"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"
"8343","PNG","Papua New Guinea","","Baby Feed Supplies (Control) Act 1977, amended 1984","Legislation relevant to nutrition","","English","","1977","","","the National Parliament","8","1977","Adopted","","1977","Head of State","","","","","","","","","","","","","","","","","","","","","","","
AN ACT
entitled
Baby Feed Supplies (Control) Act 1977,
Being an Act to regulate or restrict the right of freedom of expression conferred by Section 46 (freedom of expression) of the Constitution so as to protect public health from the bad consequences of the unhygienic, inefficient or wrong use of items connected with baby feeding and for related purposes.
","International Code of Marketing of Breast-milk Substitutes|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented","","http://www.paclii.org/pg/legis/consol_act/bfsa1977262/","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG%201977%20Baby%20Feed%20Supplies%20%28Control%29%20Act%201977_0.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG%201977%20Baby%20Feed%20Supplies%20%28Control%29%20Act%201977_0.pdf"
"24185","PNG","Papua New Guinea","","Employment Act, Act No. 54 of 1978, dated 12 September 1978, National Gazette 1978. Published by Pacific Islands Legislation Information Institute at www.paclii.org ","Legislation relevant to nutrition","","English","","1978","","","","","1978","","","","","","","","","","","","","","","","","","","","","","","","","","","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|Paid breastfeeding breaks","","","","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",""
"8020","PNG","Papua New Guinea","","Food Sanitation Act","Legislation relevant to nutrition","","English","","1991","","","Government","","1991","Adopted","","1991","Gov","Health","Food Sanitation Council","","","","","","","","","","","","","","","","","","","","","","Food fortification","","http://www.paclii.org/pg/legis/consol_act/fsa1991169/","","WHO Global Nutrition Policy Review 2009-2010",""
"24222","ZAF","South Africa","","Unemployment Insurance Act 2001 of 13 January 2001, Act No. 63 of 2001, as amended by the Amendment Unemployment Insurance Act","Legislation relevant to nutrition","","English","","2001","","","","","2001","","","","","","","","","","","","","","","","","","","","","","","","","","","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|Full social security|Partial social security","","","","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",""
"83709","BWA","Botswana","","the Labelling of Prepackaged Foods Regulations","Legislation relevant to nutrition","","English","","2003","","","","4","2003","","","","","Cabinet/Presidency|Health","Government of Botswana; Ministry of Health","","","","","","","","","","","","","","","","","","","","","PART II Mandatory labelling requirements (regs 5-18)
5. Information on label of prepackaged goods Except to the extent otherwise provided in other regulations published under the Act, the following information shall appear on the label of prepackaged food as applicable to the food being labelled-
…
(b) the list of ingredients in it;
…
7. List of ingredients
(1) Except for single ingredient foods, a list of ingredients shall be declared on a label placed on any food.
(2) The list of ingredients shall be headed or preceded by an appropriate title which consists of or includes the term ingredient.
(3) All ingredients in any food shall be listed in descending order of ongoing proportion by mass at the time of manufacture of the food.
(4) Where an ingredient is itself the product of two or more ingredients, the compound ingredient shall be declared as such in the list of ingredients in the food and shall be accompanied by a list in brackets of its ingredients in descending order of proportion by mass.
(5) Water added to any food shall be declared in the list of ingredients except where the water forms part of an ingredient, such as brine, syrup or broth, used in any compound food and declared as such in the list of ingredients.
(6) Water or other volatile ingredients evaporated in the course of the manufacture of food need not be declared.
(7) In the case of dehydrated or condensed foods which are intended to be reconstituted by the addition of water only, the ingredients may be listed in order of proportion by mass in the reconstituted product when prepared in accordance with the directions on the label.
…
","Food labelling|Ingredients list","","https://www.moh.gov.bw/Publications/acts/FOOD%20CONTROL%203%20Regulations.pdf","","",""
"17871","ZAF","South Africa","","Regulations relating to the fortification of certain foodstuffs (No. R. 504 of 2003)","Legislation relevant to nutrition","","English","10","2003","","","Government","4","2003","Adopted","","","","Health","","","","","","","","","","","","","","Private sector","Manufacturers of fortification mix, Millers, flour importers, sellers","","","","","","","These Regulations provide rules for the manufacture, import or supply of foodstuffs identified as fortified food vehicles and fortification mix. Food to which these Regulations apply shall be fortified in accordance with these Regulations and manufacturers, importers or suppliers shall register with the National Department of Health. “Food vehicle” means dry and uncooked wheat flour, dry and uncooked maize meal and bread prepared with and containing at least 90 percent fortified wheat flour, excluding water and """"fortification mix” means a premixed blend of fortificants and diluents formulated to provide specified and determinable amounts of micronutrients. Registered manufacturers, importers or suppliers of fortification mixes shall comply with the principles set out in Annexure II and shall issue a certificate of compliance as indicated in Annexure IV.
","Food labelling|Vitamin A|Folic acid|Iron|Zinc|Food fortification|Wheat flours|Maize flours|Mandatory fortification|Mandatory fortification of maize flours with folic acid|Mandatory fortification of maize flours with iron|Mandatory fortification of wheat flours with folic acid|Mandatory fortification of wheat flours with iron|Local products|Imported products|Monitoring mechanism established|Sanctions exist","","www.info.gov.za","","Government Gazette No. 24715 of 7 April 2003, 25 pp.ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org.FAOLEX No: LEX-FAOC090721","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202003%20Regulations%20on%20Fortification%20of%20Foodstuffs_0.pdf"
"14994","BWA","Botswana","","Marketing of Foods for Infants and Young Children Regulations ","Legislation relevant to nutrition","","English","","2005","","","Government of Botswana","6","2005","Adopted","","2005","Government of Botswana","","","","","","","","","","","","","","","","","","","","","","","These Regulations make provision for the control of stocking, distributing, selling or marketing in Botswana of any foods for infants and young children (as defined by regulation 2). The Regulations provide for the designation of monitors for purposes of control and define their functions and powers. A monitor shall investigate, observe and record information regarding the marketing practices of manufacturers and distributors at any points of sale, health care facilities, border posts and offices, through media, institutions and elsewhere. The Regulations further lay down rules relative to labelling and advertising of foods for infants and young children and make provision with respect to education in the field of feeding of infants and young children. They also prescribe offences
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","www.laws.gov.bw","Scope of the Code: 0-36 months of age","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html) / WHO (2008) Summary code survey for the report to the World Health Assembly on the implementation of the International Code of Marketing of Breast-milk Substitutes. / Link to eLENA "Regulation of marketing breast-milk substitutes" : https://www.who.int/tools/elena/interventions/regulation-breast-milk-substitutes / ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202005%20Marketing%20of%20Foods%20for%20Infants%20and%20Young%20Children%20Regulations_0.pdf"
"17872","ZAF","South Africa","","Regulations amending the Regulations relating to the fortification of certain foodstuffs (No. R. 1206 of 2008)","Legislation relevant to nutrition","","English","","2008","","","Government","11","2008","Adopted","","","","Health","Millers, flour importers, sellers","","","","","","","","","","","","","Private sector","Manufacturers of fortification mix","","","","","","","These Regulations amend the Regulations relating to the fortification of certain foodstuffs in relation with standards for certain fortification ingredients, nutrient content claims, sampling and exemptions for manufacturers or importers of food vehicles.
","Food labelling|Vitamin A|Folic acid|Iron|Zinc|Food fortification|Wheat flours|Maize flours|Monitoring mechanism established","","www.info.gov.za","See also: Regulations relating to the fortification of certain foodstuffs (No. R. 504 of 2003) at https://extranet.who.int/nutrition/gina/en/node/17871","Government Gazette No. 31584 of 14 November 2008, 7 pp. ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org.FAOLEX No: LEX-FAOC090722","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202008%20Regulations%20on%20Fortification%20of%20Foodstuffs%20Amendment.pdf"
"112508","ZAF","South Africa","","National School Nutrition Programme. A Guide for Secondary Schools","Government guidance","","English","","2009","","","Department of Education","","2009","","","","","Education and research","","","","","","","","","","National NGOs","","","","","","","","","","","","The National School Nutrition Programme aims to provide meals to the most needy learners. Good food provides energy for the brain. The meals which are provided at schools are, therefore, intended to give energy for mental and physical activities for the body and brain to function and to make the learners alert and receptive during lessons.
...
What should be included in the meal?
The Department of Education in conjunction with the Department of Health provides a variety of menu options from which the schools may choose. The District office will make this available to schools.
School menus should offer tasty and adequate meals which must fulfill at least 30% of the daily nutritional needs of learners per meal. It is important to serve a balanced meal which is composed of:
Protein:
vegetable protein e.g. Soya products, dried beans, lentils, nuts and dried peas or
animal protein e.g. meat, milk, eggs and fish (depending on affordability)
Starch: e.g. maize meal, samp, mealie rice, rice, bread, potatoes
Vegetables: at least one green and one red or yellow or orange vegetable per meal
Fats and Oils must be used in moderation.
Iodated/iodized salt and seasoning must be used in moderation.
Very important
Selected menus should be socially acceptable.
Use of indigenous food in menus is encouraged.
Specifications of new menu option inclusions are obtainable from the District/Circuit NSNP officer.
Peanut butter may only be used if quality assurance standards by the Department of Health have been met.
Maize meal, bread or flour and flour products should have the logo depicting that they have been fortified with essential macro nutrients.
Learners must drink at least 8 cups/glasses of water daily
","School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Voluntary standards|School lunches|Schools (standards)|Milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fortified staple foods (wheat, rice, maize) (standards)|Iodized salt (standards)|Fish (standards)|Water (standards)","","https://www.education.gov.za/AboutUs/DBEStructure/SocialandSchoolEnrichment/NationalSchoolNutritionProgramme.aspx","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202009%20NSNP%20Guidelines%20for%20Secondary%20Schools%2030%20March%202009.pdf"
"25333","ZAF","South Africa","","Foodstuffs, Cosmetics and Disinfectants Act, 1972 (Act no. 54 of 1972): Regulations Relating to Trans-fat in Foodstuffs","Legislation relevant to nutrition","","English","","2011","","","Department of Health","2","2011","Adopted","","2011","","Health","","","","","","","","","","","","","","","","","","","","","","2. Maximum Trans-Fat content of foodstuffs
(1) In line with section 2(1 )(a)(iv) of the Act, the sale, manufacturing and importation of any oils and fats, including emulsions with fat as the continuous phase, either alone or as part of processed foods, which are intended for human consumption or assumed to be intended for human consumption, in the retail trade, catering businesses, restaurants, institutions, bakeries etcetera, of which the content of Trans-Fat exceeds 2 grams per 100 grams of oil or fat, is prohibited.
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Limit on 2 g / 100 g fat in all foods","","https://www.gov.za/documents/foodstuffs-cosmetics-and-disinfectants-act-regulations-trans-fat-foodstuffs","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202011%20Regulations%20relating%20to%20trans-fat%20in%20foodstuffs.pdf"
"38490","ZAF","South Africa","","Foodstuffs, Cosmetics and Disinfectants Act (54/1972): Regulations relating to the reduction of sodium in certain foodstuffs and related matters. Regulations relating to the reduction of sodium in certain foodstuffs and related matters","Legislation relevant to nutrition","","English","6","2016","","","Department of Health","3","2013","Adopted","3","2013","Minister of Health. Staatskoerant, 20 maart 2013. No. 36274.","Health","","","","","","","","","","","","","","","","","","","","","","Reduction of total sodium content of certain foodstuffs
2. Any foodstuff, listed in column II of Table 1 below, which are offered for sale on the dates mentioned in column IV shall comply with the corresponding reduced total Sodium levels mentioned in column III:
TABLE 1: REDUCTION OF TOTAL SODIUM (NA) CONTENT OF CERTAIN FOODSTUFFS
Foodstuff category (II)
Maximum Total Sodium per 100 g foodstuff (III) Dates on which the total Sodium reduction becomes effective (IV)
1. Bread
400 mg Na 30 June 2016
380 mg Na 30 June 2019
2. All breakfast cereals and porridges, whether ready-to-eat, instant or cook up, hot or cold
500 mg Na 30 June 2016
400 mg Na 30 June 2019
3. All fat spreads and butter spreads
550 mg Na 30 June 2016
450 mg Na 30 June 2019
4. Ready-to-eat savoury snacks, excluding salt-and-vinegar flavoured savoury snacks
800 mg Na 30 June 2016
700 mg Na 30 June 2019
5. Flavoured potato crisps, excluding salt-and-vinegar flavoured potato crisps
650 mg Na 30 June 2016
550 mg Na 30 June 2019
6. Flavoured, ready-to-eat, savoury snacks and potato crisps- salt-and-vinegar only
1000 mg Na 30 June 2016
850 mg Na 30 June 2019
7. Processed meat (classes 6, 12 or 14 of the South African National Standard SANS 885:2011)- uncured
850 mg Na 30 June 2016
650 mg Na 30 June 2019
8. Processed meat (classes 7, 10 or 11 of the South African National Standard SANS 885:2011)- cured
950 mg Na 30 June 2016
850 mg Na 30 June 2019
9. Raw-processed meat sausages (all types) and similar products
800 mg Na 30 June 2016
600 mg Na 30 June 2019
10. Dry soup powder (not the instant type)
5 500 mg Na 30 June 2016
3 500 mg Na 30 June 2019
11. Dry gravy powders and dry instant savoury sauces
3 500 mg Na 30 June 2016
1 500 mg Na 30 June 2019
12. Dry savoury powders with dry instant noodles to be mixed with a liquid
1 500 mg Na 30 June 2016
800 mg Na 30 June 2019
13. Stock cubes, stock powders, stock granules, stock emulsions, stock pastes or stock jellies
18 000 mg Na 30 June 2016
13 000 mg Na 30 June 2019
","Salt/sodium|Mandatory reformulation|Measures to limit sodium content|Bread, bread products and crisp breads (Reformulation sodium)|Breakfast cereals (Reformulation sodium)|Butter and other fats and oils (Reformulation sodium)|Processed meat, poultry, game, fish and similar (Reformulation sodium)|Ready-made and convenience foods and composite dishes (Reformulation sodium)|Sauces, dips and dressings (Reformulation sodium)|Savoury snacks (Reformulation sodium)|Monitoring mechanism established","","http://www.health.gov.za/index.php/shortcodes/2015-03-29-10-42-47/2015-04-30-09-10-23/2015-04-30-09-11-35/category/203-regulations-fortification-and-other-nutritional-issues?download=707:regulations-relating-to-the-reduction-of-sodium-in-certain-foodstuff","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20R214%20SodiumReductionRegulations.pdf"
"38491","ZAF","South Africa","","Foodstuffs, Cosmetics and Disinfectants Act (54/1972): Regulations relating to the reduction of sodium in certain foodstuffs and related matters: Amendment","Legislation relevant to nutrition","","English","","2016","","","Department of Health","9","2016","Adopted","9","2016","GOVERNMENT GAZETTE No. 40252 Vol. 615, 6 SEPTEMBER 2016","Health","","","","","","","","","","National NGOs","","","","","","","","","","","","Words in bold type in square brackets indicate omissions from existing regulations
Words underlined with a solid line indicate insertions in existing regulations.
...
In these Regulations """"the Regulations"""" means the Regulations published by Government Notice No. R. 214 of 20 March 2013.
...
7. Processed meat (classes 6, 11 and 13 where products in category 13 relates to cured of the South African National Standard SANS 885:2011)[12 or 14of the South African National Standard SANS 885:2011)- uncured]
[850]1300 mg Na 31 March 2017
[650]1150mg Na 30 June 2019
8. Processed meat (classes [7]9, 10, and 13 where products in category 13 relates to uncured of the South African National Standard SANS 885:2011)[or 11 of the South African National Standard SANS 885:2011)- cured]
[950]850 mg Na 30 June 2016
[850]650 mg Na 30 June 2019
9. Raw-processed meat sausages (all types) and similar products
800 mg Na 30 June 2016
600 mg Na 30 June 2019
10. Dry soup powder (not the instant type) including dry soup powders intended to be cooked and consumed as a soup and /or used to thicken and/or add flavour to any type of savoury dish.
5 500 mg Na 30 June 2016
3 500 mg Na 30 June 2019
11. Dry gravy powders and dry instant savoury sauces including all dry savoury gravy/sauce powders that require cooking of which are of the instant type, used as an accompaniment to a meal
3 500 mg Na 30 June 2016
1 500 mg Na 30 June 2019
12. Dry savoury powders with dry instant noodles to be mixed with a liquid including quick cooking Asian style noodles composed primarily of dry noodles with a seasoning sachet
1 500 mg Na 30 June 2016
800 mg Na 30 June 2019
13. Stock cubes, stock powders, stock granules, stock emulsions, stock pastes or stock jellies including concentrated sticks / stew products in various formats used to favour dishes
concentrated stocks
18 000 mg Na 30 June 2016
13 000 mg Na 30 June 2019
","Salt/sodium|Mandatory reformulation|Measures to limit sodium content|Bread, bread products and crisp breads (Reformulation sodium)|Breakfast cereals (Reformulation sodium)|Butter and other fats and oils (Reformulation sodium)|Processed meat, poultry, game, fish and similar (Reformulation sodium)|Ready-made and convenience foods and composite dishes (Reformulation sodium)|Sauces, dips and dressings (Reformulation sodium)|Savoury snacks (Reformulation sodium)","","http://www.gpwonline.co.za/Gazettes/Gazettes/40252_6-9_Health.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202016%20R214%20SodiumReductionRegulations%20amendment-1-9.pdf"
"26230","ZAF","South Africa","","Rates and Monetary Amounts and Amendment of Revenue Laws Act, 2017. Health promotion levy on sugary beverages.","Legislation relevant to nutrition","","English","4","2018","","","Government Gazette, Republic of South Africa","12","2017","Adopted","12","2017","President","Health|Finance, budget and planning","","","","","","","","","","","","","","","","","","","","","","Insertion of Chapter VB in Act 91 of 1964
17. (1) The following chapter is hereby inserted in the Customs and Excise Act, 1964, after
Chapter VA: ‘‘CHAPTER VB HEALTH PROMOTION LEVIES
Imposition of health promotion levy
54G. A levy to be known as the health promotion levy shall be leviable on such imported goods and goods manufactured in the Republic as may be specified in any item of Part 7 of Schedule No. 1.
…
SCHEDULE NO. 1/ PART 7/ SECTION A
HEALTH PROMOTION LEVY ON SUGARY BEVERAGES
SECTION A
LEVY ON SUGARY BEVERAGES
NOTES:
1. Any rate of levy on sugary beverages is payable on any goods specified in this Section either imported into or manufactured in the Republic.
2. Any levy on sugary beverages specified in this Section shall be payable in addition to any Customs and Excise duty payable in terms of any other Part of Schedule No 1.
3. Imported goods shall not be declared on separate bills of entry for the purposes of this Part of Schedule No. 1.
4. Any reference to sugar content means both the intrinsic and added sugar and other sweetening matter contained in any sugary beverage specified in this Section.
5. The sugar content of sugary beverages liable to the levy on sugary beverages must be calculated on—
(a) the sugar content stated on the food labelling of the sugary beverages as prescribed in terms of the Foodstuffs, Cosmetics and Disinfectants Act, 1972 (Act No. 54 of 1972;
(b) the sugar content as certified on a test report obtained and retained from a testing laboratory recognized by the National Regulator for Compulsory Specifications of South Africa; or
(c) the deemed sugar content of the sugary beverage that is assumed to constitute 20 grams per 100 millilitres.
6. In the case of powder and liquid concentrates or preparations for the making of beverages, the sugar content must be calculated based on the total volume of the prepared beverage when mixed or diluted according to the manufacturer’s product specifications.
Tariff Subheading - Article Description
18.06 Chocolate and other food preparations containing cocoa …
21.06 Food preparations not elsewhere specified or included …
22.02 Waters, including mineral waters and aerated waters, containing added sugar or other sweetening matter or flavoured, and other non-alcoholic beverages (excluding fruit or vegetable juices of heading 20.09) …
Rate of Health Promotion Levy: 2.1c/gram of the sugar content that exceeds 4g/100ml
","Sugar intake|Taxation on unhealthy foods|Sugar content specific excise tax|National level SSB tax|Mineral, aerated or flavoured waters with added sugars (taxes)|Mineral, aerated, flavoured waters with non-sugar sweetener (taxes)|Total sugars (taxes)","","http://www.sars.gov.za/AllDocs/LegalDoclib/AmendActs/LAPD-LPrim-AA-2017-05%20-%20Rates%20and%20Monetary%20Amounts%20and%20Amendment%20Revenue%20Laws%20Act%2014%20of%202017%20GG%2041323.pdf","http://www.sars.gov.za/ClientSegments/Customs-Excise/Excise/Pages/Sugary-Beverages-Levy.aspx Applicable Tariff Headings (http://www.sars.gov.za/AllDocs/Documents/Sugary%20Beverages%20Levy/SBL%20Roadshow%20presentation%20for%20Excise%20-%20March%202018.pdf) Chapter 18 – 1806 – Chocolate and other food preparations containing cocoa with subheading 1806.10.05 – Preparations for making beverages. Chapter 19 - 1901 – Malt Extract: food preparations of flour…….sub-heading 1901.90.15 – Preparations for making beverages (excl. those of tariff sub-heading 1901.90.20) Chapter 21 – 2106 – Food preparations not elsewhere specified – sub headings: 2106.90.20 – Syrups and other concentrates or preparations for making beverages, not having a basis of fruit juice (excl. those of tariff sub-heading 210690.69 2106.90.22 - Syrups and other concentrates or preparations for making beverages, not having a basis of fruit juice (excl. those of tariff sub-heading 210690.69 2106.90.69 – Drinking straws, containing flavouring preparations Chapter 22: 2202.10 – Waters including mineral waters and aerated waters, containing added sugar or other sweetening matter or flavoured, and other non-alcoholic beverages (excl. fruit or vegetable juices of heading 2009) – 2202.10.10 – In sealed containers holding 2.5li or less (excl. those in collapsible plastic tubes) 2202.91 – Non-alcoholic beer – 2202.91.20 – In sealed containers holding 2.5li or less (excl. those in collapsible plastic tubes and those with a basis of milk) 2202.99 – Other – 2202.99.20 - In sealed containers holding 2.5li or less (excl. those in collapsible plastic tubes and those with a basis of milk), and 2202.99.90 - Other","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202017%20Health%20promotion%20levy_0.pdf"
"8623","BWA","Botswana","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1996","","","Republic of Botswana","","1996","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Labour","","","","","","","","","","National NGOs","","","","Private sector","","","","reduction of 1990 under five mortality rates by 1/3 within a decade
virtually eliminate iodine deficiency disorders within a decade
virtually eliminate vitamin A deficiency and its consequences (eg blindness) within a decade
fortify all appropriate food vehicles with vitamin A and iodine
eliminate severe PEM and reduce the percentage of under-five children who are underweight to less than 10% by the year 2006 or within a decade
eliminate all micronutrient deficiencies by the year 2006
reduce iron deficiency anaemia by 1/3 of the 1996 levels, especially among women of child bearing age by the year 2006
fortify all appropriate food vehicles with iron
reduce diet related NCD to levels of no public health significance
empowerment of all women to breastfeed their children exclusively for 4-6 months and continue breastfeeding, with complementary food, well into the second year (at least for 18 months)
increase access to facilities for sanitary means of excreta disposal form 41 % to 70% of rural household within a decade
increase access to safe water supply form 68% to 95% of rural households within a decade
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Underweight in children 0-5 years|Complementary feeding|Diet-related NCDs|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Food fortification|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Improved hygiene / handwashing|Water and sanitation","","","","WHO Global Database on National Nutrition Policies and Programmes",""
"23284","ZAF","South Africa","","Integrated Nutrition Programme. Strategic Plan 2002/03 to 2006/07","Comprehensive national nutrition policy, strategy or plan","","English","","2002","","2007","Department of Health","9","2002","","","","","","","","","","","","","","","","","","","","","","","GOALS
Contribution to the prevention and reduction of morbidity and mortality rates due to malnutrition, nutrition-related diseases of lifestyle, communicable and infectious diseases and debilitating conditions
Contribution to optimal growth of infants and young children
Sensitised and supportive policy and decision makers as well as other relevant stakeholders on nutrition
Improved nutritional knowledge, behaviour, perceptions and attitudes of the population
Awareness of the INP, its focus areas and nutrition in general
Prevention, reduction and control of micronutrient malnutrition deficiencies
Contribution to the institutional care of clients through food service systems for the provision of balanced nutrition
Contribution to child survival and maternal health
Contribution to the improvement of household food security
Efficient and effective nutrition information system for planning, policy formulation and management
","• Nutrition Information System to support the National Health Information System
• Legislation on food fortification
• Legislation on the Code of Ethics for the Marketing of Breast Milk Substitutes
• Development and implementation of clinical, therapeutic and nutrition management guidelines on-
• severe malnutrition;
• Human Immune Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS);
• chronic diseases of lifestyle; and
• Debilitating conditions
• Active participation in Integrated Management of Childhood Illnesses (IMCI) strategy
• Ensure the inclusion of technically correct nutrition information and participate in the training of health personnel in strategies to improve quality of care
• Development and implementation of a human resource development plan or INP that would, among other, address issues on quality of care
• Ensure that nutrition services are rendered within the Batho Pele principles, guided by the Patients Charter and in line with the national policy and implementation guidelines on quality
• Marketing and communication of INP
• Improve information flow from national Directorate to community levels.
• Develop and implement effective referral systems for malnourished children
• Promote and facilitate the implementation of the Baby-friendly Hospital Initiative (BFHI)
• Improve food service management within public health facilities
• Ensure that the planning framework for hospitals includes nutrition services as integral part of the services that are offered
• Ensure that hospitals provide for lodger mothers of children being treated for severe malnutrition
• Ensure that human resources at all levels are adequate and appropriately trained to render nutrition services as part of their duties
• Develop a guideline for the implementation of the INP at district level
","To contribute to the reduction of malnutrition in children under 5 years of age, specifically of:
• Underweight from 10.3% to 8%
• Severe underweight from 1.4% to 1%
• Stunting from 21.6% to 18%
• Wasting from 3.7% to 2%
To contribute to the reduction of the under-five mortality rate from 61/1000
To contribute to the reduction of morbidity and mortality associated with nutrition-related diseases of lifestyle, specifically:
• Overweight among children from 6% to 4 %
• Overweight among adolescent males from 5.3% to 3% and among adolescent females from 17.6% to 15%
• Obesity among adolescent males from 2% to 1% and among adolescent females from 5.9% to 4%
• Overweight among adult males from 19.8% to 15% and among adult females from 26.1% to 20%
• Obesity among adult males from 9.3% to 7% and among adult females from 30.1% to 25%
• Coronary heart disease
• Hypertension
• Diabetes mellitus
Elimination of micronutrient deficiencies among the population, focusing on vulnerable populations or groups especially:
• Child Vit A deficiency from 33.3% to 19%
• Child iodine deficiency from 10.6% to 5%
• Child iron deficiency from 10% to 7.5%
To decrease the proportion of children with an intake of <50% of the recommended levels of vitamins and minerals from 50% to 40%
To contribute to increasing the proportion of households consuming adequately iodised salt from 62% to 80%
To increase the proportion of mothers who breastfeed their babies exclusively for six months from 7% to 10%
To increase the proportion of mothers who continue to breastfeed their babies with appropriate complementary foods up to 24 months of age and beyond
To ensure that mothers of infants under 24 months who are not breastfeeding, practice appropriate replacement feeding options
To ensure that at least 15% of health facilities with maternity beds are baby-friendly
","Outcome indicators|Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Growth monitoring and promotion|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Other B-vitamins|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Food grade salt|Nutrition & infectious disease|Household food security","","http://www.westerncape.gov.za/text/2003/nutrition_strategic_plan_2001.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202001%20Integrated%20Nutrition%20Programme.%20Strategic%20Plan.pdf"
"24221","ZAF","South Africa","","Basic Conditions of Employment Amendment, Act No. 11 of 2002","Legislation relevant to nutrition","","English","","2002","","","","","2002","","","","","","","","","","","","","","","","","","","","","","","","","","","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|14 weeks or more","","","","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",""
"40759","PNG","Papua New Guinea","","National Agricultural Development Plan 2007 – 2016 volume 1 and 2 ","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2007","","2016","Ministry of Agriculture and Livestock","","2007","","","","","Food and agriculture","Government agriculture, healthMinistry of Agriculture and LivestockThe Government of PNG and the Food and Agriculture Organization of the United Nations, for their financial and technical support;The Chairman and members of the Economic Sector Ministerial Committee for their invaluable guidance and undivided support;The Members of the National Agriculture Council for their support and endorsement of the plan;My predecessor, Hon. Mathew Siune, MBE, MP and former Department Secretary, Mathew’wela B. Kanua for initiating the formulation of the NADP;Agriculture sector agencies and organizations; OPIC, CCI, KIK, CIC, NARI, NAQIA, LDC, FPDA, SIB, Cocoa Board, Rubber Industry, Provincial DAL;","Food and Agriculture Organisation (FAO)","","","","","","","","National NGOs","","","","","","","food producers","Volume 1
The overall goal of NADP is to stimulate economic growth in the agriculture sector in all districts through the development of a well coordinated planning and implementation that are interactive, and effective, involving the full participation of the stakeholders, which promotes food security, income generation and poverty alleviation.
The objectives of NADP are;
To reduce costs of production and improve quality of agricultural produce for both domestic and international markets
To increase income earning opportunities of those dependent on agriculture.
To allocate resources based on priority areas
To ensure that development is socially, economically, and environmentally sustainable
- To improve the recognition of women’s contributions to rural industries and increase opportunities for women’s decision making in agriculture
Volume 2
4.1.7 Budget
4.1.8 Expected Outcomes
(1) Increased income for smallholder farmers in rural communities.
(2) Increased formal employment and self-employment opportunities, especially for women and youths in the districts.
(3) Increased earnings or savings of foreign exchange through export and import replacements resulting in increased national economy growth at a target of 5% per annum.
(4) Improved nutrition and food security through access to high quality foods and food products, leading to a range of health benefits including the combat of health threatening diseases.
(5) Increased opportunities for people living in areas less endowed with natural resources, remote, marginalised, environmentally fragile or so far neglected in rural development strategies.
5.1.2 Goal
To establish a sustainable domestic rice industry to enhance food security, generate income for smallholders and reduce rice imports by increasing annual domestic production from 20,000 to 60,000 by 2016.
","Volume 1
Annex B
ANNEX B: Provincial Plans- strategies
Aitape, Lumi, Nuku, Telefomin, Vanimo/Green
","","","","School-based health and nutrition programmes|Food security and agriculture","","Part 1: http://aciar.gov.au/files/node/2406/Volume1-Policies%20and%20Strategies%20part1.pdf + Part 2: http://aciar.gov.au/files/node/2406/Volume2-Implementation%20Plan%20part1.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG_2007national-agriculture_development-plan-2007-2016-implementation-plan-v2.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG_2007national-agriculture_development-plan-2007-2016-implementation-plan-v2.pdf"
"8018","PNG","Papua New Guinea","","Food Sanitation Regulations","Legislation relevant to nutrition","","English","","2007","","","Goverment","","2007","Adopted","1","2007","Governor-General","Health","Food Sanitation Council","","","","","","","","","","","","","","","","","","","","","PART 111. - FOOD AND FOOD ADDITIVES.
4. Standards for food and food additives.
...
(3) Where no standard is fixed for a particular food or food additive, a food additive may be permitted to be added to an article where the food additive is prescribed for that article in Schedule 2.
...
PART IV. - APPARATUS, PACKAGE AND LABELLING.
...
12. PARTICULARS OF LABELLING.
(1) For the purposes of Section 16 of the Act, and in addition to any standard fixed under Section 14 of the Act, any package or apparatus containing food or food additives for sale shall bear on or attached to it a label containing-
...
(e) a statement of the ingredients and components of the food or food additive using an accepted or appropriate designation for each of these ingredients and components in descending order of proportion by weight. An ingredient, for the purposes of this paragraph, means any substance including a food additive used in the preparation, manufacture or handling of a food; and
(f) where a claim is made as to the presence in any food or food additive of any vitamin, mineral, essential amino acid or essential fatty acid, the labelling statement shall set out -
(i) in the case of vitamin, the quantity of each in milligrams or micro grams; and
(ii) for minerals and essential amino acids, the quantity of each in parts per cent or milligrams; and
(iii) for essential fatty acids, the quantity of each in energy per cent or grams, present in a stated quantity of the food or food additive;
...
13. Prohibited LABELLING.
The label attached to a package or apparatus containing or enclosing any food or food
additive shall not, unless permitted in a prescribed standard-
(a) claim that the article is food or a food additive for specific dietary use; or
(b) include the words """"sugarless, sugar free"""" or any similar terms; or
(e) include a nutritional claim unless that label also includes a nutrition information panel; or
(d) claim any therapeutic or prophylactic action in respect of an ingredient of the food or food additive, nor use words implying such an effect or action; or
(e) include any certificate of analysis or any statement that purports to be a certificate of analysis; or
(j) make any claim as to the nutritional benefits of the food or food additive in comparison to human milk.
...
SCHEDULE 2
Reg. Sec. 4(3)
PERMITTED FOOD ADDITIVES.
...
3. VITAMINS AND MINERALS.
This section regulates the addition of vitamins and minerals to foods, and the claims which can be made about the vitamin and mineral content of foods other than, certain claims permitted elsewhere in the Regulation and related standards.
...
(2) Prohibition on adding vitamins and minerals to food
A vitamin or mineral must not be added to a food unless the -
(a) addition of that vitamin or mineral is specifically permitted in this Regulation and related standards; and
(b) vitamin or mineral is in a permitted form specified in Table 3B.
(3) Permitted addition of vitamins and minerals to food A vitamin or mineral specified in column 3 of Table 3A may be added to a food specified in column I in relation to that vitamin or mineral, provided that the total of the naturally occurring and added quantity of that vitamin or mineral present in a reference quantity of the food, does not exceed the quantity specified in column 5 in relation to that vitamin or mineral.
...
* Note:
(1) White rice must contain not less than the following vitamins and minerals:
Thiamin 0.5mg/100g
Niacin 6mg/100g
Iron 3mg/100g
(2) Salt must be iodised with potassium iodate at the following levels:
Salt other than table salt
not less than 50mg/kg and iodine content not
less than 30mg/Kg.
Table Salt
not less than 70mg/kg and the iodine content not
less than 40mg/kg.
","Food labelling|Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Calcium|Iodine|Iron|Vitamin D|Zinc|Food fortification|Wheat flours|Rice|Food grade salt|Condiments and seasonings|Edible oils and margarine|Milk|Mandatory fortification of rice with iron|Mandatory salt iodization|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria","","http://paclii.org/pg/legis/sub_leg/fsa1991fsr2007429.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG%202007%20Food%20sanitation%20regulations.pdf"
"11520","ZAF","South Africa","","Infant and Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2007","","","Department of Health","","2007","","","","","","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Aim:
The aim of this policy is to improve the nutritional status, growth, development and health of infants and young children by protecting, promoting and supporting optimal safe infant feeding practices.
Objectives:
- To increase rates of exclusive breastfeeding for six months and continued breastfeeding up to two years of age or beyond
- To provide evidence based information on HIV and infant feeding to pregnant women and to support them in their decision with regards to infant feeding choice and continued infant and mother follow-up.
- To reduce mixed feeding before six months and promote timely, adequate, safe and appropriate complementary feeding with continued breastfeeding.
- To provide guidance on feeding infants and young children in exceptionally difficult circumstances.
- To create awareness of child survival strategies that significantly contribute to the reduction of malnutrition-related childhood morbidity and mortality hence contribute to achievement of millennium goal 1 and 4.
- To give effect to the principles and aim of the International Code of Marketing of Breastmilk Substitutes and to subsequent relevant Health Assembly Resolutions.
- To ensure that every health establishment providing maternity services implement the Baby Friendly Hospital Initiative.
- To encourage commitment of all stakeholders to optimal feeding practices for infants and young children.
- To standardize messages about infant and young child nutrition to health care personnel, organisations involved in health and communities.
- To create a supportive environment conducive to optimal infant and young child feeding.
","Strategies and programmes:
- Baby Friendly Hospital Initiative;
- International Code of Marketing of Breast-milk Substitutes;
- Growth Monitoring and Promotion;
- Management of children with Severe Malnutrition;
- Integrated Management of Childhood Illnesses;
- Prevention of mother-to-child transmission of HIV; and
- Expanded Programme on Immunisation.
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Right to health|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Vitamin A|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food safety|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202007%20Infant%20%26%20young%20child%20feeding.pdf"
"26098","ZAF","South Africa","","Regulations relating to food-grade salt (No. R. 184 of 2007).","Legislation relevant to nutrition","","English","","2007","","","Government Gazette","3","2007","","","","","Health","","","","","","","","","","","","","","","","","","","","","","Composition
Food-grade salt shall not contain less than 97% sodium chloride on a dry matter basis, exclusive of food additive
(3) Food grade salt shall be used as a carrier for food additives or nutrients for technological or public health reasons
Iodation
3. (1) No person shall sell food-grade salt unless iodine, which is between 35 and 65 ppm (mglkg) has been added to such salt.
(3) Imported food-grade salt shall contain between 35 and 65 ppm (mg/kg) iodine on entering the Republic of South Africa.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Local products|Imported products","","http://extwprlegs1.fao.org/docs/pdf/saf73639.pdf","","FAOLEX Database","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF-2007-salt%20iodization.pdf"
"23847","PNG","Papua New Guinea","","Child Health Policy and Plan","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2020","government","","2009","","","","","","","","","","","","","","","","","","","","","","","The goals of the Child Health Policy are to reduce child mortality and to improve the general quality of health and development of the children of Papua New Guinea.
The objectives of the Child Health Policies are:
- To improve the quality, access and delivery of health services to children and young people of Papua New Guinea
- To reduce the neonate, infant and under 5 year old mortality as per the Millennium Development Goals (MDG-4).
","- Ensure all children receive at least 2 doses of vitamin A, at 6 and 12 months
- Promotion of breast feeding
- Increase human resource capacity for child nutrition
- Community promotion of breast feeding and adequate complementary feeding
- Improve vitamin A coverage
- Improve health facility and community services for management of malnutrition
- Achieve high coverage of deworming
","- Number of hospitals accredited as Baby Friendly
- Number of provinces in which IYCF training conducted
- Increase the availability of zinc sulphate as treatment for children with diarrhoea and with malnutrition
- Encourage the fortification of staple foods, such as rice and flour with multiple micronutrients including iron, zinc, thiamin, riboflavin and folate
- Provide nutritional support to children with HIV, including Ready-to- Use Therapeutic Feeds
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Complementary feeding|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Vitamin A|Vitamin B12|Folic acid|Other B-vitamins|Iron|Zinc|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Diarrhoea or ORS","","http://www.rch.org.au/uploadedFiles/Main/Content/cich/PNG_Child_Health_Policy_and_Plan_2009-2020.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG_2009_CHPP.pdf"
"23815","BWA","Botswana","","A Strategy for Changing the Health Sector For Healthy Botswana 2010-2020","Health sector policy, strategy or plan with nutrition components","","English","","2010","","2020","Ministry of Health","11","2010","","","","","","","","","","","","","","","","","","","","","","","STRATEGIC OBJECTIVE 1: TO DEVELOP/REVIEW POLICIES AND REGULATIONS RELATED TO PUBLIC HEALTH
Nutrition and Food Control Division
To develop food safety policy and strategy
To develop new food regulations
To review the Food Control Act and Regulations
To finalize the Botswana National Policy on Infant and Young Child Feeding
To Develop and implement a Nutrition Policy for Botswana
STRATEGIC OBJECTIVE 2: TO IMPROVE THE ACCESS AND UTILISATION OF QUALITY PREVENTIVE, PROMOTIVE AND REHABILITATIVE SERVICES
Nutrition and Food Control Division
To promote smoking cessation, weight management, increased physical activity
To strengthen capacity of the National Food Control Laboratory
To decentralize the food quality /safety laboratory services in the country
To increase early and exclusive breastfeeding rates
To increase coverage of timely and appropriate complementary feeding for children aged 6-9 months
To reduce malnutrition among children under five
To prevent and control micronutrients deficiencies
","To increase early and exclusive breastfeeding rates
To increase coverage of timely and appropriate complementary feeding for children aged 6-9 months
Create awareness in communities on timely and appropriate complementary feeding and its benefits
Promote use of appropriate locally available complementary foods
Strengthen growth monitoring and promotion
To reduce malnutrition among children under five
Strengthening growth monitoring and promotion
Improve communication for behaviour change: develop IEC materials for use by health workers and others
Manage acute and severe malnutrition
Strengthen supply chain of supplementary and therapeutic foods
To prevent and control micronutrients deficiencies
Supplementation
Dietary diversification
Food fortification
- Ensure all Salt is iodated
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Complementary feeding|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Vitamin A|Zinc|Micronutrient supplementation|Food fortification","","http://www.moh.gov.bw/Publications/policies/Botswana%20IHSP%20Final%20HLSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202010%20IHSP%20Final%20HLSP.pdf"
"8311","BWA","Botswana","","United Nations development Assistance Framework 2010 - 2016 Botswana","Non-national nutrition policy document","","English","","2010","","2016","United Nations System in Botswana","","2009","Adopted","","","UN, UNAIDS; UNDP, UNFPA, UNHCR, UNICEF, WHO, FAO, IAEA, ILO, OHCHR, UNEP, UNESCO, UNIDO, UNIFEM","Other","","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","UNDAF OUTCOME 3: Country capacity to address health and HIV and AIDS challenges towards achieving universal access to quality services is strengthened by 2016
Country Programme Outcomes:
3.1. By 2016 institutions at all levels capacitated to effectively respond to HIV and AIDS and deliver preventative and curative health services
3. 2 Increased availability and demand for quality services for communicable and non-communicable diseases by 2016
","Country Programme Outputs:
3.1.1 Strengthened structures, systems, staff, policies and plans for coordinated health, nutrition and HIV/AIDS services delivery.
3.1.4 Supply chain for health, nutrition and HIV/AIDS commodities responds to demand
3.2.1 Government institutions, including formal and non-formal education institutions, civil society, media, private sector and community based organizations have the capacity to undertake public awareness, health promotion, management , monitoring and evaluation of communicable and non-communicable diseases
3.2.2 Health sector able to plan, implement and monitor Maternal and Child health programmes including prevention and management of malnutrition among women, neonates and children
","OUTPUT 3.1.1: Indicators (Baselines)
Revised plans and frameworks (0-2008).
Revised sectoral policies and legislation (0-2008).
Functioning M&E systems for OVCs (0-2008).
Guidelines and standards (0-2008).
Coordination mechanisms (0-2008).
Targets
4 Sectoral policies (2016).
1 Functional M&E system for OVCs (2016).
All guidelines and standards reviewed and harmonized (2013).
Coordination Mechanism for HIV national Response and Health available (2012).
Output 3.1.4:
Indicators (Baselines):
Average # of stockout days per year for HIV/AIDS, health and nutrition commodities and central level. (TBD-CMS)
Availability of updated guidelines and protocols on supply chain management. (TBD-CMS)
Targets:
Zero stock outs (2016)Updated guidelines available(2011)
Output 3.2.1:
Indicators (Baselines):
% of CSOs with adequate capacity for public awareness, health promotion, and M&E of communicable/non communicable diseases (0-2008).
%of public , private sector and community organizations with comprehensive wellness programs (0-2008).
%of health facilities (Clinic and above) with at least 2 health workers that have received inservice training in the management of NCDs (0-2008).
Availability of national NCD prevention and control strategy (0-2008).
Availability of health promotion strategies for NCDs (0-2008).
Targets.75% of the targeted institutions (2008)
90% public Institutions
80% of BBCA affiliated private institutions
80% of CBOs
80% of the hospitals and clinics
Strategy available and in use by 2011 Health Promotion strategies available and use by end 2010
Output 3.2.2.
Indicators (Baselines):
Increased access to quality EmOC services (91%-2008).
Increased EPI Immunization coverage indicator (90%-2008).
IMCI coverage (4%-2008).
CPR (44%-2008).
Targets:
98% (2016
)98%(2016)
50%(2016)
60%(2016)
","Outcome indicators","","Maternity protection|HIV/AIDS and nutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202010%20UNDAF%282010-2016%29.pdf"
"24039","BWA","Botswana","","Employment Act","Legislation relevant to nutrition","","English","","2010","","","","","2010","","","","","","","","","","","","","","","","","","","","","","","","","","","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|Less than 66.7%|Employer liability|Paid breastfeeding breaks","","","","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",""
"40066","BWA","Botswana","","Food Grade Salt Regulations ","Legislation relevant to nutrition","","English","","2010","","","Government of Botswana","9","2010","","","","","Health","","","","","","","","","","","","","","","","","","","","","","4. Restriction on selling, imports, etc
No person shall manufacture, sell, import or distribute any food grade salt which is not iodated except under and in accordance with terms and conditions specified under regulation 6 (5).
6. Iodation
(1) Food grade salt shall be iodated by the manufacturer to prevent iodine deficiency disorders (IDD) for public health reasons.
(2) Potassium iodate shall be used for the iodation of food grade salt.
(3) Locally manufactured and imported food grade salt for the Botswana market shall contain between 35ppm (mg/kg)and 65ppm (mg/ kg)iodine a the point of sale or entry.
(4) Food grade salt which is exported from Botswana may contain more than 65ppm (mg/kg)of iodine to meet legal requirements of the importing country.
14. Penalties
(1) A person who contravenes a provision of these Regulations commits an offence and is liable-
(a) for a first offence, to a fine not exceeding P1 000, or to imprisonmen for a term not exceeding hree months, and where the offence is a continuing offence, to an additional fine not exceeding P500, or imprisonment for a term not exceeding one month for each day on which the offence continues; and
(b) for a second or subsequent offence, to a fine not exceeding P5 000, or to imprisonmen for a term not exceeding six months, and where the offence is a continuing offence, to an additional fine not exceeding P2 000, or imprisonmen for a erm not exceeding two months for each day on which the offence continues.
(2) Where a person has been convicted of an offence under these Regulations, the Minister may cancel, or suspend any licence issued to that person which is relevant to the offence committed.
(3) Where a person has been convicted of an offence under these Regulations, the Minister may order that any article relevant to the offence be forfeited and that it be destroyed or otherwise disposed of, as the Minister considers appropriate.
","Iodine|Food grade salt|Sanctions exist","","https://botswanalaws.com/subsidiary-legislation/food-control-subsidiary-legislation#Chap6505_FoodGradeSaltRegulations","","",""
"23595","BWA","Botswana","","National Health Policy 2011","Health sector policy, strategy or plan with nutrition components","","","","2011","","2021","Ministry of Health","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Ministry of Local Government; Ministry of Infrastructure,Science and Technology; Ministry ofDefense, Justice and Security; Ministry of Transport and Communications; Ministry ofEducation and Skills Development; Ministry of Labour and Home Affairs; Ministry of Lands and Housing; Ministry of Environment, Wildlife and Tourism; Ministry of Finance and Development Planning; Ministry of Presidential Affairs and Public Administration; Ministry ofMinerals, Energy and Water Resources; Ministry of Youth, Sports and Culture; Ministry ofForeign Affairs and International Cooperation","","","","","","","","","National NGOs","","","","Private sector","","","","4.7.2.1 Goal
Increase access to affordable healthy food and promote healthy eating habits and increased physical activity in order to reduce malnutrition as well as preventing chronic diseases such as diabetes, cardiovascular disease, osteoporosis, etc.
4.7.2.2 Objectives
• To reduce obesity;
• To prevent children from obesity and malnutrition;
• To increase accessibility to affordable, healthy foodstuffs to all population particularly in deprived and rural areas; and
• To implement a physical exercise programme along with the health and wellness week in all work places and schools.
MDG Targets
1. Underweight children for under 5 (%) to reduce by half: baseline (1990-94) 17.0%; target (2015) 8.5%
","","","","","Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202011%20National%20Health%20Policy.pdf"
"23846","PNG","Papua New Guinea","","National Health Plan","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2020","Government of Papua New Guinea","6","2010","","","","","","","","","","","","","","","","","","","","","","","
Strengthened primary health care for all, and improved service delivery for the rural majority and urban disadvantaged
","• Improve Service Delivery
• Strengthen Partnership and Coordination with Stakeholders
• Strengthen Health Systems
• Improve Child Survival
• Improve Maternal Health
• Reduce the Burden of Communicable Diseases
• Promote Healthy Lifestyles
• Improve our Preparedness for Disease Outbreaks and Emerging Population Health Issues.
","
Reduce malnutrion (moderate to high) in) children under the age of five years:
- Advocate and promote exclusive breastfeeding.
- Ensure all babies and children under five have access to supplementary feeding when and where they require it.
- Increase access for mothers and children to micronutrient supplementation.
","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Micronutrient supplementation|Management of moderate acute malnutrition|Management of severe acute malnutrition","","http://www.wpro.who.int/papuanewguinea/areas/papua_new_guinea_nationalhealthplan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG_2010_NHP.pdf"
"23487","PNG","Papua New Guinea","","United Nations Development Assistance Framework (UNDAF) 2012-2015","Non-national nutrition policy document","","English","","2012","","2015","United Nations System in Papua New Guinea","","2012","Adopted","","","","","","","","","","","","","","","","","","","","","","UNDAF Cluster 3: Access to Basic Services
Inter-agency Outcome 8 | Health
“Support given to Government and NGOs to strengthen Primary Health Care for All and Improved Service Delivery for the rural Majority and Urban Disadvantaged.”
Inter-agency Outcome 8.1 | Maternal and Child Health
“By 2015, the capacity of the government and relevant stakeholders strengthened in order to improve quality, access, and utilisation of maternal, newborn, child, and adolescent health services, including sexual and reproductive health in line with KRA 4 and 5 of the National Health Plan 2011-2020.”
to improve nutrition through promoting and protecting breastfeeding, scaling up Infant and Young Child Feeding, and micronutrients supplementation of women in reproductive age (output 1.2).
","","","","","Breastfeeding|Micronutrient supplementation|HIV/AIDS and nutrition|Family planning (including birth spacing)|Vaccination","","http://undg.org/home/country-teams/asia-the-pacific/papua-new-guinea/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG%202012%20UNDAF.pdf"
"11521","ZAF","South Africa","","Strategic Plan for Maternal, Newborn, Child and Women’s Health (MNCWH) and Nutrition in South Africa","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2016","Republic of South Africa","","2012","","","","","Health|Food and agriculture|Education and research|Social welfare|Development|Environment|Sub-national|Other","Department of Rural Development, Department of Water Affairs and Forestry","","","","","","","","","National NGOs","National Blood Transfusion Service","Research/academia","","","","Other","","Overall Goal:
· To reduce the maternal mortality ratio and neonatal, infant and child mortality rates by at least 10% by 2016
· To empower women, and to ensure universal access to reproductive health services
· To improve the nutritional status of all mothers and children.
","Strategy 1: Address inequity and social determinants of health
Strategy 2: Develop a comprehensive and coordinated framework for MNCWH & Nutrition service delivery
Strategy 3: Strengthen community-based MNCWH & Nutrition interventions
Strategy 4: Strengthen provision of MNCWH & Nutrition services at PHC and district levels
Strategy 5: Strengthen delivery of MNCWH & Nutrition services at district hospital level
Strategy 6: Strengthen the capacity of the health system to support the provision of MNCWH & Nutrition services
Strategy 7: Strengthen human resource capacity for delivery of MNCWH & Nutrition services
Strategy 8: Strengthen systems for monitoring and evaluation of MNCWH & Nutrition interventions and outcomes
","M & E indicators included on page 44 of the Strategic Plan.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Maize flours|Staple foods|Management of severe acute malnutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202012%20MNCWHstratplan.pdf"
"15045","ZAF","South Africa","","Foodstuff, Cosmetics and Disinfectants Act. 1972 (Act 54 of 1972) Regulations Relating to Foodstuffs for Infants and Young Children (No.R 991 of 2012)","Legislation relevant to nutrition","","English","12","2012","","","Department of Health","12","2012","Adopted","12","2012","Minister of Health","","","","","","","","","","","","","","","","","","","","","","","These Regulations prescribe rules relative to composition, use, advertisement and labelling of food intended for infants, i.e. person under the age of 12 months and for children up to 12 years of age. These Regulations place restrictions on the sale of food that does not meet the standards or requirements as defined in these Regulations and require certain nutritional and other information to be written on labels attached to foodstuffs to which the Regulations apply. The Regulations introduce the classification of """"designated products"""" (here defined but the scope of its definition may be extended by the Minister) and provide rules for the manufacturing, packaging and labelling of such products. The Regulations provide special rules for food for infants and children with a specific medical condition and for specified food and food equipment.
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Food safety|Functioning implementation and monitoring mechanism|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS|Promotion to health workers and health facilities: Prohibition of materials/gifts|Promotion to the general public: Prohibition of advertising of BMS|Promotion to the general public: Prohibition of sale promotions","","www.info.gov.za","Scope of the Code: 0-36 months of age","ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202012%20Regulations%20relating%20to%20foodstuffs%20for%20infants%20and%20young%20children%20%28R.%20No.%20991%20of%202012%29_0.pdf"
"25397","ZAF","South Africa","","South Africa Foodstuffs, cosmetics and disinfectants act: Regulations relating to the labelling and advertising of foodstuff","Legislation relevant to nutrition","","English","3","2012","","","No. 32975 Government Gazette,1 March 2010","3","2010","Adopted","3","2010","Minister of Health","Health","","","","","","","","","","","","","","","","","","","","","","Mandatory nutritional information requirements when a claim is made
(12) where a nutrition claim is made-
(a) The nutritional information as required by these regulations shall be the real, typical values as determined by a reputable laboratory through chemical or microbiological analysis in accordance with methods recommended in these regulations, Guidelines or Codex, and where no specific methods are recommended a methods are recommended, a method which has been accredited by SANAS or ILAC
(b) the nutritional information shall-
(i) be the minimum, mandatory, nutritional information as per point 1 of annexure 2; plus
(ii) include the appropriate nutritional information of the nutrient(s) which is/are the subject of the main claim, indicated after the minimum, mandatory nutritional information as per point 1 and annexure 2: Provided the nutrient(s) is/are not already listed as part of the minimum, mandatory nutritional information format
(iii) in accordance with the requirements and procedure of Guideline 5
General nutritional information when no claim is made
(13) Where voluntary nutritional information is provided on the label but no nutrition claim is made-
(c) the minimum, mandatory nutritional information shall be given in the tabular format as per point 1 of annexure 2, except in cases where the size of the label is restricted by the physical size of the product and less than 900 mm2 remains after the minimum requirements in terms of these regulations have been met, the nutritional information may be indicated in a linear format; and
(d) the label may, in addition to the minimum, mandatory nutritional information as per point 1 of annexure 2, contain any other nutritional information of the manufacturer’s choice per single serving and per 100 g/ml.
","Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Ingredients list|Nutrient declaration (back-of-pack labelling)|Mandatory for pre-packaged foods with a health claim|Specific nutrition criteria","","http://www.health.gov.za/index.php/2014-03-17-09-09-38/legislation/joomla-split-menu/category/86-2010r?download=144:regulations-relating-to-the-labelling-and-advertising-of-foodstuffs-r146-2010","New regulations relating to the labelling and advertising of foodstuffs becomes law1 Mar 2012The new Regulations relating to the labelling and advertising of foodstuffs published by the Minister of Health in terms of the Foodstuffs, Cosmetics and Disinfectants Act, 1972 (Act 54 of 1972), came into effect today, 1 March 2012.https://www.gov.za/new-regulations-relating-labelling-and-advertising-foodstuffs-becomes-law","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202010%20Regulations%20relating%20to%20the%20labelling%20and%20advertising%20of%20foodstuffs.pdf"
"23731","ZAF","South Africa","","Strategic Plan for the Prevention and Control of Non-Communicable Diseases 2013-17","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","Ministry of Health","","2013","","","","","","","","","","","","","","","","","","","","","","","The 2020 goals and targets related to nutrition
- Reduce mean population intake of salt to <5 grams per day by 2020;
Reduce by 10% the percentage of people who are obese and/or overweight by 2020;
Reduce the prevalence of people with raised blood pressure by 20% by 2020 (through lifestyle and medication);
Increase the percentage of people controlled for hypertension, diabetes and asthma by 30% by 2020 in sentinel sites
","Reduce % of salt in processed foods.
Pass regulations on salt content in processed foods.
Monitor salt content in regulated food.
Introduce a public campaign to reduce salt intake.
Reduce prevalence of overweight and obese people.
Engage with relevant government departments including agriculture, trade and industry and treasury to increase the accessibility and availability of healthy foods.
Run public campaigns to improve eating habits.
Reduce the prevalence of people with raised blood pressure ,Increase the percentage of people controlled for hypertension, diabetes and asthma
Increase screening of people who are “at risk” in primary care.
Train health workers to identify people at risk and to conduct screening Increase numbers of at risk patients screened for hypertension and diabetes withinHCT campaign.
Increase screening within school health services.
","
","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Regulation/guidelines on types of foods and beverages available|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Fat reduction (total, saturated, trans)|Salt reduction","","http://www.hsrc.ac.za/uploads/pageContent/3893/NCDs%20STRAT%20PLAN%20%20CONTENT%208%20april%20proof.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20NCDs%20Plan.pdf"
"38198","ZAF","South Africa","","Infant and Young Child Feeding Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2013","","","Department of Health","","2013","","","","","Health","Department of Health, South AfricaThe following organisations and persons are acknowledged for their technical contributions and comments during the revision the Policy: Umgungundlovu Health District: (Dr S Kauchali), NDOH, Directorate: Child and Youth Health (Dr L Bamford) and Directorate: Oral Health (Ms E Kgabo)","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","Medical Research Council (Dr T Doherty); University of KwaZulu-Natal (Prof A Coutsoudis)","","","","","2.2 Aim
The aim of the policy is to define strategies and actions that should be implemented to promote, support and protect appropriate infant and young child feeding practices, including in the context of HIV.
2.5 Objectives
The aim will be achieved through the following objectives:
To provide evidence-based information on appropriate infant and young child feeding,including in the context of HIV, to health care personnel to enable them to support pregnant women and mothers of infants and young children.
To strengthen strategies for increasing the rates of exclusive breastfeeding namely:
Mother-Baby Friendly Initiative (MBFI), Kangaroo Mother Care (KMC), human breastmilk banking and Code implementation.19,20
To promote timely introduction of adequate, safe and appropriate complementary foods with continued breastfeeding.
To define strategies on feeding infants and young children in all settings including exceptionally difficult circumstances.21
To advocate for creation of supportive environments, including in the work place, that will enable mothers to breastfeed exclusively for the first six months and to sustain breastfeeding.
To standardize and harmonise messages relating to infant and young child nutrition.
","3 Recommended infant and young child feeding practices
4 Policy statements on infant and young child feeding
4.1 Antenatal care (anc)
4.2 Intra-partum (labour and delivery)
4.3 Immediate postnatal care for all mothers
4.4 On-going infant and young child feeding support
4.5 Stopping breastfeeding
4.5.1 What to feed infants when mothers stop breastfeeding
4.5.1.1 For infants less than six months of age:
4.5.1.2 For infants over six months of age:
5 Human milk banking
6 Breastfeeding at work places
7 Infant and young child feeding at community level
8 Complementary feeding for infants six months and older
9 Infants and young children in exceptionally difficult circumstances
9.1 Low birth weight (lbw) infants
9.2 Hospitalised infants, children and mothers
9.3 Severe acute malnutrition (sam) in infants and young children
9.4 Orphans, children in foster care, and children whose mothers are incapable of caring for them due to ill health or mental disabilities
9.5 Children suffering the consequences of emergencies, including natural or human- induced disasters, floods and droughts
9.6 Infants with inborn errors of metabolism.
10 Infant formula
10.1 Use of infant formula in health facilities
10.2 Infant formula for special dietary management
10.3 Code of marketing of breastmilk substitutes / regulations relating to foodstuffs for infants and young children
11 Responsibilities of provinces, districts and health facilities
12 Implementation of the policy
","- Number of facilities that have received the Policy.
- % of mothers initiating breastfeeding within one hour post delivery. % of mothers who are exclusively breastfeeding at 14 weeks
- % of infants 0-6 months exclusively breastfeeding
- The number of MBFI facilities
- Number of Human Milk Banks established
- Support systems for breastfeeding mothers
- Number of violations of the Code/Regulations
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Complementary feeding|Overweight in children 0-5 yrs|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Vitamin A|Calcium|Iron and folic acid|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food safety|Vaccination|Water and sanitation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20IYCF%20Policy_0.pdf"
"7994","ZAF","South Africa","","Roadmap for Nutrition in South Africa","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","Department of Health","","2013","","","","(Policy to be signed by Minister of Health)","Health|Finance, budget and planning|Labour|Other","Department of Communication, National Planning Commission","","","","","","","","","","","","","","","","","Overall Goals:
- To contribute to increased life expectancy of the entire population by improving the quality, coverage and intensity of specific nutrition interventions that support reduction in mortality rates, especially maternal, neonatal, infant and child mortality;
- To promote optimal growth of children and prevent overweight and obesity later in life, by focusing on optimal infant and young child nutrition;
- To contribute to the prevention, control and treatment of HIV and Tuberculosis through targeted nutritional care and support strategies;
- To contribute to the effective functioning of the health sector, by reducing the demand for curative services and improving recovery rates from diseases, thus freeing up resources for preventive and promotive services
- To empower families and communities to make informed nutrition-related decisions, through advocacy regarding household food security, multisectoral collaboration and effective nutrition education.
","Strategic Aproaches:
1. Advocacy and technical support for the integration of nutrition into relevant sector strategies and programmes.
2. Positioning nutrition strategically within the health sector at national and provincial levels.
3. Delivering the key nutrition interventions through appropriate action at each of the following levels:
3.1 Population based services, including communication and market-based approaches.
3.2 Community based services.
3.3 PHC clinic services.
3.4 Hospital-based services.
4. Strengthening Human Resources to deliver effective nutrition services.
5. Strengthening the information base for effective nutrition services.
","Core Nutrition Indicators:
- Proportion of stunted children below age five (< 2yrs and 2-5yrs): from 18% (baseline) to 12% by 2016
- Proportion of wasted children below age five (< 2yrs and 2-5yrs): from 2.5% (baseline) to 2% by 2016
- Proportion of women in reproductive age with Hb<11 g/dL: non-pregnant women 10.5% (baseline), target value (2016) to be determined, no baseline values for pregnant women
- Incidence of low birthweight: from 15.5% (baseline) to 10% by 2016
- Proportion of overweight children below age five (< 2yrs and 2-5yrs): from 14% (baseline) to 10%
- Proportion ofpopulation below minimum level of dietary energy consumption: No baseline data, target value to be determined
- Proportion of Infants under 6 months who are exclusively breastfed: from 26% (baseline) to 40% at 6 months and 75% children 0-6 months
- Babies exclusively breastfed at 14 weeks rate: no baseline value to 60% by 2016
- Proportion of children 6-23 months who receive a minimum acceptable diet: no baseline data
- Proportion of People Living with HIV nutritionally assessed using anthropometric measurement that were found to be undernourished and provided with nutritional support at any point during the reporting period: No baseline data, target: 90% by 2016
- Proportion of children aged 6 to 59 years who have received two doses of Vitamin A supplements: 42% [12-59 months children,(Children who received one dose)] (baseline) to 80% (12 to 59 months) or 90% (6 to 11 months)
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","http://www.adsa.org.za/Portals/14/Documents/DOH/Nutrition%20Road%20Map%202013-2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20Roadmap%20for%20Nutrition%20in%20South%20Africa%20.pdf"
"24489","ZAF","South Africa","","The Government of South Africa United Nations Strategic Cooperation Framework, 2013-2017","Non-national nutrition policy document","","English","","2013","","2017","UN country team in South Africa","","2013","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Justice|Labour|Other","International relations, art and culture, cooperative governance, home affairs, human settlements, transport, public enterprises, public service, science and technology","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IOM, OHCHR, UN Women, UNIC, UNODC, UNEP, UN Habitat","","","","","","","","","","","","","","","Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf"
"40367","ZAF","South Africa","","Strategic Plan for the Prevention and Control of Non-Communicable Diseases 2013-17 ","NCD policy, strategy or plan with healthy diet components","","English","","2013","","2017","Health Department","","2013","","","","","Health","","","","","","","","","","","","","","","","","","Targets for NCDs
The South African Declaration for Prevention and Control of Non-communicable diseases commits to a set of 10 goals and targets to be achieved by 2020 (See Appendix 2). As this Strategic Plan ends in 2016, it will contain an intermediate set of targets that will contribute towards the 2020 targets. The 2020 goals and targets are:
- Reduce by at least 25% the relative premature mortality (under 60 years of age) from Non-communicable Diseases by 2020;
- Reduce by 20% tobacco use by 2020;
- Reduce by 20% the per capita consumption of alcohol by 2020;
- Reduce mean population intake of salt to <5 grams per day by 2020;
- Reduce by 10% the percentage of people who are obese and/or overweight by 2020;
- Reduce the prevalence of people with raised blood pressure by 20% by 2020 (through lifestyle and medication);
- Increase the prevalence of physical activity (defined as 150 minutes of moderate-intensity physical activity per week, or equivalent) by 10%
- Every woman with sexually transmitted diseases to be screened for cervical cancer every 5 years, otherwise every woman to have 3 screens in a lifetime (and as per policy for women who are HIV/AIDS positive).
- Increase the percentage of people controlled for hypertension, diabetes and asthma by 30% by 2020 in sentinel sites; and
- Increase the number of people screened and treated for mental disorder by 30% by 2030
5.1.1.3 Promoting physical activity
To increase habitual levels of physical activity of all South Africans across the life-course and to promote health and prevent disease government aims to:-
- Create knowledge and awareness concerning the importance of regular physical activity for health and wellbeing and in the prevention of disease.
- Increase and promote inter-sectoral collaboration in order to increase opportunities to be physically active.
- Implement physical activity programmes and related interventions to promote physical activity.
- Disseminate examples of evidence-based interventions and programmes and policies to promote physical activity.
","Activities
- Pass regulations on salt content in processed foods.
- Monitor salt content in regulated food.
- Introduce a public campaign to reduce salt intake.
- Food taxes on unhealthy food (foods high in fats and sugar) and food subsidies on healthy food (fruits and vegetables)
Activities
- Engage with relevant government departments including agriculture, trade and industry and treasury to increase the accessibility and availability of healthy foods.
- Run public campaigns to improve eating habits.
- Physician counselling
- Glycemia Control
- Hypertention drug treatment
","- Mean popuation intake of salt
- Obesity and overweight levels
- Number of people screened for hyperten- sion, dia- betes and asthma
- NCD mortality as measured by Stats SA.
- Increased control of hypertension, diabetes and asthma of people already diagnosed with these diseases
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Taxation on unhealthy foods|Subsidies on healthy foods|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction","","https://extranet.who.int/ncdccs/Data/ZAF_B3_NCDs_STRAT_PLAN_1_29_1_3%5B2%5D.pdf","","WHO NCD Document Repository",""
"15046","ZAF","South Africa","","Regulations relating to foodstuffs for infants and young children: Amendment (R. No. 434 of 2013)","Legislation relevant to nutrition","","English","","2013","","","Minister of Health","","2013","Adopted","","2013","Minister of Health","","","","","","","","","","","","","","","","","","","","","","","Definitions
1. In this schedule, """"the Regulations"""" means the regulations published under Government Notice No. R991 of 06 December 2012.
No. R.434
Amendment of regulation 9 of the Regulations
2. Regulation 9 of the Regulation is hereby amended by the addition after sub-regulation (2) of the following sub-regulation-
""""(3) No person in a health establishment shall accept or give to any other person free or at low cost; supplies or samples of designated products.""""
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Functioning implementation and monitoring mechanism|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS|Promotion to health workers and health facilities: Prohibition of materials/gifts|Promotion to the general public: Prohibition of advertising of BMS|Promotion to the general public: Prohibition of sale promotions","","www.info.gov.za","Scope of the Code: 0-36 months of age","ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20Amendment%20of%20regulation%209%20of%20the%20regulation%20relating%20to%20foodstuffs%20for%20infants%20and%20young%20children_0.pdf"
"23845","PNG","Papua New Guinea","","Infant & Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","","National Department of Health","","2014","","","","","","","","","","","","","","","","","","","","","","","The goal of the Policy is to improve child survival and development through improved feeding practices of infants and young children in Papua New Guinea.
The objectives of this policy are:
- To encourage early initiation of breastfeeding (within first hour after birth) and promote exclusive breastfeeding to infants up to six months of age.
- To introduce and promote appropriate complementary feeding practices at 6 months of age with continued breast feeding up to two years and beyond.
- To promote the prevention of parent- to- child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
- To reduce malnutrition, anaemia and micronutrient deficiencies in children to nationally acceptable level with special focus on most disadvantage areas.
- To support and enhance the national capacity to address issues of infant and young child feeding in emergency situations and circumstances
- To fully implement the international code of marketing of Breast Milk substitutes.
- To control the availability and usage of baby feed supplies.
Policy on Baby Friendly Hospital Initiative (BFHI).
a) Legislative framework will be established to support implementation of Baby Friendly Hospital Initiatives.
b) Breastfeeding will be encouraged in all health facilities from birth to discharge.
c) Hospitals and other health facilities will be encouraged to provide a mother-friendly care environment.
","Policy on Initiation of Breast Feeding:
a) Every Health workers and other care providers should actively support initiation of Breast Feeding within one hour after delivery.
b) Every pregnant woman should be advised about initiation of breast feeding and communities and families are supportive of early initiation of breastfeeding.
c) All care providers must have capacity and be able to counsel mothers and community members on importance of giving colostrum.
d) All mothers should give colostrum (first yellow milk) only and no other fluids to their babies within 1 hour after delivery.
Policy on Duration of Exclusive Breastfeeding
a) All health workers and other care providers should be knowledgeable and skilled in counselling about exclusive breast feeding in all settings:
b) All pregnant woman and mothers of children less than 6 months old will be advised on exclusive breast feeding for the first 6 months of life.
c) All Community Members should be made aware of the importance of exclusive breastfeeding of children for the first 6 months of their life.
d) COMBI (Communication of Behavioral Change) principles will be integrated in education and promotion activities on exclusive breastfeeding.
e) Breastmilk substitutes and baby foods supplies must comply with existing international and domestic law (Baby Feed Supplies Control Act with all its amendments) and does not undermine the importance of exclusive breast feeding of children less than 6 months.
f) Misleading information that may discourage mothers from exclusive breastfeeding practices will be controlled.
Policy on Introduction of Complementary Feeding
a) Ensure every health care provider is trained to counsel care givers and parents about introduction of complementary feeding.
b) All parents and or care givers should be made aware to introduce complementary feeding to their children at the age of 6 months.
c) Importance of continued breast feeding from 6 months to 2 years of age or beyond should be emphasized to all community members.
d) Parents, care givers and the general community should be informed on safety and quality of complementary feeding substitutes
Policy on quantity, quality and frequency of complementary feeding.
a) Every health care provider must be equipped with skills and knowledge on quantity, quality and frequency of complementary feeding.
b) Every child older than 6 months and younger than 2 years should be given complementary food that is appropriate for age, nutritionally adequate and safely prepared.
c) Health sector agencies will work in partnerships with other sectors in promoting proper complementary feeding practices.
Policy on Feeding in emergencies and special situations
a) Every health care provider will be equipped with skills and knowledge on counseling about feeding in special situations.
b) In the case of maternal death, child abandonment or other special situations, the caregivers should be informed about replacement feeding that is acceptable, feasible, affordable, sustainable and safe (AFASS criteria).
c) Ensure all caregivers and service providers are properly implementing replacement feeding procedures in case of maternal death and child abandonment.
Policy on Feeding of Adopted Baby
a) Health care providers will be equipped with skills and knowledge on counseling on feeding of Adopted Babies.
b) Counseling services should be provided for adopting parents
c) All adopting parents should be encouraged to attend counseling sessions on Feeding of Adopted Babies
Policy on Feeding in Disabled Babies (congenital and acquired disabilities which interfere with breastfeeding).
a) Health workers should have capacity to consult on feeding of disabled babies.
b) Disabled babies less than 6 months of age should be fed with breast milk only.
c) Disabled babies older than 6 months of age should receive breast milk in addition to complementary food appropriate for the age and condition of the child.
d) Importance of feeding of disabled babies younger than 2 years of age with breast milk and maintaining milk supply in their mothers should be advocated.
Policy on Feeding in Disabled Babies (congenital and acquired disabilities which interfere with breastfeeding).
a) Health workers should have capacity to consult on feeding of disabled babies.
b) Disabled babies less than 6 months of age should be fed with breast milk only.
c) Disabled babies older than 6 months of age should receive breast milk in addition to complementary food appropriate for the age and condition of the child.
d) Importance of feeding of disabled babies younger than 2 years of age with breast milk and maintaining milk supply in their mothers should be advocated.
Policy on Coordination of Nutrition Response in Disaster situations.
a) Relevant standards and guidelines that address infant and young child feeding in disaster situations should be made available to all relevant relief organizations.
b) NDoH’s leadership role will be strengthened to coordinate IYCF response during the disaster situation.
Policy on Feeding practices in Disaster situations.
a) Health staff should have necessary skills and knowledge to provide support and counseling to caregivers of children in disaster situations.
b) Ensure infants & young children are breastfed and also receive appropriate, safe and nutritionally adequate complementary food.
c) Infant formula should only be used under strict conditions as per the relevant guidelines
Policy on Feeding of Premature Babies
a) Health care providers will be equipped with skills and knowledge on counseling on feeding of premature babies.
b) Encourage all parents and care givers to feed all premature babies with breast milk only.
Policy on Feeding infants and young children exposed to HIV/AIDS
a) Health care providers should be equipped with skills and knowledge on counseling on feeding of children exposed to HIV/AIDS.
b) Mothers and caregivers should be encouraged that all infants exposed to HIV/AIDS are exclusively breastfed for the first six months.
c) Nutritionally adequate complementary foods should be introduced at six months with continued breastfeeding up to 24 months.
d) All HIV positive mothers and HIV exposed babies should be encouraged to have access to ART services.
Policy on Maternal Nutrition in support of IYCF
a) Health workers and other service providers will be well equipped with knowledge and skills on counselling about mother’s nutrition.
b) All women will be made aware of the importance of nutrition before, during pregnancy and lactation.
Policy on Protection of breastfeeding.
a) All health workers especially Environmental Heath Officers will be equipped with knowledge and skills to implement Baby Feed Supplies (Control) Act with its amendments and regulations and International Code of Marketing of Breast Milk Substitutes.
b) Ensure there is control over baby feed supplies by Compliance, Licensing, Inspections and Analysis of implementation of the Baby Feed Supplies (Control) Act with its amendments and regulations.
c) All - prescription only - proscribed articles will be bought through pharmacies.
d) All manufacturers, distributors and retailers should be complying with the International Code of Marketing of Breastmilk substitutes and all relevant national acts and regulations.
e) The NDoH will advocate for development of workplace policies that will promote, protect and support a breast feeding friendly working environment.
f) The NDoH will advocate for legislations to extend maternity leave for breast feeding to six months.
c) All pregnant women will be counseled about nutrition.
d) All mothers will be educated on the importance of family planning (including birth spacing).
Policy on Malnutrition in infants & young children
a) Health workers and other health care providers should be equipped with knowledge and skills on prevention and treatment of all form of malnutrition including: low birth for age, stunting, obesities and micronutrients deficiencies.
b) Health facilities should be equipped with equipment and supplies for detection, monitoring and treatment of all form of malnutrition
c) Consumption of well-balanced diet and appropriate breastfeeding practices will be promoted.
d) Ensure there is provision of supplementary and therapeutic foods as treatment for moderate, severe and chronic under-nutrition.
e) Fortification of various staple foods with vitamins & minerals will be encouraged.
f) Vitamin A supplementation should be available and given to children at 6 months to 5 years at all levels of health facilities including the aid posts.
g) Iron or multi-micronutrient supplementation should be available to all children in areas of high prevalence of anaemia
h) Consumption of appropriate locally available food which is rich in vitamins and minerals will be encouraged.
i) All children should be protected and treated against parasitic infections that could lead to malnutrition and micronutrient deficiency.
Policy on Stunting - the most prevalent nutritional problem.
a) Health workers have capacity to diagnose, monitor, prevent and treat stunting in all children.
b) All health facilities have equipment and supplies for assessing and monitoring stunting (measuring length and/or weight for age).
c) Stunting is reported and prevalence of stunting is monitored.
d) There is support to address stunting on the community and family level.
e) There is advocacy to recognize stunting by all child health stakeholders as the most prevalent nutritional problems in children with a high impact on child mental and productive development
Policy on Decision making and research on IYCF.
a) Qualitative and quantitative research on infant and young child feeding will be encouraged at all levels of service delivery and community:
b) Research agendas on infant and child feeding should be approved by NDoH Medical Research Advisory Committee as per the Health Research Policy 2011.
c) Nutritional survey and household survey on infant and young child feeding practices will be encouraged to be conducted in provinces and districts.
Policy on Coordination and Partnerships
a) NDoH will coordinate all activities and provide overall strategic directions to improve IYCF outcomes in the country.
b) All partnership arrangements will be co-ordinated and guided by the National Health Sector Partnership Policy.
c) The NDoH will ensure there is technical support on IYCF to existing and new community based breast feeding groups and NGOs.
Policy on Training modules on IYCF
a) All health service providers will be trained in IYCF and other nutrition related trainings.
b) Ensure IYCF training module is incorporated into the curriculum of all Health Training Institutions.
Policy on Structure to support implementation of IYCF Policy
The NDoH will work with Provincial Health Authorities (PHA), Public Hospitals and Provinces to ensure there is capacity and appropriate structure at all levels to implement IYCF Policy
","Breast feedings should be initiated within 1 hour after delivery.
All children should be exclusively breastfed for the first 6 months of their life.
Complementary Feeding should be introduced at 6 months of age with continued breastfeeding up to 2 years or beyond
Complementary feeding should be appropriate to age of the child, safe, adequate and meet the child’s nutritional needs.
Breast feeding should be maintained in all situations, however formula feeding may be considered in special situations such as maternal death and child abandonment
All adopted babies are to be breast fed, replacement feeding can be considered only in HIV exposed and HIV infected babies
Breastmilk feeding should be encouraged and maintained in all disabled babies..
National Department of Health takes lead to coordinate IYCF response in any disaster situationIn disaster situations whether natural or man-made, breastfeeding and appropriate complementary feeding are recommended
All premature babies should be fed with breast milk and offered protection through skin-to-skin care. (Kangaroo Mother Care)
Exclusive breast feeding for the first six months followed by introduction of nutritionally adequate complementary foods from 6 months with continued breastfeeding for up to 24 months shall be encouraged to all infants and young children including those exposed to HIV/AIDS.
All women should receive good nutrition before, during pregnancy and during lactation period to support IYCF.
Breastfeeding of infants and young children by all mothers shall be protected, by law.
Stunting - as the most prevalent nutritional problem in children has to be recognized and appropriately addressed
Decisions on standards of infant and young childfeeding practices shall be based on sound scientific evidence.
All forms of malnutrition including: low birth weight, stunting, and micronutrients deficiencies in infant & young children shall be prevented and treated.
The NDoH as the steward of the PNG Health System shall maintain a central coordination role and work in partnerships with all other stakeholders to improve IYCF outcomes.
All Hospitals and health facilities providing birthing services shall be accredited as Baby Friendly.
All health service providers and health training institutions shall use NDOH endorsed infant and young child feeding counselling training programs and modules and other nutrition related training curriculum
Implementation of IYCF Policy shall be supported by appropriate structure at provincial and district levels.
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Infant feeding in emergencies|Vitamin A|Iron|Micronutrient supplementation|Food fortification|Food security and agriculture","","http://www.rhtu.org.pg/wp-content/uploads/2013/02/Infant_and_Young_Child_Feeding_Policy_072014.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG_%202014_IYCF.pdf"
"23159","ZAF","South Africa","","National Policy on Food and Nutrition Security","Comprehensive national nutrition policy, strategy or plan","","English","","2014","","","Department of Social Development and Department of Agriculture, Forestry and Fisheries","","2013","","","","","Food and agriculture|Social welfare","Department of Social Development, Department of Agriculture, Forestry and Fisheries","","","","","","","","","","","","","","","","","Strategies:
• Increased and better targeted public spending in social programmes which impact on food security;
• Efforts to increase food production and distribution, including increased access to production inputs for the emerging agricultural sector;
• Leveraging Government food procurement to support community-based food production initiatives and smallholders; and
• The strategic use of market interventions and trade measures which will promote food security
","Pillars:
• The availability of improved nutritional safety nets, including government run and supported nutrition and feeding programmes, emergency food relief, as well as private sector, CBO and NGO interventions.
• Improved nutrition education, including District level nutrition services to assist households and communities monitoring nutritional indices, providing
consumer literacy and assisting with better food management and improved meal planning.
• The alignment of investment in agriculture towards local economic development, particularly in rural areas. This includes the provision or subsidisation of inputs and support services for increased food production, as well as more effective food storage and distribution networks, involving both
government and private agencies, to eliminate waste and ensure better access to food for all.
• Improved market participation of the emerging agricultural sector through public-private partnerships, including off-take and other agreements, a government food purchase programme that supports smallholder farmers, as well as through the implementation of the Agri-BEE Charter, which requires
agro-processing industries to broaden their supply bases to include the emerging agricultural sector.
• Food and Nutrition Security Risk Management, including increased investment in research and technology to respond to the production challenges currently facing the country, such as climate change and bioenergy. It would also include the protection of prime agricultural land, and limitations on its alienation for other activities, including mining, game farming, and property development. Improved food security information management systems would also be required, with periodic scientific reviews of the state of food security in the country.
","","","","Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture","","http://www.nda.agric.za/docs/media/NATIONAL%20POLICYon%20food%20and%20nutrirition%20security.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20National%20Policy%20on%20Food%20and%20Nutrition%20Security.pdf"
"66555","ZAF","South Africa","","National School Nutrition Programme - Guidelines for Tock Shop Operators","Government guidance","","English","","2014","","","Department of Basic Education","","2014","","","","","Education and research","","","","","","","","","","National NGOs","","","","","","","School Management Teams (SMTs), School Governing Bodies (SGBs), Truck Shop operators","","","","","5. OBJECTIVES
These guidelines are intended for School Management Teams (SMTs), School Governing Bodies (SGBs), educators, tuck shop operators and learners, parents and the wider community. Schools are encouraged to consider and make these guidelines meaningful for their respective situation. The guidelines are intended to:
5.1 empower School Management Teams (SMTs) and School Governing Bodies (SGBs) to promote the availability of healthy food alternatives from school tuck shops in school premises.
5.2 ensure that good nutrition and healthy lifestyles are promoted in schools by educators through emphasising nutrition education and that these are properly followed by all involved in school (school community members, educators, learners, tuck shop operators).
5.3 provide guidance and agreement on how tuck shop operators can support and promote good nutrition and healthy lifestyles by selling healthy food and beverage items to learners. The sweets, chocolates and unhealthy snacks should be offered in small grams/packages.
5.4 educate learners, parents/caregivers and the community on how to clearly distinguish between healthy and non-healthy food items that may be sold at tuck shops.
…
6. RESPONSIBILITIES OF STAKEHOLDERS
…
6.3 Tuck shop operators
• Each tuck shop operator must sign a Service Level Agreement with the school.
• Each tuck shop operator should have a copy of the FBDG.
• Tuck shop operators should sell healthy foodstuffs and beverages as alternatives such as fresh fruits, roasted unsalted peanuts etc, as shown in Table 1 in Section 7.
• The items that should be avoided in school premises are such items as fries, processed food items, etc, as shown in Table 2, Section 7.
• Only drinks allowed to be sold at school would be milk, 100% fruit juice and water. These drinks would have to be in 200ml to 250ml containers.
• Vending machines at schools should be unbranded.
","Dietary practice|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Settings where children gather such as schools, childcare and other educational establishments|Voluntary marketing restrictions|Voluntary in schools only|Voluntary standards|Food stores and snack bars in schools|Vendors outside school|Schools (standards)|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Low fat milk (standards)|Milk (standards)|Fruit and vegetables (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Whole grain bread and cereals (standards)|Processed foods (standards)|Fried foods (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Fruit and vegetable juice drinks (<100%) (standards)|Liquid and powder concentrates (standards)|Portion size (standards)","","https://www.education.gov.za/Portals/0/Documents/Publications/NSNP%20GuideLines%20for%20Tuck%20Shop%20Operators%20Print%20ready.pdf?ver=2015-02-03-140930-720","","",""
"25893","NRU","Nauru","","Nauru Non Communicable Disease Strategic Action Plan 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","6","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Justice","","","","","","","","","","National NGOs","Nauru National Sustainable Development Strategy 2005-2025 (NNSDS) – Partnership for Quality of Life.","","","","","","","NCDs and nutrition are addressed under key result area 2 of which the goal is to strengthen and improve community preventive and health care services under the principles and concepts of primary health care and healthy islands.
For nutrition, the Plan emphasizes on supporting and strengthening ongoing school feeding programme; introducing and supporting the Baby Friendly Hospital initiative and promotion of exclusive breast feeding; as well as advocating for good family nutrition through home gardening and healthy food preparation.
","6.2. Strengthen food security
Promote breast feeding:
• Re-establish Baby Friendly Hospital Initiative Programme
• Establish community support groups for breastfeeding
• Conduct strategic health communication activities to:
- Strengthen the awareness on importance of exclusive breastfeeding for the first 6 months
- encourage breastfeeding up to 2 years of life
Improve the quality and safety of food produced and consumed in schools
• Develop and implement a school food policy covering food produced, sold and consumed in schools
Provide guidance to canteen staff on healthy and safe food preparation
Conduct regular inspections of school canteens and premises that prepare food for school canteens as a requirement of the Food Bill
Monitor and evaluate the school feeding programme
Provide guidance to food retailers and vendors on sale of healthy meal and snack options for school children
Introduce a weekly fruit and water day in all schools
Integrate vitamin supplementation and provision of school milk into school feeding programme
Conduct an anaemia baseline survey among school children – NIMS Program
Procurement of a vehicle for Food Safety programme
Increase consumption of fruits and vegetable
Establish or revitalize school gardens in all primary schools
Explore opportunities for providing subsidies to imported fruits and vegetables (including frozen and canned) through collection of taxes on unhealthy food
Encourage retailers to promote fresh fruits and vegetables
Promote fresh fruits and vegetables as healthy snacks
Develop Health Promoting Schools Initiative
Promote good health and nutrition
Implement strategic health communication in the promotion of healthy eating
Work with food retailers on establishing and promoting healthy food corners Establish a demo kitchen to demonstrate healthy cooking practices
Reduce population salt intake
Develop comprehensive salt reduction strategy
Conduct strategic health communication activities around salt reduction including awareness raising and communication for behaviour
","Table 3: Target prevalence rates by 2020
Risk factor - Men - Women
Sodium intake* - n.a - n.a
Less than 5 serving of fruits and vegetable per day - 84.4% - 84.2%
Overweight (obesity) -82.1% (55.7%) - 82.1% (60.5%)
High blood pressure - 18.5% - 9.2%
Diabetes - 16.1% - 16.3%
* The baseline for sodium intake will be established during the NCD STEPS survey planned for 2014
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Overweight and obesity in adults|Overweight in adolescents|Raised blood glucose/diabetes|Raised blood pressure|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Salt reduction|Food safety","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NRU-2015-2020-NCD%20Strategic%20Plan.pdf"
"40755","PNG","Papua New Guinea","","National School Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2015","","","PNG pediatric society","","2015","Adopted","","","National Department of Health","","PNG pediatric society health, education, community development, teaching service comitte, disability comitte","","UNFPA, UNICEF, WHO","","faith based organizations","","Development partners: DFAT","","","National NGOs","","","","","","","","","","","","","Nutrition in schools|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|School meal standard","","http://pngpaediatricsociety.org/wp-content/uploads/2013/05/PNG-School-Health-Policy-2016.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"25903","PNG","Papua New Guinea","","National Multisectoral Strategic Plan for the Prevention and Control of Non-Communicable Diseases 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","","2017","","","","","Health|Education and research|Finance, budget and planning|Other","Customs, all other Ministries and Government stakeholders","","","","","","","","","","","","","","","","","- At least a 30% (10%) increase in mean population who consume 5 combined servings of fruit and vegetables
- 25% (5%) Reduction in mean population intake of salt/sodium. *this will require the collection of baseline data
- Reduce adult obesity by at least 5%
- No rise in prevalence of diabetes and obesity
- 7.5% of women, 6% of men with raised blood pressure
- A 5% relative reduction in the prevalence of raised blood pressure
","2.4 Promote healthy diets and physical activity
Responsible party: NDoH
Short term
- Implement nutrition policy
- Assess levels of salt consumption and implement salt reduction pilot programs
- Develop guidelines for physical activity programming
- Implement public awareness programmes on diet and physical activity, particularly in urban areas
Medium term
- Implement salt reduction programs (adjusting levels of iodine as required)
- Strengthen public sector capacity to monitor salt and iodine intake
- Implement global strategy on diet, physical activity and health
- Implement national policies and strategy for infant and young child nutrition in the context of the WHO’s set of recommendations on the marketing of foods and non-alcoholic beverages to children
- Engage different relevant sectors in the development of guidelines, recommendations or policy measures
Long term
- Develop/enforce regulations on the supply of unhealthy foods
- Continue to enforce nutrition and related healthy eating and physical activity policies
- Develop policy to replace trans fats with unsaturated fats
Responsible party: Other Ministries and Government stakeholders
All:
- Support implementation of nutrition policy and development of physical activity guidelines
- Continue to regulate sales of food through increased taxes
- Implement relevant aspects of the nutrition policy
Treasury and Finance:
- Consult of feasibility of developing a tax regime for on unhealthy foods
- Consider the earmarking of taxes and licensing fees received on foods to go towards NCD control programs
Customs:
- Enforce regulations on import and export of food
Education:
- Scale up physical activity programs in school
- Develop healthy eating programs Sports Enforce Physical activity programs to the general population
Responsible party: Private and Church Based health service providers
- Align services with government programs.
- Provide counseling on healthy eating and physical activity at primary care sites
Responsible party: Civil Society
- Develop awareness programs on diet and physical activity and their relation to NCDs
","","","","Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of fruit and vegetable intake|Trans fat|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Salt reduction","","https://extranet.who.int/ncdccs/Data/PNG_B3_Non%20Communicable%20Diseases%20Multisecotoral%20Strategic%20Plan%202015-2020.docx","","WHO Noncommunicable Disease Document Repository https://extranet.who.int/ncdccs/documents/db ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG-2015-2020-NCD.pdf"
"38197","ZAF","South Africa","","Strategy for the prevention and control of obesity in South Africa","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2020","Department of Health","","2015","","","","","Health","Department of Health","","","","","","","","","","","","","","","","","4.3 PURPOSE
To implement a multi-sectoral approach for the prevention and control of obesity in South Africa.
4.4 TARGET
To reduce the prevalence of obesity by adopting a multi-sectoral life course approach:
For the prevention and control of obesity, the overarching goals are as follows:
Goal 1: Create an institutional framework to support inter-sectoral engagement Goal 2: Create an enabling environment that supports the availability and accessibility of healthy food choices in various settings
Goal 3: Increase the percentage of the population engaging in physical activity
Goal 4: Support obesity prevention in early childhood (in-utero – 12 years)
Goal 5: Communicate with, educate and mobilise communities
Goal 6: Establish a surveillance system, strengthen monitoring and evaluation, and research
","GOAL 2: CREATE AN ENABLING ENVIRONMENT THAT SUPPORTS AVAILABILITY AND ACCESSIBILITY TO HEALTHY FOOD CHOICES IN VARIOUS SETTINGS
2.1 Promote the development and implementation of a relevant legislative framework
Influence fiscal policies related to sugar- sweetened beverages
2.2 Ensure that food and beverage products sold are aligned with optimal national and international nutritional standards
Develop norms and standards on sugar and fat content in ultra- processed foods to guide product reformulation
Ensure restaurants display nutrient content of menu items
Ensure that quick service restaurants (QSR)include healthy meal options on their menus at competitive prices
Engage with retailers to reduce exposure to unhealthy foods at point-of-purchase
2.3 Ensure responsible and ethical advertising and marketing of food by the food industry
Ensure that a code and pledge of advertising are developed and adhered to
2.4 Implement user-friendly food labelling education tool
Investigate, test and establish an appropriate educational tool for front of pack labels and meals in restaurants considering low literacy populations
2.5 Increase access and availability of vegetables and fruits
Expand household, local and community food gardens
Explore opportunities to establish local markets for improved access to vegetables and fruits
2.6 Promote healthy eating in different settings
Strengthen and ensure nutrition education component in the school curriculum is in line with national recommendations
Review and implement nutritional guidelines for all food and beverages sold or provided in schools (including foods sold by vendors around school premises
Incorporate healthy eating practices as part of obesity prevention and management in employee wellness programmes
Develop a national guide for healthy meal provisioning in the workplace
Develop dietary guidelines for prevention and control of obesity
Conduct orientation sessions on dietary guidelines for obesity
GOAL 3: INCREASE PERCENTAGE OF THE POPULATION ENGAGING IN PHYSICAL ACTIVITY (PA)
3.1. Ensure the provision of safe and accessible places for people to engage in recreational activities that promote physical activity
Increase equitable access to and maintenance of recreational and physical activity facilities in communities
Strengthen partnerships between communities and local schools to access school grounds for physical activities.
Ensure that all urban planning and new developments are required to consider strategies to optimise PA opportunities and create walkable communities (zoning laws, bicycle lanes, etc.)
Establish community- based physical activity groups
GOAL 4: SUPPORT OBESITY PREVENTION IN EARLY CHILDHOOD (IN-UTERO TO 12 YEARS)
4.1. Strengthen and support appropriate weight gain and healthy eating during pregnancy
4.2 Strengthen the protection, promotion and support of optimal breastfeeding to explicitly address obesity
4.3 Ensure appropriate complementary feeding practices to explicitly address obesity
4.4 Ensure explicit focus on obesity prevention in routine growth monitoring in children
4.5 Promote healthy eating and physical activity in early childhood development (ECD)
GOAL 5: COMMUNICATE WITH, EDUCATE AND MOBILISE COMMUNITIES
5.1. Develop a communication plan targeting various age groups on healthy eating, regular physical activity and risks associated with obesity
5.2 Create demand for healthy food and environments conducive to physical activity
","4.6 IMPLEMENTING THE KEY ACTIONS
page 34-50
","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Maternity protection|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Fat intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Front of pack labelling|Menu labelling|Reformulation of foods and beverages|Fats|Sugars|Taxation on unhealthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/ZAF_B11_National Strategy for prevention and Control of Obesity 4 August latest.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF_2015_National%20Strategy%20for%20Prevention%20and%20Control%20of%20Obesity%20in%20South%20Africa.pdf"
"38196","ZAF","South Africa","","National Integrated Early Childhood Development Policy","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2015","","2030","Department of Social Development Republic of South Africa","","2015","Adopted","12","2015","Cabinet","Development","Department of Social Development Department of Social Development","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","5.2.1 Health care and nutrition programmes
Goal: By 2024 to provide the package of services described above to improve the mental and physical health, nutritional status, development and safety of infants and young children from conception until the year before they enter school.
Objectives:
- In the antenatal period:
a) To eradicate all causes of preventable disability, exposure to environmental toxins and stress, and infections through the provision of appropriate antenatal health care for all pregnant women;
b) To screen, support and make referrals for maternal mental health, substance abuse and exposure to domestic violence; and
c) To provide preparation for parenting.
2. For children from birth until the year before they enter formal school:
a) To promote children’s health and prevent disease through the provision of quality and effective management of childhood illness, HIV testing and treatment, immunisation, and vitamin supplementation;
b) To promote children’s nutritional status, growth, development and health through the provision of nutritional counselling, the promotion of exclusive breastfeeding, growth monitoring, appropriate complementary feeding, responsive feeding, and strengthened fortification and supplementation mechanisms;
c) To promote children’s healthy development and safety through the provision of parenting support and skills building;
d) To promote a secure attachment relationship between the parent(s) and the child;
e) To prevent child abuse and neglect through the provision of parent support; identify (through screening) and provide care and support for, children exposed to child abuse and neglect; and refer parents and children to appropriate services; and
f) To prevent disability; identify (through early screening) and provide care and support for, children with disabilities; to make early referrals of parents and children to appropriate health care and related services; and to track these children for continuous support and follow-up.
5.2.7 Food security
Goal: By 2030 to ensure that all infants and young children enjoy healthy physical growth, are well-nourished and enjoy sustained access to nutritious food, and to ensure implementation of a comprehensive multi-sectoral national strategy for children from birth until the year before they enter school aimed at eliminating stunting and malnutrition, reducing obesity and preventing hunger and food insecurity.
Objectives:
- To increase access of infants and young children to adequate and nutritious food; and
- To improve the knowledge of caregivers of infants and young children regarding good nutrition practices
","5.2.1 Health care and nutrition programmes
Health care and nutrition programmes as an essential component include the provision of:
Preventative and curative mental and physical health care for mothers, infants and children, as well as nutrition promotion services from pre-conception until the child reaches the age of 5 years, including:
Promotion and support of exclusive breastfeeding for the first six months after birth;
Counselling to support appropriate and responsive complementary feeding or alternatives to breastfeeding where this is not possible, including the prevention of obesity;
Home-, community- and facility-based growth monitoring, early identification of growth faltering (growth and developmental lags) and referral for investigation and follow-up for all children aged birth to 2 years;
Micronutrient supplementation (folic acid and iron for pregnant women, and Vitamin A supplementation for infants and young children) and food supplementation for underweight pregnant women and children who fail to thrive for reasons of poverty and associated social problems; and
Provision of food and nutritional support to pregnant women and young children by community outreach workers, including the Department of Health’s CHWs;
Screening of pregnant women, mothers and young children through facility-, community- and home-based ante- and post-natal care visits; and referral and provision of support services for maternal and infant mental ill-health, substance abuse and exposure to violence, developmental delays and disabilities, and/ or abuse and neglect of the child.
The full utilisation of the Road to Health booklet to support, monitor and remedy, where needed, a child’s healthy growth and development. The booklet has important promotional messages that capacitate parents and care givers and to demand services.
","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Complementary feeding|Overweight in children 0-5 yrs|Overweight in adolescents|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|Media campaigns on healthy diets and nutrition|Vitamin A|Iron and folic acid|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Home, school or community gardens|Water and sanitation|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202015%20National%20Integrated%20Early%20Childhood%20Development%20Policy_0.pdf"
"25895","NRU","Nauru","","National Health Strategic Plan 2016-2020","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","","","2016","","","","","Health","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","Public Health Nutrition
Support prevention of childhood obesity through Health Promoting School
Support and strengthen ongoing school feeding programme to ensure good nutrient education is fostered in primary schools
Support exclusive breastfeeding initiatives and good weaning practices
Introduce and support the Baby Friendly Hospital initiative
Advocate for good family nutrition through home gardening
Healthy food preparation including cooking demonstration
","Priority Action and Targets by 2020
PH Nutrition
Improved exclusive breastfeeding rate to 60%
RON declared Baby Friendly Hospital
","","","Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Exclusive 6 months|Overweight and obesity in school age children and adolescents|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Home, school or community gardens","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NRU-2016-2020-National%20health%20Plan.pdf"
"24453","BWA","Botswana","","UN Sustainable Development Framework ","Non-national nutrition policy document","","English","","2017","","2021","Government of Botswana and UN country team","12","2016","","","","","Finance, budget and planning|Development","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IOM, UNDP, UN Women","","","Other|The World Bank","African Development Bank","European Union","","National NGOs","","","","Private sector","","","","","Output 1.2: Enhanced national capacities to develop integrated policies, strategies and programmes to strengthen human and social development outcomes
The UN will provide support to the development of policies, strategies and programmes to enhance human and social development outcomes paying particular attention to challenges in the supply of quality services, the demand for services, the enabling environment for quality services and strengthening accountability systems. Specific areas that will be addressed include support in the development of a comprehensive Poverty Eradication Policy and Strategy, Comprehensive Social Protection Policy and support to address challenges such as HIV&AIDS, education, health including Sexual and Reproductive Health, Gender inequality including Gender Based Violence, malnutrition, human trafficking, migration, climate change and disaster resilience.
Output 2.2: Improved capacities to plan for delivery, identify and resolve implementation challenges and account for the delivery of quality interventions to strengthen human and social development outcomes
In developing capacities to plan for delivery and resolve implementation challenges to strengthen human and social development outcomes focus will be on strengthening capacities for multi-sector, multi-level multi- stakeholder and inclusive gender mainstreamed intervention design and implementation to achieve improvements in the quality of services, services demand and utilization and strengthening the enabling environment. Emphasis will be placed on complementarities and synergies between sector-based interventions in addressing issues such as prevention of HIV among adolescents and young people, reduction of stunting, healthy lifestyles, prevention ofgender based violence, women’s economic empowerment and other objectives requiring multi-sector action. Support to district government will be key to this output.
Output 3.2: Increased institutional capacities to collect, manage, analyses, package and utilize data to improve planning, monitoring, evaluation and decision-making to strengthen human and social development outcomes.
Capacity development for the gathering, analysis and use of disaggregated data for intervention design, targeting, monitoring and evaluation will aim to strengthen access to data that facilitates vertical and horizontal coordination and accountability. Investments will be made to increase the frequency and timeliness of data collection and programme adaptation to evidence. Capacities to use administrative data complemented by data from citizens for the management of services will be strengthened. In critical services such as health care, real time monitoring systems will be promoted as possible interventions to improve the timeliness and completion of routine interventions such as nutrition.
","","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|HIV/AIDS and nutrition","","https://www.unicef.org/about/execboard/files/Botswana-UNSDF-2017-2021.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202017%20UNSDF.pdf"
"39766","BWA","Botswana","","Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2023","Republic of Botswana Ministry Of Health & Wellness","","2018","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research","","","","","","","","","","National NGOs","","","","","","","","3.4.1 Priority Area 1: Primordial Prevention and Health Promotion
Goal 1. Reduce risk factors through awareness, promotion of healthy lifestyles and creation of enabling environments
...
• Objective 1.2. To create a legislative and policy environment conducive to healthy living
o Increase in the number of policy and legislative changes that promote healthy living
o 0% increase in obesity by 2025
o 30% increase in population consuming diet high in fruit and vegetables by 2025
...
o Unhealthy diet and physical inactivity
Provide access to healthy food as part of school health programs
Strengthen physical activity programs at schools and workplaces
Manage food taxes and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
Create civil planning regulations and policies that promote physical activity (e.g. walkable cities, availability of outdoor recreational spaces, active transport)
Promote breastfeeding
Create financial incentives for healthy living (e.g. subsidies on sports equipment and bicycles)
","Botswana Multi-sectoral National Strategic Plan implementation framework
…
Priority area 1: primordial prevention and health promotion
…
2. To create a legislative and policy environment conducive to healthy living
…
Develop and implement national regulations to promote healthy diet, limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, reduce the impact on children of marketing of foods and non-alcoholic beverages high in saturated fats, trans-fatty acids, free sugars, or salt
…
Promote access to healthy food, including at schools (taxation on imports of unhealthy foods, regulations on food provided at schools or packed from home in both private and public schools)
…
Institute fiscal incentives and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
…
Priority area 2: primary prevention, early detection, quality treatment, care and support
…
Conduct screening for overweight, tobacco, alcohol at schools
Conduct screening for overweight, tobacco, alcohol in the workplace
Conduct screening for obesity, tobacco, alcohol in communities (e.g. churches, places of trade)
","WHO framework element (where relevant); Indicator name; Baseline (year); FY 2023 Target
- Obesity; Age-standardised prevalence of obesity and overweight among adults aged 18+ years; 30.5% (2014); 0% increase
- Unhealthy diet; Age-standardised prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day; 94.8% (2014); 30% relative reduction
- Diabetes; Age-standardised prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).; 4.5% (2014); 0% increase
- Hypertension; Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.; 29.3% (2014); 25% relative reduction
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|Fats|Trans fat|Taxation on unhealthy foods|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/BWA_B3_Strategy_Edited_Final.pdf","","WHO NCD Country Capacity Survey 2019",""
"39771","NRU","Nauru","","Prevention of Non Communicable Disease NCDS: Nauru Strategy Action Plan ","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2020","","","2018","","","","","","","","","","","","","","","National NGOs","","","","","","","","Goal: Improve the nutritional status of the people of Nauru
Baseline:
- 1% reduction in the proportion who did not meet the WHO recommendations for fruits and vegetables per day (96.4% (2004) → 95.3% (2016)).
- 35.2% of childbearing age group were anaemia - >13.0 g/dL
Target by 2020
- Target 1: at least 20% of children will be exclusively breastfed at 6 months in Nauru
- Target 2: 30% of population (communities, schools, workplaces and Churches) a) consumed any amount of servings of vegetables and/or fruits per day b) reduced sugary drinks c) reduced salt
- Target 3: 60% of risk population will be advised on nutrition through the NCD toolkit program at Wellness Centre/PH Diabetes Clinic/RON Hospital
- Target 4: 10% of households, schools and working places have vegetable gardens
- Target 5: 10% of reduced anemia rate among child bearing age group
...
Goal: Promote health equities and ethical imperative of health Nauruan Premature Mortality from NCDs 5% reduction
Baseline:
- Increase in proportion with raised blood pressure of the mean diastolic blood pressure (77.4 (2004) →80.0 (2016)
- Decrease in mean of total cholesterol ≥ 5.0 mmol/L (4.5 (2004) →3.8 (2016))
...
Target:
...
- Target 6: At least 25% reduction in high blood pressure -age and sex stratified
- Target 7: At least 30% reduction in high cholesterol - age and sex stratified
...
- Target 12: 15% of NCD population on management will also have controlled blood sugars and Hypertension
...
","1. Implementing national policy, plans, standards and guidelines that promote the production and consumption of healthy diets.
2. Implementing health related legislations and regulations on salt, saturated and trans fatty acids and refined sugar content of processed foods and the packaging, labeling and marketing of food products and beverages.
3. Implementing public awareness programs on healthy diets during the life course, in the framework of national and District strategic plans, and regulations.
4. Implementing the nutrition component in the school health policy/strategy.
5. Initiating and implementing programs that promote healthy diets in the community, private and public educational institutions, workplace, and health facilities etc, in the framework of national and District strategic plans, and regulations.
6. Supporting and promoting existing initiatives for breastfeeding and complementary feeding.
7. Put in place mechanisms for economic incentives including taxes and subsidies that encourage healthy choices for food and beverages.
","See goals.
","","","Breastfeeding - Exclusive 6 months|Anaemia in women 15-49 yrs|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition","","https://extranet.who.int/ncdccs/Data/NRU_B3_Nauru -NCD Strat Plan 2018 - 2020_.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NRU%202018-NCD%20Strat%20Plan%202018%20-%202020_.pdf"
"26052","PNG","Papua New Guinea","","Papua New Guinea United Nations Development Assistance Framework 2018 | 2022","Non-national nutrition policy document","","English","","2018","","2022","United Nations Papua New Guinea","","2018","","","","","","Minister for National Planning and Monitoring","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|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 Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","","","2.3.2: Food insecurity prevalence rate (percentage of population aged 15+ years who are food insecure)
Target: 5% cumulative reduction by 2022
Reduction in prevalence of stunting in children under five years
Baseline: 49.5% (Global Hunger Index 2011-2015)
Target: 5% cumulative reduction by 2022
","","","Stunting in children 0-5 yrs|Food security and agriculture","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PNG-2018-2022-UNDAF.pdf"
"40057","PNG","Papua New Guinea","","Papua New Guinea National Nutrition Policy 2016-2026","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2026","The Government of Papua New Guinea","","2016","","","","","Health|Food and agriculture|Education and research|Other","Community Development, and Planning and Monitoring,the input from the Policy Planning Division of the National Department of Health (NDOH) for the guidance throughout the development process.","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","World Vision International","","","","","","","","Research/academia","University of PNG , School of Medicine and Health Sciences (UPNG - SMHS)","","","","","2.1 Goal
To improve nutrition for all Papua New Guineans through evidence-based, coordinated nutrition approaches that optimises resources and aligns actions.
Objective 1: (Governance,Coordination,Communication, Partnerships, M&E, Research)
Objective 2: (Nutrition Capacity)
Objective3:Prevent and Treat under Nutrition)
Objective 4: (Micronutrient Deficiencies)
Objective 5: Overweight and Obesity
Objective 6: (Nutrition among Vulnerable Groups: Malaria, Mental Illness and Disabilities)
Objective 7: Nutrition in Emergencies
","Objective Two
Strategies:
- Develop national pre-service (including undergraduate and postgraduate) training in nutrition and dietetics, including management of nutrition programmes
- Develop criteria for national registration of nutritionists and dietitians
- Ensure that nutrition is adequately covered in existing health and other courses delivered by all training institutions
- Develop national nutrition in-service training for all relevant sectors/institutions, with mentoring and supervision mechanism
- Advocate and create designated positions and establish career pathways for nutritionists and dietitians at all levels across relevant sectors
- Ensure designated nutrition positions are adequately resourced
Objective three
Strategies:
- Scale up effective interventions to improve infant and young child feeding practices:
- Scale up other nutrition specific and sensitive interventions and approaches to address and prevent under nutrition
- Improve early detection and management of severe acute malnutrition in children at health facilities and in the community
- Scale up nutrition specific and sensitive interventions and approaches for womento reduce under nutrition among adolescent girls, women of childbearing age and pregnant and lactating women and to improve birth outcomes
- Strengthen and implement appropriate interventions and approaches in schools and communities to prevent early marriage and teenage pregnancy
- Strengthen and support nutrition sensitive interventions to ensure PNG has a sustainable healthy food system that ensures an adequate supply of nutritious and safe food and income generation at the household level
- Strengthen and support social safety nets for vulnerable households to improve the health and nutrition situation
Objective Four
Strategies:
- Strengthen and support interventions to reduce iron-deficiency anemia at all stages of the lifecycle, especially children aged 6– 59 months and women of reproductive age
- Support and implement interventions to treat and prevent VAD among infants, young children pregnant and lactating women and other vulnerable groups
- Support interventions that prevent and treat malaria to reduce anemia among infants, young children, pregnant and lactating women and other vulnerable groups
- Strengthen and support interventions that identify, prevent and treat IDDs in vulnerable communities
- Strengthen interventions that prevent, identify and treat emerging micronutrient deficiencies
- Strengthen interventions including legislation and its implementation that supports the enrichment and fortification of Rice and Wheat flour with key nutrients known to be at risk.
- Strengthen interventions that support the consumption of a diversified diet with an emphasis on promoting local foods rich in micronutrients
Objective 5
Strategies:
- Promote and support preventative interventions to address overweight, obesity and diet related lifestyle diseases
- Promote and support interventions that manage and treat overweight, obesity and diet related lifestyle diseases
- Review, develop and enforce legislation (e.g. food acts) to control local production, marketing, labeling and the importation of foods high in fat, sugar and saltand sugary beverages
Objective Six
Strategies:
- Promote and implement interventions that research the factors contributing to malnutrition among vulnerable groups, including PLHIV, TB, mental illness, those with disabilities and institutionalized populations
- Strengthen and support interventions to prevent and treat malnutrition among people with HIV, TB, malaria, mental illness or disabilities
- Strengthen and support interventions that promote food and nutrition security for institutionalized populations
- Promote, develop and conduct research on malnutrition among vulnerable groups and institutionalized populations.
Objective Seven
Strategies:
- Strengthen interventions that support the preparedness for disasters and emergency situations related to nutrition:
- Strengthen interventions to enable rapid nutrition response to disasters and emergency situations links with social protection policy,
- Strengthen interventions to support the food and nutrition rehabilitation of communities affected by disaster and emergency situations
- Monitoring of interventions
- Strengthen interventions to ensure optimal food and nutrition security for displaced people and refugees
- Identify and target disaster prone populations for implementation of package of nutrition services to strengthen resilience through ensuring strong capacities are in place and nutrition status improved before disasters occur.
","Specific Objectives of the M&E plan for the NNP are to:
- Guide data collection, processing and analysis of selected indicators. Indicators to be defined based on relevant coverage and quality data to be collected from each nutrition intervention, including those not currently monitored.
- Monitor implementation of activities in accordance with respective operational plans
- Provide feedback to those who implement and manage the plan to ensure they have timely information for decision making
- Provide regular documentation of results achieved against the targets
- Guide national authorities and partners on the response of programs and services under implementation aimed at accelerating the reduction of malnutrition in PNG
- Promote evaluation and research activities aimed at improving performance of the NNP for the reduction of malnutrition in PNG
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Multiple micronutrients supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Rice|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://www.health.gov.pg/pdf/PM-SNNP_2018.pdf","","",""
"40401","BWA","Botswana","","A Policy Framework for Holistic Early Childhood Development ","Other, please specify","Child or adolescent plan with nutrition components","English","","2015","","2018","Early Childhood and Development (ECD) Reference Team","","2015","Not adopted","","","","Health|Education and research|Development","Ministry of Local Government & Rural DevelopmentMinistry of Basic EducationMinistry of Health and wellness","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Objective 4.1: ensure equitable ecd service provision through a core ecd service package
Objective 4.2: ensure engagement of families & communities through a family support package
","Strategies
Objective 4.1: ensure equitable ecd service provision through a core ecd service package
- Ensure adequate care of newborns at home, especially in the first month, in order reduce risks of child mortalityand morbidity.
- Ensure that all children 0-6 years have access to an adequate, nutritious and safe diet and that interventions are in place to address malnutrition.
- Support universal access for all children under-5 years to a core package of high impact preventative child health and developmental interventions.
- Strengthen and expand current service provision for children with disabilities to enable them to reach their full potential in safe and stimulating environments with support from specialists and their parents/caregivers.
- Ensure that all infants and young children in the birth-3 age group have equitable access to a range of quality home-based care/development and, where required, quality centre-based day care.
Objective 4.2: ensure engagement of families & communities through a family support package
1. Strengthen and expand a comprehensive family support system to ensure young children’s healthy growth, protection and development.
","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Vitamin A|Iron|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Conditional cash transfer programmes","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202015%20ECD%20Policy%20Frameworks.pdf"
"40389","ZAF","South Africa","","The National Health Promotion Policy and Strategy 2015-2019 ","Health sector policy, strategy or plan with nutrition components","","English","","2015","","2019","Department of Health, South Africa","","2015","Not adopted","","","","Health","","","","","","","","","","","","","","","","","","The goals of the National Health Promotion Policy are to:
Advocate for healthy public policies to achieve health outcomes;
Empower local communities on health promotion approaches that facilitate strengthened community action and ownership;
Create an enabling environment that promotes healthy behavioural practices;
Strengthen human resources capacity to deliver health promotion services; and
Strengthen systems to monitor and evaluate health promotion interventions.
","9. AREAS FOR ACTION
9.1 Advocate for Healthy Public Policies
9.2 Empower Local Communities on Health Promotion Approaches
9.3 Create an Enabling Environment that Promotes Healthy Behaviour
The National Health Promotion Policy will:
Establish and maintain Health Promoting Crèches and early learning centres that promote safe and healthy environments (e.g., clean water and adequate sanitation), personal hygiene practices (e.g., tooth brushing, hand washing), healthy eating options and personal safety;
Advocate for Health Promoting Schools that complement the work of the School Health Teams through empowering learners and educators to undertake healthy lifestyle practices including healthy eating habits, prevention of substance abuse (including tobacco, alcohol and drugs), increased physical activity, effective life skills and safer sexual practices;
Advocate for health promotion programmes at institutions of higher education that promote healthy lifestyles in partnership with Department of Higher Education and Training; and
Work with the private sector and labour unions to promote healthy lifestyle practices within the workplace. This includes promoting physical activity, smoking cessation, providing HIV and pregnancy prevention programmes. Ensuring that HCT and screening services are available for TB and other essential chronic diseases of lifestyle (e.g., diabetes and hypertension).
9.4 Strengthen Human Resources Capacity for the Delivery of Health Promotion Services
9.5 Strengthen Systems to Monitor and Evaluate Health Promotion Interventions
Health Promotion Strategy
page 28-32
","- Reduce the mean population intake of salt
- Reduce the percentage of people who are obese and / or overweight by 10%
- % increase in prevalence of males and females who are physically fit
- No. of people screened for diabetes
- No. of people screened for hypertension
","","","Breastfeeding|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Improved hygiene / handwashing|Water and sanitation","","https://extranet.who.int/ncdccs/Data/ZAF_B14_The-National-Health-Promotion-Policy-and-Strategy%202015_2019.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF_2015_The-National-Health-Promotion-Policy-and-Strategy%202015_2019.pdf"
"130355","BWA","Botswana","","Botswana Multi-Sectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2018-2023","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2023","Republic of Botswana Ministry Of Health & Wellness","","2018","Not adopted","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Ministry of Land Management","","","","","","","","","National NGOs","","","","","","","","3.4.1 Priority Area 1: Primordial Prevention and Health Promotion
Goal 1. Reduce risk factors through awareness, promotion of healthy lifestyles and creation of enabling environments
...
• Objective 1.2. To create a legislative and policy environment conducive to healthy living
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o Unhealthy diet and physical inactivity
Provide access to healthy food as part of school health programs
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Manage food taxes and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
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Promote breastfeeding
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Table 6: Botswana Multi-sectoral National Strategic Plan implementation framework
Priority area 1: primordial prevention and health promotion
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2. To create a legislative and policy environment conducive to healthy living
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Develop and implement national regulations to promote healthy diet, limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, reduce the impact on children of marketing of foods and non-alcoholic beverages high in saturated fats, trans-fatty acids, free sugars, or salt
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Promote access to healthy food, including at schools (taxation on imports of unhealthy foods, regulations on food provided at schools or packed from home in both private and public schools)
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Institute fiscal incentives and subsidies to promote healthy foods and discourage unhealthy foods (high fat, high sugar, high salt)
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Priority area 2: primary prevention, early detection, quality treatment, care and support
Implement screening for overweight and unhealthy living (diet, exercise, smoking, alcohol) at primary care level
Conduct screening for overweight, tobacco, alcohol at schools
Conduct screening for overweight, tobacco, alcohol in the workplace
Conduct screening for obesity, tobacco, alcohol in communities (e.g. churches, places of trade)
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WHO framework element (where relevant)
Indicator name
Baseline (year)
FY 2023 Target
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Obesity
Age-standardised prevalence of obesity and overweight among adults aged 18+ years
30.5% (2014)
0% increase
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Unhealthy diet
Age-standardised prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day
94.8% (2014)
30% relative reduction
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Diabetes
Age-standardised prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).
4.5% (2014)
0% increase
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Hypertension
Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.
29.3% (2014)
25% relative reduction
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","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruit and vegetable intake|Breastfeeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Monitoring of children’s growth in school|Reformulation of foods and beverages|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children","","https://extranet.who.int/ncdccs/Data/BWA_B3_S23_Botswana%20NCD%20Strategy%20Final.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202018_Botswana%20NCD%20Strategy%20Final.pdf"
"130096","BWA","Botswana","","Control of Goods, Prices and Other Charges (Sugar Sweetened Beverages) (Levy) Regulations S.I.No.34 of 2021","Legislation relevant to nutrition","","English","4","2021","","","Republic of Botswana Government Gazette Extraordinary Vol.LIX, No.27 31st March, 2021","3","2021","Adopted","3","2021","Minister of Investment, Trade and Industry","Trade|Industry","","","","","","","","","","","","","","","","","","","","","","2. In these Regulations, unless the context otherwise provides —
“sugar sweetened beverages” means —
(a) waters, including mineral waters and aerated waters, containing added sugar or other sweetening matter, or flavoured;
(b) non-alcoholic beverages; and
(c) fruit or vegetable juices, set out in the Customs Tariff Schedule under the Customs Act.
3. These Regulations shall apply to —
(a) sugar sweetened beverages produced in Botswana; and
(b) sugar sweetened beverages imported into Botswana under the Customs Act.
4. An accountable person who —
(a) imports sugar sweetened beverages that exceeds 4 grams of sugar content per 100ml shall pay a levy at the rate of —
(i) P0.02 per gram of sugar content,
(ii) P0.02 per gram of sugar content deemed as 25 gram sugar content per 100ml, for beverages imported into Botswana which are not labelled; or
(b) produces sugar sweetened beverages that exceeds 4 grams of sugar content per 100ml shall pay a levy at the rate of —
(i) P0.02 per gram of sugar content,
(ii) P0.02 per gram of sugar content deemed as 25 gram sugar content per 100ml, for beverages produced in Botswana which are not labelled.
5. The calculation of the value of the levy for the purposes of assessing the levy on sugar content of sugar sweetened beverages under regulation 4, shall be —
(a) the total sugar content of the sugar sweetened beverages produced in Botswana; or
(b) the total sugar content of the sugar sweetened beverages imported in terms of the Customs Act.
","Sugar intake|Taxation on unhealthy foods|Sugar content specific excise tax|National level SSB tax|Undefined non-alcoholic or aerated beverages (taxes)|Mineral, aerated or flavoured waters (taxes)|Fruit and vegetable juice drinks (<100%) (taxes)|Fruit and vegetable juices (100%) (taxes)|Total sugars (taxes)","","https://botswanalaws.com/consolidated-statutes/subsidiary-legislation/control-of-goods-prices-and-other-charges-subsidiary-legislation#SubLCh43006_CONTROLOFGOODS,PRICESANDOTHERCHARGESACT(SUGARSWEETENEDBEVERAGES)(LEVY)REGULATIONS https://botswanalaws.com/bulletin/subsidiary-legislation/bulletin-2021/control-of-goods-prices-and-other-charges-sugar-sweetened-beverages-levy-regulations https://extranet.who.int/ncdccs/Data/BWA_A3iii_S23_sugar%20levy%20and%20fuel%20levy%20(1).pdf","Republic of Botswana. 2021 Budget Speech https://www.finance.gov.bw/images/speeches/2021_Budget_Speech.pdf134. Mr. Speaker, we have a health problem in Botswana with many people consuming too much sugar, leading to problems of obesity and diseases such as diabetes. In order to address this health challenge and at the same time raise revenues, Government will introduce a levy on sweetened beverages related to their sugar content, at a rate of 2 thebe per gram of sugar above a content of 4g of sugar per 100 millilitres. While this will raise the price of those drinks moderately, it is expected that this will provide an incentive for consumers to switch to drinks with a lower sugar content, and for manufacturers to do the same.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202021%20Sugar%20sweetened%20beverages%20levy.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202021%20Sugar%20sweetened%20beverages%20levy.pdf"