHL","Philippines","","The Philippine Infant and Young Child Feeding Strategic Plan of Action for 2011-2016","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2011","","2016","Family Health Office, National Center for Disease Prevention and Control; Department of Health","","2011","","","","","Food and agriculture|Health|Other","Family Health Office, National Center for Disease Prevention and Control; Department of Health Food and agriculture, Health: Food and Drug Administration, National Center for Disease Prevention and Control; Center for Health Development; Interagency Commi","","","","","","","","","","","","","","","","","GOAL:
Reduction of child mortality and morbidity through optimal feeding of infants and young children
MAIN OBJECTIVE:
To ensure and accelerate the promotion, protection and support of good IYCF practice
OUTCOMES:
By 2016:
1. 90 percent of newborns are initiated to breastfeeding within one hour after birth;
2. 70 percent of infants are exclusively breastfeed for the first 6 months of life; and
3. 95 percent of infants are given timely adequate and safe complementary food starting at 6 months of age.
TARGETS:
By 2016:
1. 50 percent of hospitals providing maternity and child health services are certified MBFHI;
2. 60 percent of municipalities/cities have at least one functional IYCF support group;
3. 50 percent of workplaces have lactation units and/or implementing nursing/lactation breaks;
4. 100 percent of reported alleged Milk Code violations are acted upon and sanctions are implemented as appropriate;
5. 100 percent of elementary, high school and tertiary schools are using the updated IYCF curricula including the inclusion of IYCF into the prescribed textbooks and teaching materials; and
6. 100 percent of IYCF related emergency/disaster response and evacuation are compliant to the IFE
Strategies:
1. Partnerships with NGOs and GOs in the coordination and implementation of the IYCF Program;
2. Integration of key IYCF action points in the Maternal Newborn Child Health and Nutrition (MNCHN) Plan of Action;
3. Harnessing of the executive arm of government to implement and enforce IYCF related legislations and regulations (EO 51, RA 7200 and RA 10028);
4. Intensified focused activities to create an environment supportive to IYCF practices;
5. Engaging the Private Sector and International Organizations to raise funds for the scaling up and support of the IYCF Program.
OVERALL GOALS:
Morbidity and mortality from lifestyle-related diseases are reduced and the quality of life of those who are suffering from such diseases is improved.
Strategic Objective
Strategies for 2011-2016
Target the nutritionally at-risk and vulnerable. Priority will be given to areas with high prevalence of under-nutrition and micronutrient deficiencies and to children 0-5 years old, pregnant, and lactating mothers using the CHTs.
Promote optimum infant and young child feeding practices in various settings to reduce the prevalence of underweight and stunted under-five children
Adopt and implement appropriate guidelines for the community-based management of acute malnutrition
Integrate and strengthen nutrition services in the maternal continuum of care (ante-natal, delivery, post-partum care)
Strategic Objective
Provision of quality services for children is increased
1. Fruits
2. Vegetables
l. To develop and promote an integrated and comprehensive program on the prevention and control of lifestyle related diseases in the country.
2. To engage all province-wide or city-wide health systems to adopt an integrated and comprehensive program on the prevention and control of lifestyle related diseases.
3. To achieve improvement in the following Key Performance Indicators from 2011 to 2016
","1. Environment interventions
2. Lifestyle interventions
3. Clinical interventions, palliation, and rehabilitation
4. Advocacy
5. Research, Surveillance, Monitoring, and Evaluation
6. Networking and Coalition-Building
7.Health Systems Strengthening
","Key Performance Indicators from 2011 to 2016 :
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" "11519","VNM","Viet Nam","","National Nutrition Strategy for 2011-2020, With a vision toward 2030","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2020","Medical Publishing House","","2012","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Social welfare","Medical Publishing House Education and research, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Social welfare: Ministry of Education and Training, Ministry of Finance; Ministry of Planning and Invest","","","","","","","","","National NGOs","National NGOs: Vietnam Women’s Union; Vietnam Fatherland Front; Vietnam Famer’s Association; Association for Elderly People","","","","","Other","Other: Vietnam Television","General objectives:
By the year 2020, the average diet of Vietnamese people will be improved in quantity, balanced in quality, hygienic and safe; Child malnutrition will be further reduced, especially the prevalence of stunting, contributing to improved nutrition status and stature of Vietnamese people; and obesity/overweight will be managed, contributing to the control of nutrition-related chronic diseases.
Specific objectives:
1. To continue to improve the diet of Vietnamese people, in terms of quantity and quality
2. To improve the nutrition status of mothers and children
3. To improve micro-nutrient status
4. To effectively control overweight and obesity and risk factors of nutrition related non-communicable chronic disease in adults
5. To improve knowledge and practices regarding proper nutrition in the general population
6. To reinforce capacity and effectiveness of the network of nutrition services in both community and health care facilities
","PROJECTS AND PROGRAMS TO IMPLEMENT THE NNS:
1. Project for Nutrition education, communication and capacity building
2. Project for maternal and child malnutrition control, focused on reduction of stunting, improvement of height, and proper health and nutrition for pregnant women
3. Project for micronutrient deficiency control
4. Program for School Nutrition
5. Project for overweight and obesity and nutrition-related, non-communicable, chronic disease control
6. Program for food and nutrition security and nutrition in emergencies
7. Nutrition surveillance
","• The proportion of households with low energy intake (below 1800 Kcal) will be reduced to 10 % by 2015 and 5 % by 2020.
• The proportion of households with a balanced diet (Protein:Lipid:Carbohydrate ratio – 14:18:68) will reach 50% by 2015 and 75% by 2020.
• The prevalence of chronic energy deficiency in reproductive-aged women will be reduced to 15% by 2010 and less than 12% by 2020.
• The rate of low birth weight (infants born less than 2,500g) will be reduced to under 10% prevalence by 2015 and less than 8% by 2020.
• The rate of stunting in children under 5 years old will be reduced to 26% by 2015, and to 23% by 2020.
• The prevalence of underweight among children under 5 years old will be reduced to 15% by 2015 and to 12.5% by 2020.
• By 2020, the average height of children under 5 will increase by 1.5 – 2cm in both boys and girls; and height in adolescents by sex will increase by 1-1.5 cm compared with the averages from 2010.
• The prevalence of overweight in children under 5 will be less than 5% in rural areas and less than 10% among urban populations by 2015, and will be maintained at the same rate by 2020.
• The prevalence of children under five with low serum vitamin A (<0.7 μmol/L) will be reduced to 10 % by 2010 and below 8 % by 2020.
• The prevalence of anaemia in pregnant women will be reduced to 28% by 2015 and to 23 % by 2020.
• The prevalence of anaemia among children will be reduced to 20% by 2015 and 15% by 2020.
• By 2015, standardised iodized salt (≥20 ppm) will be regularly available throughout the country, with coverage of more than 90% of households. Mean urinary iodine levels in mothers with children under 5 will be between 10-20 mcg/dl, and these concentrations will be maintained by 2020.
• The prevalence of overweight and obesity in adults will be controlled to a rate of less than 8% by 2010 and will increase to no more than 12% by 2020.
• The proportion of adults with elevated serum cholesterol (over 5.2 mmol/L) will be less than 28% in 2015 and will remain relatively controlled with less than 30% prevalence in 2020.
• The rate of exclusive breastfeeding (EBF) for the first 6 months will reach 27% by 2015 and 35% by 2020.
• The proportion of mothers with proper nutrition knowledge and practices when caring for a sick child will reach 75% by 2015 and 85% by 2020.
• The proportion of adolescent females receiving maternal and nutrition education will reach 60% by 2015 and 75% by 2020.
• By 2015, the proportion of nutrition coordinators receiving training in community nutrition (from 1 to 3 months) will reach 75% among provincial level employees and 50% of those at the district level. By 2020, this proportion will be 100% and 75%, respectively.
• By 2015, 100% of communal nutrition coordinators and nutrition collaborators will be trained and updated on nutrition care practices. Training of all nutrition staff will be maintained in 2020.
• The proportion of central and provincial hospitals with dieticians will reach 90% at central level, 70% at provincial level and 30% at district level by 2015. By 2020, this proportion will be 100%, 95%, and 50% respectively.
• The proportion of hospitals applying nutrition counseling and therapeutic treatment for conditions such as aging health, HIV/AIDS and TB, will reach 90% among central, 70% among provincial, and 20% among district hospitals by 2015. By 2020, the coverage will be 100%, 95% and 50%, respectively.
• The proportion of provinces qualified for performing nutrition surveilance will reach 50% by 2015 and 75% by 2020. Nutrition data will be monitored with particular focus in vulnerable provinces, in emergency situations, and in provinces with high prevalence of malnutrition.
Purpose:
This Plan has been developed to operationalize the strategies outlined in the Food Security and Nutrition policy 2012. It serves as a road map for coordinated implementation of nutrition interventions by the government and nutrition stakeholders across development sectors for maximum impact.
Objectives:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Activity:
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Activity:
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Activity:
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Activity:
Strategic objective 5: To improve access to quality curative nutrition services
Activity:
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Activity:
Strategic objective 7: To improve nutrition in schools, public and private institutions
Activity:
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Activity:
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Activity:
Strategic objective 10: To enhance evidence-based decision-making through research
Activity:
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Activity:
","
Output Indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases.
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Outcome indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Kenya_KNN_Action-Plan_2012_2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202012%20National%20Nutrition%20Action%20Plan%202012%20-%202017.pdf" "15022","KEN","Kenya","","The Breast Milk Substitutes (Regulation and Control) Act No.34 of 2012","Legislation relevant to nutrition","","English","10","2012","","","Minister for Public Health and Sanitation","10","2012","Adopted","8","2012","Parliament of Kenya","Health|Other","Nutrition and Dietetic Services, Public Health, Kenya Bureau of Standards","","","","","","","","","National NGOs","","Research/academia","Medical Research Institute","Private sector","Private institution","Other","Institution representing nutritionists, National Hospital, Registrar of the Nursing Council of Kenya","","","","","
This Act requires the Cabinet Secretary to establish a National Committee on Infant and Young Child Feeding and provides rules for the advertisement, promotion and labelling of designated or complementary food products, i.e. infant and young children's food as defined by this Act. The Committee shall, among other things: (a) advise the Cabinet Secretary on the policy to be adopted in relation to infant and young child nutrition; (b) participate in the formulation of, and recommend the Regulations to be made under this Act. The Act also provides for inspection and enforcement and defines offences.
(Summary retrieved from FAOLEX)
3. Regulation 249 of the principal Regulations is amended by renumbering the existing provision as paragraph
(1) and inserting the following new paragraph—
(2) Packaged wheat flour shall be fortified and conform to the food requirements specified herebelow:
...
4. Regulation 253 of the principal Regulations is amended—
...
(b) by inserting the following new paragraph immediately after paragraph (2)—
(3) Packaged dry milled maize products shall be fortified and conform to the requirements specified herebelow—
...
5. Regulation 258 of the principal Regulations is amended—
(a) by re numbering the existing provision as paragraph (1) and
(b) by inserting the following new paragraph—
(2) vegetable fats and oils shall be fortified with Vitamin A in accordance with the Kenya Standard for Edible Fats and oils KS326-2:2009.
","Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|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 wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance","","http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN62_2012.pdf","http://kenyalaw.org:8181/exist/kenyalex/actview.xql?actid=CAP.%20254","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202012%20Food%20Drugs%20Chemical%20Substances%20Food%20Labelling%20Additives%20and%20Standards%20Amendment%20Regulations_1.pdf" "23484","PHL","Philippines","","Supporting inclusive, sustainable and resilient development. The United Nations Development Assistance Framework for the Philippines","Non-national nutrition policy document","","English","","2012","","2018","United Nations System in the Philippines","","2011","","","","","","","","","","","","","","","","","","","","","","","","","Outcome Area 1: Universal access to quality social services, with focus on the MDGs
SO1.1 Food and nutrition security
Indicators:
% of underweight children under 5. Baseline: 20.6%. Target: 10.6%
Anaemia rate among 6-23 month old children. Target < 40%
% of pregnant women nutritionally at risk. Baseline: 26.3%. Target <20%
SO1.3 Reproductive, maternal and neonatal health
Indicators:
% of newborns with low birth weight (<2kg). Baseline 20. Target: To be determined.
","","","Low birth weight|Underweight in children 0-5 years|Underweight in women|Iron|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Conditional cash transfer programmes","","http://undg.org/home/country-teams/asia-the-pacific/philippines/","","","" "25387","PHL","Philippines","","Guidelines on Voluntary Declaration of the FOP (Energy or Caloric Content) on the Labels of Processed Food Products","Voluntary codes or measures relevant to nutrition","","English","","2012","","","Food and Drug Administration","","2012","","","","","Health|Food and agriculture","Department of Health, Food and Drug Administration","","","","","","","","","","","","","","","","","","","","","2. Presentation of Information inside the Cylindrical Format. The following are the only information that shall appear inside each of the cylindrical shape:
a. The statement """"Energy or Calories"""" in the cylindrical shape.
b. The amount of energy inside the cylindrical shape stated as follows:
i. Amount per serving of the food
ii. Percentage of the calorie value based on RENI for energy
","Food labelling|Front of pack labelling|Front-of-pack labelling|Voluntary (FOP)|Energy value (FOP)|Proportion of daily intake|Declaration of %GDA or %RI","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202012%20Guidelines%20on%20Voluntary%20Declaration%20of%20the%20FOP.pdf" "38206","VNM","Viet Nam","","National Plan of Action for Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2015","Ministry of Health","","2012","Adopted","","","","","Ministry of Health Ministry of Health","","","","","","","","","National NGOs","","","","","","","","","","","","","Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "39782","VNM","Viet Nam","","National Plan of Action for Infant and Young Child Feeding 2012-2015","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2012","","2015","Ministry of Health","","2012","","","","","Health","","","","","","","","","","","","","","","","","","I. General objective
To improve knowledge and practice on IYCF and maternal nutrition to contribute to a reduction of stunting malnutrition and improved development of children aged 0 to 2 years.
II. Specific objectives
1. Objective 1— Strengthen advocacy, development and implementation of policies supporting infant and young child feeding
2. Objective 2— Improve infant and young child feeding knowledge and practices among child caregivers
3. Objective 3— Improve maternal and children nutritional status
4. Objective 4—Improve Capacity and effectiveness of health service provision system on IYCF
5. Objective 5—Improve monitoring and evaluation system for IYCF interventions
","III. Objective 3 - Improve maternal and children nutritional status
(The outputs of Objective 3 will be implemented in Plan of Action for Nutrition to 2015).
Output 3.1 Promotion of iron/folic acid, micronutrient supplement, de-worming, treatment for malaria for pregnant women and women at high risks areas
Activities:
· Provide iron/folic acid tablets, micronutrient tablets.
· Provide de-worming tablets and medicines for malaria treatment in areas with high rate of worm and malaria under guidance of the MOH.
· Expand the social marketing approaches to enhance the local production and supply in urban and relevant regions.
Output 3.2 Capacity of health workers at all levels in prevent micronutrient deficiency is strengthened
Activities:
· Provide trainings for health workers at all levels on preventing malnutrition including preventing micronutrient.
· Develop training and communication materials.
· Conduct integrated supportive supervision.
Output 4.2: The Baby-Friendly Hospital Initiative is maintained and strengthened
Activities:
· Develop and implement National guideline on implementation and maintenance of BFHI (10 steps for successful BF).
· Add the standards of BFHI into the standard of annual M&E for hospitals.
· Add the 10 steps for successful BF into the criteria for evaluating quality of hospitals.
· Standardize training materials, provide guidance for evaluation and re-evaluation.
· Organize trainings for health workers of Ob/Ped hospitals on BFHI standards.
· Develop pilot model for Commune Health Center that implement 10 steps for successful BF.
· Organize evaluation, re-evaluation and monitoring the maintenance of BFHI standards.
Output 4.4: Infant and Young Child Feeding in emergency and special conditions are strengthened and duplicated
Activities:
· Evaluate the pilot model of acute malnutrition management for scaling up.
· Develop and implement plan to satisfy nutrition needs in case of emergency for areas frequently faces natural disasters, floods; provide guidelines for acute malnutrition management; prevent micronutrient deficiencies.
· Develop training materials.
· Organize trainings for health workers at all levels.
· Produce and distribute food products to treat acute malnutrition.
Output 4.5: Infant and young child feeding capacity of health workers at all levels is enhanced
Activities:
· Develop training materials and organize national standard for re-trainings on IYCF
· Develop trainers network at central and provincial levels.
· Provide trainings at all levels.
· Provide monitoring after training.
","2. Objective 2— Improve infant and young child feeding knowledge and practices among child caregivers
Monitoring/evaluating indicators by 2015:
· 80% of mothers practice early breastfeeding and 27% of mothers practice exclusive breastfeeding in the first 6 months.
· 60% of mothers continue to breastfeed until 24 months of age or longer
· 80% of mothers practice appropriate complementary feeding for their children from 6 – 24 months.
Objective 3— Improve maternal and children nutritional status:
Monitoring/evaluating indicators by 2015:
· Reduce the rate of chronic energy deficiency in women in reproductive age to 15%
· Reduce the rate of anemia among pregnant women to 28%
· Reduce the rate of birth underweight (<2500g) to under 10%
· Reduce the rate of stunting malnutrition of children under 5 years of age to 26%
· Reduce the rate of underweight malnutrition of children under 5 years of age to 15%
4. Objective 4—Improve Capacity and effectiveness of health service provision system on IYCF
Monitoring/evaluating indicators by 2015:
· Activities of IYCF manage board at all levels are strengthened.
· 75% of provincial health staff and 50% of district health staff have been trained on IYCF counseling.
· 60% nutrition focal persons and nutrition collaborators at commune level have been trained, provided with up-to-date knowledge on IYCF.
· The number of general hospitals at national/provincial/district level and obstetric/pediatric hospitals achieving and maintaining the BFHI standards has doubled in comparison to that of 2012.
· 30% of commune health centers are able to provide counseling services on IYCF.
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Complementary feeding|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Iron and folic acid|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Deworming|Nutrition and malaria","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202012%20National%20plan%20of%20action%20for%20IYCF_0.pdf" "38207","VNM","Viet Nam","","National Plan of Action on Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2015","Ministry of Health","","2012","","","","","","Ministry of Health Ministry of Health","","","","","","","","","National NGOs","","","","","","","","","","","","","Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition in schools|Provision of school meals / School feeding programme|School milk scheme|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "39759","VNM","Viet Nam","","National Plan of Action on Nutrition for 2012 – 2015 For Implementation of the National Nutrition Strategy for 2011 – 2020","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2015","Ministry of Health","","2012","","","","","Health","","","","","","","","","","","","","","","","","","
Specific objectives
Objective 1: To continue to improve the diet of the population, in terms of both quantity and quality
Objective 2: To improve the nutrition status of mothers and children
Objective 3: To improve micronutrient status
Objective 4: To effectively control overweight and obesity and risk factors of nutrition related non – communicable chronic diseases in adults
Objective 5: To improve knowledge and practices of proper nutrition
Objective 6: To reinforce capacity and effectiveness of the network of nutrition services in both community and health care facilities
","for full list of activities see pages 17-78
Output 1.2: Advices of proper nutrition for the coming period are re-compiled
Expected outcome 2: Knowledge of proper nutrition (diets of sufficient quantity and balanced quality) of the population is improved.
Output 2.1: Communication and education materials based on contents of newly updated “advices of proper nutrition” are developed and distributed
Output 2.3: Communication activities on the mass media in nutrition communication campaigns (Micronutrient Day, Nutrition and Development Week) are implemented.
Activity 2.3.1: Organize communication campaigns of proper and balanced nutrition at national level.
Output 5.2: “School meal” and complementary micronutrient for school pupils are developed
Activity 5.2.2: Organize training courses in development of proper menu, supervision and management of ""school meals"" in order to ensure sufficient nutrition demand response and food safety for nutrition staff of schools in big cities.
Activity 5.2.3: Set up proper menus and cook daily meals for school pupils in Ha Noi
Activity 5.2.6: Implement pilot models of school milk for pre-school children and primary school pupils.
Output 6.3: Nutrition interventions in addition to proper physical exercise to prevent and control overweight and obesity are developed.
Activity 7.4.1: Develop multi-sectoral supervision plans for Micronutrient Day, Nutrition and Development Week, and Breastfeeding Week.
Output 8.3: Monitoring, investigation and evaluation of nutrition status are implemented.
Activity 8.3.1: Organize weighing, measuring and evaluating nutrition status of children, monitoring the growth chart of children.
Output 1.2. Awareness and resources for prevention of anemia and micronutrient deficiency (iodine, iron, zinc, vitamin A, folic acid, vitamin D, selen, etc.) are raised and mobilized.
Output 2.1.: Supplementary iron/folic acid pills for pregnant women in prioritized areas, reproductive age women in industrial zones, adolescent females in schools are provided. Supplementary polymicronutrient powder (sprinkle) is given to 6-24 months old children.
Activity 2.3.1: Conduct periodical deworming for children between 2-5 years of age and reproductive age women in compliance with MOH guidelines on examination and treatment.
Expected outcome 3: Activities for prevention of Vitamin A deficiency are effectively implemented.
Expected outcome 4: Activities for prevention of zinc deficiency are effectively implemented
Output 4.1.: Supplementary zinc for children with diarrhea in compliance with MOH approved regimen is provided.
Expected outcome 8: Fortification of micronutrient into foods is enhanced.
Expected outcome 10: Prevention of iodine deficiency.
Output 2.2: Models for reducing salt consumption to prevent hypertension in the community are developed and implemented
Expected outcome 9: Issuance of regulations on nutrition labeling for food products is conducted.
Output 9.1: Standards for nutrition labeling are issued
Expected outcome 1: Knowledge and practices for exclusive breast feeding (EBF) of children during the first 6 months in life are improved
Expected outcome 3: Knowledge on proper nutrition, rational supplementary feeding for children is improved
Output 3.1: Knowledge and practices of child feeding are improved.
Activity 3.1.2: Conduct direct nutrition counseling to pregnant women and youth females through the system of nutrition counseling clinics.
","Indicators:
- The proportion of households with low energy intake (below 1800Kcal) will be reduced to 10% by 2015.
- The proportion of households with a balanced diet (Protein: Lipid: Carbohydrate ratio- 14:18:68) will reach 50% by 2015.
- The prevalence of chronic energy deficiency of reproductive age women will be reduced to 15% by 2015.
- The rate of low birth weight (infant born less than 2,500 g) will be reduced to less than 10% by 2015.
- The rate of stunting in children under 5 years old will be reduced to 26% by 2015.
- The prevalence of underweight among children under 5 years old will be reduced to 15% by 2015.
- By 2015, the average height of children under 5 years old will increase by between 0.7cm and 1cm in both boys and girls; and height in adolescents by sex will increase by 0.4cm – 0.5cm compared with the averages from 2010.
- The prevalence of obesity in children under 5 years old will be less than 5% in rural areas and less than 10% in big cities by 2015.
- The prevalence of children under 5 years old with low serum vitamin A (<0.7 µ mol/L) will be reduced to less than 10% by 2015.
- The prevalence of pregnant women suffering from anemia will be reduced to 28% by 2015.
- The prevalence of children under 5 suffering from anemia will be reduced to 20% by 2015.
- By 2015, the proportion of households eating qualified iodized salt (≥ 20 ppm) will reach more than 90%; Mean urinary iodine levels in mothers with children under 5 years old will be between 10 - 20 µg/dl.
- The prevalence of obesity in adults will be controlled to a rate of less than 8% by 2015.
- The proportion of adults with elevated serum cholesterol (over 5.2 mmol/L) will be less than 28% by 2015.
- The rate of exclusive breastfeeding (EBF) for the first 6 months will reach 27% by 2015.
- The proportion of mothers with proper nutrition knowledge and practices when caring for a sick child will reach 75% by 2015.
- The proportion of adolescent females receiving maternal and nutrition education will reach 65% by 2015.
- By 2015, 75% of nutrition staff at provincial level and 50% of those at district level will be trained in community nutrition from 1 to 3 months.
- By 2015, 100% of commune nutrition staff and nutrition collaborators will be trained and updated knowledge on nutrition care practices.
- By 2015, the proportion of hospitals with dieticians will reach 90% at central level, 70% at provincial level and 30% at district level.
- The proportion of hospitals providing nutrition counseling services and applying diets for proper nutrition for targeted diseases and group members including aging people, HIV/AIDS and TB will reach 90% at central level, 70% at provincial level, and 20% at district level by 2015.
- By 2015, the proportion of provinces with qualified nutrition surveillance units will reach 50%. A set of nutrition indicators on implementation of objectives will be appropriately and adequately developed. Monitoring and supervision of nutrition in emergencies will be conducted in disaster – stricken provinces.
","Outcome indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood cholesterol|Sodium/salt intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Provision of school meals / School feeding programme|School milk scheme|Food labelling|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Food grade salt|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Home, school or community gardens|Diarrhoea or ORS","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM_2012_NPAN.pdf" "23453","VNM","Viet Nam","","United Nations Development Assistance Framework for Viet Nam- ""One Plan""","Non-national nutrition policy document","","English","","2012","","2016","UN Country Team","","2011","Adopted","6","2008","14 Participating UN System Agencies","","","","","","","","","","","","","","","","","","","
Article 1. Scope of regulation
1. This Law specifies the advertising activities; the rights and obligations of organizations and individuals participating in advertising activities; the State management of advertising.
2. The political propagation and dissemination are not regulated by this Law.
Article 7. Products, goods and services banned from advertising
4. Dairy being breast milk substitute for children under 24 months old, dietary supplements for children under 06 months old; artificial feeding bottles and pacifiers
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling","","","Scope of the Code: 0-24 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202012%20Law%20on%20Advertising_0.pdf" "23743","PHL","Philippines","","Degenerative Disease Office Strategic Plan for 2013 - 2017","Health sector policy, strategy or plan with nutrition components","","English","","2013","","2017","Department of Health","","2013","","","","","","","","","","","","","","","","","","","","","","","Reduced morbidity, mortality, and disability due to NCDs
","","Outcome 2.2–WASH Environmental preservation / food availability – nutrition / health: By 2018 morbidity and mortality in Kenya are sustainablyreduced, with improved maternal, neonatal and childsurvival, reduced malnutrition & incidence of major endemicdiseases (malaria, tuberculosis) and stabilized populationgrowth underpinned by a universally accessible, quality and responsive health system
Output 2.2.2 – WASH-Env preservation/food availability/nutrition: MoH, MEW&NR,MOE, pilot counties and partners haveadequate technical and financial capacity todesign, implement, monitor and evaluatemodels of (i) community-based safe WASH& Environmental preservation systems;(ii) hygiene sanitation behavior changeat household, health facility and schoolsettings; and (iii) county Government-ownedand community driven food availability &nutrition interventions; all of the abovedesigned to inform policies, strategies,standard setting and guide county leveldevelopment planning
Output 2.2.3 – RMNCAH: By 2018 MoH & selected county Governments & partners have adequate institutional & technical capacities, including through south-south cooperation & use of emerging technologies & tools to design, implement & evaluate county-based models of innovative, quality, equitable & integrated maternal, new-born, child & adolescent health services (including sexual & reproductive health)
Output 2.2.4 – Communicable and noncommunicable conditions: By 2018,MoH, selected county health managementteams & their partners have improvedleadership and technical capacity to develop& implement strategies to prevent, control,eliminate or eradicate communicable & NCD’sfocusing on malaria TB, selected neglectedtropical diseases, vaccine-preventablediseases, injuries & mental health
","For Health, WASH and Environmental Preservation, Food Availability and Nutrition, the UN will support innovative programming, influence national policies and strategies and leverage donor resources to ensure that by 2018, morbidity and mortality in Kenya are substantially reduced, with improved maternal, neonatal and child survival, reduced malnutrition and incidence of communicable and noncommunicable diseases and stabilized population growth, underpinned by a universally accessible, quality and responsive health system. Emphasis will be placed on supporting the country to address its rising burden of Noncommunicable Diseases (NCD) and conditions in line with the Political Declaration of high level meeting of UN General Assembly 2011 and Kenya’s own priority. The UN focus will primarily be on mitigating the NCD’s key risk factors.
In the area of WASH and Environmental Preservation the UN will foster strategic and multi-sectoral partnerships to support the design of countybased intervention models that ensure community ownership of strategies and promote the use of appropriate technologies for improved access to and utilization of sustainable water and sanitation services, safe hygiene practices and solid and liquid waste management. All interventions will be underpinned by effective and integrated management of water resources (surface and ground) and the introduction of green technologies, such as ECOSAN, to provide affordable sustainable energy and bio-fertilizers at the community level. For Food Availability and Nutrition, the focus will be on promoting strategic and cross cutting partnerships to support county-based interventions that ensure improved nutrition practices and the production and availability of quality food at the household level.
","Under five mortality rate.
Proportion of the central Government and (b) county health sector budget allocated to Nutrition and WASH.
№ of select counties that have sustainablecommunity based water supply and sanitation system.
% of populationconsuming an adequate diet.
% of households with improved (not shared) toilet/latrine facilities.
% of new outpatient patients with high blood pressure.
% of under 5’s treated for diarrhoea.
% Of ART clients reached with nutrition supplements.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Raised blood pressure|HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.ke.undp.org/content/kenya/en/home/library/government-reports/united-nations-development-assistance-framework-2014-2018.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202014%20UNDAF.pdf" "40751","PHL","Philippines","","DOH Strategic Framework on Comprehensive Nutrition Implementation Plan","Comprehensive national nutrition policy, strategy or plan","","English","","2014","","2020","Department of Health","9","2014","","","","","Health|Education and research|Social welfare","Department of Health Department of Education, Department of Social Welfare and Development , Department of Interior and Local Government","","UNICEF, WHO","","","","","","","National NGOs","","","","","","","","Goal:
To reduce mortality and morbidity due to nutrition-related diseases.
These shall be aligned with the global targets and the PPAN. The Global Targets are set to be achieved by 2025 while PPAN targets are set to be achieved by 2016.
Strategic Objectives to be achieved by 2025:
2.1. Achieve a 50% reduction in anemia in women of reproductive age
2.2. Achieve a 30% reduction of the number of infants born low birth weight
2.3. Increase to at least 50% the rate of exclusive breastfeeding in the first 6 months of life
2.4. Reduce and maintain childhood wasting to less than 5%
2.5. Reduce by 40% the number of children under age 5 who are stunted
2.6. Ensure that there is no increase in the number of children and adults who are overweight/obese
2.7. Reduce the exposure of population to risks related NCDs (Hypertension, Diabetes, Dyslipidemia)
2.8. Reduce micronutrient deficiencies below public health significance
","Strategic Component 2: Regulation
Strategic action points
Strategic Component 3. Service delivery
1. Provision of a package of comprehensive and integrated health and nutrition services composed of clinical/curative and public health interventions, targeting particularly the vulnerable groups, such as WRA and children below 2 years old and the poor and marginalized communities.
6. Supporting the conditional cash transfers with nutrition education which was proven to have resulted in improved health and nutrition outcomes
8. Extend the coverage of nutrition interventions through coordinated efforts in various settings such workplaces, schools, hospitals and health institutions, and other public places as well as in situations such as disasters and emergencies
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|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|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Rice|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food safety|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/PHL%202014%20Strategic%20Framework%20for%20Comprehensive%20Nutrition%20Implementation%20Plan.pdf" "26275","PHL","Philippines","","Revised Rules And Regulations Governing The Labeling of Prepackaged Food Products","Legislation relevant to nutrition","","English","","2014","","","Department of Health","","2014","","","","","Health","","","","","","","","","","","","","","","","","","","","","","VI. SPECIFIC RULES AND REGULATIONS
A. Mandatory Label Information
The labels of all prepackaged food shall bear the following minimum mandatory information:
...
3. Complete List of Ingredients
...
11. Nutrition Facts/Nutrition Information/Nutritive Value
a. The nutrition facts shall be presented in tabulated form as shown in Figure 1 through the declaration of protein, carbohydrates (including dietary fiber and sugar), fat (including saturated fat, trans fat and cholesterol), sodium, energy value or calories. Added Vitamin A, iron and iodine for the products covered by the Food Fortification Program or vitamins and minerals and/or other nutrients like fatty acids and linolenic acids for other products claimed to contain such, shall also be included in the tabulation.
b. All nutrient quantities shall be declared in relation to the average or usual serving in terms of slices, pieces or a specified weight or volume.
c. The declaration of nutrients can also be expressed either in unit per serving or % RENI or both.
...
f. The rules on any use of nutrition claims or health claims in food shall be covered by these rules, and/or the CODEX Guidelines for use of Nutrition and Health Claims under CAC/GL 23-1997, including the latest amendment as applicable, except when any portion of the amendments are contrary to existing national laws and their rules and regulations, in consideration of
national policies and interest, in which case these rules shall apply as supplementary.
...
VII. MISLEADING DECLARATION/REPRESENTATION/PROHIBITED CLAIMS
In addition to the provisions stipulated in Codex Guidelines on the Use of Nutrition and Health Claims and Codex General Guidelines on Claims, any of the following representations or suggestions whether directly or indirectly stated shall constitute misleading, deceptive, and untruthful declaration: ...
Pillar One: Child Survival
Overall Objective
Improved child survival rates
Specific objectives
3. To reduce the proportion of women aged 15-49 with acute under nutrition.
4. Increase access to reproductive health services and information to adolescents (10-17).
5. To improve immunization coverage.
6. To improve access to micronutrient supplementation.
Outcome
1. Affordable, accessible, quality health care services to mothers and all children.
2. Accessible water and sanitation facilities.
3. Accessible reproductive health services and information for adolescents.
Pillar Two: Child Development
Overall Objective
1. To ensure that all children, especially those in difficult circumstances and those from marginalized/ vulnerable groups have access to free and compulsory basic education and achieve a Net Enrollment Rate (NER) of 100 percent by 2022
Pillar Three: Child Protection
Overall Objective
Responsive and quality child protection services in place in Kenya
Pillar Four: Child Participation
1. To promote the right to participate by all children in Kenya in all matters affecting them and society
Pillar One: Child Survival
Broad activities
4. Improve nutrition of women of child bearing age (15-49)
16. Improve availability of water sanitation and hygiene
Pillar Two: Child Development
Broad activities
1. Increase enrollment in Early Childhood Development Education
2. Increase enrollment in primary education
Pillar One: Child Survival
4. Proportion of women 15-49 years whose nutrition status has improved (stable/okay)
5. Reduced levels of HIV infections among girls and women of child bearing age in high burden areas.
6.The proportion of children fully immunized
7. The proportion of children receiving micronutrient supplements between the ages 6 to 59 months.
8. Reduced proportion of under 5 that are stunted, wasted and underweight.
9. Increased number of children receiving Vitamin A supplementation.
10. Proportion of under 5 children sleeping under LLITNs.
11. Proportion of health facilities, schools and households with improved care, water sanitation, facilities,hygiene and environment management.
12. Proportion of children accessing quality health services.
13. Proportion of children reporting diarrheal cases
14. Proportion of children accessing ORS on time.
To reduce the preventable burden, avoidable morbidity, mortality, risk factors and costs due to Non-communicable diseases and promote the well-being of the Kenyan population by providing evidence based NCD prevention and control interventions in order to ensure optimal health throughout the life course for sustainable socioeconomic development
","- Physical inactivity : 10% reduction
- salt/sodium intake: 30% reduction
- raised blood pressure: 25% reduction
- Diabetes/obesity: 0% increase
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Food 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|Nutrition counselling on healthy diets","","http://www.ianphi.org/documents/kenyastrategyforNCDs.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN-2015-NCDs.pdf" "25862","KEN","Kenya","","The Food, Drugs and Chemical Substances (Food Labelling, Additives and Standards) (Amendment) (No. 2) Regulations, 2015.","Legislation relevant to nutrition","","English","","2015","","","Ministry of Public Health and Sanitation","7","2015","Adopted","7","2015","Cabinet Secretary for Health","Health","","","","","","","","","","","","","","","","","","","","","","
2. (1) The Food, Drugs and Chemical Substances (Food Sub-leg. Labelling, Additives and Standards) Regulations (in these Regulations referred to as """"the principal Regulations"""") are amended in regulation 249 by deleting paragraph (2) and substituting therefor the following new paragraph —
(2) Packaged wheat flour shall be fortified and conform to the flour fortification requirements specified in the Kenya Standard for fortified wheat flour KS EAS 767.
3. (1) The principal Regulations are amended in regulation 253 by deleting paragraph (2) and substituting therefor the following new paragraph-
(3) Packaged dry milled maize products shall be fortified and conform to the flour fortification requirements specified in the Kenya Standard for fortified milled maize products KS EAS 768.
4. The principal Regulations are amended in regulation 258 by deleting paragraph (2) and substituting therefor the following new paragraph-
(2) Vegetable fats and oils shall be fortified with vitamin A in accordance with Kenya Standard for fortified fats and oils KS EAS 769.
","Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|Wheat flours|Maize flours|Edible oils and margarine|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 wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance","","http://kenyalaw.org:8181/exist/rest//db/kenyalex/Kenya/Legislation/English/Amendment%20Acts/LN157_2015.pdf","http://kenyalaw.org:8181/exist/kenyalex/actview.xql?actid=CAP.%20254","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202015%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20and%20Standards%29%20%28Amendment%29%20%28No.%202%29%20Regulations%2C%202015.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202015%20The%20Food%2C%20Drugs%20and%20Chemical%20Substances%20%28Food%20Labelling%2C%20Additives%20and%20Standards%29%20%28Amendment%29%20%28No.%202%29%20Regulations%2C%202015.pdf" "38180","KEN","Kenya","","The Excise Duty Act","Legislation relevant to nutrition","","English","11","2015","","","Kenya Gazette Supplement No. 181 (Acts No. 23)","12","2015","Adopted","11","2015","Parliament of Kenya","Cabinet/Presidency","","","","","","","","","","","","","","","","","","","","","","PURSUANT to section 9 (1) of the Standards Act, the National Standards Council declares the specifications or codes of practice appearing in the Schedule hereto to be Kenya Standards with effect from the date of publication of this notice.
…
KS EAS 38:2014 Kenya Standard — Labeling of pre-packaged foods — General requirements, Third Edition.
KS EAS 804:2014 Kenya Standard — Claims — General requirements, First Edition.
KS EAS 803:2014 Kenya Standard — Nutrition labelling — Requirements, First Edition.
KS EAS 805:2014 Kenya Standard — Use of nutrition and health claims — Requirements, First Edition.
","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://kenyalaw.org/kenya_gazette/gazette/volume/MTE4NA--/Vol.CXVII-No.71/","KS EAS 38:2014Labeling of prepackaged foods - General requirementshttps://webstore.kebs.org/index.php?route=product/product&product_id=6274KS EAS 803:2014Nutrition labelling RequirementsKS EAS 804:2014Claims General requirementshttps://webstore.kebs.org/index.php?route=product/product&product_id=10944KS EAS 805:2014Use of nutrition and health claims Requirements","","" "40372","VNM","Viet Nam",""," Quyết định 376/QĐ-TTg của Thủ tướng Chính phủ banh hành Chiến lược quốc gia phòng chống bệnh không lây nhiễm giai đoạn 2015-2025 [Decision No. 376/QĐ-TTg of Prime Minister to approve the National Strategy for prevention and control of NCD]","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2025","Ministry of Health","3","2015","Adopted","3","2015","","Health","","","","","","","","","","","","","","","","","","2. Objectives and targets to 2025
a) Objective 1: To raise awareness of government at all levels and citizens on prevention and control of cancer, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma
Targets:
- 100% People's Committees of provinces and cities have plans and allocate budget to implement strategy at the locals;
- 70% of adults have knowledge about cancers, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma, about the impact of NCDs to the community’s health, to national society and economy, as well as principle of NCD prevention and control. ;
b) Objective 2: To minimize behavioral risk factors of cancers, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma.
Targets:
- A 30% relative reduction in the prevalence of smoking among people aged 15 and older compared with 2015; reducing the prevalence of smoking among aldolescent to less than 3.6%.
- A 10% relative reduction in the prevalence of harmful use of alcohol among adult men compared with 2015; reducing the prevalence of drinking among aldolescent to less than 20%
- A 30% relative reduction in the mean salt consumption/adult/day compared with 2015;
- A 10% relative reduction in the prevalence of physical inactivity among adults, compared with 2015
c) Objective 3: To halt the increase of pre-diseases, morbidity and premature death due to cancer, cardiovascular diseases, diabetes, chronic obstructive pulmonary diseases and asthma.
Targets:
- To constrain the prevalence of overweight/obesity (BMI≥25) among persons aged 18+ to less than 15%; constrain the prevalence of overweight/obesity among children to less than 10%
- To constrain the prevalence of raised total cholesterol (>5.0 mmol/L) among adults to less than 35%;
- To constrain the prevalence of hypertension among adults to less than 30%;
50% of hypertensive persons are detected; 50% of detected persons are managed and treated in accordance with the guidelines;
- To constrain the prevalence of pre-diabetes among persons aged 30-69 to less than 16%, prevalence of diabetes among persons aged 30-69 to less than 8%;
50% of persons with diabetes are detected; 50% of detected diabetes are managed and treated in accordance with the guidelines.
- 50% of people with chronic obstructive pulmonary diseases are detected at an early stage; 50% of detected patients are managed and treated in accordance with the guidelines;
- 50% of people with asthma are detected and treated at an early stage; 50% of treated patients are well controled in which 20% fully achieved target treatment;
- 40% of people with some common cancers are detected at an early stage (cancers which the effectiveness of treatment can be improved if detected at early stages)
- a 20% relative reduction in premature (aged <70 ) death rate due to cancer, cardio-vascular diseases, diabetes and chronic obstructive pulmonary diseases compared with 2015.
","1. Measures on policy, legislation and multi-sectoral collaboration.
a) To supplement, perfect and enhance enforcement of the policies, legal documents to control risk factors and promote healthy factors for prevention and control of NCDs:
- Fully implementing the Tobacco Control Law, Environment Protection Law, Food Safety Law, the National policy for prevention and control of harmful use of alcohol until 2020 and other relevant policy documents. Develop and submit to authorize level for the approval of the Alcohol control Law. Enhance the enforcement, supplement and complete policy documents and warning about the health impact of processed foods, soft drink, food additives, especially products for children.
- Propose, supplement regulations on controlling advertising and tax policy to reduce consumption of tobacco, alcohol, soft drink, processed food and other products that have risks of causing NCDs
- Propose, supplementent policies to encourage production, provision and consumption of safe and healthy foods; the policy to facilitate people's access to and use of public spaces, sport and gymnasium facilities; promote public transportation and non-motorised transportation
b) Complete multi-sectoral collaboration mechanisms from central to locals, along with mobilize organizations, individuals and community to be involved in the implementation of the strategy.
c) Review, supplement and complete legal policies to ensure NCD prevention and control activities are performed in an uniformed system from central to local level; ensure the availability of essential medicine and equipment for prevention, early detection, treatment and long term management at grassroots’ health care facilities.
d) Propose policies to encourage providing services of prevention, treament and management of NCDs at community through private sector and family doctors especially the remote and isolate areas.
2. Measure on communication and social mobilization
a) Use the network of information and communication from central to local level to communicate, disseminate, and mobilize support from government at all levels, sectors, mass organizations and individuals to implement policies, laws, guidelines and recommendations on the prevention and control of NCDs.
b) Develop and supply communication programmes and materials, on NCD prevention and control, which are suitable to communication channels and target audiences.
c) Promote the development and implementation of models of healthy communities and settings relevant to local context and population groups including models of health promoting school, healthy workplace and healthy city.
d) Propose the launching of a movement on Healthy Lifestyles for all to prevent and control NCDs.
","","","","Overweight and obesity in adults|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Vaccination","","https://vncdc.gov.vn/files/document/2016/4/chien-luoc-quoc-gia-phong-chong-benh-khong-lay-nhiem.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202015%20Quy%E1%BA%BFt%20%C4%91%E1%BB%8Bnh%20376%20Q%C4%90-TTg%20c%E1%BB%A7a%20Th%E1%BB%A7%20t%C6%B0%E1%BB%9Bng%20Ch%C3%ADnh%20ph%E1%BB%A7%20banh%20h%C3%A0nh.pdf" "26175","VNM","Viet Nam","","NGHỊ ĐỊNH Quy định về kinh doanh và sử dụng sản phẩm dinh dưỡng dùng cho trẻ nhỏ, bình bú và vú ngậm nhân tạo [DECREE On trading in and using of nutritional products for infants, feeding bottles and dummies]","Legislation relevant to nutrition","","Vietnamese","3","2015","","","CHÍNH PHỦ","11","2014","Adopted","11","2014","Bộ trưởng Bộ Y tế","Cabinet/Presidency|Health","","","","","","","","","","","","","","","","","","","","","","1. To increase intake and awareness of adequate, culturally appropriate nutritious meals amongst school age children;
2. To improve enrolment, attendance, retention, completion and learning of school age children;
3. To promote local economic, social and agricultural development;
4. To develop mechanisms for a nationally-owned and sustainable programme;
5. To promote partnerships for resources mobilization for school meals;
6. To strengthen governance and multi-sectoral coordination mechanisms for the school nutrition and meals programme.
","","
Rate of schools providing school meals every school day
Rate of schools purchasing or receiving nutritious foodstuff traditional to the region’s culture
Number of capacity building and sensitisation activities for teachers, students and communities on nutrition, sanitation and local supply of food
Rate of schools with food handlers with valid medical certificates
Rate of schools following food safety standards
Rate of schools with infrastructure Rate
Rate of schools implementing health and nutrition education activities
Rate of schools following food quality standards
Rate of schools implementing school health activities
Rate of coverage of school nutrition and meals programme
National annual net enrolment rate
National annual attendance rate
National annual dropout rate
National annual transition rate
National annual completion rate
National annual percent of children achieving KCPE pass mark
Number of smallholder farmers contracted, producing and supplying to the school meals programme
Rate of food for school meals sourced from smallholder farmers
Rate of schools providing school meals sourced directly from smallholder farmers
Number of training and sensitization workshops to school community held
Rate of schools adopting agricultural production technologies for sourcing food and supporting health and nutrition education
Number of smallholder farmers’ organizations, cooperatives and small and medium-sized enterprises (SMEs) able to produce, process, distribute and supply food for schools
Number of farmers accessing new or existing products and technologies
Reviewed procurement manuals in place
Amount of resources allocated
Amount of resources ring-fenced
Amount of resources disbursed
Proportion of school meals funding sourced from national sources
Proportion of food for school meals sourced from small holder farmers
Inter-ministerial committee instituted and functional at all levels
Policy documents guiding school meals programme
Number of institutions and organizations involved
Strategy for resource mobilization developed
Coverage of Committees for the SNM programmes created
No. of partnerships signed
Strategy development status
Number of events
Number of participants
Roles and responsibilities defined for each platform
Appointment letters issued for stakeholders to join the platforms Number of stakeholder forums held
Stakeholder attendance in forums
Appointment letters issued for stakeholders to join the platforms Number of stakeholder forums held
Stakeholder attendance in forums
Partnership Agreement signed by implementing partners for SNM
Rate of BOMs whose governance and management capacity for SNM has been built
Public feedback mechanism established
Public feedback mechanism monitored
Coverage of functional audit and oversight visits to implementation areas (from local to county level)
Local social accountability mechanisms: status of formalization, adequate composition, adequate regularity in activities
Number of BOMs implementing SNM as per schedule
Number of functional multi-sectoral platforms engaged in SNM
Number of Government staff trained on SNM
Rate of technical staff designated to support SNM programmes vis-à-vis the number required
","","","School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food security and agriculture","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN_2016_SNMS.pdf" "74260","PHL","Philippines","","Policy and Guidelines on Healthy Food and Beverage Choices in Schools and in DepEd Offices","Government guidance","","English","3","2017","","","Department of Education","3","2017","Adopted","","2017","Department of Education Order No 13, s. 2017","Education and research","Department of Education","","","","","","","","","","","","","","","","","","","","","POLICY AND GUIDELINES ON HEALTHY FOOD AND BEVERAGE CHOICES IN SCHOOLS AND IN DEPED OFFICES
...
2. The Policy and Guidelines aim to:
a. make available healthier food and beverage choices among the learners and DepEd personnel and their stakeholders;
b. introduce a system of categorizing locally available foods and drinks in accordance with geographical, cultural, and religious orientations;
c. provide guidance in evaluating and categorizing foods and drinks; and
d. provide guidance in the selling and marketing of foods and beverages in schools and DepEd offices including the purchasing of foods for school feeding.
...
AXE 1 : FAVORISER DES ENVIRONNEMENTS PROPICES A LA SANTE DES POLYNESIENS
OBJECTIF 1 : UN ENVIRONNEMENT FAVORABLE A UNE ALIMENTATION SAINE
Priorité 1: Mettre en place le processus d’engagements et des mesures pour inciter le progrès nutritionnel
Action 1 : Instaurer des chartes d’engagement de progrès nutritionnel pour les entreprises et commerces alimentaires locaux
Action 2 : Collecter et développer les connaissances et les expériences allant dans le sens du progrès nutritionnel et de l’innovation alimentaire
Action 3 : Développer et accompagner le réseau des entreprises et des commerces alimentaires engagés dans une démarche de progrès nutritionnel
Action 4 : Valoriser les expériences et les résultats obtenus
Action 5 : Développer les cadres réglementaires nécessaires pour soutenir les objectifs du progrès nutritionnel en faveur de la santé des Polynésiens (bonus/malus pour les entreprises)
Priorité 2 : Collaborer avec les structures concernées sur des techniques de transformation des produits locaux
Action 1 : Labéliser les produits locaux transformés qui respectent les recommandations nutritionnelles
Action 2 : Intégrer l’éducation au goût aux programmes d’éducation nutritionnelle
Priorité 3 : Adopter une règlementation pour un environnement sain
Action 1 : Réviser la liste des produits de première nécessité
Action 2 : Imposer l’étiquetage nutritionnel des produits commercialisés
Action 3 : Inciter les entreprises locales à s’engager dans une démarche de progrès nutritionnel
Action 4 : Encadrer la commercialisation et la distribution de produits jugés néfastes pour la santé dans les lieux publics
Action 5 : Encadrer la promotion et les parrainages des produits nocifs à la santé et favoriser celles des produits sains
Action 6 : Réglementer l’installation des distributeurs et établissements d’alimentation autour des écoles, crèches, garderies et centres d’accueil
Priorité 4 : Concevoir et mettre en oeuvre la fiscalité comportementale
Action 1 : Mettre en place une taxation nutritionnelle progressive sur l’ensemble des produits sucre, sels, et graisses
Action 2 : Mettre en place les bonus/malus pour la taxation nutritionnelle
Action 3 : Valoriser les produits en fonction de leur qualité nutritive avec un indicateur visuel.
Action 4 : Mettre en place une taxe sur les publicités pour les produits sucrés, salés et riche en graisse
AXE 2 : SANTE TOUT AU LONG DE LA VIE
OBJECTIF 1 : LA PERINATALITE
Priorité 1 : Mener un projet commun autour de la périnatalité et la petite enfance
Action 5 : Poursuivre le programme allaitement et alimentation saine
","","","","Breastfeeding|Breastfeeding - Continued|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B11_Schéma-Prévention-2018-2022.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PYF%202018%20Sch%C3%A9ma%20Pr%C3%A9vention%20Sant%C3%A9.pdf" "41526","KEN","Kenya","","Kenya National Nutrition Action Plan 2018-2022 ","Comprehensive national nutrition policy, strategy or plan","","English","12","2018","","2022","Ministry of Health","12","2018","","","","","Health","","","","","","","","","","","","","","","","","","3.5 Objective of the KNAP
To accelerate and scale up efforts towards the elimination of malnutrition in Kenya
in line with Kenya’s Vision 2030 and sustainable development goals, focusing on specific achievements by 2022.
KRA 1: Maternal, new born, infant and young child nutrition (MNIYCN) scaled up
Outcome:Strengthened care practices and services for improved maternal, new born, infant and young child nutrition (MNIYCN).
KRA 2: Nutrition of older children and adolescents promoted
Outcome:Increased nutrition awareness and uptake of nutrition services for improved nutritional status of older children (5–9 years) and adolescents (10–15 years).
KRA 3: Nutrition status of adults and older persons promoted
Outcome:Improved nutrition status of adults and older persons.
KRA 4: Prevention, control and management of micronutrient deficiencies scaled up
Outcome:Improved micronutrient status for children, adolescents, women of reproductive age, men and older persons
KRA 5: Prevention, control and management of diet-related risk factors for non-communicable diseases scaled up
Outcome: Prevention, management and control of non-communicable diseases is improved through nutrition therapy.
KRA 6: Prevention and integrated management of acute malnutrition (IMAM) strengthened.
Outcome: Increased coverage of integrated management of acute malnutrition (IMAM) services
KRA 7: Nutrition in emergencies strengthened
Outcome: Improved multi-level and multisectoral capacity for risk preparedness, reduction and mitigation against impact of disasters
KRA 8: Nutrition in HIV and TB promoted
KRA 9: Clinical nutrition and dietetics strengthened
KRA 10: Nutrition in agriculture and food security scaled up
Outcome: Linkages between nutrition, agriculture and food security strengthened
KRA 11: Nutrition in the health sector strengthened
KRA 12: Nutrition in the education sector strengthened
Outcome: Nutrition mainstreamed in education sector policies, strategies and action plans
KRA 13: Nutrition in water, sanitation and hygiene (WASH) sector promoted
Outcome: Nutrition integrated into WASH policies, strategies, plans and programmes
KRA 14: Nutrition in social protection programmes promoted
KRA 15: Sectoral and multisectoral nutrition governance (MNG) including coordination and legal/regulatory framework strengthened
KRA 16: Sectoral and multisectoral nutrition information systems, learning and research strengthened
KRA 17: Advocacy, communication and social mobilization
KRA 18: Capacity for nutrition developed (ACSM) strengthened
KRA 19: Supply chain management for nutrition commodities and equipment strengthened
","Strategies
KRA 1: Maternal, new born, infant and young child nutrition (MNIYCN) scaled up
Strategies:
1. Strengthen delivery of MNIYCN services
2. Scale up advocacy, communication, social mobilization and resource mobilization
3. Technical capacity development for delivery of quality MNIYCN services
4. Strengthen enabling policy, legal and regulatory environment/framework for multi-sectoral response to MNIYCN
5. Performance monitoring and quality assurance
6. Utilization of nutrition information, evidence and learning for MNIYCN programme improvement and decision making.
KRA 2: Nutrition of older children and adolescents promoted
Strategies:
1. Formulate/review policies, develop guidelines and advocate for the nutrition of older children and adolescents
2. Facilitate participation of adolescents in policies, strategies and plans that affect them
3. Capacity-build stakeholders on healthy diets and physical activity, sensitize communities and increase diversity of food production in kitchen gardens.
4. Promote consumption and marketing of healthy foods for older children and adolescents
5. Establish collaboration with stakeholders and sensitize them to promote good nutrition in older children and adolescents.
KRA 3: Nutrition status of adults and older persons promoted
Strategies:
1. Develop/review relevant policies and guidelines to include nutrition of adults and older persons
2. Enhanced decision making using information and programme evidence
3. Develop capacity for health workers to provide quality nutrition services targeting adults and older persons
4. Enhanced service provision for older persons
5. Strengthened food security and nutrition systems for older persons
6. Strengthened financing and human resource capacity mechanisms for nutrition interventions for older persons
7. Enhanced participation of older persons in their health and nutrition programmes
8. Establish a mechanism for assessment, research and monitoring of the nutrition of older persons
KRA 4: Prevention, control and management of micronutrient deficiencies scaled up
Strategies:
1. Enhance systems for delivery of micronutrient supplementation
2. Enhance uptake of diversified, and bio-fortified foods
3. Promote compliance, production and consumption of fortified foods
4. Integrate micronutrient deficiency prevention and control measures within public health systems
5. Provision of supportive policy environment for micronutrient supplementation
KRA 5: Prevention, control and management of diet-related risk factors for non-communicable diseases scaled up
Strategies:
1. Advocate for integration of nutrition therapy in prevention and control of NCDs into policies across all sectors
2. Integrate nutrition agenda for prevention and control of NCDs into relevant policies across all government and private sectors
3. Integrate nutrition services in NCDs programs at national and county level
4. Advocate for inclusion of nutrition content in both print and electronic media
5. Strengthen behavior change communication on the consumption of healthy diets among the populations
6. Enhanced integrated nutrition services for NCDs management
7. Monitor trends of nutrition-related risk factors for NCDs
KRA 6: Prevention and integrated management of acute malnutrition (IMAM) strengthened.
Strategies:
1. Develop/review and disseminate IMAM policies, standards and guidelines
2. Develop a module for full coverage of IMAM services starting with the ASAL areas which have emergency levels of acute malnutrition and rolling over to other areas (non ASAL) within a period of 2–3 years
3. Regularly monitor the performance and quality of services provided by the IMAM programme
4. Link IMAM services with other programmes (WASH, livelihood, social protection, food security)
5. Advocate for a scaled-up IMAM strategy that is geographically rolled up for full coverage
6. Effectively use available approaches and, where appropriate, develop innovative approaches to improve quality and coverage of IMAM services
7. Develop capacity for improved screening and referral of acute malnutrition at community and health facilities
8. Use IMAM data to ensure evidence-based decision making regarding IMAM
9. Develop infrastructure and capacity of health workers for service delivery.
KRA 7: Nutrition in emergencies strengthened
Strategies:
1. Integrate risk reduction and mitigation in functions of coordinating structures
2. Enhance risk analysis and articulation
3. Build capacity of systems and individuals to undertake preparedness functions
4. Roll out a package of high-impact interventions to affected population
5. Strengthen utilization of data/ information to enhance decision making
6. Mainstreaming nutrition in resilience programmes
KRA 8: Nutrition in HIV and TB promoted
Strategies:
1. Build and maintain a skilled, competent and resourceful public and private health workforce to provide support activities for patient-focused nutrition therapies
2. Address information gaps and systemic gaps in service delivery of HIV, TB Nutrition therapy
3. Optimize nutrition assessment counselling and support for reduced viral load and improved quality of life in HIV/ TB patients
4. Develop and disseminate context-specific interpersonal communication on nutrition management for PLHIV and TB patients
5. Utilization of nutrition TB and HIV strategic information for monitoring evaluation and learning
6. Strengthen the generation and use of nutrition assessment, counselling and support (NACS) data for surveillance and decision making towards achievement of key result area goals
7. Strengthen capacity for use of implementation research to inform future NACS programming
KRA 10: Nutrition in agriculture and food security scaled up
Strategies:
1. Advocate for joint planning with nutrition- sensitive sectors
2. Promote increased access to nutritious and safe food along the food value chain pathways
3. Promote increased consumption of safe, diverse, nutritious foods
4. Contribute to strengthening of agri-nutrition capacities and coordination at national and county levels
KRA 12: Nutrition in the education sector strengthened
Strategies:
1. Improved school curriculum to reinforce and promote nutrition and physical activity
2. Integrate nutrition and physical activity in curricular and co-curricular frameworks
3. Promote capacity for nutrition assessment in schools and other learning institutions
4. Promote health and safe food environment in schools and other learning institutions
KRA 13: Nutrition in water, sanitation and hygiene (WASH) sector promoted
Strategies:
1. Advocate with WASH sector to promote establishment of WASH facilities and provision of safe drinking water
2. Strengthen mechanisms for collaboration and promote participation of stakeholders in WASH forums
3. Advocate and promote adequate WASH in households and institutions
KRA 14: Nutrition in social protection programmes promoted
Strategies:
1. Incorporate explicit nutrition objectives, target criteria and indicators in policies and strategies to enhance the positive impact of social protection interventions on nutrition
2. Mobilize resources for social protection that address the nutrition needs of vulnerable groups
3. Integrate nutrition education and promotion into social protection interventions
","
Indicators
Prevalence of stunting in children 0-59 months (%)
Prevalence of anaemia in women 15-49 years (%) –
Prevalence of low birth weight of 2.5 kg and below (%)
Prevalence of overweight/ obesity (W/A >2SD) children 0-59 months (%)
Prevalence of exclusive breastfeeding in children 0-6 months (%
Prevalence of wasting (W/H <2SD) in children 0-59 months (%)
Prevalence of underweight (W/A <2SD) in children 0-59 months
Proportion (%) of discharges from treatment program who have died (among acutely malnourished children for MAM and SAM
Prevalence of anaemia in children 0-59 months (%)
Prevalence of anaemia in girls 15-19 years (%)
Proportion of non-pregnant women with folic acid deficiency (%)
Prevalence of VAD in children 0-59 months (%)
Prevalence of iodine deficiency in children <5 years (%)
Prevalence of deficiency in non-pregnant women (%)
Prevalence of zinc deficiency in children <5 years (%)
Prevalence of zinc deficiency among pregnant women (%
Prevalence of insufficient physical activity in adults 18–64 years of age (%)
Proportion of population with raised blood pressure or currently on medication (%)
Proportion of adults 18-69 years with raised fasting blood sugar (%)
Mean intake of sodium salt (g/day)
Prevalence of overweight/ obesity in adults (18-69 years)
","","","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|Anaemia|Anaemia in adolescent girls|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Biofortifcation|Management of moderate acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN-2018-National-Nutrition-Action-Plan-2018-22.pdf" "41475","KEN","Kenya","","Newborn, Child And Adolescent Health (NCAH) Policy ","Health sector policy, strategy or plan with nutrition components","","English","","2018","","","Ministry of Health","","2018","","","","","Health","The Ministry of Health acknowledges contributions from its various departments and units, including: Neonatal, Child, and Adolescent Health Unit (NCAHU), Reproductive and Maternal Health Services Unit (RMHSU), Nutrition and Dietetics Unit, National Vaccine and Immunization Program (NVIP), National Malaria Control Program (NMCP), Health Promotion Unit, the Community Health Services Unit and the National AIDS and STI Control Program (NASCOP)","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Program for Appropriate Technology in Health (PATH)|Save the Children","","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","University of Nairobi - Pediatrics Unit, Kenyatta University, Inter-religious council of Kenya (IRCK), Christian Health Association of Kenya (CHAK), and the Aga Khan University.","","","","","
3.3. Goal
To provide policy guidance to accelerate reduction of newborn, child and adolescent deaths in Kenya and promote their health, development and wellbeing.
3.4. Policy Objectives
The objectives of the Newborn, Child and Adolescent Health Policy are aligned with the newborn, child and adolescent targets of the SDG Goal: 3 “Ensure Healthy Lives and Promote Wellbeing for all at all ages”.
The objectives of the policy are to:
Policy objective 1: Reduce newborn, child and adolescent morbidity and mortality due to preventable communicable diseases
Policy objective 2: Reduce newborn, child and adolescent morbidity and mortality due to non-communicable diseases and conditions
Policy objective 3: Promote access to quality and comprehensive early childhood development interventions for all children especially in the first 1000 days of life
Policy objective 4: Promote interventions to end all forms of malnutrition, and address the nutritional needs amongst newborns, children and adolescents
Policy objective 5: Promote universal access to adolescent responsive health care services Policy
objective 6: Create an enabling environment for provision of quality newborn, child and adolescent health services
3.5.1. Newborn Health
e. Put in place interventions to ensure immediate initiation of exclusive breastfeeding after birth as per the national guidelines
f. Promote and enhance availability and access to high impact evidence based interventions for the management of preterm and/or low birth weight (LBW) babies
3.5.2. Child Health
Infancy and Childhood Period
The policy shall: -
3.5.3. Adolescent Health
General Objectives
To develop a support environment, to raise awareness and make behaviour changes for each citizen so that they would reduce salt intake in their daily diet to prevent and control hypertension, stroke and cardiovascular diseases and other non-communicable diseases, contributing to people’s health protection, care and promotion.
Specific Objectives
Objective 1. Raise awareness and make behaviour changes in the population to reduce salt intake in the daily diet
Objective 2. Strengthen the responsibility of the authorities of all levels, agencies and sectors, and mass unions in developing and implementing policies and mechanisms to generate sustainable resources for interventions to reduce salt in the people’s diet.
Objective 3. Raise the responsibility of organizations and individuals that produce and trade foods and catering service providers to implement interventions to reduce salt in the people’s diet.
Objective 4. Raise capacity and efficiency of surveillance, counseling and guidance on low-salt diets in health facilities and the community
","
KEY ACTIVITIES AND SOLUTIONS
1. Solution groups of legal policies
a) Enhance enforcement, supplementation and finalization of relevant polices and legal regulations on salt reduction in the people’s diet:
- Study and propose supplementation to regulations on food labeling such as: disclosure of the salt content in products, warning about high-salt foods, warning about the harm to health of excessive salt consumption and recommendations on the maximum salt consumption level per day.
- Study and propose supplementation to regulations on restricting advertisement and marketing of high-salt products, especially to children and high risk groups.
- Propose, supplement and finalize policies and regulations on serving school meals and providing low-salt foods that are good for health of children, school-children and students.
- Propose and supplement policies to encourage production, supply and consumption of safe, low-salt and healthy foods.
- Embrace and implement Decree No. 09/2016/ND-CP providing for fortification of food with micronutrients, especially iodine fortified salt.
b) Establish a mechanism of inter-sectoral collaboration from the central to local levels and promote involvement of organizations, individuals and the community in conducting activities to reduce salt consumption in people’s diet.
2. Solutions of communication and social mobilization
a) Efficiently use the information and communication system from the central to local levels to perform information, education and communication activities on low-salt consumption for prevention and control of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
b) Compile and provide communication messages and materials on salt reduction appropriate to communication modes and target groups, including: (1) mass media communication, (2) advocacy communication, (3) community communication, (4) communication and guidance in catering service providers, (5) school communication, (6) communication with food producers and traders.
c) Promote communication programs and activities to raise awareness and responsibility of the authorities of all levels, ministries, agencies, sectors, mass media and food producers and traders:
- Organize conferences and seminars to provide information and scientific evidence on the harm of excessive salt consumption and salt reduction measures to managers, policy-makers and related enterprises.
- Conduct study tours and share domestic and international experience on enforcement of dietary salt reduction policies and interventions.
- Conduct advocacy communications on mass media, develop a column in newspapers, and hold television talks on the topic of salt consumption reduction for prevention and control of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
d) Implement behaviour change communication programs and campaigns:
- Conduct a national communication campaign annually on the topic of universal salt consumption reduction for prevention of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
- Conduct salt consumption reduction communication programs and campaigns integrated into annual health days or events such as the World Cancer Day, World Health Day, World Stroke Day, Nutrition and Development Week, etc.
- Continue to enhance behaviour change communication on salt consumption reduction via face-to-face communicators in the community.
- Develop and broadcast communication messages on salt reduction on Vietnam Television and the Voice of Vietnam; post communication articles on online newspapers and traditional newspapers; periodically broadcast communication messages on salt reduction on the provincial/city radio and television and on commune/ward public address systems nationwide.
- Apply new communication forms such as the Internet, SMS, and social websites by posting articles and messages, constructing a portal on universal health with a salt reduction guidance column, creating fanpages on salt consumption reduction on social websites.
- Design and disseminate salt reduction communication materials: billboards for provinces/cities, picture folders and communication manual for commune health stations, posters for commune health stations, enterprises, agencies and schools.
- Display posters and messages, distribute leaflets on salt consumption reduction in markets, supermarkets and catering service providers.
3. Professional and technical solutions
a) Salt consumption reduction intervention in schools
- Develop guidance on knowledge and skills for communication on salt consumption reduction in schools; organize seminars/trainings for awareness raising and communication guidance for education managers, teachers, school health staff; training for cooking and waiting staff on salt reduction measures in selecting and processing foods and serving meals to school-children.
- Develop communication materials and conduct communication activities for school-children and students on low-salt diets, minimize fast foods, processed foods and snacks.
- Serve low-salt school meals with proper nutrition to semi-boarding and boarding school-children including: selecting low-salt foods; reducing salt in preparing meals; reducing salt, spices and sauce on the dining table; provide and disseminate messages, warnings, and instructions on salt reduction at kitchens, dining tables, restaurants and canteens in schools.
- Manage the operation of school canteens and catering services to limit school-children’s access to high-salt foods; enforce regulations on banning sales of unhealthy foods at school gates.
- Perform counseling on health, nutrition and salt consumption reduction with school-children, their parents; periodically monitor the nutrition and growth status and perform health checks for school-children for early detection of health risks and diseases.
b) Salt consumption reduction interventions for high-risk people and patients
- Develop knowledge dissemination materials, use electronic portals to provide information and guidance on low-salt diets for patients of hypertension, cardiovascular diseases and other non-communicable diseases.
- Develop professional guidance documents, provide training to enhance capacity for health workers of different levels on nutrition counseling, salt reduction in treatment, care and management of patients, especially for grass-root health workers.
- Provide counsels and guidance on low-salt diets in treatment of hypertension, cardiovascular diseases and other related diseases in medical care facilities.
- Commune health workers shall provide counsels and guidance on salt consumption reduction to patients of hypertension and cardiovascular diseases receiving outpatient treatment at health stations; hamlet health staff shall visit families to measure blood pressure and monitor and encourage hypertension patients to apply low-salt diets and adhere to treatment at home.
c) Salt consumption reduction interventions in households and the community
- Develop the guidance document set on salt reduction communication in the community; provide training on salt reduction communication and counseling to hamlet health staff, collaborators and commune health worker; organize seminars to raise awareness and seek support and involvement of local authorities and mass unions in the community salt reduction programs.
- Broadcast communication messages and articles on commune/ward public address systems.
- Arrange hamlet health staff’s and collaborators’ visits to households to distribute communication materials, give counsel and guidance on salt reduction practice to the people focusing on the following aspects: (1) the harm of excessive salt consumption to health and recommendations on salt reduction, (2) how to identify high-salt foods, (3) how to reduce salt in cooking and preparing foods, (4) reduction of salt, fish sauce and salty spices on the dining room. Visit households to measure blood pressure, give counsel to suspected hypertension patients and persuade them to visit health stations for diagnosis and treatment.
- Commune health staff shall collaborate with hamlet health staff and collaborators to organize community social meetings, talks to provide salt reduction messages, integrated into hamlet meetings, women meetings, elderly meetings, authorities meetings and other community meetings.
- Implement and roll out clubs and social meetings of women’s unions to share knowledge and experience on low-salt cooking in households.
- Consolidate and maintain clubs of diabetes patients, hypertension patients, cardiovascular disease patients, etc. at the commune/ward level.
d) Salt consumption reduction interventions in catering service providers (restaurants, food shops and canteens, etc.)
- Collaborate with catering service providers to perform salt reduction measures for menus.
- Provide materials, guidance and training to chefs, cooks and restaurant staff on salt reduction techniques and measures for menu foods.
- Apply salt reduction measures in restaurants including: selecting low-salt foods; reduce salt in preparing and cooking foods; reduce the types and quantities of spices, fish sauce and salt available on dining tables.
- Provide warning messages on the harm of excessive salt consumption to health and recommendations on salt reduction measures for customers: (1) display posters in restaurant precincts, (2) display messages and instructions in kitchens, (3) display warning messages and advice on customers’ dining tables, (4) mark and note high-salt foods in the restaurant menu.
d) Salt consumption reduction interventions in food production and trading establishments
Food producers and traders shall implement measures to reduce salt in packaged foods; and for the immediate future, select certain common high-salt foods:
- Supplement details of food on labels including: (1) disclose the added salt content of foods, (2) give warning about high-salt foods, (3) give warning about the harm of excessive salt consumption to health and recommendations on the maximum salt amount consumed per day.
- Reduce the salt content in foods for certain types of packaged foods.
- Apply scientific and technology measures to produce low-sodium salt or sodium replacements ensuring proper nutrition and food safety.
4. Resource solutions
a) Human resource development
- Strengthen and enhance the capacity of nutrition staff and grass-root health workers, especially hamlet health staff and nutrition collaborators on communication and counseling for community dietary salt reduction.
- Enhance the capacity of nutrition and dietetics staff and clinical physicians in medical care facilities to develop menus and give guidance on nutrition and low-salt diets for treatment and management of patients of hypertension, cardiovascular diseases and other related diseases.
b) Ensure financial resources
- Provide adequate finance for salt reduction intervention activities from various sources: central and local state budget, health insurance, socialization and other legal sources, while the state budget is used with priority for communication, surveillance and interventions for community salt reduction.
- Mobilize and seek contribution from enterprises, organizations and individuals to provide resources for application of technology solutions, development of community salt reduction models and enabling people to practice healthy behaviours.
","- More than 90% of adults know the harm of excessive salt consumption, identify high-salt foods and know measures to reduce salt intake.
- More than 60% of adults implement at least one measure to reduce salt intake in their daily diet.
- The average salt consumption of an adult is reduced to 7 gram per day.
- More than 90% of primary and secondary school-children understand the harm of excessive salt consumption and identify high-salt foods; more than 70% of school-children implement at least one measure to reduce salt as recommended.
- 100% of boarding schools and semi-boarding schools that serve school lunch adopt the low-salt diets for school children.
- More than 90% of people detected of contracting hypertension, cardiovascular diseases and other related diseases are counseled and instructed on adopting the low-salt diet.
- 90% of relevant ministries, agencies, sectors and mass unions collaborate with the Ministry of Health to promulgate policies and implement communication intervention plans for reducing salt intake in the people’s diet.
- 90% of centrally-run provinces and cities allocate funding and implement the health sector’s plan for dietary salt reduction communication and interventions in the localities.
- More than 30% of food and catering service providers implement at least one salt reduction measure in cooking, processing and provision of foods.
- More than 30% of processed food producers have at least one low-salt product and label products to disclose the salt content, indicate high-salt foods and make warning about health problems due to excessive salt consumption.
Objectif général :
- Lutter contre le développement des MNT sur l’ensemble de la population en Polynésie française
Objectifs spécifiques :
- Développer des modes alimentaires sains pour la santé
Objectifs opérationnels :
- Agir sur la réglementation pour développer un environnement alimentaire sain
- Promouvoir la qualité nutritionnelle des produits locaux
- Réglementer la distribution et commercialisation des produits dont la surconsommation est néfaste pour la santé
- Poursuivre les campagnes d’informations concernant l’alimentation équilibrée
","
II.2. AXE 2 : Actions spécifiques sur l’alimentation équilibrée
- Le progrès nutritionnel
- L’alimentation de base
- La réglementation
Detailed indicators by action area can be found in tables p61-97
","Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Household food security|Home, school or community gardens|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B23_2019-02-12-Programme AEAP.pdf","","WHO 2019 NCD Country Capacity Survey","" "24190","PHL","Philippines","","Labor Code of the Philippines - Presidential Decree No. 442, as amended.","Legislation relevant to nutrition","","English","","","","","Published by the Department of Labor and Employment","","","","","","","","","","","","","","","","","","","","","","","","","","","","","This section shows data from the TRAVAIL Database of Conditions of Work and Employment Laws with analyses of national legislation for maternity protection in the areas of: maternity leave, maternity leave benefits. Further data (e.g. on paternity leave) are available at http://www.ilo.org/dyn/travail","Maternity protection|Less than 14 weeks|100%|Full social security|Breastfeeding facilities","","http://www.dole.gov.ph/labor_codes","","Maternity protection at work is an essential element in equality of opportunity, treatment and health protection. It seeks to enable women to combine their reproductive and productive roles successfully, and to prevent unequal treatment in employment due to women’s reproductive role. Maternity protection is important for nutrition in terms of achieving good birth outcomes and enabling breastfeeding. Since the ILO was founded in 1919, international labour standards have been established to provide maternity protection for women workers. The ILO Maternity Protection Convention No. 183 represents the minimum standards, whereas the accompanying ILO Maternity Protection Recommendation No. 191 proposes additional measures.ILO maintains the TRAVAIL Database of Conditions of Work and Employment Laws, which provides a picture of the regulatory environment of working time, minimum wages and maternity protection in more than 100 countries around the world. It contains comprehensive legal information, which allows customized research on a specific country, comparison of the legislation of several countries or regions on a particular subject, and searches by text. ILO also periodically publishes reviews of national legislation related to maternity protection at work. Read more about the work of ILO related to maternity protection at","" "41565","PHL","Philippines","","Guidelines on the Provision of Quality Antenatal Care in All Birthing Centers and Health Facilities Providing Maternity Care Services","Government guidance","","English","","2016","","","Department of Health ","9","2016","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","II. objectives
The strategy aims to achieve the following intermediate results:
Every pregnancy is wanted, planned and supported;
Every pregnancy is adequately managed throughout its course;
Every delivery is facility-based and managed by skilled birth attendants/skilled health professionals; and
Every mother and newborn pair secures proper post-partum and newborn care with smooth transitions to the women’s health care package for the mother and child survival package for the newborn.
2.3.1. MNCHN Core Package of Services
The intervention in the MNCHN core package of services that were found effective in preventing deaths and in improving the health of mothers and children include the following:
1. Pre-pregnancy: provision of iron and folate supplementation, advice on family planning and healthy lifestyle, provision of family planning services, prevention and management of infection and lifestyle-related diseases. In particular, modern family planning reduces unmet need and unwanted pregnancies that expose mothers to unnecessary risk from pregnancy and childbirth. Unwanted pregnancies are also associated with poorer health outcomes for both mother and her newborn. Effective provision of FP services can potentially reduce maternal deaths by around 20 percent. This also encompass adolescent health services, deworming of women of reproductive age (to reduce other causes of iron deficiency anemia), nutritional counseling, oral health.
2. Pregnancy: first prenatal visit at first trimester, at least 4 prenatal visits throughout the course of pregnancy to detect and manage danger signs and complications of pregnancy, provision of iron and folate supplementation for 3 months, iodine supplementation and 2 tetanus toxoid immunization, counselling on healthy lifestyle and breastfeeding, prevention and management of infection, as well as oral health services. While the contribution of antenatal care in anticipating and preventing maternal and newborn emergencies is unclear, components of prenatal care remain effective in reducing perinatal deaths and serves as a venue for birth planning and promotion of facility based deliveries.
3. Delivery: skilled birth attendance/skilled health professional-assisted delivery and facility-based deliveries including the use of partograph, proper management of pregnancy and delivery complications and newborn complications, and access to BEmONC or CEmONC services.
4. Post-Partum: visit within 72 hours and on the 7th day postpartum to check for conditions such as bleeding or infections, Vitamin A supplements to the mother, and counselling on family planning and available services. It also includes maternal nutrition and lactation counseling and postnatal visit of the newborn together with her visit.
5. Newborn care until the first week of life: Interventions within the first 90 minutes such as immediate drying, skin to skin contact between mother and newborn, cord clamping after 1 to 3 minutes, non-separation of baby from the mother, early initiation of breastfeeding, as well as essential newborn care after 90 minutes to 6 hours, newborn care prior to discharge, after discharge as well as additional care thereafter as provided for in the “Clinical Practice Pocket Guide, Newborn Care Until the First Week of Life.”
6. Child Care: immunization, micronutrient supplementation (Vitamin A, iron); exclusive breastfeeding up to 6 months, sustained breastfeeding up to 24 months with complementary feeding, integrated management of childhood illnesses, injury prevention, oral health and insecticide-treated nets for mothers and children in malaria endemic areas
","MNCHN Health Indicators
Health indicators are used to monitor the health status of a population. These health indicators either (1) reflect impact or outcomes or (2) coverage or utilization of services. For MNCHN, health outcome indicators are Maternal Mortality Ratio (MMR), Newborn Mortality Rate (NMR), Infant Mortality Rate (IMR), Under-five Mortality Rate (UFMR) and proportion of underweight 6 to 59-month old children while Service Coverage indicators are Contraceptive Prevalence Rate (CPR), Antenatal Care (ANC), Facility- based Deliveries (FBD), Fully Immunized Children (FIC), Early initiation of breastfeeding, Exclusive breastfeeding from birth up to six (with sustained breastfeeding and complementary feeding). and early initiation of breastfeeding.
","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Complementary feeding|Breastfeeding promotion/counselling|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Deworming|Family planning (including birth spacing)|Vaccination","","","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20MNCHN%20Strategy%20MOP.pdf" "40765","PHL","Philippines","","National Objectives for Health-Philippines 2017-2022","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2022","Department of Health","","2018","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","Strategic Goal 1: Better health outcomes
Strategic Goal 2: Responsive health system
Strategic Goal 3: Equitable health financing
Strategic Goal 1: Better health outcomes
Indicator 1: Average life expectancy (in years)
Indicator 2: Maternal mortality ratio per 100,00 live births
Indicator 3: Infant mortality rate per 1,000 live births
Indicator 4: Premature mortality attributed to cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases per 100,000 population
Indicator 5: Tuberculosis incidence per 100,000 population
Indicator 6: Prevalence of stunting among under-five children
Indicator 22: Incidence of low birth weight among newborns
Indicator 24. Prevalence of raised blood pressure
Indicator 31: Proportion of households using safely managed drinking water services
Goal
25. To improve the nutrition situation of the country as a contribution to:
Objectives
26. PPAN 2017-2022 has two layers of outcome objectives, the outcome targets and the sub-outcome or intermediate targets. The former refers to final outcomes against which plan success will be measured. The latter refers to outcomes that will contribute to the achievement of the final outcomes.
Outcome targets
a. To reduce levels of child stunting and wasting
b. To reduce micronutrient deficiencies to levels below public health significance
c. No increase in overweight among children
d. To reduce overweight among adolescents and adults
","Strategic Thrusts
33. Focus on the first 1000 days of life.
34. Complementation of nutrition-specific and nutrition-sensitive programs.
35. Intensified mobilization of local government units.
36. Reaching geographically isolated and disadvantaged areas (GIDAs), communities ofindigenouspeoples,the urban poor especially those in resettlement areas.
37. Complementation of actions of national and local governments.
39. Nutrition-specific programs
40. Nutrition-sensitive programs
Enabling programs
41. Mobilization of local government units for nutrition outcomes
44. Policy development for food and nutrition
45. Strengthened management support to the PPAN 2017-2022
...
Article 1. The approval of the national nutrition strategy for the 2021 - 2030 period with a vision toward 2045 (hereinafter referred to as ""Strategy"") includes the following contents:
I. VIEWPOINTS
1. All people have the right to equally access nutrition and food in order to obtain the maximum nutritional state, improving their health.
2. Proper nutritional implementation needs to be maintained throughout each person's life so as to improve personal health and family health; thus, contributing to the improvement of protection and healthcare of the community.
3. The state is responsible for developing mechanisms and policies to promote proper nutritional implementation; arrange and allocate intervention resources to improve the nutrition for mothers and children in regions with difficulties, remote areas, ethnic minority areas, mountainous areas, and islands.
II. TARGETS
1. General targets: Implement proper nutrition to improve the nutritional state suitable for each person, locality, region, and ethnicity, contributing to the decrease of disease and increase of stature, stamina, and intelligence of Vietnamese.
2. Specific targets
a) Implementation of a varied, appropriate, and food-security diet for all ages and subjects according to the life cycle
- The percentage of children from 6 to 23-month-old that have correct and sufficient diet will reach 65% by 2025 and 80% by 2030.
- The percentage of adults who consume adequate amounts of fruit and vegetables daily will reach 55% by 2025 and 70% by 2030.
- The percentage of households that suffer from severe and moderate food insecurity will be reduced to below 8% (below 25% for households in mountainous areas) by 2025 and below 5% (below 20% for households in mountainous areas) by 2030.
- The percentage of schools that develop diets that satisfy the recommendation of the Ministry of Health on proper nutrition assurance according to the age and food diversity will reach 60% for urban areas and 40% for rural areas by 2025; strive to reach 90% for urban areas and 80% for rural areas by 2030.
-The percentage of hospitals that provide examinations, advice, and treatments via diet suitable for nutritional status and disease for patients will reach 90% for the central or provincial level; 75% for district level by 2025; 100% for central, provincial level and 80% for district level by 2030.
- The percentage of communes that provide nutritional counseling for pregnant mothers, mothers with children under 2 years old in the basic healthcare service package for primary health care, prevention, and improvement conducted by health stations of communes, wards, or commune-level towns will reach 50% by 2025 and 75% by 2030.
b) Improvement of nutritional status for mothers, children, and teenagers
- The percentage of stunted children below 5 years old will be reduced to below 17% (below 28% for stunted children in mountainous areas) by 2025 and below 15% (below 23% for mountainous areas) by 2030.
- The percentage of underweight children below 5 years old will be reduced to below 5% by 2025 and below 3% by 2030.
- The average height of 18-year-old teenagers will increase by 2 - 2,5cm for males and by 1,5 to 2 cm for females by 2030 compared to those in 2020.
- The percentage of children who are breastfed soon after birth will reach 75% by 2025 and 80% by 2030.
- The percentage of children below 6 months old who are exclusively breastfed will reach 50% by 2025 and 60% by 2030.
c) Control of overweight, prevention of non-infectious chronic diseases, related risk factors in children, teenagers, and adults
- The percentage of overweight will be controlled: below 10% for children below 5 years old (below 11% for urban areas and below 7% for rural areas); below 19% for children from 5 to 18 years old (below 27% for urban areas and below 13% for rural areas); below 20% for adults from 19 to 64 years old (below 23% for urban areas and below 17% for rural areas) by 2025 and maintain such percentages until 2030.
- The average salt consumption of the population (from 15 to 49 years old) will be reduced to below 8 grams/day by 2030.
d) Reduction of micronutrient deficiency in children, teenagers, and women of childbearing age
- The percentage of anemia in pregnant women will be reduced to below 23% (below 30% for mountainous areas) by 2025 and below 22% (below 25% for mountainous areas) by 2030.
- The percentage of anemia in female children from 10 to 14 years old in mountainous areas will be reduced to below 10% by 2025 and below 9% by 2030.
- The percentage of preclinical vitamin A deficiency in children from 6 to 59 months old will be reduced to below 8% (below 13% for mountainous areas) by 2025 and below 7% (below 12% for mountainous areas) by 2030.
- The percentage of children from 6 to 59 months old with low serum zinc levels will be reduced to below 50% (below 60% for mountainous areas) by 2025 and below 40% (below 50% for mountainous areas) by 2030.
- The percentage of households using iodized salt qualified for preventing diseases or iodized salty seasoning daily will increase to above 80% by 2025 and above 90% by 2030.
dd) Improvement of the nutritional reaction in emergency situations and enhancement of strategy implementation resource
- By 2025, 100% of provinces and cities that are potentially affected by climate change, natural disasters, or epidemics will have their response plans; evaluate and implement special nutritional intervention in emergency situations and maintain such percentage until 2030.
- By 2025, 100% of provinces, cities that are allocated the annual local budget will ensure the nutritional activities according to approved plans and maintain such percentage until 2030.
3. Vision toward 2045: All people will achieve their maximum nutritional status; non- infectious diseases related to nutrition will be controlled, thus contributing to the improvement of health and living quality.
III. MAJOR DUTIES AND SOLUTIONS
1. Complete mechanisms and policies on nutrition
a) Review, develop, amend, and complete regulations of the law on proper nutritional implementation; especially nutritional intervention in regions with difficulties, rural and remote areas, ethnic minority areas, mountainous areas, and islands. Complete the national technical nutritional standard system for food; develop financial mechanisms or policies including the payment of health insurance for nutritional activities in healthcare facilities and schools; develop regulations on nutrition labeling on the front of prepackaged products; limit advertisements for unhealthy foods, especially for children; impose excise tax for on sugary drinks.
b) Include the target to reduce stunted, underweight, or overweight children below 5 years old in the socio-economic development targets of the whole country and each administrative division.
2. Improve the inter-sectorial cooperation and social mobilization
a) Develop and conduct mechanisms of the inter-sectorial cooperation on nutrition work from the centrality to locality; focus on integrating, cooperating with programs or projects related to nutrition.
b) Mobilize organizations, individuals, and communities to participate in implementing the Strategy. Encourage social organizations, industrial communities to participate in implementing the Strategy via sponsorship for nutritional activities; ensure nutrition at workplaces; produce healthy nutritional products, and comply with regulations on production and trading of nutritional products, food.
3. Strengthen communication and education on nutrition
a) Strengthen the communication and mobilization to policy-making groups in order to incorporate nutrition work into strategies, programs, projects, or plans implemented in localities.
b) Organize the implementation of communication activities with types, methods, contents suitable for each region, group of subjects in order to improve knowledge; practice proper nutrition especially in preventing stunting malnutrition, micronutrient deficiency; controlling overweight - obesity and other non-infectious chronic diseases related to nutrition for all people.
c) Improve the efficiency of communication, education, or provision of advice on the practice of proper nutrition according to the life cycle. Focus on providing soft skill education; strengthen the cooperation between schools, families, and society to form a healthy lifestyle and habits of proper nutrition.
d) Increase the amount of time for communication and guidance on proper nutrition in the mass media especially on the Vietnam Television, Voice of Vietnam, Television and Broadcasting Station of provinces, online broadcasting system, social media, and other digital communication platforms.
4. Strengthen and improve the quality of human resources
a) Consolidate and develop nutrition staff; ensure the sustainability, especially of the network of specialized nutritionists and medical staff in rural areas; standardize clinical nutritionists.
b) Develop the curriculum; standardize training documents about nutrition in the medical school system; improve nutritional teaching or training capability for the teaching staff of schools; improve the quality of training and advanced training contents on nutrition work in schools, hospitals, and communities.
c) Improve the capability of officers of ministries, divisions, central authorities, unions, social organizations, non-governmental organizations, religious organizations in terms of integrating nutritional activities into programs or projects.
5. Enhance technical expertise for the implementation of nutritional intervention a) Improve meal quality; ensure food security and nutrition security
- Develop and disseminate dietary reference intakes, food pyramid, proper nutrition advice, menu, proportion, diet, and physical activities suitable for every subject.
- Develop regulations and provide guidelines for food labeling, nutrition labeling; enhance education and provision of advice for the people in order to create the needs of using varied, healthy, and nutritious food.
- Develop plans, nutritional agriculture models, and guidelines for food security and meal quality at households.
b) Increase the coverage and enhance the quality of essential nutritional interventions
- Develop and effectively implement programs, projects, and models of essential nutritional intervention such as: nutrition care in the first 1000 days of life (nutrition care for pregnant and breastfeeding women; exclusively breastfeeding for the first 6 months; proper additional meal and continuation of breastfeeding for children from 6 to 23 months old); monitor the children’s growth and development; manage and treat children with acute malnutrition; prevent micronutrient deficiency in mothers and children; ensure clean water, personal and environmental hygiene.
- Provide services of counseling, nutrition recovery, intervention models against obesity, prevention of non-infectious chronic diseases, and related risk factors at all levels. Strengthen the implementation of nutritional intervention for elderly people and occupational nutrition
- Promote the fortification of domestic or imported food products. Encourage people to use fortified foods. Supervise the implementation of regulations on mandatory food fortification.
- Strengthen the in-place food systems that are safe, diverse, nutritious, and sustainable in order to meet the needs of every subject in every region, especially areas affected by natural disasters and epidemics.
- Improve the service provision quality by constructing, standardizing technical procedures, guidelines for groups of nutritional intervention. Incorporate the evaluation of the quality of nutritional intervention into the annual evaluation target of healthcare facilities.
- Integrate nutritional services into other programs in terms of healthcare, education, social-economic development of mountainous areas and ethnic minority areas, new rural areas, poverty reduction, social protection in order to increase investment resources for every subject that needs interventions.
c) Implement nutritional activities at schools
- Promote and improve the quality of school nutrition education, physical education, and sports; integrate them into regular school hours, extracurricular activities; develop appropriate communication models.
- Develop communication documents and organize communication activities for parents of students about proper nutrition, healthy and safe food, prevention of non-infectious diseases, and enhancement of physical activities for children, students. Pay special attention to proper nutrition for children in pre-puberty or puberty.
- Develop guidelines and organize school meals in a manner of nutrition assurance according to age, region, and food diversity assurance (for schools that provide meals for students). Promulgate regulations in order to prevent students from approaching unhealthy food.
- Develop mechanisms for cooperation and connection between the school and families in nutrition care for children, students; inform parents about the nutritional status of children, students in the school.
- Maintain regular deworming in areas with high prevalence of worms and helminths. c) Implement nutritional activities at hospitals
- Develop and implement specialized guidelines for nutritional treatment, clinical nutrition, and dietetics at facilities that provide examination and treatment.
- Organize communication activities and provide nutritional counseling for patients, their families at healthcare facilities.
- Implement regulations on nutrition in hospitals such as nutrition targets and breastfeeding in the criteria for hospital quality.
dd) Strengthen the implementation of emergency nutritional activities
- Develop and incorporate nutrition assurance content into the response plan for natural disasters, epidemics of the central and provinces, cities.
- Improve the nutritional response capability in emergency situations of officers of all levels and related divisions, central authorities.
- Efficiently implement emergency nutritional activities both in the community and hospitals at localities affected by climate change, natural disasters, and epidemics.
6. Promote basic research and technology application research on nutrition and food suitable for Vietnamese. Enhance technical development; research high technology application model serving nutrition purposes.
7. Promote the application of information technology in management, operation, supervision, counseling, statistic, and report of nutrition work nationwide.
8. Actively integrate and strengthen international cooperation on nutrition; resolve regional and global nutrition problems.
a) Actively participate in the nutrition network or movements regional or global.
b) Promote international cooperation to utilize the support for finance, technique, training, and management skills in terms of nutrition work with other countries, international organizations.
Goals:
To contribute to improving the quality of the human resource base of the country and to reducing child and maternal mortality.
Objectives
Directions
1. Contribute to the reduction of disparities related to nutrition through a focus on population groups and areas highly affected or at-risk to malnutrition, specifically:
a. Pregnant women, infants, and children 1-2 years old
b. Families with pregnant women, children 0-2 years old, and underweight children 0-5 years old
c. Local government units (LGUs) with high levels of child undernutrition or at risk to increased levels of undernutrition
2. Increase investments and go to scale in effective interventions that could impact more significantly on undernutrition among under-fives
a. Promotion of optimum infant feeding and young child feeding practices anchored on exclusive breastfeeding in the first six months of life, the introduction and use of complementary foods that are calorie- and nutrient-dense and safe from 6th month of life onward with continued breastfeeding up to 2 years of age and beyond.
b. Promotion of sanitary practices including personal hygiene and handwashing
c. Supplementation with vitamin A, zinc in the management of diarrhea, iron-folic acid for pregnant women and infants and young children and iodine for pregnant women in areas with levels of iodine deficiency disorders and low access to adequately-iodized salt.
d. Deworming
e. Appropriate medical and dietary management of acute malnutrition as well as of other forms of nutrition-related infections
f. Iron fortification of rice and flour, vitamin A fortification of other staples, and iodization of salt
3. Revive, identify, document, and adopt good practices and models for nutrition improvement
4. Strengthen food-based approaches to address malnutrition
5. Strengthen the nutrition component of the healthy lifestyle package
6. Philippine Plan of Action for Nutrition 2011-2016
7. Strengthen the linkage of nutrition with other sectors of development and converge with existing sectoral efforts, e.g. conditional cash transfer, universal health care coverage, agriculture development, labor and employment, among others.
8. Strengthen and nurture interagency structures for integrated and coordinated implementation of nutrition and related services at national and local levels
9. Strengthen system for planning, monitoring and evaluation of nutrition plan implementation at national and local levels
10. Formulate and implement a nutrition research agenda
","Indicator, Baseline (2008), Target (2016)
Prevalence (%) of underweight under-five children, 20.6, 12.7
Prevalence (%) of stunted under-five children, 32.3, 20.9
Prevalence (%) of wasted under-five children,6.9, <5.0
Prevalence (%) of underweight children 6-10 years old (IRS), 25.6, 21.8
Prevalence (%) of thin children 6-10 years old, 8.1, <5.0
Percent of pregnant women who are nutritionally-at-risk, 26.3, 22.3
Percent of low birthweight, 19.6, <19.6
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Preschool children, 6-60 months old), 15.2. <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Pregnant Women), 9.5, <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Lactating Women), 6.4, <15
Anemia (% with hemoglobin level below recommended level)(Infants), 55.7,<40
Anemia (% with hemoglobin level below recommended level)(one-year old children), 41.0, <40
Anemia (% with hemoglobin level below recommended level)(Pregnant women), 42.5, <40
Anemia (% with hemoglobin level below recommended level)(Lactating women), 31.4, <40
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, median UIE), 132, >100
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, moderate and severe %), 19.7, <20
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Pregnant women, median UIE), 105, >150
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Lactating women, median UIE), 81, >100
Overweight and obesity (%, Children 0-5), 3.3, ≤3.3
Overweight and obesity (%, Children 6-10), 6.5, ≤6.5
Overweight and obesity (%, Adults 20+), 26.6, ≤26.6
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of fruit and vegetable intake|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Rice|Staple foods|Food grade salt|Refined sugar|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Vaccination|Water and sanitation|Conditional cash transfer programmes","","http://www.nnc.gov.ph/plans-and-programs/ppan/itemlist/tag/PPAN","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20PPAN.pdf" "131566","KEN","Kenya","","Finance Act, 2021","Legislation relevant to nutrition","","English","7","2021","","","Kenya Gazette Supplement No. 128 (Acts No. 8) ","6","2021","Adopted","6","2021","Parliament","Cabinet/Presidency|Finance, budget and planning","","","","","","","","","","","","","","","","","","","","","","
32. The First Schedule to the Excise Duty Act, 2015 is amended—