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"40781","ZMB","Zambia","","Zambia National Health Strategic Plan 2017 – 2021 ","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2021","Ministry of Health","","2017","","","","","Health","Special thanks also go to other Cooperating Partners, international non-governmental organizations Churches Health Association of Zambia","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Other, please specify under further details","Clinton Health Access Initiative","Other|European Commission (EC)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","the Government of Sweden for supporting us with the consultative process.","European Commission","","","","Research/academia","the University of Zambia, Department of Economics","","","","","
Overall goal
- To improve the health status of people in Zambia in order to contribute to increased productivity and socio-economic development
Goal: To have empowered communities taking responsibility for improving their own health status through community health interventions in line with the principles of PHC by 2021
objectives
- To formalise community health structures in line with the decentralization policy
- To strengthen health promotion and education at the community level
- To improve the capacity of districts, hospitals, and health centres to deliver health services at the community level
Goal:To have empowered communities taking responsibility for improving their own health status through community health interventions in line with the principles of PHC by 2021
Goal: To reduce MMR from 398/100,000 live births in 2014 to 162/100,000 live births by 2021
Goal: To reduce the under-five mortality rate from 75 (ZDHS, 2013-14) to 56 deaths per 1,000 live births by 2021
Goal: To reduce under and over nutrition and improve clinical nutrition by 2021
Objectives
- To increase access and utilisation of high-impact nutrition-specific interventions
- To improve coordination and systems that support delivery of nutrition services
- To promote generation and use of evidence for improved nutrition programming
- To strengthen the legal, regulatory, and policy framework for nutrition programmes
- To strengthen capacity for clinical nutrition care services at the health facility level
Goal: To reduce the morbidity and mortality due to non-communicable diseases by 2021
Objectives
- To improve the policy/legal framework for NCDs
- To reduce the incidence and prevalence of NCDs through enhanced health promotion
- To strengthen and orient health systems to address the prevention and control of NCDs and the underlying social determinants through people-centred primary health care and Universal Health Coverage
- To strengthen and scale up the treatment, rehabilitation, care, and support for people suffering from NCDs, in order to reduce morbidity and mortality and improve quality of life
","- Strengthen comprehensive e-learning institutions, school health and nutrition, and comprehensive sexual health education programmes
- Enhance health-promoting schools
- Strengthen promotion of breastfeeding (early initiation and exclusive breastfeeding)
- Strengthen the School Health and Nutrition Programme
- Scale up infant and young child feeding services, including promotion of breastfeeding and complementary feeding after six months up to two years.
- Strengthen provision of an updated package of high-impact nutrition-direct interventions, such as maternal, infant adolescent, and young child nutrition; integrated management of acute malnutrition (IMAM); Growth Monitoring Programme (GMP); micronutrient deficiency control; nutrition in HIV; and clinical nutrition and dietetics
- Strengthen integration of nutrition in other key health sector interventions, such as maternal and adolescent health, HIV care, TB, IMCI, and NCDs
- Scale up health promotion and education on the risk factors and prevention of NCDs, at all levels, using a multi-sectoral approach
- Scale up health promotion on healthy diets among the population, including exclusive breastfeeding
- Scale up promotion and support of physical activity among the population, including in schools, workplaces, and communities
","- Exclusive breastfeeding rates up to six months of age
- % of children aged under five years with stunting
- % of women of reproductive age with anaemia
- % of newborns with weight below 2.5kg (low birth weight)
- % of children aged under five years who are underweight
- % of children aged under five years who are overweight
- % of children aged under five years with wasting
- % of children aged 6-23 months who are fed with minimum acceptable diet
- Proportion of household consuming adequately iodized salt
- % of facilities achieving 90% coverage of vitamin A supplementation children aged 6 to 59 months
- Prevalence of childhood obesity:
7. Key Performance Indicators
7.1 Reproductive, Maternal, Neo-natal, Child Health, Nutrition, and Adolescent Health
Objective 1: To create demand for sexual and reproductive health services (adolescents and youths, women of reproductive age, men, elderly people and the marginalized populations).
Objective 2: To scale up high-impact child survival interventions
Objective 3: To increase access to and utilization of high impact nutrition-specific interventions.
Indicator Baseline Target 2016 2017 2018 2019 2020 2021 Data Source Outcome
Exclusive breastfeeding rates up to six months of age 73% 76% 80% ZDHS
% of children aged under five years with stunting 40% 20% 14% ZDHS
% of women of reproductive age with anaemia 47% 35% 22% 20% 18% 16% MIS/ ZDHS
% of newborns with weight below 2.5kg (low birth weight) 9% 9% 8% 7% 6% 5% ZDHS
% of children aged under five years who are underweight 15% 10% 2% ZDHS
% of children aged under five years who are overweight 9% 7% 4% ZDHS
% of children aged under five years with wasting 6% 5% 4% 3% 2% 1% HMIS/ ZDHS
","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|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 women 15-49 yrs|Complementary feeding|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Growth monitoring and promotion|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Vitamin A|Iodine|Micronutrient supplementation|Food fortification|Food grade salt|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Vaccination","","https://www.moh.gov.zm/docs/ZambiaNHSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB_2017_Zambia%20National%20Health%20Strategic%20Plan%202017-2021.pdf"
"8773","SEN","Senegal","","Plan National Stratégique pour La Survie De L’enfant","Health sector policy, strategy or plan with nutrition components","","French","","2007","","2015","Ministère de la santé et de la Prévention","","2007","Adopted","","2007","Ministère de la santé et de l'action sociale","Health","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Helen Keller International (HKI)|Other, please specify under further details","GAVI","Asian Development Bank (ADB)|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","","","","","","","","","","","","4.1.2 But
Contribuer à l’amélioration de l’état de santé des enfants de moins de cinq ans en vue d’accélérer l’atteinte des objectifs 4 et 5 du millénaire pour le développement (OMD)
4.1.3 Objectifs généraux
- Réduire la mortalité néonatale de 35‰ en 2005 à 16‰ d’ici 2015 en tenant compte de la feuille de route pour l’accélération de la réduction de la mortalité et de la morbidité maternelles et néonatales;
- Réduire la mortalité infanto juvénile de 121‰ en 2005 à 44‰ d’ici 2015 conformément aux OMD.
AXE 1 : DOMAINE 4 : Soins du NRS et de l’enfant
- Objectif spécifique 1 : Assurer la prise en charge adéquate d’au moins 80% des enfants malades (paludisme, pneumonie, diarrhée, malnutrition, noma) au niveau des structures et de 80% au niveau communautaire
- Objectif spécifique 3 : Atteindre au moins un taux de couverture de 80 % d’allaitement maternel exclusif (AME)
- Objectif spécifique 4 : Assurer une alimentation complémentaire adéquate à 90% des enfants
- Objectif spécifique 5 : Assurer un taux de couverture de 95% de supplémentation en Vitamine A et de déparasitage des enfants de moins de 5 ans
- Objectif spécifique 6 : Atteindre un taux de couverture d’au moins 90% d’ECV
- Objectif spécifique 7 : Réduire d’au moins 50% la prévalence de l’insuffisance pondérale chez les enfants de moins de 5 ans
","Trois axes stratégiques ont été déterminés :
1. Amélioration de la disponibilité et de l’accessibilité du paquet intégré d’interventions de qualité pour la santé de la mère, du nouveau-né et de l’enfant,
2. Augmentation de la demande et de l’utilisation des services par les populations notamment les groupes vulnérables ,
3. Création d’environnements institutionnel, réglementaire et économique favorables au passage à l’échelle du paquet d’interventions
","Indicators are listed in document, Tables p 63-89
","","","Underweight in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Vitamin A|Micronutrient supplementation|Nutrition education|Management of severe acute malnutrition|Vaccination","","www.who.int/pmnch/events/2008/plannationalstrategique.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202007%20Plan%20National%20Strat%C3%A9gique%20Survie%20Enfant.pdf"
"23729","NAM","Namibia","","Health Sector Strategic Plan 2009-2013","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2013","Ministry of Health and Social Services","","2009","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Sport|Transport|Other","Ministry of Health and Social Services, OPS, Home Affairs, Works and Transport, Gender, Youth Sport and Culture","","","Other, please specify under further details","Red Cross; NAPPA; TCE; NANASO; NFPDN; Health Unlimited; NASOMA; Catholic AIDS Action; ELCIN AIDS Action; ELCAPLife Line/ Child Line, FBOs","","","","","","","","","","","","Director PHC, SWS, trade unions (all)","Objectives
- Reduce malnutrition
- Decrease morbidity rates
","Initiatives
","Reduce malnutrition
- Rate of underweight (under 5 years) from 16% (baseline) to 1% (2013)
- Stunting rate (under 5) from 30% (baseline) to 15% (2013)
- Rate of obesity (under 5) to 5% (2013) (no baseline)
Decrease morbidity rate
Incidence of non-communicable diseases
- Diabetes from 2% (baseline) to 0.5% (2013)
- Hypertension from 1% (baseline) to 0.5% (2013)
- Asthma from from 1% (baseline) to 0.5% (2013)
","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Overweight in children 0-5 yrs|Food security and agriculture","","http://www.africanhealthleadership.org/wpc/uploads/MOHSSStrategicPlan.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202009%20Health%20Sector%20Strategic%20Plan.pdf"