"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" "24183","PAK","Pakistan","","West Pakistan Maternity Benefit Ordinance of 17 December 1958, No. 32 of 1958 as amended by Labour Laws (Amendment) Ordinance, 1993 (No. 23 of 1993)","Legislation relevant to nutrition","","English","","1993","","","","","1993","","","","","","","","","","","","","","","","","","","","","","","","","","","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%|Employer liability","","","","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","" "14769","TZA","United Republic of Tanzania","","Food (Control of Quality) (Iodated Salt) Regulations, 1993","Legislation relevant to nutrition","","English","","1994","","","Government Notice No. 83 published on 25/3/94","","1994","Adopted","12","1993","Minister of Health","Health","","","","","","","","","","","","","","","","","","","","","","
3. No person shall import into Tanzania any edible salt in any other form than iodated salt (reg. 3). No person shall manufacture for sale, distribute, store or display salt other than iodated salt
4. No person shall on his own or cause any other person on his behalf to manufacture for sale or distribution store or display salt other than iodated salt.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC005306","","","" "15058","TZA","United Republic of Tanzania","","The Food (Control of Quality) (Marketing of Breast-milk Substitutes and Designed Products) Regulations, 1994","Legislation relevant to nutrition","","English","7","1994","","","Order of Government","7","1994","Adopted","","1994","Government","","","","","","","","","","","","","","","","","","","","","","","These Regulations shall apply to all areas to which the Food (Control of Quality) Act, 1978 applies and shall affect marketing of all breast-milk substitutes and designated products whether locally made or imported. They shall apply to their quality, availability, and information regarding their use (reg. 2). Designated products means: (a) infant formula; (b) follow up formula;(c) any other products marketed or otherwise commonly used for feeding of infants;(d) any product to be fed by use of a feeding bottle; (e) natural or industrially made beverages, milks or foods intended for the use by infants or young children; (f) feeding bottles, teats and pacifiers; (g) other products as may be specified by the Minister by Notice in the Official Gazette (reg. 3). The 20 regulations are divided into 5 Parts: Preliminary (I); Education and Health Care Facilities (II); Health Workers Manufacturers and Distributors (III); Infant Formula (IV); Licences, Import Permits, Offences and Penalties (V). The Regulations are completed by 4 Schedules: Limits of micro-organisms in infants and supplementary food (1); Composition and quality factors in infant formula (2); Composition and quality factors of supplementary food (3); Essential composition and factors of follow up formulas (4).
(Summary retrieved from FAOLEX)
2. Definitions.– In this Ordinance, unless there is anything repugnant in the subject or context,–
(a) “infant” means a child up to the age of twelve months;
(b) “young child” means a child from the age of twelve months up to the age of two years;
(c) “advertise” or “advertising” means to make any representation by any means whatsoever for the purpose of promoting sale or use of a designated product;
(d) “Board” means the 4[4][Punjab] Infant Feeding Board constituted under section 3;
(e) “container” means any form of packaging of a designated product for sale as a retail unit;
(f) “designated product” means–
(i) Any milk manufactured, marketed and promoted for the use of an infant or otherwise represented as a partial or total replacement for mother’s milk, whether or not it is suitable for such replacement;
(ii) Any products manufactured, marketed, promoted or otherwise represented as a complement to mother’s milk to meet the growing nutritional needs of an infant;
(iii) Any feeding bottle, teat, valve for feeding bottle, pacifier or nipple shield; and
(iv) Such other product as the 5[5][Government] may, by notification in the official Gazette, declare to be a designated product for the purposes of this Ordinance;
(g) “complementary food” means any food suitable as an addition to breast milk or to a breast milk substitute when either becomes insufficient to satisfy the nutritional requirements of an infant, also commonly called “weaning food” or “breast milk and young child supplement”;
(h) “infant-formula” means an animal or vegetable based milk product manufactured in accordance with the standards recommended by the Codex Alimentarius Commission and the Codex Code of Hygienic Practice for Foods for Infants and Children to approximate the normal nutritional requirements of an infant up to the age of six months;
(i) “feeding bottle” means any bottle or receptacle marketed for the purpose of feeding an infant or a young child;
(j) “nipple shield” means an appliance with a teat for a baby to suck from the breast;
(k) “pacifier” means an artificial teat for babies to suck, also called “dummy”;
(l) “follow-up formula” means an animal or vegetable based milk product marketed for infants older than six months or young child and formulated industrially in accordance with the standards of the Codex Alimentarius Commission and the Codex Code of Hygienic Practice for Foods for Infants and Children;
(m) “distributor” means any person engaged in the business of marketing, whether wholesale or retail, and includes a person providing product public relations and information services;
6[6][(mm) “Government” means Government of the Punjab;]
(n) “health care facility” means a Government, non-Government, semi-Government or private institution or organization, or private medical practitioner engaged, directly or indirectly, in the provision of health care to infants, young children, pregnant women or mothers, and includes a day-care center, nursery and any other child-care institution;
(o) “health professional” means a medical practitioner, nurse, nutritionist or such other persons as the 7[7][Government] may, by notification in the official Gazette, specify;
(p) “health worker” means any person providing services to infants, young children, pregnant women or mothers as a medical practitioner, and includes a health professional, homeopath practitioner, hakim, nurse, midwife, traditional birth attendant, pharmacist, dispensing chemist, nutritionist, hospital administrator or employee, whether professional or not, whether paid or not, and any other person providing such services as the 8[8][Government] may, by notification in the official Gazette, specify;
(q) “Inspector” means any person designated as Inspector under section 12;
(r) “label” means any tag, mark, pictorial or other descriptive matter which is written, printed, stencilled, marked, embossed, attached or otherwise appearing on a container;
(s) “manufacturer” means a person, corporation or other entity engaged or involved in the business of producing, processing, compounding, formulating, filling, packing, repacking,altering, ornamenting, finishing and labeling a designated product, whether directly, through an agent, or through a person controlled by or under an agreement;
(t) “market” means any method of introducing or selling a designated product, and includes, but not limited to, promotion, distribution, advertising, distribution of samples, product public relations and product information services;
(u) “person” means any individual, partnership, association, unincorporated organization, company, co-operative, corporation, trustee, agent or any group of persons;
(v) “prescribed” means prescribed by rules;
(w) “promote” or “promotion” means any method of introducing a person to, or familiarizing a person with, a designated product or inducing a person to buy or use a designated product, and includes, but not limited to, advertising, offer of samples or gifts, distribution of literature, public relations and information services related to a designated product, but does not include any prescription issued by a medical practitioner based on health grounds;
(x) 9[9][* * * * * * * * * * * *]
(y) “rules” means rules made under this Ordinance; and
(z) “sample” means any quantity of a designated product provided free of cost.
FIRST SCHEDULE
[See Section 3]
TABLE 1
(EXCISABLE GOODS)
Col.(1) S.No. Col.(2) Description of Goods Col.(3) Heading/sub-heading Number Col.(4) Rate of Duty
…
3 Concentrates for aerated beverages in all forms including syrup form 2106.9010 Fifty per cent ad val.
4 Aerated waters 2201.1020 Thirteen per cent of retail price
5 Aerated waters, containing added sugar or other sweetening matter or flavored 2202.1010 Thirteen per cent of retail price
6 Aerated waters if manufactured wholly from juices or pulp of vegetables, food grains or fruits and which do not contain any other ingredient, indigenous or imported, other than sugar, coloring materials, preservatives or additives in quantities prescribed under the West Pakistan Pure Food Rules, 1965. Respective headings Thirteen per cent of retail price
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)","","https://download1.fbr.gov.pk/Docs/20221281214256978FEAct,2005updatedupto15-01-2022.pdf","https://www.fbr.gov.pk/Categ/Federal-Excise-Act/346 https://www.fbr.gov.pk/finance-supplementary-act/173383","","" "82230","PAK","Pakistan","","Federal Excise Act, 2005","Legislation relevant to nutrition","","English","7","2005","","","The Gazette of Pakistan, Extra., July 1, 2005, Part I","7","2005","Adopted","6","2005","Majlis-e-Shoora (Parliament) of Pakistan","Cabinet/Presidency|Finance, budget and planning","","","","","","","","","","National NGOs","","","","","","","","","","","","1. Short title, extent and commencement.-(1) This Act may be called the Federal Excise Act, 2005,
(2) It extends to the whole of Pakistan
(3) It shall come into force on the fist day of July; 2005.
…
LEVY, COLLECTION AND PAYMENT OF DUTY
3. Duties specified in the First to be levied.-(1) Subject to the provisions Of this Act and rules made thereunder, there shall be levied and collected in such manner as may prescribed duties of excise on,—
(a) goods produced or manufactured in Pakistan;
(b) goods imported into Pakistan;
(c) such goods as the Federal Government may, by notification in the official Gazette, specify, as are produced or manufactured in the non-tariff areas and brought to the tariff areas sale or consumption therein; and
(d) services, provided or rendered in Pakistan.
at the rate of fifty per cent ad valorem except the and services specified in the First Schedule, which shall be charged to Federal excise duty as, and at the rates, set-forth therein.
…
FIRST SCHEDULE
[See section 3]
TABLE 1
(EXCISABLE GOODS)
(1) S No. (2) Description of goods (3) Heading/sub-heading number (4) Rate of duty
(1) 1. (2) Edible oils excluding epoxidized soyabean oil falling under heading 15.18. (3) 15.07, 15.08, 15.09, 15.10, 15.11, 15.12, 15.13, 15.14, 15.15, 15.16 15.17, and 15.18 (4) Fifteen percent ad. val.
(1) 2. (2) Vegetable ghee and cooking oil (3) Respective headings (4) Fifteen percent ad. val.
(1) 3. (2) Concentrates for aerated beverages in all forms including syrup form. (3) 2106.9010 (4) Fifty per cent ad val.
(1) 4. (2) Aerated waters (3) 2201.1020 (4) Twelve per cent of retail price
(1) 5. (2) Aerated waters, containing added sugar or other sweetening matter or flavored (3) Respective headings (4) Ten per cent of retail price
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Syrups, powders or concentrates (taxes)|Fats and oils (taxes)","","https://na.gov.pk/uploads/documents/finance_act2005_290605.pdf","Finance Act 2005, Art. 2 substituted the Excises Act, 1944.https://www.fbr.gov.pk/Categ/Federal-Excise-Act/346","","" "38485","PAK","Pakistan","Punjab","Punjab Pure Food Rules","Legislation relevant to nutrition","","English","9","2011","","","Government of the Punjab Health Department","9","2011","Adopted","9","2011","Governor of the Punjab","Sub-national","","","","","","","","","","","","","","","","","","","","","","Part V Amendment of the Excise (Management and Tariff) Act,
(CAP.147)
Construction Cap.147
16. This Part shall be read as one with the Excise (Management and Tariff) Act, hereinafter referred to as the “principal Act”.
Amendment of Fourth Schedule
17. The principal Act is amended in the Fourth Schedule by introducing new rates in respect of excisable items as follows:
____________
“FOURTH SCHEDULE
_____________
(Made under section 124(2))
Heading H.S. Code No.
20.09 (2009.11.00, 2009.12.00, 2009.19.00, 2009.21.00, 2009.29.00, 2009.31.00, 2009.39.00, 2009.41.00, 2009.49.00, 2009.50.00, 2009.61.00, 2009.69.00, 2009.71.00, 2009.79.00)
Fruit juices (including grape must) and vegetable juices, unfermented and not containing added spirit, whether or not containing added sugar or other sweetening matter.
Locally produced fruit juices manufactured from domestic fruits under heading 20.09 - Tshs. 9.00 per litre
Imported fruit juices under the heading 20.09 - Tshs.232.00 per litre
22.01 Waters, including natural or artificial mineral waters and aerated waters, not containing added sugar or other sweetening matter or flavoured; ice and snow.
2201.10.00 -Mineral waters and aerated waters
Locally produced, bottled - Tshs. 58.00 per litre
Imported, bottled - Tshs. 64.05 per litre
2201.90.00
Other
Locally produced - Tshs. 58.00 bottled litre per litre
Imported, bottled - Tshs. 64.05 per litre
22.02 Waters, including mineral waters and aerated waters, containing added sugar or other sweetening matter or flavoured, and other nonalcoholic beverages, not including fruit vegetable juice of heading 20.09
2202.10.00 - Waters, including mineral waters and aerated waters, containing added sugar or other sweetening matter or flavoured - Tshs. 61.00 per litre
Other
2202.91.00 -- Non-alcoholic beer
Locally produced - Tshs. 561.00 per litre
Imported - Tshs. 589.05 per litre
2202.99.00 -- Other
Locally produced - Tshs. 561.00 per litre
Imported - Tshs. 589.05 per litre
1 SCOPE:
1.1 This standard applies to fat products containing 10 % to 90 % fat, intended primarily for use as spreads. However, this standard does not apply to fat spreads derived exclusively from milk and/or milk products. It only includes margarine and products used for similar purposes. Butter and dairy spreads are not covered by this standard.
2. TERMINOLOGY:
2.1 For the purpose of this standard, the following definitions shall apply.
2.1.1 MARGARINE:
Margarine is plastic or fluid emulsion of refined, deodorized, hydrogenated or unhydrogenated / Interesterified edible vegetable oils / fats and water containing not less than 80% and not more than 90% fat which may contain permissible additives as given in Table-I & Table-2.
2.1.2 MARGARINE SPREAD:
Margarine Spread and Spread are plastic or fluid emulsions of refined, deodorized, hydrogenated or unhydrogenated / interesterified edible vegetable oils / fats and water containing 10 % or more and less than 80 % fat which may contain permissible additives as given in Table-I and Table-3_ Margarine Spread may be termed as Spread if the fat content is lower than 60 %.
2.1.3 INDUSTRIAL MARGARINE:
""""Industrial Margarine"""" means Margarine with a melting point maximum 48 C.
Table 1
Permissible Ingredients: (other than Oils/ fat and water) ... Max. Level of use
...
2. Sodium Chloride Max. ... 2.5 % by weight
Table 2
Requirements for Margarine
...
8 Vitamin 'A' I.U per Kg. of finished product, min. 33,000 +/-10%
...
10 Trans Fatty Acids Not more than 2g per 100g of total fat
Table 3
Requirements for Margarine Spreads
...
8 Vitamin A I.U per Kg. of finished product. 33,000 to 45,000
9 Vitamin 'D3 I.U per Kg. of finished product. 3000 to 4500
...
11 Trans Fatty Acids Not more than 2g per 100g of total fat
...
8. MARKING
8.1 The container/wrapper shall be marked with the following particulars:
...
iii. Percentage of total fat, saturated fat and unsaturated fat.
Aims:
1. To integrate food and nutrition activities undertaken by various sectors
2. To enable each sector to play its part in the elimination of the malnutrition problem
3. To improve the nutritional situation of the Tanzanian community, especially children and women
4. To strengthen the procedures of obtaining and supplying food within the household, villages and towns by utilizing locally produced foods
5. To enable Tanzanians to produce and use food which can adequately meet their nutritional needs
6. To establish a viable research programme which will facilitate the improvement of food and nutrition in the country
Objectives:
1. To prepare a viable system for coordinating, balancing, and guiding food and nutrition activities which are being undertaken by various sectors
2. To provide guidelines and techniques to combat food and nutrition problems in the country and to enable each sector to play its role
3. To rectify the state of food availability and formulate proper strategies and techniques to ensure the availability and utilization of food in accordance with nutritional requirements
4. To involve all sectors which deal with issues pertaining to food and nutrition in realizing and strengthening the methods of improving the nutritional situation
5. To incorporate food and nutrition considerations in development plans and to allocate available resources towards solving the problem of food and nutrition at all levels
6. To use nutrition as one of the indicators in assessing social development achievements of economic and health improvement projects
7. To formulate and develop research which will facilitate solving of food and nutrition problems
Indicators in each section/theme
","","","Maternity protection|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Vitamin A|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Vaccination","","https://www.tfnc.go.tz/uploads/publications/sw1514910116-The%20Food%20and%20Nutrition%20Policy%20-%201992.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%201992%20Food%20and%20Nutrition%20Policy.pdf" "8600","TZA","United Republic of Tanzania","","National Development Vision 2025","Multisectoral development plan with nutrition components","","English","","1999","","2025","Planning Commission","","1999","","","","","","","","","","","","","","","","","","","","","","","Key result area (KRA) 1: Nutritional well-being of all Tanzanians
Targets:
- Growth and Reduction of Income Poverty
- Improvement of Quality of Life and Social Well-Being
- Governance and Accountability
","
Improved syrvival, health and well-being of all children and women and especially of vulnerable groups
","
- Reduced prevalence of stunting in under fives from 43.8 %to 20% in 201 0
- Reduced prevalence of wasting in under fives from 5.4% to 2 % in 2010
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years","","http://www.povertymonitoring.go.tz/Mkukuta/MKUKUTA_MAIN_ENGLISH.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Tanzannia-National%20Strategy%20for%20Growth%20and%20Poverty%20Reduction%20.pdf" "8431","TZA","United Republic of Tanzania","","National Population policy","Multisectoral development plan with nutrition components","","English","","2006","","","Ministry of Planning Economy and Empowerment (Ministry of Finance and Economic Affairs)","","2006","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Social welfare|Sport|Sub-national","Ministry of Finance and Economic Affairs, Ministry of Planning, Economy and Empowerment, National Population Technical Committee, Tanzania Council on Population and Development, Ministry of Community Development, Gender and Children","","","","","","","","","","","","","","","","","
4.9 Agriculture, Food and Nutrition:
3.3. Goal
To accelerate the reduction of maternal, newborn and childhood morbidity and mortality, in line with MDGs 4 and 5, by 2015.
","3.7 Guiding principles:
o Addressing underlying causes of high mortality: Taking a multi-sectoral and partnership approach to address the underlying causes of maternal, newborn and child death such as, transport, nutrition, food security, water and sanitation, education, gender equality and women empowerment to ensure sustainability.
","3.5 Operational targets to be achieved by 2015:
4. Reduced stunting and underweight status among under-fives from38% and 22% to 22% and 14%, respectively.
5. Increased exclusive breast feeding coverage from 41% to 80 %
Other list of indicators to assess maternal, newborn and child health:
c) Neonatal indicators:
• Prevalence of low birth weight
• Early initiation of breast feeding (within the first hour)
• Proportion of district hospitals implementing Kangaroo Mother Care for management of Low Birth Weight
• Proportion of district hospitals that are accredited baby friendly
• Postnatal vitamin A coverage
The overall objective of the ZFSN Policy is to create a conducive environment that enables all Zanzibari to have equitable access at all times to safe, nutritious and culturally acceptable food in sufficient quantities for an active and healthy life, and to provide special protection of vulnerable population groups from the effects of emergency situations on their food security and nutrition situation.
The goals of the policy are:
1. Improved food availability through enhancing domestic food production, more efficient food marketing and trade.
2. Increased purchasing power and access to food for all resource poor
households.
3. Improved utilisation of adequate, nutritious, safe and high quality food to all members of the household.
4. Reduced vulnerability to food insecurity and malnutrition for resource poor population groups through well-targeted social protection measures
and effective national emergency preparedness and food emergency
measures.
5. Improved and sustainable management of the environment and of land and marine resources.
Policy strategy 1.1: Ensure efficient and sustainable increase in domestic food production and productivity
Policy strategy 1.2: Increase efficiency in (domestic) food marketing and trade
Policy strategy 2.1: Increase diversification of rural and urban based economic activities to expand livelihood options and reduce vulnerability to risks of food insecurity and malnutrition
Policy strategy 2.2: Promote credit availability to rural and urban microentrepreneurs
Policy strategy 2.3: Development of Micro Small and Medium Enterprises (MSME) to enable the poor to take advantages of economic growth
Policy strategy 3.1: Ensure use of clean and safe drinking water and improved sanitation
Policy strategy 3.2: Ensure effective public health and nutrition education interventions
Policy strategy 4.1: Strengthen disaster management, emergency relief and FSN information Systems
Policy strategy 4.2: Strengthen social protection and safety nets to the needy and vulnerable groups
Policy strategy 5.1: Enhance institutional coordination and management of environment and natural resources
Policy strategy 5.2: Enhance improved land husbandry management practices
","","","","Wasting in children 0-5 years|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202008%20Zanzibar%20Food%20security%20and%20nutrition%20policy.pdf" "8824","TZA","United Republic of Tanzania","","Health Sector Strategic Plan III - “Partnership for Delivering the MDGs”","Health sector policy, strategy or plan with nutrition components","","English","7","2009","6","2015","The United Republic of Tanzania. Ministry of Health and Social Welfare","","2008","Adopted","10","2008","The plan was approved at the Joint Annual Health Sector Review, of October 2008.","Health","Ministry of Health and Social Welfare","","","","","","","","","","","","","","","","","
Strategy 6: Public Private Partnerships
Strategic objective
3. Enhance PPP in the provision of health and nutrition services
Strategy 7: Maternal, Newborn and Child Health
Strategic objectives:
1. Increase access to Maternal, Newborn and Child Health (MNCH) services
2. Strengthening the health systems to provide quality MNCH and nutrition services
Strategy 8: Disease Prevention and Control
HIV/AIDS
Strategic objective
1. Maximize the health sector contribution to HIV prevention
Non Communicable Diseases
Strategic objectives:
1. To reduce the burden of Non Communicable Diseases, mental disorders and substance abuse
2. Develop NCD MH&SA advocacy and sensitisation programmes
","The MOHSW has identified eleven strategies, which the health sector should achieve during the period of implementation:
· Strategy 1: District Health Services
· Strategy 2: Referral Hospital Services
· Strategy 3: Central Support
· Strategy 4: Human Resources for Health
· Strategy 5: Health Care Financing
· Strategy 6: Public Private Partnerships
Strategies
3. Enhance PPP in the provision of health and nutrition services
· Strategy 7: Maternal, Newborn and Child Health
Strategies
1. Increase access to Maternal, Newborn and Child Health (MNCH) services
2. Strengthening the health systems to provide quality MNCH and nutrition services
· Strategy 8: Disease Prevention and Control
Strategies:
Non communicable disease
Malaria
HIV/AIDS
1. Maximize the health sector contribution to HIV prevention
Strategy 8: Disease Prevention and Control
Strategies:
HIV/AIDS
Strategies
1. Maximize the health sector contribution to HIV prevention
Non Communicable Diseases
Strategies
1. To reduce the burden of Non Communicable Diseases, mental disorders and substance abuse
2. Develop NCD MH&SA advocacy and sensitisation programmes
· Strategy 9: Emergency Preparedness and Response
· Strategy 10: Social Welfare and Social Protection
· Strategy 11: Monitoring & Evaluation and Research
Strategy 6: Public Private Partnerships
Strategic objective 3. Enhance PPP in the provision of health and nutrition services
Expected result: 3. Private sector motivated and supported to increase the availability of fortified foods
Indicator: Percentage of wheat, sugar and vegetable oil fortified with micronutrients
Strategy 7: Maternal, Newborn and Child Health
Strategies
1. Increase access to Maternal, Newborn and Child Health (MNCH) services
Expected results
Indicators:
2. Strengthening the health systems to provide quality MNCH and nutrition services
Expected results:
Indicators:
Strategy 8: Disease Prevention and Control
Strategies:
HIV/AIDS
Strategies
1. Maximize the health sector contribution to HIV prevention
Expected results:
Indicators:
Non Communicable Diseases
Strategies
1. To reduce the burden of Non Communicable Diseases, mental disorders and substance abuse
Expected results:
Indicators:
2. Develop NCD MH&SA advocacy and sensitisation programmes
Expected results:
Indicators:
4 .1 Cluster I: Growth for Reduction of Income Poverty
Goal 4 Ensuring Food and Nutrition Security, Environmental Sustainability and Climate Change Adaptation and Mitigation
The goal aims at achieving security in food nutrition and environmental sustainability. It also aims at addressing and dealing with adverse effect of climate change . Following are targets under the goal;
Operational targets
i . Food security at household, district, regional, and national levels ensured through increasing food crops, livestock and fishery production;
ii . Nutrition of infant, young children and mothers promoted;
iii . Strategic Grain Reserve of at least 4 month of national food requirement maintained;
iv . Crop and livestock varieties suited to adverse conditions brought about by climate change introduced and adopted;
v . Climate change projection and early warning and natural disaster response, coordination framework strengthened
4.2 Cluster II: Improvement of Quality of Life and Social Well-being
Goal 3 Improving survival, Health, Nutrition and Well Being, Especially for Children, Women and Vulnerable Groups
Operational targets and strategic interventions for achieving this goal have been identified based on the strategic areas and targets defined in the National Health Policy 2007, Health Sector Strategic Plan III (2008-2015), Primary Health Services Development Programme 2007-2017, Human Resource for Health Strategic Plan 2008-2013, the National Road Map Strategic Plan to Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania 2008-2015 (also known as ‘One Plan’), the ongoing disease specific programmes); ATM, EPI & others . The major areas are: human resources for health;; addressing fertility, maternal and neonatal health, improving child health and nutrition; and addressing HIV and AIDS .
4 .1 Cluster I: Growth for Reduction of Income Poverty
Goal 4 Ensuring Food and Nutrition Security, Environmental Sustainability and Climate Change Adaptation and Mitigation
The following cluster strategies are required in order to reach this goal:
i . Promoting skills among farmers for adoption of new farming practices on crops, livestock, fish and fishery products with high nutritional contents, and agro-processing technologies for value addition and extension of shelf life, including food stuff of animal origin;
ii . Promoting increased fish production through aquaculture to complement declining capture fisheries;
iii . Improving sustainable fisheries resources development, management, conservation and utilization;
iv . Promoting exclusive breast feeding during first six months;
v . Promote health of the infant, young child and mother;
vi . Ensuring production and universal consumption of iodized salt;
vii . Ensuring food fortification;
viii . Enhancing sustainable forest management for improved governance,
livelihoods, forest conditions, resilience of forest ecosystems and trees outside forests and more efficient use of wood resources;
ix . Promoting grading and packaging of food products (crops, livestock products and fish) and forestry products;
x . Creating awareness on climate change and adaptation strategies;
xi . Monitoring management of food stocks at household, village, and ward levels;
xii . Maintaining strategic Grain Reserve of at least 4 months of national food requirement;60
xiii . Supporting research in introducing and promoting adoption of crops, livestock, and fish varieties and breeds suited to adverse conditions brought about by climate change;
xiv . Applying new technologies in pest and disease management (IPM, breeding, biotechnology);
xv . Increasing farmers, livestock farmers, fishers and aqua farmers awareness on the full impacts of climate change on agriculture;
xvi . Designing sustainable crop production and farming systems reflective of climate change scenarios such as breeding pest resistant crop and livestock;
xvii . Increasing carbon sequestration on farms through reduced tillage high carbon crops and agro forestry;
xviii . Improving soil and water conservation measures including irrigation development;
xix . Providing specific adaptation and mitigation options according to regional conditions;
xx . Strengthening weather projection and early warning systems;
xxi . Facilitating development of market-based financing mechanisms for climate change mitigation and adaptation and leveraging private sector resources;
xxii . Supporting accelerated development and deployment of new technologies that ensure adaptation and mitigation actions;
xxiii . Enhancing policy research, knowledge and capacity building in areas of climate change and its impacts;
xxiv . Enhancing storage facilities and food preservation technologies;
xxv . Promoting private sector investments especially in cold storage facilities for perishables and other commodities
4.2 Cluster II Improvement of Quality of Life and Social Well-being
Goal 1 Ensuring equitable Access to Quality Early Childhood Development (ECD) Programmes, Primary and Secondary Education for all girls and boys
Strategies
xii . Provision of school feeding programs;
Goal 3 Improving survival, Health, Nutrition and Well Being, Especially for Children, Women and Vulnerable Groups
Addressing Fertility, Maternal and Neonatal Health
iv . Providing nutrition education and micronutrient supplements to women of reproductive age, especially pregnant and breastfeeding women;
Addressing Infant and Child Health and Nutrition
Six operational targets have been set to guide the implementation of strategic interventions . Operational targets:
i . Infant mortality rate reduced from 51 per 1000 live births (2010) to 38 per 1000 live births by 2015 .
ii . Under-five mortality rate reduced from 81 per 1,000 live births (2010) to 54 per 1,000 live births by 2015 .
iii . Proportion of under-five underweight (weight for age) reduced from 21 percent (2010) to 14 percent by 2015 .
iv . Proportion of stunted under-fives (height for age) reduced from 35 percent (2010) to 22 percent by 2015 .
v . Prevalence of exclusive breast-feeding in children under 6 months increased from 50 percent (2010) to 60 percent by 2015 .
vi . Proportion of anaemic women and children reduced (from 48 .4 percent to 35 percent in women; from 71 .8 percent to 55 percent in children) by 2015
Interventions are needed to sustain the gains which have been achieved in child health including addressing disparities across and within regions and social-economic groups, strengthening health systems, and improving early childhood nutrition to enhance maternal and neonatal health . In order to achieve this, the following interventions will be implemented:
i . Improving quality of facility, and community-based Integrated Management of Childhood Illnesses (IMCI);
ii . Strengthen health promotion and engagement with communities on proper management of childhood illnesses;
iii . Ensuring universal Vitamin A coverage of under-five children and post partum women
iv . Scaling up implementation of public health and primary preventive strategies such as use of safe and clean water;
v . Promoting personal hygiene and sanitary measures, implementation of environmental health programs;
vi . Increasing immunization coverage and introducing new options for Expanded Program in Immunization (EPI) vaccines;
vii . Promoting optimal breastfeeding and complementary feeding practices;
viii . Combating malaria through strategies such as universal distribution of long-lasting nets; implementation of Rapid Malaria Test (RDT) for malaria country-wide; and introducing additional malaria control strategies including indoor residual spraying;
ix . Regulating and promoting food fortification with vitamins and minerals;
x . Responding rapidly to health and nutritional challenges that especially
affect children due to adverse conditions such as climate change;
xi . Engaging in partnerships with organizations and sectors outside health sector at national, regional and international levels in order to adapt and mitigate impacts of adverse weather conditions
Addressing HIV and AIDS and TB
ii . Sustaining care and treatment with emphasis on Prevention of Mother to Child Transmission (PMTCT+) and paediatrics’ AIDS services
iii . Proportion of under-five underweight (weight for age) reduced from 21 percent (2010) to 14 percent by 2015 .
iv . Proportion of stunted under-fives (height for age) reduced from 35 percent (2010) to 22 percent by 2015 .
v . Prevalence of exclusive breast-feeding in children under 6 months increased from 50 percent (2010) to 60 percent by 2015 .
vi . Proportion of anaemic women and children reduced (from 48 .4 percent to 35 percent in women; from 71 .8 percent to 55 percent in children) by 2015
(2) Health claims shall only be allowed if-
(a) accompanied by the information which is truthful and non-misleading to help consumers choose healthy diets:
(b) accompanied by a statement indicating the importance of a balanced diet and a healthy lifestyle;
(c) show the quality of the food and patterns of consumption required to obtain the claimed beneficial effect;
(d) accompanied by an appropriate statement addressed to persons who should avoid using the food
(e) accompanied by a warning not to exceed quantities of the product that may represent a risk to health
(3) Where a nutrition claim is made, and where food is by its nature low or free of the nutrient that is the subject of the claim, the term describing the level of the nutrient shall not immediately precede the name of the food but shall be in the form of a low (naming the nutrient) food or a (naming the nutrient) free food.
","Food labelling|Claim must be substantiated","","http://extwprlegs1.fao.org/docs/pdf/tan153968.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202010%20Food%2C%20drugs%20and%20cosmetics%20%28control%20of%20food%20promotion%29%20regulations.pdf" "25848","TZA","United Republic of Tanzania","","The Tanzanian Food, Drugs and Cosmetics (Iodated Salt) Regulations, 2010","Legislation relevant to nutrition","","English","","2010","","","","","2010","Adopted","","","","","","","","","","","","","","National NGOs","","","","","","","","","","","","4. A person shall not import into Mainland Tanzania any edible salt in any other form unless such salt is iodated in conformity to Regulation 5 of these Regulations.
5. (1) A person shall not manufacture or cause any other person to manufacture for sale, distribute, store or display salt for human or animal consumption unless such salt is iodated in accordance with these Regulations.
(2) ...
(e) the level of iodine shall be twenty five to seventy parts per million at the point of its sale.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202010%20iodated%20salt%20regulations.pdf" "8475","TZA","United Republic of Tanzania","","National Nutrition Strategy 2011/12-2015/16","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","The United Republic of Tanzania, Ministry of Health and Social Welfare","","2011","","","","","Health|Social welfare","The United Republic of Tanzania, Ministry of Health and Social Welfare","","WHO, UNICEF, WFP, FAO","","International NGOs & National NGOs: NGOs, CBOs, FBOs","","Bilateral and donor agencies and lenders","","","National NGOs","","Research/academia","Research/academia: Higher learning and training institutions","Private sector","Privet sector unspecified","Other","Community, Media, Professional bodies","Goal
The goal of the Strategy is that all Tanzanians attain adequate nutritional status, which is an essential requirement for a healthy and productive nation. This will be achieved through policies, strategies, programs and partnerships that deliver evidence-based and cost-effective interventions to improve nutrition
Targets
The targets to be achieved by 2015, are as follows:
Behavior change and service provision objectives
* Prevalence rate according to New WHO Child Growth Standards
[1] The 5% target is less that the 2% target set in the NSGRP, as it is felt that the latter target is too ambitious.
","
Strategies
Eight strategies have been identified to achieve the goal and objectives of the Strategy:
i. Accessing quality nutrition services: Nutrition interventions must be delivered at scale and with high coverage if they are to have impact on prevalence of malnutrition at the population level. The focus will be on delivering a package of high-impact nutrition services. District nutrition services will be well managed, of high quality and accessible to all, particularly women and children and other vulnerable groups.
ii. Advocacy and behaviour change communication: Advocacy will to be intensified to raise the visibility and profile of malnutrition at all levels, and increase the commitment and resources for its alleviation. At the household and community level, improved knowledge on caring practices for infants, young children and women of child-bearing age is a necessary component of sustainable efforts to reduce malnutrition.
iii. Legislation for a supportive environment: Legislation, policies and standards are needed to create a supportive environment conducive to good nutrition. They include measures to prevent unethical marketing of breast-milk substitutes, to protect the breastfeeding rights of employed women, to ensure adequate labelling and quality of products intended for consumption by infants and young children, and for the fortification of food.
iv. Mainstreaming nutrition into national and sectoral policies, plans and programs: The multi-sectoral nature of nutrition requires advocacy for its inclusion in national and sector policies and plans. Nutritional indicators have been included in the MKUKUTA but further efforts are needed so that nutrition is firmly part of policies and strategies in the health, agriculture, education, community development and industry sectors.
v. Institutional and technical capacity for nutrition: Nutrition needs to attain the required institutional and technical capacity that is necessary in the decentralization framework. As LGAs are now responsible for implementation of nutrition services, it is essential that there be district level nutrition focal points who are accountable for the delivery of quality nutrition services, and supportive structures at the regional and national level to provide technical backstopping, guidance and supportive supervision. Increasing the numbers and quality of human resources for nutrition at all levels and in all relevant sectors is critical for improving the quality of nutrition services. For health service providers, pre-service and in-service training courses need to keep pace with latest policies, strategies, guidelines and scientific thinking.
vi. Resource mobilization: The budget gap in nutrition needs to be reduced by mobilizing adequate and sustainable financial resources and improving the efficiency in the use of financial resources for nutrition. Despite hard budget constraints, additional budget for nutrition exists, including larger aid from development partners, increased budget allocation from MOHSW, increased efficiency in delivering nutrition interventions and collaboration with other sectors and programs.
vii. Research, monitoring and evaluation: Research, monitoring and evaluation are essential for evidence-based decision making and enhancing public accountability. Monitoring is continuous and aims to provide the management and other stakeholders with early indications of progress in the achievement of goals, objectives and results. Evaluation is a periodic exercise that attempts to systematically and objectively assess progress towards and the achievement of a program’s objectives or goals. Research tests specific interventions and approaches for the betterment of nutritional status, and provides further evidence for policy and programming.
viii. Coordination and partnerships: Because there are multiple causes of malnutrition, action is needed across a range of sectors including health, food and agriculture, water supply and sanitation, education and others. A coordinated response maximizes the use of available technical and financial resources and can create greater synergy of efforts. Public-private partnerships and collaboration with NGOs can increase the opportunities for delivering and scaling up nutrition services.
","Pages 27-36
Strategy 1: Accessing quality nutrition services
SO 1.1: Increase access to nutrition services at the community and facility level.
- Health facilities provide the minimum package of high-impact nutrition services
- Integration of nutrition interventions into the delivery of health services is increased
- Linkage with other sectors is improved to address immediate and underlying causes of malnutrition in a comprehensive manner
- Community-based programs and networks to promote and support appropriate nutrition behaviours are developed
- Two-way referral mechanisms between the community and higher levels of care are strengthened Nutrition interventions are effective in reducing undernutrition in vulnerable groups
SO 1.2: Strengthen the quality of nutrition services.
- Guidelines, standards, protocols, job aids and other technical tools for nutrition are updated and disseminated to districts
- Adherence to policies, guidelines, standards, protocols, job aids and other technical tools for nutrition is improved
- Availability of essential equipment and supplies for nutrition is guaranteed at all health facilities
SO 1.3: Improve the district- and regional-level management of nutrition services
- Minimum package of high-impact nutrition services is included in Comprehensive Council Health Plans (CCHPs)
- Supportive supervision of health facilities by CHMT, RHMT and other sectors staff includes nutrition
- Supportive supervision of extension workers in the agriculture and community development includes nutrition
Strategy 2: Behaviour change communication
SO 2.1: Enhance the nutrition behaviours of women, caregivers, family and community members, and those who influence them
Men, women, caregivers, family and community members practice behaviours, customs and traditions that support improved nutrition
Strategy 3: Legislation for a supportive environment for optimal nutrition.
SO 3.1:
- Strengthen the implementation, monitoring and enforcement of legislation.
- Legislation to create a supportive environment for optimal nutrition is enacted and periodically revised, including legislation for the protection of breastfeeding legislation to regulate - - marketing of breastmilk substitutes, maternity rights, food safety and food fortification
- Regulations, standards and guidelines to support the implementation of legislation are developed, and periodically revised when necessary
- Monitoring and enforcement procedures are strengthened to more effectively detect violations
Strategy 4: Mainstreaming nutrition interventions in national and sectoral policies and plans
SO 4.1: All government development policies adequately incorporate nutrition as a priority area of achieving economic growth, stability and prosperity.
Strategy 5: Technical capacity for nutrition
SO 5.1: Build strategic and operational capacity for nutrition
- National level structures provide strategic leadership and technical backstopping
- Regional departments provide supportive supervision and guidance to LGAs
- Local government authorities have the capacity to plan and implement nutrition services
SO 5.2: Improve the knowledge and skills of professional and community-based workers at all levels to give adequate support in nutrition.
- Pre-service curricula and training materials for service providers includes appropriate content on nutrition
- In-service training materials, guidelines, protocols and job aids are available
- Pool of trainers in nutrition for training of service providers is developed
- Follow-up and supportive supervision of service providers and community-based workers is improved to sustain their knowledge and skills
Strategy 6: Advocacy and resource mobilization
SO 6.1: Establish and maintain nutrition high on the development agenda at all levels and mobilize adequate and sustainable financial resources to support implementation of the NNS
-Nutrition is established and maintained high on the development agenda
-Increased resources are mobilized for nutrition at the central, regional and district levels
Strategy 7: Research, monitoring and evaluation
SO 7.1: Develop framework/plans for monitoring, evaluation and research for nutrition
- Monitoring and evaluation framework and research plan developed
-Nutrition included in sectoral M&E strategies and plans
SO 7.2: Obtain timely data on the nutritional status of the population through nutritional surveillance, HMIS, periodic surveys, and other routine and non-routine data systems.
- Nutrition indicators are included in HMIS, periodic surveys, surveillance systems and other routine and non-routine data systems
- Nutritional surveillance is strengthened
- Special surveys conducted to obtain specialised data on nutritional status
SO 7.3: Strengthen the evidence-base for nutrition policy and programming
- Research implemented to provide necessary additional information for nutrition planning, and research findings disseminated
Strategy 8: Coordination and partnerships
SO 8.1: Enhance coherence and synergy in the delivery of nutrition interventions through coordination at all levels
Coordination structures for nutrition are functional
SO 8.2: Strengthen partnerships for nutrition
Strategic partnerships for nutrition are established
","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Fat intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Water and sanitation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202011%20National%20Nutrition%20Strategy.pdf" "23467","TZA","United Republic of Tanzania","","United Nations Development Assistance Plan for United Republic of Tanzania","Non-national nutrition policy document","","English","","2011","","2015","UN Country Team","","2010","Adopted","","2011","","","","","","","","","","","","","","","","","","","","Cluster I: Growth for reduction of income poverty [MKUKUTA] / Growth and Reduction of Income Poverty [MKUZA]
National: MKUKUTA: Goal 1.2 Reducing income poverty through promoting inclusive, sustainable, and employment-enhancing growth; MKUZA:Goal 1.2 Promote sustainable and equitable pro-poor and broad based growth
MKUKUTA:Goal 1.4 Ensuring food security and climate change adaptation and mitigation; MKUZA:Goal 1.3 Reduce income poverty and attain overall food security
Cluster II: Improvement of Quality of Life and Social Well-being [MKUKUTA] / Well being and social services [MKUZA]
MKUKUTA:Goal 2.1 Ensuring equitable access to quality education at all levels for males and females, and universal literacy for adults, both men and women; MKUZA:Goal 2.1 Ensure gender responsive and equitable access to quality education
MKUKUTA:Goal 2.3 Improving survival, health and well being of all children, women and vulnerable groups; MKUZA:Goal 2.2 Improved health delivery systems particularly to the most vulnerable groups
","Goal: contribute to the national economic growth, household income and food security in line with national and sectoral development
aspirations growth, household income and food security in line with national and sectoral development aspirations
Objective: rationalise allocation of resources to achieveannual 6 percent agricultural GDP growth, consistent with national objectives to reduce ruralpoverty and improve house hold food and nutrition security
Strategic objective: Enhanced household and national food and nutrition security
","4 THE INVESTMENT PLAN
4.3 Priority Investment Areas
4.3.5 Food and Nutrition Security
109. Food and nutrition security takes a number of forms, all of which affect the quality of life and productivity of rural people. Chronic, transitory and emergency food insecurity due to poor agricultural productivity, food inaccessibility and natural disasters all play a role. A 2005 survey found that 15 per cent of households in selected locations were food insecure and another 15 per cent were highly vulnerable. Northern and central regions were worst affected and the level of food insecurity in some areas was high as 45 percent. Food security is highly dependent on rain-fed agriculture which also is susceptible to the vagaries of weather. Therefore there is need to promote and embark on irrigated agriculture and diversification of crops (drought resistant crops) for greater reliability of food supplies.
110. Capacity of strategic food reserves; The issue of strategic food reserves needs to consider: (i) an appropriate level of stocks to hold; (ii) transparent protocols and rules for the acquisition and release of stocks, stock rotation, and the use of financial instruments to complement physical stock-holding; and (iii) policies and procedures for dealing with food price spikes of the type currently being experienced.
111. Malnutrition is one of the most serious constraints to labour productivity and economic growth. Chronic malnutrition is also high with 38 per cent of children less than five years of age being stunted, making it one of the ten worst affected countries in the world and third worst in Africa. Over the last five years (2005 to 2010) the levels of chronic malnutrition and calorie deficiency were only reduced slightly. Malnutrition reduces labour productivity and earning potential most within the agricultural sector where physical stature and body strength are critical. In children, malnutrition often contributes to increased child mortality, and for those who survive, it diminishes their ability to grow, learn and earn a decent income as adults.
112. There will continue to be a proportion of rural households needing special support to help them achieve food security and protect them against shocks, principally droughts. It is expected that advancements in other areas of the TAFSIP will progressively reduce the number of households requiring food aid and other forms of assistance to survive. The effectiveness of targeting social safety net programmes for vulnerable groups will be sharpened, and the prevalence of child and maternal malnutrition is expected to decline. As the size and cost of the safety net programme begins to decline, more resources will be available for disaster risk management including disaster preparedness and mitigation.
113. SO5 also aims at strengthening social protection systems, particularly for the most vulnerable households by improving their food and nutrition security and asset creation while promoting human capital development through education. The National Nutrition Strategy addresses the problem of chronic malnutrition by working with multiple sectors and across government agencies. This recognises that increasing food production alone does not necessarily translate into improved nutrition outcomes. Families must also be provided with information and education about good nutrition and sanitation practices. A national school feeding program will also be supported to improve food intake and increase school attendance.
114. Small, strategic and targeted support can meet the immediate nutritional needs of vulnerable households, buffering them from asset depletion and coping strategies that undermine their long-term resilience. However, emergency support will not shift households out of poverty. Therefore additional interventions such as productive safety net and household asset protection will also be implemented. These measures support productive investment through conditional transfers that provide pathways out of poverty via rural infrastructure development, market access, agricultural productivity improvement, education, healthcare and other services.
115. The Tanzania National Food Centre (TNFC) is currently finalising the National Food and Nutrition Policy. A key policy issue is the need to ensure that significant numbers beneficiaries graduate from chronic food insecurity to enable them to advance towards becoming small-scale semi-commercial farmers under SO5; and for households to improve their knowledge about how to use increasing food availability to improve the nutritional status of their children. Increasing the rate of graduation is contingent upon the rate of progress under the other three strategic objectives and should be responsive to the needs of vulnerable households affected by natural disasters. As such, it is not advisable to prescribe the rate at which social safety net programmes can be scaled down, and to retain the capacity to respond to weather-related and other crises should circumstances deteriorate, for example through a severe and widespread drought or epidemic.
116. There is a need for better integration of dietary diversification and nutrition behavior change into all agricultural sector programmes. This recognises that simply producing more and better food is not sufficient. Rural households, especially the more vulnerable and disadvantaged ones need to understand the importance of diet in overall wellbeing and have the knowledge to use the food that they have in the best possible way. In this context there are potential tensions between policies that encourage agricultural commercialisation (often involving increased specialisation) and the need to maintain diversification of farming systems and diets.
117. Other aspects of food and nutrition policy include food safety and food fortification. Current standards of food safety need to be greatly improved including microbiology, pesticide residues, labelling standards and safe storage and transport. The new food fortification standards for oil, wheat and maize flour need to be enforced. The development and enforcement of standards needs to be balanced with public education on safe food handling practices. This is also important in accessing export markets and will be increasingly important in maintaining a competitive position in the high end of the domestic market. In addition to the above, the following priority areas will be addressed: (i) finalization and implementation of nutrition strategy; (ii) establishment of high level nutrition steering committee in the Mainland ; (iii) effective 2012 designate budget line in the national budget for nutrition; (iv) stronger integration of nutrition into agricultural activities; (v) establishment of nutritional focal point at district level; and finalization and implementation of guidelines related to food fortification. The outcomes that SO4 is expected to influence, and the milestone indicators showing progress towards these outcomes are as well reflected in Annex 1.
","
4. No person shall be authorised to manufacture for sale, import or expose for sale any food regulated under these regulations unless that food meets the minimum requirements for fortified food as prescribed in the First Schedule to these regulations or the existing national standard for fortified foods.
…
FIRST SCHEDULE
(Made under section 4)
MINIMUM REQUIREMENT FOR FORTIFIED FOOD
Food vehicle - Nutrient
Wheat flour – Iron, Zinc, Vitamin B12, Folate
Maize flour - Iron, Zinc, Vitamin B12, Folate
Edible fats and oils – Vitamin A, Vitamin E
","Vitamin A|Vitamin B12|Folic acid|Iron|Zinc|Food fortification|Wheat flours|Maize flours|Edible oils and margarine|Mandatory fortification|Mandatory fortification of maize flours with folic acid|Mandatory fortification of maize flours with iron|Mandatory fortification of margarine or edible oils with vitamin A|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Fortification of wheat flour with folic acid aligned with WHO guidance|Fortification of wheat flour with iron aligned with WHO guidance","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202011%20food%20fortification%20regulations.pdf" "24470","PAK","Pakistan","","Nutrition for National Development Pakistan’s Integrated Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2017","","","2011","","","","","","","","","","","","","","","","","","","","","","","","Interventions with impact on underlying causes (These interventions were developed in response to the data for Pakistan )
•Livelihood support to food insecure HH (i.e., gardens, livestock, fisheries) Agri
•Ensuring Local Food availability (i.e., irrigation) Agri
•Food processing and storage for improved family diet Agri•
Food fortification Agri/ Food/Nutrition
•Household water treatment and storage WASH
•Chlorination of water at the source WASH
•Improved sanitation WASH
•Health system strengthening Health
•Improved support to breastfeeding and CFNutrition/ Health
•Supportto birth spacing Nutrition/ Health
•Access of women and girls to ANC and PHC Health
•Facility and CMAM implementation Food/Nutrition/Health/ WASH
•Access of women and girls to micronutrient supplements Nutrition
1.4 Development of National Guidelines on IYCF
The National Guidelines on IYCF are based on the international instruments, national policies, strategies and related guidelines on IYCF. The guideline summarizes the recommendations for the feeding of infants and young children at different ages.
1.5 The Guidelines apply to:
Health care providers including supervisors, managers and other service providers engaged directly or indirectly in maternal and child health in health facilities and communities. Institutions such as health facilities, professionals associations, governmental and non- governmental organizations, and private sectors engaged directly or indirectly in care of infants and young children.
Overall goal of the National IYCF guidelines
The goal of the Guidelines is to improve the nutritional status, growth and development, health and survival of infants and young children through optimal infant and young child feeding practices.
1.6 Specific objectives of the National IYCF guidelines
To provide guidance on the promotion, protection and support of exclusive breastfeeding for the first six months followed by timely, nutritionally adequate and safe complementary feeding and continued breastfeeding for two years or more.
To promote and support delivery of quality IYCF and maternal nutrition services at all levels.
To provide guidance on infant and young child nutrition in exceptionally difficult situations such as emergencies or disasters which are prone to high incidence of malnutrition, low birth weight or HIV and on the related support required by mothers, families and other caregivers.
To provide appropriate, accurate and consistent information on IYCF to health care providers.
To harmonize delivery of IYCF and maternal nutrition services among different stake holders.
To provide guidance on monitoring and evaluation of IYCF services.
STRATEGIC PRIORITY AREA 6: FOOD & NUTRITION SECURITY FOR THE MOST VULNERABLE GROUPS
6.2 NUTRITION SECURITY INCREASED, ESPECIALLY FORVULNERABLE & EXCLUDED GROUPS
· % of households having increased access to diversified& nutritious diet meeting energy and micro-nutrient requirements in targeted areas (Including urban slums), Baseline: % HH having access to diversified & nutritious diet in targeted areas Food Insecurity in Pakistan (WFP, 2009), Target: 10%increase access to diversified & nutritious diet in targeted areas.
· % reduction in malnutrition in children and women, Baseline: Stunting 44%, Wasting 1S%, Underweight 31%, 15% Body Mass index of women, Iron-deficiency Anemia 51%; [National Nutrition Survey (NNS) 2011], Target: Stunting reduced to 34%. Wasting reduced to 10%. BMI in women reduced to 10%. Anaemia in children and women reduced to 25%.
· % of children (0- 6 months) exclusively breastfed, Baseline: Exclusively breast fed children 68%, Target: Exclusively breast fed children 85%
· % of children (6 to 24 months) receiving adequate complementary food, Baseline: Minimum acceptable diet for children 4.5%, Target: Children receiving a minimum acceptable diet increased to 30%
· % increase in household consumption of fortified foods(salt, wheat flour) including complementary foods. Baseline: Usage of iodized salt 40% [NNS 20111 % of households using fortified wheat flour. %of households using fortified oil. Target: Usage of iodized salt increased to 80% Increase in HH use of fortified wheat flour Increase in HH using fortified oil
· Participating households have a dietary energy consumption of more than 2,100 calories per day for vulnerable persons. Baseline: 48.6% for Pakistan Data for Afghan refugees to be obtained during first year of OP II. Target: TBD on the basis of data obtained during the first year of OPII.
· %of school aged children 6 to 12 years old enrolled in school health &nutrition programmes. Baseline: Baseline to be determined during the first year of OP II. Target: 50% of the target schools have integrated the full package of school based food and nutrition interventions
","","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|School-based health and nutrition programmes|Iodine|Iron|Food fortification|Wheat flours|Food grade salt|Food security and agriculture|Household food security|Water and sanitation","","http://undg.org/home/country-teams/asia-the-pacific/pakistan/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAK%202012%20UNDAF.pdf" "23269","TZA","United Republic of Tanzania","","National Nutrition Social and Behavior Change Communication Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2013","","2018","TFNC","","2013","","","","","","TFNC •Line Ministries •National Nutrition SBCC Consultative Committee •Political Leaders, Members of Parliament and Councilors •Regional LGA •District LGA •Ward and Village Government Leaders•Prime Minister's Office","","Unicef, WHO","","unspecified","","","","","","","","","","The private sector is involved in some district coordinating committees (e.g.,Lindi and Iringa)","","• Higher Learning Institutions •Religious Sector •Traditional Sector •VIPs and other Celebrities •Communities. Media","Strategic Objectives and Activities for the Nutrition SBCC Strategy
SO1. Enhance nutrition behaviours of women, caregivers, family and community members, and those who influence them.
1.1 Improve nutrition knowledge, attitudes and related skills
1.2 Increase demand for quality nutrition SBCC, services and products
1.3 Increase access to quality nutrition SBCC, services and products
1.4 Increase social support (family, friends, peers) and collective actions for quality nutrition SBCC, services and products
1.5 Improve provider attitudes and provider-client relationships in nutrition information, counseling and other nutrition SBCC services
SO2. Enhance the enabling environment for positive nutrition social and behaviour change.
2.1 Enhance visibility and positioning of nutrition at all levels of society
2.2 Improve public perceptions of socio-cultural norms and gender roles favourable to Nutrition
2.3 Increase resource mobilization through public and private sector engagement and ownership
2.4 Increase advocacy to strengthen policies, services and integrated systems supporting nutrition
SO3. Enhance capacity for SOTA nutrition SBCC at national and decentralized levels
3.1 Strengthen Institutional Capacity to manage and implement SBCC Nutrition programming at national and decentralized levels
3.2 Build and Use an Evidence Base for nutrition SBCC data, information and best practices
3.3 Increase access to and sharing of SOTA Knowledge, Expertise, Tools and Best Practices in SBCC programming
3.4 Improve coordination for harmonization and streamlining of nutrition SBCC activities
","","","","","International Code of Marketing of Breast-milk Substitutes|Dietary practice|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Nutrition education|Acute malnutrition|Management of moderate acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","http://scalingupnutrition.org/wp-content/uploads/2014/01/TANZANIA-NATIONAL-NUTRITION-SOCIAL-AND-BEHAVIOR-CHANGE-COMMUNICATION-STRATEGY-2013-latest-1.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TAN%202013%20NATIONAL%20NUTRITION%20SOCIAL%20AND%20BEHAVIOR%20CHANGE%20COMMUNICATION%20STRATEGY.pdf" "17797","TZA","United Republic of Tanzania","","Tanzania Food, Drugs and Cosmetics (Marketing of Foods and Designated Products for Infants and Young Children) Regulations, 2013 ","Legislation relevant to nutrition","","English","","2013","","","Ministry of Health and Social Welfare","3","2013","Adopted","","2013","","","","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Food safety|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: 0-60 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202013%20THE%20TANZANIA%20FOOD%20DRUGS%20AND%20COSMETIC%20REGULATION%20FOODS%20AND%20DESIGNATED%20PRODUCTS%20FOR%20INFANTS%20AND%20YOUNG%20CHILDREN%29%20REGULATIONS.pdf" "39754","PAK","Pakistan","Balochistan","Balochistan –An Inter-Sectoral Nutrition Strategy","Sub-national nutrition policy document","","English","","2014","","","planning and development department Government of Balochistan","8","2014","","","","","Development","Planning and development department Government of Balochistan","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","
Goal: Improving human development through enhanced nutritional status of mothers and children in Balochistan
Strategy 6: Household level capacity building to enhance quality and quantity of homestead food
6.1 Promotion of kitchen gardening and homestead food production; for ensuring family food security and safety
6.2 Capacity building on food diversification, reduction in nutrients losses during food processing, preservation and post harvest losses and improvement of market services
6.3 Improved supply of agricultural inputs and provision of subsidies
6.4 Food fortification and micronutrient supplementation
Strategy 7: Livelihood generation in the agriculture sector
7.1 TA on exploring venues of income generation through the agriculture sector
7.2 Small business enterprises,local marketing, income generation
7.3 Promotion of crops/products to meet the population’s nutritional needs (quantity &quality, diversification, food processing)
Strategy 8: Social safety nets in the agriculture sector
8.1 Establishment of food safety net for target households and communities at risk of malnutrition
8.2 Livelihood support to food insecure households (i.e., livestock,gardens, fisheries)
Strategy 9: Women-focused capacity building in agriculture sector
9.1 TA on Introduction of the concept of balanced diet in the curriculum
9.2 Capacity building of women’s groups in fruit and vegetable preservation, sericulture, floriculture, bee keeping, kitchen gardening, calf rearing, soap making, tailoring, embroidery, and home baking; toy making and other handicrafts based on local raw materials available.
9.3 Awareness sessions on healthy nutrition and use of fortified foods especially to address anaemia in women.
9.4 Adolescent girls’ education in nutrition
Strategy 10: Flour fortification and value addition
10.3 Mandatory fortification of wheat flour with micronutrients
10.4 Restart wheat flour fortification to control micronutrient deficiencies in vulnerable populations
Strategy 11: Creating a conducive legal and political environment
11.1 Review of laws and their implementing mechanisms for breast feeding, food fortification and salt iodization
11.2 Mandatory legislation on oil and ghee fortification with Vitamin A, Wheat Flour Fortification with iron and salt fortification with iodine
11.3 Advocacy to enhance political commitment and ownership in nutrition
11.4 Citizen voice: More visible face of community involvement with emphasis on vulnerable groups
Strategy 12: Human resource capacity building to raise profile of nutrition
12.3 Introduction of nutrition education in school and college curricula
12.4 Inclusion of a nutrition component in the training curricula for all cadres of health care providers
Strategy 13: Scaling up and expansion of nutrition services
13.1 Scaling up of CMAM in food insecure districts
13.2 Expansion of the salt iodization program
13.3 Expansion of wheat flour fortification with Departments of Food and Agriculture and in partnership with Wheat Flour Mills Association
13.4 Zinc/ ORS supplementation through LHW program & PPHI
13.6 Integration of nutrition in disaster and emergency plans
13.7 Initiation of local production of high density complementary foods
Strategy 14: Institutional strengthening for better management of nutrition programs
14.1 Inclusion of nutrition indicators in DHIS
14.2 Establishment of a nutrition surveillance system at hospitals, and other health- related institutions to address IDD, anemia, protein-energy malnutrition and micronutrient deficiencies.
14.3 Development of a BCC strategy to address malnutrition, the promotion of exclusive breast feeding for six months, dietary diversity for young children, intensified self-care and IYCF counselling of pregnant women and mothers at the community and facility levels
Strategy 15: Improved nutrition service delivery
-Zinc to children for treatment of diarrhoea, -Iron/folic acid supplementation, -Continued twice yearly vitamin A supplementation through NIDs and measures to increase its coverage,
-Micronutrient powder for young children, and -Increased coverage of salt iodization.
15.2 High quality dissemination of priority nutrition messages via media- and also cell phones, as part of a behavioral change strategy with a primary focus on inter-personal communication (e.g. through LHWs and NGOs)
15.3 High energy biscuits, powders, and nutrient-rich ready-to-use foods targeted to pregnant women and young children in particularly low income households as identified by LHWs.
15.4 Conditional social transfers for positive nutrition behaviours
15.5 Pilot and research studies to implement nutrition interventions (e.g. CMAM, PLW and children treatment of MAM)
Strategy 17: Services to improve access and use of safe drinking water and proper sanitation
Strategy 20: Direct nutrition support to children through education sector
Deworming for all children
Weekly iron supplement for adolescent girls
Strategy 21: Research-based advocacy on nutrition
21.1 Piloting LHW program for out of school children
21.2 TA on school feeding programs
21.3 School feeding programs and other incentives designed to increase female school enrolment and attendance
21.4 Nutrition campaigns and nutrition promotion through agents of change
21.5 Inclusion of out-of-school children through PTSMC
Child stunting (H/A <2)
Child wasting (W/H <-2)
Child underweight (W/A<-2)
Iron deficiency anemia in children
Vitamin A deficiency in children
Zinc deficiency in children
Prevalence of low birthweight (<2.5 kg) or “smaller than usual”
Pregnancy iron deficiency anemia
Maternal vitamin A deficiency
Maternal zinc deficiency ure/Food Sector Indicators
% of households “food secure”
% of children consuming at least four of seven food groups on the previous day
% of landless or small holder rural households reached in the past 6 months with assistance in garden production, small livestock or fisheries
% of commercial wheat flour-consuming households - consuming fortified wheat flour site data
% of commercial edible oil-consuming households consuming fortified edible oil
% of households consuming iodized salt (min 15 ppm)
Literacy of women
% of schools including nutrition in school curricula at any level
% of secondary schools offering life skills education and weekly iron tablets to adolescent girls
% of dwellings with piped or tubewell/boring water
% households using hygienic sanitation facilities WASH sector MIS plus NSS
% of households with soap available at the washing place (observation)
% of infants 0-6 months of age for whom breastfeeding was initiated within 1 hour of birth
% of infants aged 6-12 months of age who received exclusive breastfeeding up to six months
% of children aged 12-24 months who were introduced to complementary food between 6-8 months of age
% of mothers with a child aged 0-12 months who received any ANC during their last pregnancy
% of mothers with a child aged 0-12 months who received any micronutrient supplements during her last pregnancy
% of children aged 12-60 months who received a vitamin A supplement in the past 6 months
% of children aged 12-60 months who consumed multimicronutrient powder within the past week
% of children aged 6-60 months with diarrhea in the past 10% 20% Annual HMIS and NSS two weeks who received ORS with zinc
% of communities in pre-determined food insecure districts with functioning CMAM
% of unions covered by LHWs, CMWs, NGOs or CSOs
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|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 pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Minimum acceptable diet|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food grade salt|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAK%202014%20Balochistan%20MultiSectoral%20Nutrition%20Strategy_0.pdf" "39757","PAK","Pakistan","Khyber","Khyber Pakhtunkhwa Multi-sectoral Integrated Nutrition Strategy","Sub-national nutrition policy document","","English","","2014","","","Planning and Development Department Government of Khyber Pakhtunkhwa","12","2014","","","","","Development","Planning and Development Department Government of Khyber Pakhtunkhwa","","","","","","","","","","","","","","","","","
The provincial nutrition strategy aims to improve population nutrition wellbeing. It focuses on remedial measures for addressing nutritional issues that have not only been adversely affecting the behvioural, cognitive, scholastic, physical performances but have also been increasing morbidity and mortality and impairing socioeconomic development. The role of nutrition in health and socioeconomic development has been well established and recognized. Avoiding and ignoring nutrition issues lead to a vicious cycle of health related problems along with increased sufferings of the families and that perpetuate from one generation to another in terms of health and wealth.
Strategy Outlines & Plan of Actions for DoH, Khyber Pakhtunkhwa
Target Population: Children < 5 Years, Pregnant & Lactating Women and adolescent girls
strategy 1 Improving malnutrition in children and women through BCC, CB, surveillance and management:
Strategy Outlines & Plan of Actions for Drinking Water and Sanitation, Local Government and Public Health Engineering Department, Government of Khyber Pakhtunkhwa
Strategy Outlines & Plan of Actions for Elementary & Secondary Education (E&SE) Department, Government of Khyber Pakhtunkhwa
Strategy Outlines and Plan of Actions for the Department of Industry, Commerce and Technical Education, Government of Khyber Pakhtunkhwa
Goal Of The Intersectoral Nutrition Intervention
Intersectoral nutrition strategy for Sindh aims to reduce chronic malnutrition in children aged 0-24 months by 10 percentage points (from an estimated 49.8% to 39.8% by the end of 2016.), iron deficiency anaemia in children from 73% to 62% and maternal anaemia from 59% to 49% by the end of 2016 through sustainable, effective and inter-sectoral interventions.
6.1. Operational objectives
i. Improve nutritional outcomes in the Sindh province with a focus on sustainable, effective intersectoral interventions
ii. Strengthen the provincial capacity for developing, mobilizing and stewarding intersectoral intervention developed through public private partnership;
iii. Integration and mainstreaming of nutrition in agricultural education, agriculture services and community development programs;
iv. Promote nutrition health of women and children through linking mother and child health with social protection, and food security interventions to produce long term sustained results;
v. Promote programmatic complementarities and geographical convergence through coordinating the strategic sectoral plan
vi. Provide a broad Monitoring and Evaluation Framework for monitoring of nutrition sector strategy by DOH and partners
","","","Outcome indicators","","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|Anaemia in women 15-49 yrs|Vitamin A deficiency|Complementary feeding|Right to food|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Vitamin A|Iodine|Iron|Vitamin D|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAK_Intersectoral%20Nutrition%20Strategy%20for%20Sindh%202015.pdf" "36036","TZA","United Republic of Tanzania","","Health Sector Strategic Plan IV","Health sector policy, strategy or plan with nutrition components","","English","7","2015","6","2020","Ministry of Health and Social Welfare","","2015","","","","","","","","","","","","","","","National NGOs","","","","","","","","The overall objective of HSSP IV is to reach all households with essential health and social welfare services, meeting as much as possible expectations of the population and objective quality standards, applying evidence-based, efficient channels of service delivery.
- The health and social services sector will achieve objectively measurable quality improvement of primary health care services, delivering a package of essential services in communities and health facilities.
- The health and social welfare sector will improve equitable access to services in the country by focusing on geographic areas with higher disease burdens and by focusing on vulnerable groups in the population with higher risks.
- The health and social welfare sector will achieve active community partnership through intensified interactions with the population for improvement of health and social wellbeing.
- The health and social welfare sector will achieve a higher rate of return on investment by applying modern management methods and innovative partnerships.
- For improving the social determinants affecting health and welfare, the health and social welfare sector will achieve close collaboration with other sectors, and advocate for inclusion of health promoting and health protecting measures in other sectors’ policies and strategies. It will mobilise non-governmental and private partners to promote health and wellbeing through their strategies.
","The health sector, in collaboration with partners, will accelerate nutrition interventions, with emphasis on pregnancy stage and the two first years of life
","The percentage of underweight children will reduce from 16% (TDHS 2010) to 11% in 2020.
The percentage of stunting children will reduce from 42% to 27% in 2020.
Guidelines to address maternal and infants and young child feeding, management of acute malnutrition, control of micronutrient deficiencies and healthy eating and lifestyle issues as needed. A pool of nutrition professionals is sustained through skill based in-service and pre-service training programs integrated in existing curricula.
The health and social welfare sector will promote appropriate maternal, infant and young child feeding practices in households and in communities and will advocate towards reducing food insecurity among households. More attention will be paid to strengthening compliance to exclusive breast feeding and infant and young child feeding practices, and promoting hygiene and sanitation practices. Strategies for control of micronutrient deficiencies will be integrated in the Community Health Programme.
Routine provision of nutrition counselling and essential vitamins and micronutrients to pregnant and lactating women and children under the age of five-years
will be strengthened.
Through integrated Health Promotion interventions, health workers will encourage people to shift to healthy diets and avoid unhealthy foods (high in carbohydrate, fat, sugar, and salt). Through campaigns, the MOHSW will intensify awareness creation and public sensitisation on life-style related illnesses, to prevent behaviour risk factors contributing to becoming overweight or obese; these campaigns aim to reduce hypertension risk factors, coronary heart disease, stroke, diabetes and some forms of cancer.
","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Vitamin A deficiency|Fat intake|Sodium/salt intake|Sugar intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Management of moderate acute malnutrition|Management of severe acute malnutrition","","http://www.tzdpg.or.tz/fileadmin/documents/dpg_internal/dpg_working_groups_clusters/cluster_2/health/Key_Sector_Documents/Induction_Pack/Final_HSSP_IV_Vs1.0_260815.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA-2005-MKUKUTA_0.pdf" "24459","PAK","Pakistan","","Pakistan Infant and Young Child Feeding Strategy, 2016- 2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2016","","2020","the Ministry of National Health Services Regulations and Coordination","","2015","","","","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Goal and objectives
The Pakistan IYCF Strategy builds on the existing achievements in Pakistan and provides a framework for actions to protect, promote and support the optimal infant and young child feeding.
The overall goal of the Pakistan Strategy is to improve the nutritional status, growth and development, health, and survival of infants and young children in Pakistan through optimal infant and young child feeding practices.
Main Objectives of IYCF Strategy include:
1. To standardize infant and young child feeding (IYCF) practices for improved child health.
2. To specify roles and responsibilities of partners in promoting appropriate IYCF practices
3. To outline technical directives for IYCF interventions.
4. To improve stunting and under nutrition, targeting the critical window of 1000 days.
The specific objectives of the IYCF Strategy, to be achieved by 2020, are to:
1. Increase the percentage of newborns who are breastfed within one hour of birth from 40% to 50 % (early initiation of breastfeeding)
2. Increase the percentage of infants aged less than 6 months of age who are exclusively breastfed from 38 % to 58% (exclusive breastfeeding)
3. Increase the percentage of children aged 6-8 months who are breastfed and receive complementary foods from 57 % to 67%
4. Increase the percentage of children aged 18-23 months who are still breastfed from 59% to 69% (continued breastfeeding)
5. Increase the percentage of children age 6-23 months are fed appropriately based on recommended infant and young child feeding (IYCF) practices (as per PDHS 2013) from 15% to 20%
","","Based on WHO guiding principles for feeding breastfed (2003) and non-breastfed (2005) children, the IYCF practices indicator is comprised of all of the following three components:
1. Continued breastfeeding or feeding with appropriate calcium-rich foods if not breastfed
2. Feeding (solid/semi-solid food) minimum number of times per day according to age and breastfeeding status
3. Feeding minimum number of food groups per day according to breastfeeding status
Other Indicators to monitor for determining the impact of this strategy would include:
Rate of early initiation of breastfeeding.
Rate of exclusive breastfeeding
Rate of continued breastfeeding to 24 months
Frequency of complementary feeding between 6 and 24 months
Diet diversity of children between 6 and 24 months of age
Rate of stunting
Rate of severe wasting
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Vitamin A|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Food security and agriculture|Family planning (including birth spacing)|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAK-Infant%20and%20Young%20Child%20Feeding%20Strategy_%202015%20Final.pdf" "36033","TZA","United Republic of Tanzania","","TFNC Strategic Plan 2016/21","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","TFNC","7","2016","Adopted","","2016","TFNC","Nutrition council|Education and research|Information|Sub-national","TFNC, Mass media","","UN-REACH","","","","","","","National NGOs","","Research/academia","","Private sector","","","DNET, DFPA, DNPP,","In total eight objective forms the Plan including the two generic objectives. The derived objectives are:
(i) Coordination of nutrition and nutrition related activities strengthened;
(ii) Research and training on subjects related to food and nutrition improved;
(iii) Food and nutrition programme for the benefit of the public strengthened;
(iv) National nutrition information and data improved;
(v) Planning, budgeting, financial controls and soliciting of funds strengthened; and
(vi) Staff welfare and capacity enhanced;
Objective A: Service improved and HIV/AIDS infections and non-communicable diseases reduce reduced
Objective B: Enhance, Sustain and Effective Implementation of the National Anti-Corruption Strategy
Objective: Service improved and HIV/AIDS infections and non-communicable diseases reduce reduced
Targets
Objective: Coordination of nutrition and nutrition related activities strengthened;
Targets
Objective: Research and training on subjects related to food and nutrition improved
Targets
Objective: Food and nutrition programme for the benefit of the public strengthened
Targets
Objective: National nutrition information and data improved
Targets
Objective: Planning, budgeting, financial controls and soliciting of funds strengthened
Targets
Objective: Staff welfare and capacity enhanced
Targets
Objective: Service improved and HIV/AIDS infections and non-communicable diseases reduce reduced
Indicators
Objective: Coordination of nutrition and nutrition related activities strengthened;
Indicators
Objective: Research and training on subjects related to food and nutrition improved
Indicators
Objective: Food and nutrition programme for the benefit of the public strengthened
Indicators
Objective: National nutrition information and data improved
Indicators
Objective: Planning, budgeting, financial controls and soliciting of funds strengthened
Indicators
Objective: Staff welfare and capacity enhanced
Indicators
The NMNAP’s broad goal is to accelerate scaling up of high impact multisectoral nutrition specific and nutrition sensitive interventions and creating an enabling environment for improved nutrition, to contribute to the building of a healthy and wealthy nation.
NMNAP Key targets by 2020/21
4.5 Key strategies
4.5.1 Community-centred multisectoral approach as overarching strategy
82. Acknowledging that nutrition is a crosscutting issue that requires the effective contribution of multiple actors, sectors and administrative levels, the NMNAP is based on a national multisectoral strategic nutrition framework for planning, implementation and coordination. Thus, the overarching strategy for the NMNAP is a community-centred multisectoral nutrition approach that explicitly embraces simultaneous actions for nutrition specific interventions at the level of immediate causes and nutrition sensitive interventions at the levels of underlying and basic causes of malnutrition. A multisectoral nutrition system is composed of multiple sectors (e.g. agriculture, health, WASH (water, sanitation and hygiene), education, social protection, environment); multiple levels (national, regional, Local Government Authorities and importantly the community); and multiple partners (Government, development partners – UN/multi-laterals, bilaterals, NGOs, CSOs, academia and private sector). The multisectoral community-centred strategy is based on the overwhelming scientific evidence that achieving high coverage of the evidence-based high impact nutrition interventions (Lancet Nutrition Series 2008 and 2013) requires multisectoral harmonization and collaboration with key nutrition stakeholders.
4.5.2 Supportive cross-cutting strategies
83. The overarching multisectoral approach is complemented by several supportive strategies which are relevant and applicable to each of the seven key result areas. These include: -
1) Social and Behaviour Change Communication (SBCC) for nutrition through interpersonal communication and mass media to promote adoption of appropriated behaviours and practices and commitment to achieving common results for everyone and everywhere in the country for improved nutrition. The NMNAP will use the SBCC Strategy for 2013-2018.
2) Advocacy and Social mobilization to sustain political will and Government commitment for nutrition and to mobilise adequate resources for nutrition. Social mobilisation activities are important to create awareness of the problems of malnutrition among decision makers and community members to improve nutrition. For example, a 2013 landscape analysis by TFNC found that policy makers and communities do not perceive stunting and micronutrient deficiencies as problems to be addressed. Since many of the actions in advocacy and social mobilization require behavioural, attitude and practice changes by policy makers and communities for overall societal change all types of media need to be involved. Social mobilization will also increase the participation of communities in the implementation of the NMNAP. Since the key actors for improved nutrition are households and communities ensuring their active participation of communities is a critical success factor for the NMNAP.
3) Community-Centred Capacity Development (CCCD): The development of human, institutional and organizational capacity is critical in the implementation of the NMNAP especially at the community level. Community participation in doing their own triple A processes of assessment, analysis and action can be greatly enhanced by developing the capacity of the community and that of community-based organisations to support social accountability mechanisms (see section 6.1 for definition of social accountability). Recognizing that communities constitute the greater whole of society and that they exist in relationship with society as a whole, development of capacity of communities should go hand in hand with developing capacity at the higher levels – council, district, region, national.
4) Developing functional human resource capacity: Although human resource technical capacity in nutrition is fairly adequate, functional capacity in communication skills, coordination and strategic leadership and management requires further development. System-wide development of nutrition relevant institutions, especially for TFNC as the institutional leader in the implementation of this NMNAP will be given priority. Institutionalization of the nutrition steering committees at all levels and developing their functional capacity will be further explored.
5) Aligning all stakeholders with the NMNAP through Community-Public-Private Partnerships (C-PPP) using the “three ONES principle” of ONE plan, ONE coordinating mechanism and ONE monitoring and evaluation framework, so that every stakeholder come together to tackle malnutrition and build an enabling environment for improved nutrition with equity. Capacities will be developed to conduct and manage C-PPPs as part of a collaborative leadership strategy. Forming strategic partnerships at all levels of the nutrition system will enhance coordination and accountability. Strategic collaboration, including the engagement of the private sector through implementation of appropriate principles of social and corporate responsibility, is likely to result in cost-efficiency and effectiveness and promote ownership and sustainability.
6) Delivery of quality and timely nutrition services: This NMNAP will promote the delivery of nutrition and nutrition-relevant services that are timely and of high quality. Tools will be put in place to assess the effective implementation and delivery of services, and where bottlenecks are identified, remedial and corrective measures will be adopted including legal enforcement as appropriate.
7) Mainstream equality in all the seven Key Result Areas of the NMNAP without discrimination, focusing on women, children and adolescent girls. Although generally Tanzania has made good progress in empowering women, traditional patriarchal practices remain, that favour men, including in nutrition relevant practices, and are often reflected in both formal and informal systems and institutions especially in the rural areas.
8) A resource mobilization strategy will be developed to advocate for resource allocation to the NMNAP by both Government and partners.
9) Tracking progress and operational research and development will be promoted to ensure key lessons and insights gained from the implementation of the NMNAP are learnt and used in adjusting and improving the proposed interventions at regular intervals and linking research with programmes and training. Research will also provide quality assurance, robust data on program performance and support learning. Linking research to the programmes and to training will assure evidence-based sharing of experience and intergenerational transfer of knowledge. Efforts will be made to link the implementation of the NMNAP with nutrition-relevant centres of excellence both nationally and internationally.
10) Overall planning and coordination is a key strategy to align implementation of the NMNAP to achieve far greater results than what single sectors could achieve alone.
","note: indicators are embedded in targets: see above and document, table 4, p49
","Outcome indicators","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Staple foods|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Family planning (including birth spacing)|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.tfnc.go.tz/uploads/publications/en1512587132-NMNAP%202016-21.pdf ","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf" "23824","TZA","United Republic of Tanzania","","National 5 year development plan","Multisectoral development plan with nutrition components","","","","2016","","2021","Ministry of Finance and Planning","","2016","Adopted","","2016","Government of Tanzania","","Ministry of Finance and Planning Multisectoral plan including all minesteries: finance, health, agriculture, educaton, water…..","","","","","","","","","","","","","","","","","- Build a base for transforming Tanzania into a semi-industrialized nation by 2025;
- Foster development of sustainable productive and export capacities;
- Consolidate Tanzania’s strategic geographical location through improving the environment for doing business and positioning the country as a regional production, trade and logistic hub;
- Promote availability of requisite industrial skills (production and trade management, operations, quality assurance, etc.) and skills for other production and services delivery;
- Accelerate broad-based and inclusive economic growth that reduces poverty substantially and allows shared benefits among the majority of the people through increased productive capacities and job creation especially for the youth and disadvantaged groups;
- Improve quality of life and human wellbeing;
- Foster and strengthen implementation effectiveness, including prioritization, sequencing, integration and alignment of interventions;
- Intensify and strengthen the role of local actors in planning and implementation, and
- Ensure global and regional agreements (e.g. Africa Agenda 2063 and SDGs) are adequately mainstreamed into national development planning and implementation frameworks for the benefit of the country
","To be effective in economic management, the state will have to carry out its functions with additional energy, and in some cases employ nonconventional but legal tools to drive development actors in a desired direction.
","
- Reduce the prevalence of stunting in children aged 0 – 59 months from 35% in 2016/17 to 28% in 2020/21
- Wasting (weight for height) of under fives Maintain prevalence of acute malnutrition (Wasting) among children aged 6 – 12 years at <5% by 2020/21
- Reduce by 25% the current level the prevalence of anaemia among women of reproductive age (haemoglobin concentration <11g/dl) by 2020/21
- To increase the proportion of household accessing adequately iodized salt from 64% to 90% by 2020/21
- Reduce by 10% the current level of the prevalence of Low Birth Weight (LBW) among Children by 2020/21
- Increase the rate EBF from 41.8 % to at least 50 % by 2020/21
- Reduce the prevalence of vitamin A deficiency among children aged 6 – 59 months (serum retinol level < 20 μg/dl) from 33% in 2010 to < 25% bu 2020-21
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Acute malnutrition|Management of moderate acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FYDP2_II__April%201.pdf" "24490","TZA","United Republic of Tanzania","","United Nations Development Assistance Plan","Non-national nutrition policy document","","English","","2016","","2021","UN country team of Tanzania","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry|Sub-national|Other","","International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, ITC, OHCHR, UN Habitat, UNCTAD; UNEP, UNODC, UNV, UN Women, UNCDF, IOM","Other","","","","","","National NGOs","","","","Private sector","","","","
Outcome statement: Increased coverage of equitable, quality and effective nutrition services among women and children under five
Output: Improved nutrition specific services for women and children under five available
Output: Relevant MDAs and select LGAs are better able to realize a multi-sectoral nutrition response at national, regional and district level
Output statement: Vulnerable groups have increased access to safe and affordable water supply sanitation and hygiene
Output: Select MDAs are better able to formulate policies, plans and guidelines for the sustainable management of water, sanitation and hygiene
Output: Select LGAs have enhanced capacity to plan and implement sustainable water, sanitation and hygiene services
","Tanzanians’ consistently poor nutritional status demands action. UN Tanzania will therefore support duty bearers to realize a multi-sectoral nutrition response at national, regional and district levels for those living on both the mainland and Zanzibar, supported by an effective nutrition information and surveillance system. The quality and coverage of services for those most at risk of poor nutritional outcomes, namely women and children under five, will also be enhanced.Key government institutions and select LGAs will be supported to effectively integrate nutrition in their planning and budgeting processes, with emphasis given to a multi-sectoral approach with concomitant resources for coordination. It is anticipated that >80% of all LGAs on the mainland will implement nutrition plans and budget that include at least five nutrition specific or sensitive interventions integrated in their MTEFs by 2021. Regional and district nutrition officers plus health workers will be given regular technical and supervisory training to ensure they meet the highest professional standards whilst agricultural extension workers will be afforded supplies and technical expertise to mainstream nutrition in their food security interventions.
Nutrition services for women and children under five will receive a boost with service providers enabled to promote appropriate Maternal, Infant and Young Child Feeding methods through counselling and supplies provision, including use of iron-folic acid supplements during pregnancy, exclusive breastfeeding for infants under five months and provision of vitamin A supplements and deworming for those between 6-59 and 12-59 months respectively. Additional support will be afforded for the treatment of Moderate and Severe Acute Malnutrition (SAM) by health workers, including those operating at the community level. It is anticipated that the numbers of children with Moderate Acute Malnutrition treated in UN supported districts will rise from 5,000 in 2014 to 30,000 by 2021, whilst those treated for SAM will increase from 7,000 to 80,000 over the same five year period. Moreover, small and medium scale producers will be facilitated to provide food fortified with micronutrients specifically Vitamin A, Iron and Iodine.
Implementation of the national Nutrition Action Plan will be monitored through regular sector reviews and remedial action effected where required. Furthermore, regular nutrition surveys at national, regional and district levels will provide timely, quality and disaggregated data for decisionmaking, resource mobilization and effective programming, with accountability improved through the use of nutrition scorecards across mainland and Zanzibar.
Further, the MoHSW will be supported to develop and disseminate the national strategy and guidelines for WASH in health facilities which includes the promotion of sound WASH behaviours and management of medical waste. As a complement, technical and financial assistance will be afforded for the implementation of WASH in priority health facilities alongside schools and communities, with compliance to national guidelines assured. In addition, a National Behaviour Change Communication Strategy for the promotion of sanitation and hygiene will be developed and disseminated.
","% of girls and boys age 6-59 months who receive vitamin A supplement during the previous 6 months
% of pregnant women who receive iron-folic acid supplement for at least 90 days
% of infants 0-5 months (girls and boys) who are exclusively breastfed
% of children aged 0-59 months with Severe Acute Malnutrition (SAM) appropriately treated
% if targeted districts with at least 90% of children aged 6-59 months covered with two annual doses of vitamin A supplement
% of small and medium scale miller fortifying flour in UN supported Districts in mainland
% of mothers/caregivers of children 0-23 months who participate in counselling sessions on IYCF in UN Supported Distrcits
# of SAM children treated according to WHO guidelines in UN Supported Districts
# of MAM children treated according to WHO guidelines in UN Supported Districts
% of children 6-23 months participating in supplementary feeding programme in UN Supported Districts in mainland
% of districts on the mainland with nutrition plan and budget that includes at least five nutrition specific or sensitive interventions integrated in MTEF
% of LGA budgets on the mainland allocated to nutrition activities
% of population using improved safe drinking water source
Status if national WASH behaviour change communication (BCC) strategies
% of LGAs implementing activities based on a comprehensive MIS- informed local plan for WASH
% of schools with a functional WASH package meeting national guidelines in UN supported districts
% of health care facilities complying with national WASH guidelines in UN supported districts
% of water points which are functional
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/---ilo-dar_es_salaam/documents/publication/wcms_549240.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202016%20UNDAP.pdf" "25934","TZA","United Republic of Tanzania","","Strategic and Action Plan for the Prevention and Control of Non Communicable Diseases in Tanzania 2016-2020","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health, Community Development, Gender, Elderly and Children","5","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Trade|Industry","","","","","","","","","","","","","","","","","","• Reduction in the mean population intake of salt to less than 5gms per day
• 0% increase in obesity prevalence from baseline
• 25% reduction from baseline in the prevalence of raised blood pressure
• 10% reduction from baseline in the proportion of individuals with raised total cholesterol
• 10% reduction from baseline in the prevalence of diabetes
","3.10.3.2.5 Priority actions and activities for strategic intervention to: Reduce modifiable NCDs risk factors and create health promoting environment
Indicators of Success
3.1 Goal
Significantly and sustainably reduce the burden of malnutrition in the country with focus on most marginalized and disadvantage segments of the populations.
Objective 1: Develop enabling federal policy environment
Objective 2: Provide guidelines and protocols
Objective 3: Capacity Building to Support Provincial Programs
Objective 4: Communication, Advocacy & Public Education
Objective 5: Nutrition Lens process & Research & Development
Objective 6: National Reporting, Monitoring & Evaluation
Objective 7: Nutrition services in humanitarian emergencies
Objective 8: Platform for Coordination & Collaboration
Coordination and Implementation of Strategy and Activities
Comprehensive antenatal services for pregnant women, including provision of iron and folic acid , adequate consumption of iodized salt and screening of severe anemia along with health and nutrition counselling
Provision of balanced energy protein supplementation for key risk groups;
Maternal multiple micronutrient supplementation
Adolescent multiple micronutrient supplementation;
immunization of infants against vaccine preventable diseases
Vitamin A supplementation for children 6-59 months;
Preventative zinc supplementation via Multiple Micronutrient Powders;
Protection, promotion and support of optimal breastfeeding and complementary feeding practices
Promotion facility based delivery, lactation management, improved post-natal care;
Deworming of school and pre-school aged children
Iron-Folate Supplementation for Adolescent Girls
Fortified oils, flours and iodized salt
Nutrition counseling for key risk groups.
Proposed Nutrition Impact Objectives by 2025
Objective 5:Improve reproductive health including family planning.
Objective 6:Investing in nutrition especially of adolescent girls, pregnant and lactating women, children under 5
Objective 7: Investing in addressing social determinants of health.
","A National Overview Of The Provincial IRMNCAH Action Plans
Table 2: Strategic objectives with key indicators of achievement.
Core Indicators of achievement
- Integration of the FP and RMNCAH services at the PHC level
- Reduction in Unmet need for contraception
- % decrease in Maternal and Adolescent Anemia
- % increase in IYCF practices
- % Decrease in wasting, anemia and Zinc deficiency
- Integrated mechanism to address the social determinants in place
- Laws pertaining to mandatory female school enrollment and early girl marriages passed and in place
","","","Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Vitamin A|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Management of moderate acute malnutrition|Diarrhoea or ORS|Family planning (including birth spacing)","","","","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/PAK%202016%20National%20RMNCAH%26N%20Strategy%202016-2020.pdf" "130068","TZA","United Republic of Tanzania","","National Multisectoral Nutrition Action Plan 2021/22-2025/26","Comprehensive national nutrition policy, strategy or plan","","English","","2021","","2026","Prime Minister’s Offce","","2021","Adopted","","2021","Prime Minister’s Offce","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Industry|Information","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Global Alliance for Improved Nutrition (GAIN)|Other","Irish AID and ASPIRES","US Agency for International Development (USAID)","","","","","","","","","","","","3.3 Objective of the NMNAP II
The objective of the NMNAP II is to address the triple burden of malnutrition in Tanzania with emphasis on nutrition-specific and nutrition-sensitive interventions from various sectors, including health, social protection, education, food, water, community development, finance, industry, and trade. The plan is expected to address the shortfalls of the previous plan, identify and propose high- impact low-cost interventions, and engage all sectors, while harnessing the benefits of the existing frameworks to ensure sustainability. The expected result or desired change for the NMNAP II is that all Tanzanians are better-nourished and leading healthier and more productive lives which contribute to the economic growth and sustainable development of the countr
In order to achieve the expected result, a total of four (4) KRAs and five (5) strategic outcomes have been defined as follows.
KRAs:
Reducing undernutrition
Reducing micronutrient deficiencies
Reducing overweight and obesity
Strengthening the enabling environments
Strategic outcomes are:
Strategic Outcome 1. Increased coverage of adequate, equitable and quality nutrition services at the community and facility levels.
Strategic Outcome 2. Women, men, children and adolescents practice appropriate nutrition behaviours
Strategic Outcome 3. Sustainable and resilient food systems that are responsive to nutritional needs
Strategic Outcome 4. Strengthened multisectoral and private sector engagement for nutrition Strategic Outcome 5. Enabling environments (adequate policies and frameworks) that are supportiveof adequate human and financial resources for nutrition
Planned Results
IMPACT RESULTS
Reduced prevalence of stunting among children 0-59 months
Maintain prevalence of global acute malnutrition among children 0-59 months
Reduced prevalence of low birthweight
Reduced proportion of non-pregnant women 15-49 years with anaemia
Reduced prevalence of Vitamin A deficiency among children aged 6-59
Maintain median urinary iodine of women of reproductive age between 100- 299 μg/L by 2026
Maintain prevalence of overweight among children under five
Maintain prevalence of overweight/obesity among women aged 15-49 years
Maintain prevalence of overweight among adults
OUTCOME RESULTS
Increased proportion of children aged 0-5 months who are exclusively breastfed
Increased proportion of children aged 6-23 months who receive a minimum acceptable diet
Increased proportion of children aged 6-59 months who received Vitamin A Supplement during the last 6 months
Increased proportion of households consuming adequately iodized salt
Increased proportion of pregnant women taking iron and folic acid (IFA) for 90+ days during pregnancy
Increased proportion of children under five in need of SAM treatment who are admitted in the program annually
Increased proportion of children under five in need of MAM treatment who are admitted in the program annually
Reduced percentage of people who eat less than 5 servings of fruit and/or vegetables on average per day
Increased production of horticultural crops
Increased milk production
Increased per capital consumption of milk in Tanzanian population
Increased number of primary schools implementing school milk feeding program
Increased Meat production
Increased per capital consumption of meat in Tanzanian population
Increased fish production
Increased per capital consumption of fish in Tanzanian population
Number of adolescents trained on health and wellbeing.
Increased percentage of schools implementing school feeding program
Percentage of rural population with access to piped or protected water as their main source.
Proportional of the households in Rural areas with improved sanitation facilities
Percentage of Regional Centre’s population with access to piped or protected water as their main source.
","","","Low birth weight|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Breastfeeding - Exclusive 6 months|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Provision of school meals / School feeding programme|School milk scheme|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Biofortifcation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Home, school or community gardens|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/tan212099.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202021%20National%20Multisectoral%20Nutrition%20Action%20Plan.pdf"