"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" "8783","NPL","Nepal","","Mother's Milk Substitutes (Control of Sale and Distribution) Act, 2049 (1992)","Legislation relevant to nutrition","","English","8","1992","","","Parliament","8","1992","Adopted","","1992","Parliament","Education and research|Health|Industry|Social welfare","Maternal and Child Health Sector, Ministry of Supply","","","","","","","","","","","","","Private sector","Nepal Chamber of Commerce and Industries","Other","Nepal Pediatrician Association","","","","","
The Act provides for the establishment of a breastfeeding protection and promotion committee, defines its internal organization and lays down its duties and powers which include: to supervise the compliance with this Act; to review and approve the labels submitted by the manufacturers and distributors which are in conformity with the provisions of this Act; and to formulate a national policy for the protection and promotion of breastfeeding. The Act further specifies the acts prohibited by manufacturers and distributors and makes provision for: the certification of products from the central food laboratory; the labelling of products; and the conformity to the standards of the Nepal Bureau of Standards. In addition the Act provides for: powers of inspectors; penalties; rule making powers of His Majesty’s Government; etc.
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Labelling: Message on superiority of breastfeeding|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","","http://faolex.fao.org/docs/pdf/nep85434.pdf","Scope of the Code: 0-12 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) / 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/NPL%201992%20Mother%27s%20Milk%20Substitues%20Control%20of%20sale%20and%20distribution%20Act%202049.pdf" "8233","GTM","Guatemala","","Plan de Contingencia Alimentaria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2009","","2010","Consejo de Cohesión Social","","2009","Adopted","","2009","Gobierno de la República de Guatemalahttp://www.guatemala.gob.gt/noticia4.php?codigo=3435&titulo2=Nacional http://www.redhum.org/emergencias2.php?emergencia=321","Education and research|Food and agriculture|Health","MINEDUC, MAGA, MOH","","","","","","","","","National NGOs","FONAPAZ, SE-CONRED","","","","","","","","","","","","Food distribution/supplementation for prevention of acute malnutrition","","http://www.sesan.gob.gt/","","WHO Global Nutrition Policy Review 2009-2010","" "43625","HTI","Haiti","","Politique et strategie nationales d’alimentation scolaire (PSNAS)","Government guidance","","French","","2016","","2030","MINISTÈRE DE L’ÉDUCATION NATIONALE ET DE LA FORMATION PROFESSIONNELLE (MENFP)","1","2016","","","","","Health|Education and research|Food and agriculture|Social welfare","MENFP, MARNDR, MICT, MAST, MSPP","","FAO, PNUD, PAM, UNICEF","","","","","","","","","","","","","","Congrégations religieuses, Collectivités territoriales, Commissions Municipales d’Éducation, OPA, producteurs et transformateurs,","","","","","2.2 But
Le but de la Politique et Stratégie Nationales d’Alimentation Scolaire est de définir les contours du programme d’alimentation scolaire, sa vision, ses objectifs, les critères de ciblage et de sélection des écoles, les normes nutritionnelles, les modalités de mise en œuvre et le rôle des acteurs, les mécanismes de financement et, ainsi, de créer consensus autour du programme et de galvaniser une approche harmonieuse et coordonnée pour l’alimentation scolaire sur l’ensemble du pays. L’alimentation scolaire contribue à la vision d’Haïti comme pays émergent à l’horizon 2030.
2.3 Objectifs
Objectif Général 1 : Prestation de services alimentaires de qualité
Objectif Spécifique 1.1 : Conception et mise en œuvre
Élaboration et mise à jour du manuel d’opération du PNCS
Ciblage géographique et individuel pour la mise à l’échelle de l’alimentation scolaire
Contractualisation d’ONG pour la mise en œuvre
Élaboration d’un document de stratégie de mise en œuvre plaçant au centre opérationnel les Collectivités territoriales
Contractualisation de Collectivités pour la gestion de l’alimentation scolaire au niveau des territoires
Harmonisation des modèles et modalités de mise en œuvre
Objectif Spécifique 1.2 : Interventions de santé nutritionnelles complémentaires
Élaboration d’une annexe au manuel d’opération du PNCS
Élaboration du matériel d’éducation nutritionnelle et sanitaire
Objectif Spécifique 1.3 : Interventions facilitant la réouverture des classes suite à un choc
Élaboration d’une annexe au manuel d’opération du PNCS
Inclusion du PNCS dans le Plan de contingence du MARNDR
Objectif Spécifique 1.4 : Environnement
Analyse coûts-bénéfices des principales énergies utilisées pour la préparation des repas
Élaboration d’une annexe au manuel d’opération du PNCS et note d’orientation à l’attention des partenaires du PNCS
Promotion des énergies les plus adaptées
Objectif Général 2 : Soutien à l’économie locale et la production d’aliments locaux
Grâce à l’achat de produits alimentaires locaux et l’implication du secteur privé et associatif, les économies locales sont redynamisées et les producteurs augmentent leur production vivrière de façon durable et bénéficient des services agricoles et d’agro-business spécifiquement orientés vers ceux approvisionnant les écoles.
Objectif Spécifique 2.1 : Achats locaux
Renforcement de toutes les modalités d’achats locaux
Arrêté régulant l’importation de nourriture et l’acquisition de nourriture importée pour l’alimentation scolaire
Définition de standards de contrôle de qualité des aliments
Établissement de partenariats avec des laboratoires pour le contrôle de qualité des aliments
Objectif Spécifique 2.2 : Services agricoles et d’agro-business
Établissement de partenariats avec les principaux de services
Orientation des services aux acteurs participants à l’approvisionnement des écoles
Objectif Spécifique 2.3 : Secteur privé et associatif
Contractualisation du secteur privé et associatif pour la livraison de snack/repas à l’école par les partenaires du PNCS
Renforcement du secteur privé et associatif
Contractualisation du secteur privé/associatif pour la livraison de snack/repas à l’école par le PNCS ou les Collectivités
Objectif Général 3 : Développement des capacités nationales
Objectif Spécifique 3.1 : Renforcement des institutions nationales
Construction des nouveaux locaux du PNCS
Élaboration d’un document de réforme institutionnelle du PNCS
Mise en œuvre d’un nouvel organigramme interne
Élaboration et mise en application du manuel de procédures administratives et financières X
Renforcement des compétences sectorielles des Collectivités territoriales
Mise en place des Commissions Municipales d’Éducation par le MENFP
Objectif Spécifique 3.2 : Financement
Création d’une ligne budgétaire ‘Alimentation Scolaire’ au MENFP et identification de fonds spéciaux pour son approvisionnement (FNS, taxe sur les produits importés)
Ouverture d’un compte multi-bailleurs au PNCS
Confirmation de l’institution internationale mandatée de la cogestion du compte multi-bailleurs
Préparation d’un document sur les modalités et le niveau de contributions des Collectivités territoriales aux coûts de l’alimentation scolaire
Préparation d’un document sur les modalités et le niveau de contribution des parents d’élèves
Mise en place d’une stratégie de financement social ciblant le secteur privé et la diaspora en particulier
Objectif Spécifique 3.3 : Coordination
Tenue des rencontres de la CNAS
Tenue des rencontres de la Table sectorielle
Objectif Spécifique 3.4 : Redevabilité
Mise en place et fonctionnement du centre d’appel par tous les acteurs du secteur
Renforcement du suivi des activités de l’ensemble du secteur
Contractualisation d’une firme de vérification par le PNCS
Mise en place et réalisation d’audits sociaux
Objectif Spécifique 3.5 : Communauté
Redéfinition des TDR/attributions des comités de parents d’élèves
Opérationnalisation des attributions des comités de parents d’élèves
...
La Dirección de Programas de Equidad del MEP ha liderado un esfuerzo de cambio de menú para la redefinición estudiantil para redefinir la alimentación estudiantil en sus diferentes características de población; con una oferta de dietas equilibradas desde el punto de vista nutricional y contribuya efectivamente en el desarrollo integral, la salud de la población estudiantil y la prevención de la obesidad infantil.
Los manuales de menú representan un instrumento para seguir avanzando hacia la equidad. Esta propuesta responde a especificaciones de carácter social y nutricional cuyos objetivos son: ofrecer alimentación complementaria con criterios de equidad y calidad nutricional, generar hábitos alimentarios saludables, generar, a través del nuevo menú, un sistema de gestión y optimización del funcionamiento a través de los comedores estudiantiles, contribuir en la prevención y control de la obesidad infantil documentada en el Censo Escolar Peso/Talla, así como favorecer la seguridad alimentaria y nutricional de la población estudiantil por medio del acceso a alimentos de calidad e inocuidad garantizada.
...
Artículo 1. Objeto. El presente reglamento tiene por objeto establecer las disposiciones y acciones que deben implementarse para la aplicación y cumplimiento de la Ley de Alimentación Escolar.
Artículo 3. Objetivos específicos
Los objetivos específicos de este reglamento son:
Dar operatividad a la Ley de Alimentación Escolar en el ámbito público y privado;
Establecer lineamientos para proporcionar la alimentación escolar adecuada en cantidad y calidad, cumpliendo con los requerimientos nutricionales de los escolares, en los niveles de preprimaria y primaria de los centros educativos públicos y privados durante el ciclo escolar;
Establecer procedimientos para implementar los huertos encolares pedagógicos como herramienta para la educación alimentaria y nutricional, con enseñanza de buenas prácticas agropecuarias, siempre y cuando se tenga la disponibilidad de Infraestructura y recursos para implementarlos;
Establecer los procesos de capacitación permanente dirigida a las Organizaciones de Padres de Familia -OPF- de centros educativos públicos en temas de administración, salud, alimentación y nutrición; y
Designar las dependencias y mecanismos para la formulación de un listado de alimentos saludables y nutritivos para el Programa de Alimentación Escolar.
…
Artículo 30. Promoción de hábitos alimenticios saludables en los centros educativos privados. Además de las acciones que se desarrollen en el Currículum educativo vigente, los centros educativos privados promocionarán hábitos alimentarios saludables bajo las siguientes acciones:
1. Incluir alimentos saludables dentro de las áreas de expendio y consumo, tales como tiendas, kioscos, cafeterías, comedores u otros, a un costo accesible;
2. Crear estrategias de promoción de alimentos saludables para las áreas de expendio y consumo, tales como tiendas, kioscos, cafeterías, comedores u otros; y,
3. Realización de eventos en los que los estudiantes y sus familias puedan interesarse por la alimentación saludable y puedan reforzar los hábitos alimentarios sanos. El Ministerio de Educación, a través de las Direcciones Departamentales de Educación en coordinación con el Ministerio de Salud Pública y Asistencia Social supervisará el cumplimiento de las acciones antes descritas.
","Fruit and vegetable intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Monitoring of children’s growth in school|School gardens|Mandatory standards|Any foods and beverages offered in school|Food stores and snack bars in schools|School food provided free of charge|School lunches|Schools (standards)|Procure from local sources|Criteria based on national FBDGs (standards)|Low fat milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Unsaturated oils for cooking (standards)|Monitoring mechanism established|Sanctions exist","","https://www.mineduc.gob.gt/portal/contenido/menu_lateral/programas/seminario/documents/2020/ACUERDO-GUBERNATIVO-183-2018.pdf","Listado de alimentos saludables http://www.mineduc.gob.gt/digefoce/documents/Listado_de_alimentos_saludables_Art_26.pdf","","" "43114","PER","Peru","","Decreto Supremo Nº 012-2018-SA Aprueban Manual de Advertencias Publicitarias en el marco de lo establecido en la Ley Nº 30021, Ley de promoción de la alimentación saludable para niños, niñas y adolescentes, y su Reglamento ...","Legislation relevant to nutrition","","Spanish","6","2019","","","el Diario Oficial El Peruano","6","2018","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Other","el Presidente del Consejo de Ministros, el Ministro de Economía y Finanzas, la Ministra de Salud, el Ministro de Educación, el Ministro de Agricultura y Riego, el Ministro de la Producción, la Ministra de Desarrollo e InclusiónSocial, y el Ministro de Comercio Exterior y Turismo","","","","","","","","","","","","","","","","","","","","","Article 27.- L’article 13 du Budget Général 2019-2020 est ainsi modifié :
…
Les droits d’accises à l’importation sur les boissons non alcoolisées, sauf eau, eau minérale, glace, neige, sont calculés au taux de 10% sur la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes.
Article 28.- Les droits d’accises sur la pâte concentrée de concentrée de tomate conditionnée ou non pour la vente au détail, le ketchup et autre sauce de tomates des positions tarifaires 20029011, 20029019, 2103200 sont fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "66548","TGO","Togo","","Loi n° 2020-007 relative à l’alimentation scolaire","Legislation relevant to nutrition","","French","6","2020","","","Journal Officiel de la République Togolaise 65e Année N° 21 Numéro Spécial du 26 juin 2020","6","2020","Adopted","6","2020","L’Assemblée nationale","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sub-national|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","Les mamans/papas cantines","","","","","Article premier : La présente loi a pour objet de garantir à terme, à chaque élève de l’enseignement de base, particulièrement aux élèves situés dans les zones les plus vulnérables, l’accès à une alimentation scolaire suffi sante et équilibrée et à promouvoir le développement de la production locale.
…
Section 2 : Principes directeurs et champ d’application
Art. 3 : Les principes qui soutiennent les interventions en matière d’alimentation scolaire sont décrits ci-après :
- le droit à l’alimentation est fondamental et l’alimentation des enfants est saine, équilibrée et diversifiée pour leur épanouissement ;
- l’alimentation scolaire assure l’équité entre les sexes et contribue à la réduction des disparités entre les filles et les garçons en milieu scolaire ;
- l’alimentation scolaire est multisectorielle ;
- l’alimentation scolaire assure durablement la promotion des produits locaux ;
- l’alimentation scolaire implique et responsabilise les collectivités territoriales et les communautés à la base ;
- l’alimentation scolaire intègre l’éducation alimentaire et nutritionnelle dans les programmes d’enseignement.
La couverture nationale se fait de manière progressive à travers l’utilisation des ressources techniques et fi nancières disponibles ou mobilisables aux niveaux central, régional et local.
Art. 4 : La présente loi s’applique à tous les acteurs et bénéficiaires de toute initiative en matière d’alimentation scolaire au Togo, qu’elle soit publique ou privée.
…
Art. 11 : Les menus des cantines scolaires sont élaborés en tenant compte des denrées alimentaires de base, des besoins nutritionnels et des habitudes alimentaires locales. Ils respectent un équilibre et une diversité nutritionnelle. La taille des portions alimentaires est adaptée au type de plat et à la tranche d’âge.
","Right to food|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Deworming|Mandatory standards|School lunches|Schools (standards)|Procure from local sources|Sanctions exist","","https://jo.gouv.tg/sites/default/files/JO/JOS_26_06_2020%20-%2065%20E%20ANNEE%20N%C2%B021.pdf","","","" "126214","HTI","Haiti","","Décret Établissant le Budget Général de la République d'Haïti, Exercice 2021-2022","Legislation relevant to nutrition","","French","","2022","","","LE MONITEUR Spécial No 13 - Lundi 16 Mai 2022","5","2022","Adopted","5","2022","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 28.- L’Article 27 du Budget Général 2020-2021 est ainsi modifié :
«…
Les droits d’accises sur les boissons énergisantes de la position tarifaire 22021011, sont calculés au taux de 30% de la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes pour les produits importés.
Les droits d’accises sur les boissons énergisantes fabriquées localement sont calculés au taux de 15% sur le prix ex-usine».
Article 29.- Les droits d’accises sur la pâte concentrée de tomate conditionnée ou non pour la vente au détail,
le ketchup et autres sauces de tomates des positions tarifaires 20029011, 20029019, 2103200 sont
fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Energy drinks (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "7973","TZA","United Republic of Tanzania","","The Food and Nutrition Policy for Tanzania","Comprehensive national nutrition policy, strategy or plan","","English","","1992","","","Ministry of Health","","1992","Adopted","","1992","Ministry of HealthThe Ruling Party Chama Cha Mapinduzi (CCM)","Education and research|Food and agriculture|Health","Ministry of Health, Ministry for Education and Culture","","","","","","","","","","","","","","","","","Aims:
1. To integrate food and nutrition activities undertaken by various sectors
2. To enable each sector to play its part in the elimination of the malnutrition problem
3. To improve the nutritional situation of the Tanzanian community, especially children and women
4. To strengthen the procedures of obtaining and supplying food within the household, villages and towns by utilizing locally produced foods
5. To enable Tanzanians to produce and use food which can adequately meet their nutritional needs
6. To establish a viable research programme which will facilitate the improvement of food and nutrition in the country
Objectives:
1. To prepare a viable system for coordinating, balancing, and guiding food and nutrition activities which are being undertaken by various sectors
2. To provide guidelines and techniques to combat food and nutrition problems in the country and to enable each sector to play its role
3. To rectify the state of food availability and formulate proper strategies and techniques to ensure the availability and utilization of food in accordance with nutritional requirements
4. To involve all sectors which deal with issues pertaining to food and nutrition in realizing and strengthening the methods of improving the nutritional situation
5. To incorporate food and nutrition considerations in development plans and to allocate available resources towards solving the problem of food and nutrition at all levels
6. To use nutrition as one of the indicators in assessing social development achievements of economic and health improvement projects
7. To formulate and develop research which will facilitate solving of food and nutrition problems
Indicators in each section/theme
","","","Maternity protection|Regulating marketing of unhealthy foods and beverages to children|Nutrition counselling on healthy diets|Vitamin A|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Vaccination","","https://www.tfnc.go.tz/uploads/publications/sw1514910116-The%20Food%20and%20Nutrition%20Policy%20-%201992.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%201992%20Food%20and%20Nutrition%20Policy.pdf" "17822","COD","Democratic Republic of the Congo","","Plan National d'Action pour la Nutrition (PNAN)","Comprehensive national nutrition policy, strategy or plan","","French","","1994","","","Republique du Zaïre, Gouvernement de transition","12","1994","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Trade","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","National NGOs","Conseil National des ONG de Dèveloppement","","","Private sector","Association Nationale des Entreprises du Zaïre, Fédereation Nationale des Petites et Moyennes Entreprises du Zaïre","","","","","","","","Breastfeeding|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Provision of school meals / School feeding programme|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%201994%20Plan%20National%20D%27Action%20pour%20la%20Nutrition%28Republique%20Du%20Zaire%20%29.pdf" "8488","GHA","Ghana","","National Plan of Action on Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","2000","Government of Ghana","","1996","Adopted","","1995","Ministry of Agriculture","Development|Education and research|Food and agriculture|Health","","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","","","","","","","","","Outcome indicators","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Underweight in women|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Household food security|Improved hygiene / handwashing|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%201995%20National%20Plan%20of%20Action%20on%20Food%20and%20Nutrition1995-2000.PDF" "8239","NAM","Namibia","","Food and Nutrition Policy for Namibia","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","","National Food Security and Nutrition Council","","1995","Adopted","","1995","National Food Security and Nutrition CouncilSam Nujoma, President of the Republic of Namibia","Education and research","Education and Science and Technology","","","","","","","","","","","","","","","","","Overall Objective: Improve the nutritional status of the population
Three Elements:
-To improve the quantity and quality of food eaten by the population with the aim of ensuring an adequate diet for all
-to empower households to use the resources available to them to improve childcare, feeding practices and their environmental sanitation
-to provide an adequate level of social and supporting services.
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","" "8645","CMR","Cameroon","","Plan d'Action National pour la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","","Gouvernement","","1996","","","","","Development|Education and research|Environment|Food and agriculture|Health|Justice|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","Banque Internationale pour la Reconstruction et le Développement","Other","Fond National de Développement Rural, Sindicat des Boulangers","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|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|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Micronutrient supplementation|Food fortification|Food grade salt|Edible oils and margarine|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR%201996%20Plan%20D%27Action%20National%20Pour%20La%20Nutrition.pdf" "8639","COG","Congo","","Plan d'Action National pour la Nutrition du Congo","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","2001","Direction de la Santé Familiale","6","1996","Adopted","","1996","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Other","législationtravaux publics","Food and Agriculture Organisation (FAO)","","Other","Organismes multilatéraux","","","","","National NGOs","ONG Associations","","","Private sector","","Other","collectivités locales","III. Objectifs
IV. Stratégies et programmes
Surveillance nutritionnelle (detailed activities p.86)
- Stratégies
- Activités
Promotion de l’allaitement maternel et amélioration de l’alimentation de complément (detailed activities p. 96)
- Objectifs spécifiques
Amélioration du suivi et de la promotion de la croissance des enfants (detailed activities p.100)
- Objectifs spécifiques
Traitement des malnutritions protéino-énergétiques sévères
- Objectifs spécifiques
- Activités
Développement d’une stratégie alimentaire dans les zones à risque de malnutrition protéino-énergétique
- Activités
Lutte contre les anémies chez les femmes et les jeunes enfants
- Objectifs spécifiques
- Activités
Lutte contre les troubles dus à la carence en iode
- Objectif
- Activités
Lutte contre la carence en vitamine A
- Objectifs
- Activités
The Goal of the policy which is to attain the basic nutritional requirements of the Gambian population and assure a healthy and productive living, will be realised through 7 priority substantive areas
Caring for the socio-economically deprived and nutritionally vulnerable and 4 principal instruments to address these areas:
2.2 GOAL To empower all mothers to breastfeed their children exclusively for up to six months, and to continue breastfeeding with appropriate complementary foods, well into the second year and beyond.
2.3 OBJECTIVES
3.2 GOAL To ensure a reliable and uninterrupted supply and proper utilisation of adequate, safe and nutritious foods at affordable prices.
3.3 OBJECTIVES
4.2 GOAL To ensure food produced and/or consumed by the Gambian population is of high quality and safe.
4.3 OBJECTIVES
5.2 GOAL To reduce the morbidity and mortality rates of infectious diseases.
5.3 OBJECTIVES
6.2 GOAL To prevent and control micronutrient malnutrition among the population.
6.3 OBJECTIVES
7.2 GOAL To reduce the incidence of diet-related non-communicable diseases
7.3 OBJECTIVES
8.2 GOAL To improve care, with emphasis on nutritional requirements, for the socio-economically deprived and nutritionally vulnerable groups.
8.3 OBJECTIVES
9.2 GOAL To raise public awareness on the nutrition policy and programmes.
9.3 OBJECTIVES
10.2 GOAL To establish an effective and efficient Nutrition Information System (NIS) for policy and programming.
10.3 OBJECTIVE To enhance national capacity to assess, analyse and monitor nutrition and nutritionrelated situations.
11.2 GOAL To ensure the incorporation of nutrition objectives into national development policies and programs.
11.3 OBJECTIVE To sensitise policymakers on the importance of nutrition as an input and output in all development policies and programmes.
","2.4 STRATEGIES
3.4 STRATEGIES
4.4 STRATEGIES:
5.4 STRATEGIES
6.4 STRATEGIES
7.4 STRATEGIES
THE OVERALL OBJECTIVE
By the year 2010, this strategy aims to ensure the significant improvement of nutritional status of the country’s population; it will focus on nutrition and care improvement for all families, primarily children and mothers; it will also concentrate on giving access to all ethnic minority groups in the country to adequate dietary intake (quantitatively sufficient, qualitatively balanced, hygienic and safe). It will also attempt to minimize emerging nutrition-related health problems.
SPECIFIC OBJECTIVES
","
I. FOOD AND NUTRITION INTERVENTIONS TO IMPROVE NUTRITIONAL STATUS, FOOD QUALITY, HYGIENE AND SAFETY
1. Universal nutrition education
1.1 Universal nutrition training
1.2 Nutrition education and communication
1.3 Staff training and research
2. Ensured household food security
This is a very important approach, mainly for the regions prone to food shortages, poor areas and low-income populations. Based on specific situation, VAC development should be introduced and promoted so that every family will have their own VAC system, providing an available food source. The production and consumption of nutritive foods such as beans, peanuts, sesame and soybeans should be promoted. Providing loans to poor households is also needed in order to create more jobs to improve their income. Agricultural services need to be improved, e.g. providing new seeds and seedlings with higher yield, minimizing the use of chemical fertilizers and increasing the use of organic or microbiological fertilizers, improving local food processing and preservation at community and household level, finding or creating new markets, etc. Ensuring equal access to food for every household members is also a key intervention.
3. Control of protein energy malnutrition among children and mothers
4. Control of micro-nutrient deficiencies
5. Prevention of non-communicable nutrition-related chronic diseases
6. Integration of nutrition activities into Primary Health Care
Along with the implementation of the Expanded Program of Immunization, the prevention of infectious diseases (ARI and diarrhea), the promotion of exclusive breastfeeding in the first 4 months and improved complementary feeding practices thereafter, the Integrated Management of Childhood Illnesses (IMCI) be strengthened. The implementation of Reproductive Health Care has to go hand in hand with nutrition and healthy lifestyle education, especially for vulnerable groups.
7. Ensuring Food quality and food safety
Food safety is an important aspect supported by the Government in a separated program. There is a close relation between food hygiene and safety, and nutrition. The main proposed approaches focus on the following points:
8. Monitoring, evaluation and surveillance of nutrition
9. Piloting of Nutrition Models
II. NUTRITION-RELATED AREAS
1. Ensuring National Food Security: The Government needs to have appropriate policies and solutions to diversify agriculture production, increase productivity and decrease manufacturing price. Proper farming patterns should adjust to actual situations of different areas to meet their food demand. Production plans need to be based on actual requirements to ensure food security in parallel with the regulation given by the market and reasonable price policies. Investments in processing and storage of agricultural products and the promotion of safe food production should be paid more attention.
2. Promotion of Hunger Eradication and Poverty Alleviation: This is one of the important policies of the party and government affecting nutrition. It is considered necessary to give prioritized support to the infrastructure of food production in the areas at risk of food insecurity, with high prevalence of malnutrition. For urban areas, support is given to employment in order to increaseincome, which will result in increased food accessibility for the poor and high-risk groups. Nutrition objectives should be incorporated into the program’s objectives.
3. Improved infrastructure and basic service for maternal and child care.
III. SUPPORTIVE POLICIES TO NUTRITION
Based on the national objectives of this strategy, each of the different sectors, social agencies and mass organizations needs to develop practical and specific implementation plans to achieve both their own specific objectives as well as the objectives of this nutrition strategy. Quarterly review meetings will be called by the MOH to review the implementation of this strategy with the participation of related ministries/branches. Semi-annual reports from all provinces/major cities must be sent to the MOH, who will be responsible for reporting the progress to the Prime Minister. A multidisciplinary approach should be strengthened at all levels. Local and central steering committees need to closely communicate.
1. To improve the population's appropriate nutrition knowledge and practices.
2. To reduce maternal and child malnutrition prevalence
3. To reduce micro-nutrient deficiencies
4. To reduce proportion of household with low energy intake
5. To improve food quality and food safety
","
","Outcome indicators","","Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Home, school or community gardens|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://siteresources.worldbank.org/INTPRS1/Resources/Country-Papers-and-JSAs/Tajikistan_PRSP.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202002%20Tajikistan_PRSP.pdf" "8035","BDI","Burundi","","Plan National d'Action pour l'Alimentation et la Nutrition au Burundi","Comprehensive national nutrition policy, strategy or plan","","","","2003","","2015","Ministère de la Santé Publique","","2003","","","2003","Ministère de la Santé Publique et de la Lutte contre le SIDA","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Information|Other|Sport|Transport","Ministère de la Santé Publique Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Information, Sport, Transport: Ministère de l'Aménagement du Territoire, de l'Environnement et du Tourisme, l'Agriculture et l'","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|World Food Programme (WFP)|World Health Organization (WHO)","Unicef, FAO, PAM, OMS","","Nationales et internationales","European Commission (EC)","European Commission","","","","","","","Private sector","Banque de la République du Burundi, Chambre de Commerce, d'Industrie et d'Agriculture","Other","Other: Bureau d'Education Rurale, Bureau d'Etudes des Programmes de l'Enseignement Secondaire","
Objectif No.1: Assurer un environnement politique, social et économique favorable à l'instauration de conditions permettant de réduire la pauvreté et au maintien permanent de la paix en faisant participer équitablement toutes les couches de la population (les hommes, les femmes et les jeunes).
Objectif No2.: Améliorer de façon permanente l'accessibilité physique et économique de tous à une alimentation suffisante, nutritive et saine.
Objectif No3.: Mettre en place des mécanismes d'approvisionnement alimentaires aux ménages de façon durable en développant la production aliementaire et le secteur rural par des méthodes participatives et durables, en veillant à maintenir en état les ressources naturelles.
Objectif No.4: Instaurer des politiques concernant le commerce des denrées alimentaires et agricoles et les échanges en général de manière à renforcer la sécurité alimentaire pour tous grâce à un systéme commercial à la fois juste et axé sur le marché.
Objectif No.5: Mettre en place des mécanismes de réponses rapides aux catastrophes naturelles et aux crises provoquées par l'homme, notamment en s'y préparant et répondant aux besoins alimentaires provisoires d'urgence d'une façon qui renforce la capacité de satisfaire les besoins futurs.
Objectif No.6: Affecter et utiliser de façon optimale l'investissement public et privé pour faire progresser les ressources humaines, le système alimentaire et agricole durables et le développement rural dans youtes les régions du pays.
","Stratégie en Matière de Nutrition
Axe stratégique No.1: Renforcer le système de surveillance nutritionnelle
Axe stratégique No. 2: Renforcer le système d'intégration des activités de nutrition dans les services de santé.
Axe stratégique No.3: Optimiser la prévention de la malnutrition.
Axe stratégique No.4: Créer un cadre adéquat de coordination, suivi et exécution des activités.
Axe stratégique No.5: Faire un plaidoyer pour la mise en place des programmes de nutrition à assise communautaire.
Stratégie pour Améliorer la Sécurité Alimentaire des Ménages au Burundi
Axe stratégique No1.: Améliorer la disponibilité alimentaire par l'augmentation de la production agricole.
Axe stratégique No.2: Améliorer l'accesibilité physique et économique des produits alimentaires.
Axe stratégique No.3: Amélioer la stabilité des approvisionnemnts alimentaires.
Axe stratégique No.4: Assurer la sécurité sanitaire des aliments.
Axe stratégique No.5: Coordonner les actions des divers intervenants dans le domaine de ola sécurité alimentaire pour une m,ailleure synergie des actions.
Axe stratégique No.6: Intégrer la femme au processus de déveleoppement
Axe stratégique No.7: Intégrer les jeunes au processus de développement
Axe stratégique No.8: Renforcer la capacité nationale de gestion, de recherche et de planification des programmes de sécurité alimentaire.
Stratégie en Matiére d'Education Nutritionnelle
Axe stratégique No.1: Réalisation des enquêtes nationales régulières sur les problèmes alimentaires et nutritionnels.
Axe stratégique No.2: Choisir les méthodes et les techniques d'éducation nutritionnelle.
Axe stratégique No.3: Améliorer la communication multimédia en Nutrition
Axe stratégique No.4: Renfocer les capacités des animateurs et éducateurs nutritionnels.
Axe stratégique No.5: Former les élèves en Nutrition et introduire le cours de diététique dans les écoles paramédicales.
Axe stratégique No.6: Renforcer le contrôle de la qualité des produits alimentaires destinés à être vendus sur la voie publique.
","
A. Les indicateurs d'impacts (sécurité alimentaire, nutritionnelle)
Les principaux indicateurs d'impacts sont:
B. Les indicateurs de résulats
Ils correspondent aux indicateurs spécifiques de chaque programme et sont développés dans les fiches de projets.
C. Les indicateurs d'activités
Ils sont spécifiques à chaque programme et sont également contenus dans les fiches de projets.
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202003%20Plan%20National%20d%27Action%20pour%20l%27Alimentation%20et%20la%20Nutrition%20au%20Burundi.pdf" "8410","NAM","Namibia","","National Policy on Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","2008","MOHSS","","2003","","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Information|Labour|Sub-national|Other","MOHSS National Multi-sectoral AIDS Coordination Committee (NAMACOC), Gender, Regional Government, Sport and Culture","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","","","","","","Goal:
To ensure the survival, healthy development, and protection of the child from birth up to 5 years and the healthy status of mothers.
Objectives:
Strategies:
2. THE FOOD AND NUTRITION POLICY
2.2 Overall Policy Goal
The overall goal of the UFNP is to ensure food security and adequate nutrition for all the people in Uganda, for their health as well as their social and economic well-being.
2.2.1 Policy Objective
The overall objective of the policy is to promote the nutritional status of the people of Uganda through multi-sectoral and coordinated interventions that focus on food security, improved nutrition and increased incomes.
2.2.2 Key specific objectives
These are to:
(i) to ensure availability, accessibility, affordability of food in the quantities and qualities sufficient to satisfy the dietary needs of individuals sustainably;
(ii) to promote good nutrition of all the population;
(iii) to incorporate food and nutrition issues in the national, district, sub-county and sectoral development plans;
(iv) to ensure that nutrition education and training is incorporated in formal and informal training in order to improve the knowledge and attitudes for behavioural change of communities in food and nutrition-related matters;
(v) to ensure food and income security at household, sub-county, district and national levels for improving the nutrition as well as the socio-economic status of the population;
(vi) to monitor the food and nutrition situation in the country;
(vii) to create an effective mechanism for multi-sectoral co-ordination and advocacy for food and nutrition;
(viii) to promote the formulation and/or review of appropriate policies, laws and standards for food security and nutrition;
(ix) to ensure a healthy environment and good sanitation in the entire food chain system;
(x) to safeguard the health of personnel associated with agricultural chemicals, food processing inputs and products, consumers and any other third parties likely to be affected;
(xi) to promote gender-sensitive technologies and programmes;
(xii) to achieve maximum production with minimum effort; and
(xiii) to promote technologies that are user-friendly to people with disability.
3.7 Nutrition
3.7.1 Goal
The goal of the Government is to improve and promote the nutritional status of the population to a level that is consistent with good health.
3.7.2 Specific objectives
(i) to significantly reduce macro-and micro-nutrient malnutrition, especially among children.
(ii) to reduce under-nutrition among adolescents and women of reproductive age;
(iii) to reduce the incidence of low birth weight;
(iv) to encourage and support women exclusively to breast-feed their babies up to six months of age and to continue breast-feeding while giving appropriate complementary foods up to 2 years;
(v) to promote and support optimum infant and young child feeding practices;
(vi) to eliminate micro-nutrient deficiency disorders with particular emphasis on:
• Vitamin A deficiency;
• Iodine deficiency disorders; and,
• Iron deficiency anaemia;
(vii) to prevent and control chronic nutrition-related non-communicable diseases;
(viii) to promote optimal nutritional standards in institutions; and
(ix) to promote optimum nutrition for people living with HIV/AIDS.
3.10 Gender, Food and Nutrition
3.10.1 Goal
The goal of Government in the area of gender, food and nutrition is to ensure that both men and women achieve optimal nutrition status through improved food security and nutrition, taking into account their reproductive and productive roles in the food chain and in nutrition.
3.10.2 Specific objectives
(i) to promote the nutrition status of women in light of their reproductive and productive roles in society;
(ii) to ensure good nutrition status of men;
(iii) to promote access to maternal and child health services; and
(iv) to ensure that men and women have sufficient time and knowledge to take care of their nutrition needs as well as those of their families.
3.11 Food, Nutrition and Surveillance
3.11.1 Goal
The Government’s goal in the area of food and nutrition surveillance is to have a monitoring system in place that will provide timely information that will be used to stabilise the food and nutrition situation in the country.
3.11.2 Specific objectives
(i) to ensure that relevant personnel have knowledge and skills in data collection, analysis and utilisation of information;
(ii) to monitor and evaluate the food supply and demand conditions; and
(iii) to strengthen systems for providing early warning information on the food and nutrition situation.
","2. THE FOOD AND NUTRITION POLICY
2.4 Strategies
2.4.1 creating a mechanism to ensure that the entire food chain, from food production to consumption, is efficiently managed within the overall development strategy; through building capacities at all levels (households, communities, local councils, sub-counties, district levels) for adequate action to improve household food security;
2.4.2 establishing the UFNC as a statutory body that will co-ordinate food and nutrition programmes at the national level;
2.4.3 integrating food and nutrition issues at local governments and lower administrative units;
2.4.4 applying the life-cycle of poverty and malnutrition approach in developing nutrition and health strategies and action plans;
2.4.5 developing appropriate nutrition curricula and training materials for the education and training of different development workers in formal institutions and at the local level;
2.4.6 mobilising resources to support food and nutrition programmes at the national and local levels;
2.4.7 enforcing regulations that safeguard the health of personnel handling agricultural inputs and by-products, as well as third parties likely to be affected;
2.4.8 enforcing environmental protection regulations that apply to the food chain;
2.4.9 supporting, promoting and guiding the establishment of national food reserves;
2.4.10 formulating and/or reviewing policies, guidelines, legislation, regulations and standards relating to food and nutrition;
2.4.11 establishing a national food and nutrition training centre;
2.4.12 developing human resources that will provide professional guidance in food and nutrition at the centre and throughout the districts; and
2.4.13 collaborating with line ministries and government departments, local and international Non-Government Organisations (NGOs) and the private sector in the implementation of the policy.
3.7 Nutrition
3.7.3 Strategies
This goal and these objectives shall be realised through:
(i) establishing and strengthening community-based systems for implementing nutrition interventions;
(ii) creating awareness and mobilising communities for better nutrition at all levels;
(iii) developing and maintaining an effective and efficient nutrition monitoring system;
(iv) encouraging improvement in the quality of diets for mothers during their reproductive period;
(v) developing nutrition communication strategies to facilitate behavioural change for better nutrition practices in the community;
(vi) instituting measures that will enable mothers to continue breast-feeding during early post-partum period and at places of work including protection of maternity leave.
(vii) making legislation and enforcement for regulations for marketing of breast milk substitutes and iodised salt.
(viii) promoting the use of local produce in manufacturing appropriate weaning foods;
(ix) disseminating information on prevention, early detection and control of chronic non-communicable nutrition-related disorders;
(x) developing and maintaining a nutrition data bank for planning, monitoring and surveillance;
(xi) developing and implementing specific intervention programmes for the control of common macro- and micro-nutrient deficiencies;
(xii) providing food and micro-nutrients supplementation to the most vulnerable population groups;
(xiii) fortifying some commonly-used foods with recommended micro-nutrients;
(xiv) incorporating nutrition management in the care of HIV/AIDS patients; and
(xv) providing effective therapeutic feeding for sick and malnourished children.
3.10 Gender, Food and Nutrition
3.10.3 Strategies
(i) ensuring availability and access to an adequate and nutritious diet throughout a person’s life;
(ii) ensuring that employers and employees in both public and private sectors comply with maternity leave laws; and
(iii) encouraging the provision of facilities for breast-feeding and care of infants at places of work and in the community.
(iv) ensuring that employees get adequate meals at places of work
3.11 Food, Nutrition and Surveillance
3.11.3 Strategies
This goal and these objectives shall be achieved through:
(i) establishing sentinel sites for the collection of data on food and nutrition;
(ii) training relevant personnel and communities in data management for improving their food and nutrition situation;
(iii) publishing and disseminating regular reports on the food and nutrition situation at all levels;
(iv) providing timely information on food and nutrition for rational decision-making at all levels;
(v) establishing a co-ordinated national food and nutrition information network; and
(vi) maintaining an effective weather monitoring system covering sub-county, district and national levels.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling|Nutrition in schools|Nutrition in the school curriculum|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202003%20The%20Uganda%20Food%20and%20Nutrition%20Policy.pdf" "22974","LSO","Lesotho","","Poverty Reduction Strategy Paper ","Multisectoral development plan with nutrition components","","English","","2004","","2007","Government","4","2006","","","","","Education and research|Food and agriculture|Health|Other","Food and Nutrition Coordination Office; Ministries of Education and Training; Agriculture and Food Security; Health and Social Welfare; Local Government; Natural Resources; Tourism, Environment and Culture; Disaster Management Authority","","","","","","","","","","","","","Private sector","","Other","Civil Society Organisations, Christian Health Association of Lesotho (CHAL)","PRSP NATIONAL PRIORITY TWO: IMPROVE AGRICULTURE AND FOOD SECURITY
OBJECTIVES
2.1. Increase crop and livestock production
PRSP NATIONAL PRIORITY THREE: DEVELOP INFRASTRUCTURE
OBJECTIVES
4.2 Increase access to water
4.3 Increase access to sanitation
PRSP NATIONAL PRIORITY FIVE: IMPROVE QUALITY AND ACCESS TO HEALTH CARE AND SOCIAL WELFARE SERVICES
OBJECTIVES
5.1 Promote access to quality and essential health care
5.2 Reduce Malnutrition
PRSP NATIONAL PRIORITY SIX: IMPROVE QUALITY AND ACCESS TO EDUCATION
OBJECTIVES
6.1 Expand and promote Early Childhood Care and Development (ECCD)
6.3 Improve relevance and quality in basic and secondary education
PRSP SPECIAL CROSS-CUTTING PRIORITY: SCALING UP THE FIGHT AGAINST HIV/AIDS
OBJECTIVES
9.1 Create an AIDS competent society
","2.1.1 Adoption of appropriate farming practices and ensuring timely access to inputs.
2.1.1.4 Make optimal use of land around the home
2.1.1.6 Provide specialised support for HIV/AIDS impacted households such as labour-saving packages known to combat opportunistic infections and boost the immune system, and introduce affordable crop (homestead horticulture) and livestock (milk goats and indigenous poultry) production systems, which require less costly management.
2.1.1.7 Design packages for child-headed households to assist them with ploughing services and other agricultural inputs.
5.1.5 Strengthen disease prevention programmes.
5.1.5.1 Improve and expand health education to provide people with information for preventive and curative purposes.
5.1.5.2 Improve and expand critical programmes, including child vaccination, family planning, ANC, PNC, reproductive health and teenage motherhood.
5.1.5.3 Promote proper sanitation and good hygiene practices in households and schools.
5.2.1 Improve nutritional status of vulnerable groups.
5.2.1.1 Refine National Nutrition Policy
5.2.1.2 Improve disaster preparedness for emergency food distribution
5.2.1.3 Maintain school feeding programme
5.2.1.4 Strengthen systems of supplementary feeding of malnourished children under 5 years
5.2.1.5 Promote good nutrition practices through community awareness campaigns, meetings, distribution of pamphlets etc
5.2.1.6 Provide nutritional food packages and micro- nutrient supplements to vulnerable groups and other relevant groups.
6.1.1 Improve the quality and access of ECCD Programmes
6.1.1.4 Organise periodic workshops for ECCD Teachers focusing on critical cross cutting issues (e.g. children’s rights, nutrition, Health and HIV/AIDS).
6.1.2 Improve the capacity of ECCD Department through training and staffing
6.1.3 Expand home based (HB) approach to ECCD countrywide.
6.3.1 Build the capacity of personnel
6.3.1.3 Complete the HIV AND AIDS impact assessment and train principals, schools boards, etc on HIV AND AIDS, gender, nutrition and all other relevant cross – cutting issues
9.1.2 Combat the spread of HIV/AIDS
9.1.2.3 Implement the Prevention of Mother to Child Transmission (PMCT) programme.
9.1.3 Develop effective support systems to mitigate impact on affected households.
9.1.3.1 Design and provide nutritional packages for vulnerable groups, including mothers practicing exclusive breast-feeding.
9.1.3.2 Devise labour saving strategies for intensive and integrated agriculture focusing on homesteads (land immediately around the home).
9.1.3.3 Provide for orphans through access to education (fee exemptions), nutritional packages, health care, preferably through families and communities.
9.1.4 Develop effective support systems for infected persons.
9.1.4.2 Provide micro-nutrient supplements to PLWA.
","PRSP NATIONAL PRIORITY TWO: IMPROVE AGRICULTURE AND FOOD SECURITY
PRSP NATIONAL PRIORITY THREE: DEVELOP INFRASTRUCTURE
PRSP NATIONAL PRIORITY FIVE: IMPROVE QUALITY AND ACCESS TO HEALTH CARE AND SOCIAL WELFARE SERVICES
PRSP NATIONAL PRIORITY SIX: IMPROVE QUALITY AND ACCESS TO EDUCATION
PRSP SPECIAL CROSS-CUTTING PRIORITY: SCALING UP THE FIGHT AGAINST HIV/AIDS
2. 0 GOALS OF THE NATIONAL FOOD AND NUTRITION POLICY AND PLAN OF ACTION
2.1 Goals of the Policy
2.1.1 Overall Goal
The overall goal of Nigeria's Food and Nutrition Policy is to improve the nutritional status of all Nigerians, with particular emphasis on the most vulnerable groups, i.e., children, women, and the elderly.
2.1.2 Specific Goals
The Food and Nutrition Policy aims to promote the following specific goals:
(i) Establishing of a viable system for guiding and coordinating food and nutrition activities undertaken In the various sectors and at various levels of the society, from the community to the national level;
(ii) Incorporating of food and nutrition considerations into development plans and allocation of adequate resources towards solving the problems pertaining to food and nutrition at all levels;
(iii) Promoting habits and activities that will reduce the level of malnutrition and improve the nutritional status of the population;
(iv) Identifying of sectoral roles and assignment of responsibilities for the alleviation of malnutrition;
(v) Ensuring that nutrition is recognised and used as an important indicator to monitor and evaluate development policies and programmes; and
(vi) Promoting good, indigenous food cultures and dietary habits among Nigerian people for healthy living and development.
2.1.3 Specific Objectives
To achieve the overall goal of improving nutritional status of vulnerable groups, a number of specific objectives have been formulated, as follows:
1 To improve food security at the household and aggregate levels to guarantee that
families have access to safe food that is adequate (both in quantity and quality) to meet the nutritional requirements for a healthy and active life;
2. To enhance care-giving capacity within households with respect to child feeding and child care practices, as well as addressing the care and well-being of mothers;
3. To improve the provision of human services, such as health care, environmental sanitation, education, and community development;
4. To improve the capacity within the country to address food and nutrition problems; and
5. To raise understanding of the problems of malnutrition in Nigeria at all levels of society, especially with respect to its causes and possible solutions.
2.2 Goals of the NPAN
The goals of the National Plan of Action on Food and Nutrition in Nigeria is to initiate new programme focus, integrate and coordinate effectively all food and nutrition programmes of all sectors. Furthermore, it is to advance vigorously a national nutrition agenda that will recognise and respond effectively to regional, zonal, and specific needs in accordance with the National Policy on Food and Nutrition in Nigeria. A detailed individual workplan of each project is expected to be developed based on more detailed time frame and budget.
In this context the following goals will be pursued in the overall national programme:
1. Improve the economic situation of Nigeria, with particular emphasis on protecting the welfare of the most vulnerable groups in society; and
2. Increase investment in the social sector, thereby raising the status of women in our society by increasing their access to and control over productive resources.
2.2.1 General and Specific Objectives of the NPAN
These are presented before the details of each of the 5 programme areas
2.3 Targets of the NPAN
The following targets are being set to address the food and nutrition problems in the country:
1. Reduce the level of poverty by 10% by 2010 from the 65.8% (1996);
2. Reduce starvation and chronic hunger to the barest minimum through increased food intake;
3. Reduce undernutrition, especially among children, women, and the aged, and, in particular, severe and moderate malnutrition among under-fives by 30% by 2010;
4. Reduce micronutrient deficiencies, particularly iodine deficiency disorders (IDD) [13%], vitamin A deficiency (VAD) [29.5%], and iron deficiency anaemia (IDA) [36.5%] by 50% of these levels by 2010;
5. Reduce the rate of low birth-weight (less than 2.5 kg) at 17% to less than 10% of the above level by 2010;
6. Reduce diet-related, non communicable diseases by 25% of current levels by 2010;
7. Improve general sanitation and hygiene, including the availability of safe drinking water from the 54% level;
8. Reduce the prevalence of infectious and parasitic diseases that aggravate the poor nutritional status of infants and children by 25% of the current levels.
3.2 Food Security, Food Safety, and Consumer Protection
3.2.2 General Objectives
3.2.3 Specific Objectives
3.3 ENHANCING CARE GIVING CAPACITY
3.4 ENHANCING PROVISION OF HUMAN SERVICES
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.6 RAISING AWARENESS AND UNDERSTANDING OF THE PROBLEMS OF MALNUTRITION IN NIGERIA
3.6.2 General Objective
3.2 Food Security, Food Safety, and Consumer Protection
3.3 ENHANCING CARE GIVING CAPACITY
3.3.4 Strategies
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.5.4 Strategies:
","
4.0 PROGRAMME CO-ORDINATION, MONITORING AND EVALUATION
","","","Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food fortification|Wheat flours|Maize flours|Refined sugar|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Conditional cash transfer programmes|Vulnerable groups","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202005%20National%20Plan%20of%20Action%20on%20Food%20and%20Nutrition.pdf" "8231","GTM","Guatemala","","Política Nacional en Seguridad Alimentaria y Nutricional","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2005","","2015","CONASAN","","2005","Adopted","","2004","CONASAN","Health|Education and research","","","","","","","","","","","","","","","","","","
Asegurar la disponibilidad y el abastecimiento permanente y suficiente, en cantidad y calidad, de los alimentos necesarios para toda la población, a través de un equilibrio razonable entre la producción nacional y la importación de los alimentos.
Estrategias
Establecimiento del Sistema Nacional de Seguridad Alimentaria y Nutricional
Diseñar e implementar un marco normativo e institucional para la coordinación de las acciones de SAN, que asegure la ejecución de la presente política y la integración de las instituciones y organizaciones, nacionales e internacionales, involucradas en la SAN.
Sensibilización
Sensibilizar a las instituciones del sector público, sociedad civil y organismos internacionales, sobre la magnitud, trascendencia, tratamiento del problema alimentario y nutricional y sus consecuencias, así como de los compromisos que deberá asumir cada una de las partes involucradas en la perspectiva de su solución.
Concertación y articulación de los actores principales
La implementación política SAN se llevará a cabo, en el marco del sistema nacional de Seguridad Aliementaria y Nutricional, de manera descentralizada, incluyente y coordinada entre las instituciones gubernamentales, la sociedadcivil y la cooperación internacional, en los ámbitos nacional, departamental, municipal y local, promoviendo laparticipación de la mujer y de los pueblos indígenas en distintas acciones.
Generación de empleo
Promover que las políticas públicas que contribuyan a la SAN (caminos, infraestructura básica, acceso al agua, extensión agrícola, pequeñas y medianas empresas, etc.) tendrán entre sus objetivos la generación de empleo local.
Promoción de sistemas de producción sostenible
La política de Seguridad Alimentaria y Nutricional fomentará la promoción de sistemas de producción agropecuaria sostenibles, fortaleciendo las diversas formas productivas, -en el marco de la interculturalidad,- fortaleciendo lascadenas productivas, y disminuyendo los niveles de intermediación comercial entre productores y consumidores.
","Establecimiento del Sistema de Información, Monitoreo, Evaluación y Alerta de la Seguridad Alimentaria y Nutricional
Diseñar e implementar un sistema nacional de información, monitoreo y alerta de la inseguridad alimentaria, para facilitar la toma de decisiones en los diferentes ámbitos político-administrativos. El sistema incluirá acciones de investigación que permita caracterizar mejor a las poblaciones más vulnerables, conocer la situación de SAN del país, emitir alertas tempranas y medir la eficacia de las acciones implementadas.
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Food security and agriculture","","http://www.sesan.gob.gt/","http://www.who.int/social_determinants/country_action/JABotran_Guatemala.pdf","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GTM%202005%20Pol%C3%ADtica%20Nacional%20en%20Seguridad%20Alimentaria%20y%20Nutricional.pdf" "8286","NGA","Nigeria","","National Policy on Infant and Young Child Feeding in Nigeria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2005","","","Federal Ministry of Health, Nutrition Division","","2005","Adopted","11","2005","National Council of Health of the Federal Ministry of Health","Education and research|Health|Information|Women, children, families","Ministry of Education, Federal Ministry of Health, Nutrition Division, NAFDAC (National Agency on Food and Drug Administration Control), National Primary Health Care development Agency (NPHCDA), National Programmed on Immunization (NPI), National Action Committee on AIDS (NACA), Ministry of Information and National Orientation, Ministry of Women Affairs","","","Helen Keller International (HKI)","","","","","","National NGOs","Nutrition Society of Nigeria (NSN), Pediatric Association of Nigeria (PAN)","","","","","","","1.2 Goal and Objectives
Infant and young child feeding is an integral part of the overall objective of ensuring the socio-economic well being of all Nigerians. It is in this context that the problem of malnutrition exists and within which the goal and objectives of this policy are derived.
1.2.1 Goal
The overall goal of the National Policy on Infant and Young Child Feeding in Nigeria is to ensure the optimal growth, protection and development of the Nigerian child from birth to the first five years of life.
1.2.2 Specific Objectives:
i. To promote, protect and support exclusive breastfeeding in the first six months of life.
ii. To create and sustain a positive image for breastfeeding throughout the society.
iii. To empower all women (including women who work outside their homes) to adopt and practice optimal infant feeding.
iv. To promote the timely introduction of appropriate and adequate complementary foods while continuing breastfeeding up to 24 months and beyond.
v. To ensure the provision of specific feeding recommendations for all infants and young children irrespective of their circumstances of birth and health status.
vi. To promote the provision of appropriate information for nutrition counselling and support for households in the prevention of malnutrition in children.
vii. To develop and strengthen activities that will protect, promote and support adequate infant and young child feeding practices.
viii. To raise awareness on issues affecting infant and young child feeding in Nigeria.
ix. To provide an enabling environment for mothers, family members and communities to make and implement informed decisions on optimal feeding of infants and young children.
x. To support and enhance the provision of enabling environment without any form of discrimination for working mothers, fathers and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
Chapter 2 and 3 promote breastfeeding and complementary feeding, with particular attention to ""special situation"" groups:
Infants and young children of HIV positive mothers;
Sick infants and young children, particularly 1) with persistent diarrhoea 2) living with HIV/AIDS;
Low birth weight infants;
Motherless/adopted infants and young children;
Infants and young children in emergency situations;
Infants of adolescent mothers;
Infants with cleft-palate.
The National Policy on infant and young child feeding in Nigeria shall achieve its goal and objectives through the following key strategies:-Legal, gender and cultural considerations-Advocacy and social mobilisation-Information, Education, Communication (IEC)-Capacity building and development-Counselling and support services-Research-Monitoring and evaluation-Supervision-Coordination
General objective: The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people.
Specific objectives:
- Promote practices favorable to the improvement of the nutritional status
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses
- Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices
- Assure adequate treatment of malnutrition due to nutritional deficiencies and excesses
- Provide nutritional care and support for people living with HIV/AIDS
Expected outcomes and the link to the Millennium Development Goals:
Goal 1: Reduce poverty and hungry
• The prevalence rate of protein-energy malnutrition in under five of age children is reduced from 45% to 30% for stunting, 22% to 15% for underweight, 4% to 2% for wasting.
Goal 2: Ensure primary education
• The prevalence rate of anemia is reduced by from 56% to 37% in children and from 33% to 22% in women.
• Iodine Deficiency Disorders are eliminated from 26% to less than 5% of total goiter.
Goal 3: Reduce Infant Mortality
• Increase the proportion of women exclusively breastfeeding for the first 6 months with optimal complementary feeding up to 24 months from 17,4% to 60%.
• Reduce Vitamin A deficiency in children under five from 25% to 5% in children under five years.
Goal 4: Reduce Maternal Mortality
• Reduce Vitamin A deficiency (night blindness) in pregnant women from 7% to less than 1%.
• Reduce the prevalence of anemia in pregnant women from 33% to 22%.
Goal 5: Combat HIV/AIDS and other diseases
• Nutritional support is provided to PLWA and other vulnerable people.
• Nutrition related chronic diseases are prevented.
Strategies for nutrition iprovement:
1. Reinforcement of the political commitment
2. Promotion of optimal infant and young child feeding
3. Scaling up of community-based nutrition programs
4. Food Fortification
5. Promotion of household food security
6. Prevention and management of malnutrition and related diseases
7. Nutritional support to PLWHA and their families
8. Communication for behavior change
Monitoring and evaluation:
To ensure effective implementation of planned activities, monitoring and evaluation is essential in all development programs. In addition, periodic evaluations are necessary for establishing level of objective achievement.
In order to follow up implementation of nutrition programs, data will be collected regularly at the health center and community level, In addition, other opportunities for nationwide surveys will be identified and utilized (MICS, EDST, EICV, etc…)
Nutritional surveys and epidemiologic surveillance will be conducted regularly, with appropriate indicators, to evaluate the progress and impact of nutritional interventions.
Operational research will also be carried out to address specific problems identified during the implementation of nutritional activities.
To prevent nutritional emergencies, nutrition unit will reinforce collaboration with all existing structures that collect and analyze bioclimatic, environmental, demographic and agricultural data for early warning and timely intervention measures against disasters that can negatively affect the nutrition.
6.1 The Vision and Goal
The vision of the Uganda Food and Nutrition Strategy is a hunger free country without malnutrition in all segments of the population. Its over-arching goal is transform Uganda into a hunger free and properly nourished country within a timeframe of 10 years.
","Annex 2: Matrix of Food and Nutrition Strategies Showing Stakeholder Roles and Responsibilities.
Issue One: How to address the food and nutrition needs of the child in the womb and during the first two years of the child’s life after birth?
Strategic interventions and actions
1. Educate pregnant and lactating women on the components of a balanced diet
2. Provide education about the kinds of foods that can increase the intake and absorption of vitamins and minerals.
3. Prevent low birth weight through prenatal food and micronutrient supplementation.
4. Improve child growth by encouraging exclusive breast-feeding for the first six months of life
5. Address micronutrient deficiencies -anaemia (iron), iodine, and vitamin A
6. Advocate against early pregnancies
7. Prevent diseases and reduce parasite loads that reduce the body’s ability to absorb and retain nutrients consumed.
8. Enable mothers to continue breast-feeding during the early post-partum period and encourage provision of facilities for infant care at workplaces
9. Ensure that employers and employees in both public and private sectors comply with maternity leave laws.
10. Regulate marketing of breast milk substitutes and iodised salt.
11. Promote the use of local produce in manufacturing appropriate weaning foods.
12. Provide effective therapeutic feeding for sick and malnourished children.13. Increase coverage of safe water sources and proper sanitation.14. Increase coverage of and accessibility to family planning services.
Issue Two: How to address the food and nutrition needs of pre-school children (3 to 5 years of age)?
1 Educate lactating women on importance of regular child growth monitoring, maintaining a sanitary and healthy environment, and control of infant and childhood illnesses, in particular.
2 Advocate for optimum child spacing and increase coverage of and accessibility to family planning services.
3 Promote the use of local produce for appropriate weaning foods.
4 Increase coverage of safe water sources and proper sanitation.
Issue Three: How to address the food and nutrition needs of school-going children (6 to 12 years of age)?
1 Advocate reducing distances children have to walk from home to school.
2 Advocate for establishing school children feeding fund.
3 Advocate for reviewing training institutions’ curricula to improve food and nutrition education components.
4 Encourage establishment of demonstration farms and school gardens.
Issue Four: How to address the food and nutrition needs of internally displaced persons, refugees, and others affected by conflict?
1 Advocate for establishing emergency food fund.
2 Strengthen Early Warning System for disaster preparedness. MAAIF MWLE, LGs, MOH, donors Medium
3 Advocate for ensuring safety of donated food.
4 Advocate for special care and nutrition education programmes for children & mothers in conflict situations.
5 Advocate for formal social safety net programmes.
Issue Five: How to address the food and nutrition needs of HIV/AIDS sufferers?
1 Take census to establish numbers and location.
2 Create a fund to support agencies and institutions caring for vulnerable groups.
3 Support Agencies and Institutions providing comprehensive care for people living with HIV/AIDS.
4 Initiate food accessibility and nutritional programmes for HIV/AIDS infected people.
Issue Six: How to address the food and nutrition needs of asset-less widows and widowers, orphans, female and childheaded households, adolescent mothers, victims of domestic abuse, elderly and people with disabilities?
1 Advocacy and monitoring to ensure access by members of these vulnerable groups to food, health care, and the other components needed to ensure their nutrition security.
Issue Seven: How to address the food and nutrition needs of the poor?
1 Advocacy and monitoring to ensure that matters relating to the food and nutrition security of the poor are adequately addressed by designated ministries and agencies.
2 Promote appropriate agricultural technologies and crops that provide significant nutritional advantages.
3 Expand local and external food markets by assisting private sector improve food storage, marketing and distribution.
4 Develop pro-poor system for collecting, collating, and disseminating information on food marketing and distribution.
Issue Eight: How to address the emerging problems of obesity and diet-related non-communicable diseases?
1 Monitor trends in diet–related disorders and promote healthy diets and lifestyle choices.
2 Implement both supply-side and demand-side policies to slow increases in obesity.
Issue Nine: How to address the problem of cross-sectoral coordination in implementing the Food and Nutrition Strategy?
1 Set up national food & nutrition coordinating body to ensure sectors implement their respective components of UFNP.
2 Set up the institutional and legal framework for the national coordinating body.
3 Establish incentive mechanisms to induce sector technical staff to meet their respective food and nutrition responsibilities.
4 Establish a food and nutrition surveillance and monitoring system.
5 Set up advocacy fund for food and nutrition policy implementation.
6 Set up food and nutrition advocacy and oversight focal points in sector ministries, local government.
7 Build capacity of institutions at central and local governments responsible for food and nutrition.
Issue Ten: How to address human-rights concerns in implementing the Food and Nutrition Strategy?
1 Provide institutional seat on the UFNC to Uganda Human Rights Commission.
2 Establish, strengthen and build capacity of human rights institutions. Guarantee independence of NGOs that advocate for and promote human rights.
3 Advocate investments in education & empowerment needs of nutritionally vulnerable.
4 Advocate for social safety nets to help nutritionally vulnerable.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Dietary practice|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition in schools|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Reformulation of foods and beverages|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","n/a","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202005%20The%20National%20Food%20and%20Nutrition%20Strategy.pdf" "8054","CRI","Costa Rica","","Plan de Acción Nacional Estrategia Mundial Alimentación, Actividad Física y Salud","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2006","","2021","Ministerio de Salud. Secretaría de la Política Nacional de Alimentación y Nutrición(SEPAN)","","2006","Adopted","","2006","Dra. Rosa María Novygrodt VargasDirectora Técnica de la Secretaría de la Política Nacional de Alimentación y Nutrición(SEPAN)Secretaria Ejecutiva COTESS.","Health|Education and research|Social welfare|Sport","Ministerio de Educación Pública, Ministerio de Salud - Secretaría de la Política Nacional de Alimentación y Nutrición(SEPAN), Caja Costarricense de Seguro Social, ICODER","","","","","","","","","","","","","","","","","Disminuir la obesidad al 2021 en un mínimo del 15% en niños y adolescentes, y en el adulto un rango del 5 al 8%.
","Внесены изменения и дополнения в Закон Кыргызской Республики ""О государственных пособиях в Кыргызской Республике"", в котором закреплен порядок предоставления и определен размер ежемесячного социального пособия для детей, живущих с ВИЧ/СПИДом или рожденных ВИЧ-инфицированными матерями
1.2. Подключение служб охраны здоровья матери и ребенка (далее ОЗМиР) и служб репродуктивного здоровья к реализации программ профилактики ВИЧ-инфекции у детей грудного возраста.
3.3. Обеспечение искусственным питанием детей, родившихся от ВИЧинфицированных женщин
3.4. Подготовка медицинских кадров, обученных вопросам профилактики вертикальной трансмиссии ВИЧ/СПИДа
- по вожможности, отказ от грудного вскармлевания существенно снижает риск инфецирования ребенка
","","","","Maternity protection|Minimum acceptable diet|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202006-2010%20HIVAIDS%20prevention%20programme.pdf" "24711","MLI","Mali","","Stratégie Nationale pour l’alimentation du nourrisson et du jeune enfant","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2006","","","Ministere de la Sante","","2006","Adopted","","","","Health|Education and research|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","Other","Associations de professionnels de la santé","VII. Réalisation des objectifs de la stratégie :
a) La première mesure pour atteindre les objectifs de la présente stratégie consiste à réaffirmer la pertinence et même l’urgence des quatre cibles opérationnelles de la Déclaration « Innocenti » sur la protection, la promotion et le soutien de l’allaitement maternel :
b) Dans le cadre de l’initiative des hôpitaux « amis des bébés », le Mali à labellisé de 2002 à 2006, 19 structures sanitaires au niveau du District de Bamako et dans certaines régions (CSREF et CSCOM).
En outre, la Déclaration « Innocenti » se préoccupe uniquement de l’allaitement maternel. Il faut donc des cibles complémentaires pour refléter une approche globale répondant aux besoins en matière de soins et d’alimentation pendant les trois premières années de la vie au moyen de tout un ensemble de mesures liées entre elles.
c) A la lumière des données scientifiques accumulées et de l’expérience acquise en matière de politiques et de programmes, le moment est venu pour le Mali, avec l’appui des organisations internationales et des autres parties intéressées :
d) Compte tenu de ces considérations, la stratégie Nationale aura comme priorité l’atteinte des cibles opérationnelles supplémentaires ci-après :
2. OBJECTIF GLOBAL DU PROGRAMME
L’objectif global du programme est de contribuer à améliorer la santé des populations pour la survie et le développement humain durable
3. BUT DU PROGRAMME
Le but du programme est de réduire les prévalences des carences en micronutriments (fer, vitamine A, iode), chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
4. OBJECTIFS SPECIFIQUES
En termes d’objectifs spécifiques, le programme se propose de :
5. 1. Enrichissement en fer et vitamine A des aliments dont la technologie est bien maitrisée
5. 2 Accélération de l’iodation du sel et utilisation des acquis comme référence pour les autres micronutriments
5.3 – Partenariat
","See document table ANNEX1, pages 33-43
","","Outcome indicators|Process indicators","Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Wheat flours","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202006%20Plan%20Strat%C3%A9gique%20pour%20la%20Fortification.pdf" "8002","LKA","Sri Lanka","","School Canteen Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2006","","","Ministry of Education and Ministry of Health","","2006","Adopted","","","Ministry of Education and Ministry of Health","Health|Education and research","","","","","","","","","","","","","","","","","","","Meausres will be taken to optimise the educational performane among school children by improving their nutritional status by drawing attention to aabove mentioned areas and adoption the following strategies.
1. The Government will ensure the right of school children to have nutritious, culturally acceptable food available at a reasonable cost within the school premises
2. Ensure food hygiene
3. Facilitate children to get their meals during school hours,
4. Develop the school canteen as a “health promoting center”
5. Promote and provide child friendly services in school canteens
6. Allocation of necessary funds to improve facilities of school canteens
7. Support & strengthen human resource development to improve quality of services to a level acceptable to the consumer
8. Build up a regular monitoring system with the participation of relevant officers in both health and education sectors in National, Provincial, District, Zonal and Divisional levels
9. Take every opportunity to develop healthy dietary habits among school children by improving their knowledge, attitude and practices over diet
10. Evaluate at national level to assess the achievements of the broad aims of the policy
","","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme","","https://fhb.health.gov.lk/images/FHB%20resources/School%20Health/circular/School%20Canteen%20Policy%202006%20-%20English.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LKA%202006%20School%20Canteen%20Policy%202006%20-%20English.pdf" "8431","TZA","United Republic of Tanzania","","National Population policy","Multisectoral development plan with nutrition components","","English","","2006","","","Ministry of Planning Economy and Empowerment (Ministry of Finance and Economic Affairs)","","2006","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Social welfare|Sport|Sub-national","Ministry of Finance and Economic Affairs, Ministry of Planning, Economy and Empowerment, National Population Technical Committee, Tanzania Council on Population and Development, Ministry of Community Development, Gender and Children","","","","","","","","","","","","","","","","","4.9 Agriculture, Food and Nutrition:
Article 1.- Scope of regulation and subjects of application
1. This Decree provides for information, education and communication on, advertisement for, trading in, and use of, nutritious products for infants, feeding bottles and dummies.
2. This Decree applies to Vietnamese and foreign organizations and individuals in Vietnam.
Policy Objectives:
a) Promote and improve nutrition status of learners in order to enhance and sustain their physical, social and mental well-being.
b) Promote and maintain the health status of learners through the initiation of effective health promoting activities.
c) Improve collaboration among line ministries in planning and implementation of SHN interventions.
d) Strengthening school and community based health and nutrition activities.
e) Provide health and nutrition education and promotion of activities at all levels of the education system.
f) Promote and sustain a safe and healthy learning environment.
g) Ensure capacity building among stakeholders.
POLICY STATEMENTS:
Health:
a) a regular physical examination, treatment and referral systems in all learning institution are re-established and sustained;
b) all eligible learners are immunized;
c) guidance and Counselling services are strengthened;
d) appropriate protective clothing is provided to learners;
e) appropriate facilities for learners with Special Education Needs (SEN) are provided;
f) physical Education in all learning institutions is strengthened;
g) adequate clean and safe water is available;
h) regular personal hygiene inspections on learners are carried out;
i) appropriate and adequate sanitary facilities are available;
j) the school environment and structures are safe, clean and maintained;
k) family Life and Sexuality Education is promoted in all schools;
l) initiatives aimed at controlling, preventing and mitigating the spread and impact of STIs/HIV AND AIDS on the school community are established and strengthened;
m) preventive and control measures against communicable and non-communicable diseases are instituted;
n) school based anti-substance abuse programmes in all schools are intensified; and
o) collaboration and partnership with relevant stakeholders are promoted and strengthened;
Nutrition:
a) health and nutrition education is institutionalised at all levels of the school system;
b) eligible learners receive micronutrient supplements;
c) a school de-worming programme is established;
d) food production units are revitalised in all learning institutions;
e) the school feeding services are initiated and communities are involved; and
f) growth monitoring and promotion is institutionalised and implemented;
Institutional Framework:
a) SHN focal persons at all levels in the MoE, MoH, MACO and MCDSS are appointed;
b) SHN monitoring and evaluating systems are established; and utilized;
c) partnerships with all stakeholders in SHN activities are strengthened;
d) SHN is institutionalised at all levels of the Education system;
e) a procurement and distribution system for drugs, micronutrients supplements and supplies is established; and sustained and;
f) networking and sharing information between learning institutions, districts and provinces is initiated and strengthened at all levels;
Legal Framework:
(a) SHN activities are implemented as provided for within the existing pieces of legislation.
(b) United Nations and the African Union Children’s Charters and any other relevant Charters are incorporated into SHN activities.
Policy Objective: The objective of this component is to promote healthy lifestyles and reduce risk factors that arise from environmental, economic, social and behavioural causes. Promoting healthy lifestyles in a healthy environment implies (Box 7)
Policy Measures
Policy Objective: The objective of this component is to ensure equitable access to good quality and affordable health, population and nutrition services – services that will improve health outcomes, respond to people’s legitimate expectations and are financially fair.
","","","","","School-based health and nutrition programmes|Nutrition in the school curriculum|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|Food safety","","http://www.moh.gov.gh/wp-content/uploads/2016/02/NATIONAL-HEALTH-POLICY.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202007%20Creating%20Health%20through%20Wealth.pdf" "23184","GHA","Ghana","","Under Five's Child Health Policy 2007-2015","Health sector policy, strategy or plan with nutrition components","","English","","2007","","2015","MoH","","2007","Adopted","","2007","","Health|Education and research","","","","","","","","","","","","","","Private sector","private partners","Other","health facilities","
6. Strategic areas:
The Goal of the Policy and Strategic Plan is to have a well nourished Malawi nation with sound human resource that effectively contributes to the economic growth and prosperity of the country.
Objectives:
Objective 1: To prevent and control the most common nutrition disorders among women, men, boys, girls in Malawi by 2011 with emphasis on vulnerable groups.
Objective 2: To increase access to timely and effective management of the most common nutrition disorders among women, men, boys, girls in Malawi by 2011 with emphasis on vulnerable groups.
Objective 3: To create an enabling environment for the effective implementation of nutrition services and programmes between 2007 and 2011.
Strategies (P=Prevention, M=Management, E= Enabling Environment):
P1. Promotion of optimal breastfeeding practices for children 0-6 months in the context of HIV and AIDS at facility, community and household level.
P2. Promotion of optimal feeding practices for children 6-24 months or beyond to sustain breast feeding while giving appropriate complementary feeds with emphasis on feeding frequency, amount, energy and nutrient density and diversity based on the six food groups.
P3. Strengthening of optimal feeding of a sick child during and after illness.
P4. Promotion of women’s nutritional status among the general public.
P5. Prevention and control of micronutrient deficiency disorders with emphasis on Vitamin A deficiency, anaemia and iodine deficiency disorders.
P6. Promotion of practices that promote health life styles, food availability, diversity, access, proper storage, preparation, utilisation, the consumption of a variety of foods from the six food groups every day, safety and quality in the general population.
P7. Promotion of access to at least one nutritious meal and related health and nutrition services for the school-going children through the school feeding and the school health and nutrition programmes.
P8. Strengthening capacities for households and communities to attain adequate nutrition for their families with emphasis on socio-economically deprived persons.
P9. Promotion of food safety and quality.
P10. Controlling of nutrition related non-communicable and other diseases.
M1. Promoting access and quality of nutrition and related services to facilitate effective management of nutrition deficiency disorders in under-five children, adolescents and adults.
E1. Firmly position nutrition on the national development agenda and include Nutrition in the key development programmes, allocate adequate resources, strengthen institutional and human capacities, put in place necessary coordination mechanisms in all sectors for the implementation of the National Nutrition Policy and Strategic Plan at all levels.
E2. Increased budgetary allocation of resources by government and her partners for the implementation of the National Nutrition Policy and Strategic Plan.
E3. Government shall strive to build institutional and human capacity for the effective delivery of nutrition services, including the design, development and implementation of relevant nutrition programmes, projects and interventions in the public sector.
E4. Establishment of a well defined coordination mechanism for nutrition services, programmes and projects at central, district and community level.
E5. Government shall ensure evidence based programming of nutrition programmes, projects, activities, interventions and services through the generation and dissemination of nutrition research information and findings and appropriate documentation and dissemination of best practices.
E6. Results-oriented monitoring and evaluation.
","Monitoring Activities:
• Quarterly Field Monitoring Visits:
Field monitoring visits will be undertaken to selected sites to check the progress on service delivery and the implementation of the activities. The visits will assist in identifying challenges faced and serve as the basis for dialoguing with service providers and implementers in focusing towards the achievement of the results. The quarterly field monitoring visits will also help in checking compliance to the laid down nutrition implementation procedures and guidelines. Quarterly monitoring visits will be led by the OPC, Department of Nutrition and HIV and AIDS, although multisectoral and multi-agency teams will also be encouraged. A quarterly field monitoring report will be produced by the monitoring team and will include (a) key findings of the visit, (b) main challenges observed in the course of implementing the NNPSP activities, and (c) recommendations on resolving bottlenecks.
• National Integrated Nutrition Surveillance:
National Integrated Nutrition Surveillance System will be used to track the progress on the output and outcome indicators on a Monthly/quarterly basis. The results would be discussed in the quarterly review meetings. Because these will happen throughout the implementation period, the results will also be used for the evaluation at the outcome and impact levels.
• Bi-annual Nutrition Review Meetings:
These will be held to review the implementation of the activities of the NNPSP. It will also review quarterly review reports by the Nutrition and Food Security M&E working group that reports on output as well as outcome indicators. While primarily a coordination activity, the quarterly review meeting will provide a useful forum for stakeholders to appreciate the in loads made towards the NNPSP goals and challenges constraining progress. The outcome of the quarterly
review meetings will be a concise brief outlining the next steps.
• Nutrition Steering Committee Meetings/Government Development Partner Meetings:
These will focus on policy issues and discuss policy implementation, resource mobilization and progress towards policy outcomes. The meetings will discuss issues that have a bearing on the Nutrition policy such as inadequacies in the policy provisions that constrain the implementation and compliance, emerging issues on the ground that need to be addressed at the policy level as well as funding prospects for nutrition activities. The objective will be to ensure that the whole Nutrition Programme as envisaged in the NNPSP is moving towards the achievement of the Planed objectives.
• Develop an operational database and Coordination of Information:
The OPCDepartment of Nutrition and HIV and AIDS will ensure the establishment of a coordinated management information system to be able to collect data, store them, and make them easily accessible to facilitate analysis and reporting on the NNPSP. In this regard, an inventory of all agencies implementing nutrition activities will be created. The data base would include- names of nutrition projects/service providers, type of activity, budget, output and outcome indicator targets, geographical location of services/project, target group and achievements for a particular period among others.
Evaluation activities:
• Construction of Baselines and Targets:
This will be a key activity as the ability of the nutrition response via the NNPSP to monitor the performance will depend on it, focusing on those targets without the baselines. In particular, baselines on the key outcome indicators in the NNPSP will be useful for determining the impact of the response at the end of the implementation period. Performance targets at annual, mid-term and end of the implementation of the plan will be critical in undertaking performance monitoring.
• Annual Nutrition Sector Reviews:
These will be undertaken to review the implementation progress, challenges and the status of the outcome indicators. While focusing also on coordination and the extent to which nutrition activities are being implemented in accordance with the agreed frameworks, the sector reviews will be foras where knowledge on the implementation experiences, good practice and challenges will be shared. An outcome of the meetings will be the identification of the implementation bottlenecks and recommendations to improve the performance towards the achievement of the results.
• Periodic Nutrition Surveys:
These will be used to track among others (a) the effectiveness of the interventions; and (b) impact on malnutrition levels. They will include the existing sector surveys on nutrition, Malawi Vulnerability Assessment and Mapping (VAM) work, National Statistical Office Surveys such as MICS and MDHS, Micronutrient Surveys, and National Nutrition Surveys. Impact studies focusing on specific interventions will also form part of the tracking studies. These will be population-based surveys and will be used to identify and understand the core factors and patterns fuelling chronic malnutrition, and influencing the demand for and supply of various nutrition services.
• Mid-Term Evaluation:
The Nutrition National Strategic Plan will be evaluated mid-way through the implementation with the aim of gauging implementation progress at midstream, and devise ways of improving the performance at post mid-term of the plan. The mid term evaluation will either be conducted by an independent assessor or internally by stakeholders but led by the OPC, Department of Nutrition and HIV and AIDS.
• End of NNPSP Evaluation:
The end of NNPSP evaluation will be undertaken at the end of the implementation period of the Plan in 2011 or early 2012. The focus of the end of NNPSP evaluation will be to learn lessons to inform the future national nutrition initiatives and strategies in the country. The evaluation will be undertaken by an independent reviewer. Its main aim will be for reprogramming and replanning.
M & E components for each objective, listed under Annex 3
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Refined sugar|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202009%20National%20Nutrition%20Policy%20Strategic%20Plan%202009.pdf" "8246","PER","Peru","","Estrategia Nacional CRECER","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2007","","2011","Presidencia del Consejo de Ministros","","2007","Adopted","","2007","Presidencia del Consejo de Ministros (PCM)","Education and research|Health|Other|Women, children, families","Ministerio de Economía y Finanzas, Ministerio de Salud, Secretaría Técnica de la Comisión Interministerial de Asuntos Sociales (ST-CIAS), de la Presidencia del Consejo de Ministros (PCM), Ministerio de la Mujer y Desarrollo Social","","","","","","","","","","","","","","","","","An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Nutrition counselling on healthy diets|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-24 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202007%20S.%20No.%201698%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202007.pdf" "23163","RWA","Rwanda","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2007","","","Ministry of Health","7","2007","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Other|Sport|Women, children, families","Ministry of Education, Science, Technology, and Scientific Research, Ministry of Finance and Economy Planning, Ministry of agriculture and animal resources, Ministry of Health, Ministry of Public Service and Labor, Ministry of Commerce, Industry, Investment Promotion, Tourism and Cooperatives, Ministry of Local Government, Ministry of Youth, Culture and Sports, Ministry of Gender and Family Promotion","","","","","","","","","","","","","","","","","6.4.1. General objective
The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people, prevent and appropriately manage cases of malnutrition.
6.4.2. Specific objectives
In order to improve the nutritional status of the population, the policy seeks to achieve the following specific objectives:
-Promote practices favorable to the improvement of the nutritional status,
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses,
-Assure adequate treatment and prevention of malnutrition due to nutritional deficiencies and excesses,
-Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices,
-Provide appropriate nutritional support and care for people living with HIV/AIDS
","7 STRATEGIES FOR NUTRITION IMPROVEMENT
To achieve its objectives, the National Nutrition Policy proposes the following strategies:
7.1
Reinforcement of the political commitment
Given the magnitude and persistence of nutrition problems in the country, their multi-causal factors and impact on different development sectors, Rwanda needs to strengthen its political commitment to improve the nutritional well-being of its people and make this a priority government action for its sustainable development. Some of the measures that can strengthen the political commitment are:
Allocate and/or mobilize adequate government or partner resources for the fight against nutritional problems, in particular, the financing of nutrition activities through the medium-term expenditure framework (MTEF).
Re-establish the training of nutritionists at A1 level and initiate undergraduate (A) and graduate nutrition degree programs in the university.
7.2 Promotion of optimal infant and young child feeding
Inappropriate breastfeeding and complementary feeding practices are major factors affecting infant and child mortality. Children from 0 to 6 months who are not breastfed have 7 and 5 times higher risk of dying from diarrhea and pneumonia, respectively. Promoting optimal child feeding makes it possible to reduce child deaths, the practice of breast-feeding and optimal complementary feeding respectively constitute the first and the 3rd most effective preventive interventions of child mortality. Breastfeeding is part of the Rwandan culture, however, it needs to be maintained and optimally practiced through the following strategies: 21
Promotion and protection of the exclusive breastfeeding in infants from birth up to six months, including infants born to HIV positive mothers who cannot meet the AFASS (Acceptable, Accessible, Feasible, Sustainable and Safe) conditions for replacement feeding,
7.3 Scaling up of community-based nutrition programs
Certain simple actions, easy to be implemented by community workers, have a very positive impact on the nutritional status and the survival of the population. The Community–Based Nutrition Program (CBNP) is an approach that promotes equity and efficiency in the fight against malnutrition in a participatory manner. In addition, this approach will enable the link of nutrition services and the communities, and can constitute an entry point to child survival interventions such as integrated management of childhood illnesses (IMCI) at community level. Thus, the objective of the approach is achieving coverage of up to 80% of cells (umurenge) in all the districts of the country. In order to achieve this objective, the following activities are planned:
7.4 Food Fortification
Fortification is one of the approaches to provide essential micronutrients to a large proportion of any population using commonly consumed and easily accessible foods. In Rwanda, the only food that is fortified and widely consumed is table salt which is iodized. However, there is a potential to fortify other foods to combat micronutrient deficiencies. To achieve this objective, the following activities are planned:
7.5 Promotion of household food security
The following strategies can improve availability, accessibility and utilization of foods at all levels:
7.6 Prevention and management of nutritional deficiency or excess-related diseases
The following strategies can promote prevention and management of malnutrition and related diseases:
Nutrition care and support is now integrated into the national strategy for prevention, treatment and care for PLWHA. In line with this, the government has developed and adopted guidelines and protocol giving practical recommendations for improving the nutritional well being of PLWHA. These guidelines are intended to be used by service providers, including those providing home based care. In order to meet the nutrition needs of PLWHA and their families, the following actions should be implemented:
Health professionals in nutrition centers and health facilities in nutritional assessment and counseling, management and follow up,
Community health workers in order to promote community based nutrition interventions for PLWHAs,
Associations to act as a forum for setting up community-based nutrition programs and as an agent of behavioral change.
7.8 Promotion of pre-school and school nutrition
In order to improve the children’s nutritional status and school performance, including HIV/AIDS orphans and vulnerable children, the following actions have to be taken:
7.9 Communication for behavior change
Because clinical symptoms associated with malnutrition appear in the advanced stages of deficiency, communication for behavior change should be reinforced at all levels. Communication should provide pertinent educational messages to trigger voluntary changes in dietary behavior and practices that impact on nutrition. Appropriate Communication channels should include the mass media, radio, televisions, audio-visual press, newspaper, conferences, plays, traditional media (street shouters, songs, sketches...) e.t.c and relevant messages passed through health facilities, community health or nutrition workers, schools, churches, CBOs, NGOs, etc… To reach rural populations, developed messages must be culturally appropriate and translated to the local language.
","6.5 Expected outcomes and the link to the Millennium Development Goals
In accordance with the Millennium Development Goals, operationalization of the National Nutrition Policy will lead to the following outcomes by the year 2015:
Goal 1: Reduce poverty and hungry
Goal 2: Ensure universal primary education
Goal 4: Reduce Infant Mortality
Goal 5: Reduce Maternal Mortality
Goal 6: Combat HIV/AIDS and other diseases
","
UNDAF OUTCOME 1:
THE MULTI-SECTORAL RESPONSE TO HIV AND AIDS AT NATIONAL, PROVINCIAL AND DISTRICT LEVEL SCALED UP BY 2010.
UNDAF OUTCOME 2:
BY 2010, ACCESS OF VULNERABLE GROUPS TO QUALITY BASIC SOCIAL SERVICES INCREASED.
UNDAF OUTCOME 3:
BY 2010, INSTITUTIONS, SYSTEMS AND PROCESSES IN SUPPORT OF NATIONAL DEVELOPMENT PRIORITIES STRENGTHENED
UNDAF OUTCOME 4:
BY 2010, THE PROPORTION OF FOOD SECURE HOUSEHOLDS INCREASED FROM 35 TO 75 PER CENT
Programme outputs included in the table of the attached PDF
","M & E indicators included in the matrix of the attached PDF
","Outcome indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|School-based health and nutrition programmes|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202007_UNDAF.pdf" "8273","BGD","Bangladesh","","National Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2008","","","Ministry of Health and Family Welfare","","2008","Adopted","","2008","Cabinet","Education and research|Food and agriculture|Health|Women, children, families","MOE, MOA, DGHS, DGFP, MOHFW","","","","","","","","","","","","","","","","","Vision
The health sector seeks to support creation of an enabling environment whereby the people of Bangladesh have the opportunity to reach and maintain the highest attainable level of health. With a vision that recognizes health as a fundamental human right the need to promote health is imperative for social justice. This vision derives from a value framework that is based on the core values of access equity, gender equality and ethical conduct.
Goal
The goal is sustainable improvement in health, nutrition and family welfare status of the people, particularly of the poor and vulnerable groups, including women, children and elderly with ultimate aim of their economic and social emancipation and physical and mental well being.
Objectives
The overall objectives of the NHP will be to (i) increase availability of user-centered quality services for a defined Essential Service Package (ESP) delivery along with other health related services, and (ii) develop a sustainable quality health service system to meet people's need. A set of principles, as described below, for attainment of the objectives will be followed:
- Making health service equitably affordable and accessible to all and ensuring an efficient and effective quality health service.
- Innovations in health care, e.g., geographical targeting to benefit high poverty areas, health insurance coverage for the poorer sections of the society, public private partnership, demand-side financing, etc., will be explored.
- Based on epidemiological data and evidence as well as socio -cultural contexts, strategies and interventions of the health sector will be prioritized and addressed.
- Emerging and re-emerging issues will be addressed taking into account the changing pattern of diseases, including those arising out of demographic transitions and environmental concerns.
- Creating health related safety net to ensure supply of service, medicine, equipment, etc., for emergency relief to the disaster affected people.
- Creating and expanding various types of incentive mechanisms/facilities including in - service training, career development planning, etc., for the health professionals.
- Developing capable, motivated and supportive health professionals and workers at all levels with appropriate skill-mix for overcoming bottlenecks to achieve national health goal.
- Expanding the scope of health service provision to include proven alternative health care system (e.g., Ayurvedic, Homeopathy and Unani).
- Establishing an effective linkage with global and regional information network for strengthening health sector's research and systems development.
- Viewing health as central to socio -economic development, public sector allocations to health will be increased gradually with due recognition to transparency, accountability and participation as the hallmarks of good governance for health at all levels.
9.02 Nutrition: All issues related to nutrition will be guided by the actions incorporated into the national food and nutrition policy. The National Nutritional Program (NNP) will be expanded to cover the entire country and adjusted on the basis of gathered experience. Nutrition activities will be reinforced by forging links with other activities in the health sector like community-centered immunization and hospital services for referral of the severely malnourished, etc. The multi-sectoral links of MOHFW's nutrition initiatives with programs by other ministries for food fortification and income security would be further strengthened to achieve accelerated decline in malnutrition. Dissemination of proper knowledge about nutrition amongst the citizens will be strengthened. The on-going micronutrient programs will be continuously reviewed for their refinement and expansion with particular emphasis on gender equity. Monitoring and surveillance system will be strengthened to improve nutrition of the poorer sections of the society.
9.04 Health Education and Promotion: A major strategy to ensure better health would be to promote public health through health education within MOHFW and channels outside it. The existing institutions of MOHFW will be strengthened for providing effective health messages. Coalition will be built with mass media for providing health education to the population on a continuing basis regarding methods of preventing communicable and non-communicable diseases, caring practices for children, adolescents and the old aged, and creating awareness on nutrition and proper sanitation. Steps will also be taken to reach basic health and reproductive health information through school curricula and utilize NGOs and different religious centers to influence health behavior of the people. Moreover, activities of existing school health clinics will be reviewed and based on learnt lessons, school health program will be scaled up through developing a strategy in collaboration with MOE, MOPME, Girl's Guides, Boy's Scouts, etc.
9.05 Control of Non-communicable Diseases: Reduction of morbidity and premature mortality due to non-communicable diseases (NCDs) will require appropriate actions at all levels from primary prevention to treatment and rehabilitation in an integrated manner. The government will, in partnership with local government administration and private sector create greater awareness of, and provide services for the control of unhealthy diet and lifestyle related major NCDs like-- cardio-vascular diseases, cancer, diabetes, mental illness, etc. It will also take steps to combat common NCDs, such as, hypertension, asthma, blindness, etc., which particularly afflict the poor. Existing preventive and curative measures with respect to all NCDs will further be expanded and strengthened to increase access of all for health care services.
9.17 Food Safety and Quality: The problem of major health hazards stem from drinking unsafe water and consuming unhygienic and low quality food. Definitive food standards would be established to serve as benchmark for evaluating and maintaining standards. Presently, the MOHFW covers issues related to drugs, while the Pure Food Ordinance, which is administered by the Local Government Municipal Authorities, covers issues related to food standards. An institutional partnership will be developed with the LG Division in collaboration with MOC, MOHA, MOA, MO Food and other relevant ministries for ensuring safety and quality of food and water. All existing food safety laws will be reviewed by the government and strengthened incorporating penal provisions for providing sub-standard and unhygienic food to the public. The government will examine the need for an integrated authority for food and drug administration and take necessary follow -up action with the aim of removing threat to health of the citizens from substandard and or adulterated food and drugs.
A multiphase approach to monitoring the implementation of the NHP will be adopted. The principle of peer review will also be applied in cross -sectoral assessment of implementation of the policy. Output and performance-based monitoring as appropriate will be used to evaluate results in the field to make sure that people's health and daily lives are really being improved with the money invested. The NHP should be treated as a living document - updating periodically through review. Annually, MOHFW is to produce a status report about implementation of the NHP and make that report public for scrutiny, comments and suggestions. In every five years the policy needs to be reviewed, evaluated and updated.
","","","School-based health and nutrition programmes|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Management of severe acute malnutrition|Food safety|Family planning (including birth spacing)|Vaccination|Water and sanitation","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202008%20National%20Health%20Policy.pdf" "11506","BGD","Bangladesh","","National Food Policy Plan of Action","Food security or agriculture sector national policy, strategy or plan with nutrition components","","","","2008","","2015","Food Planning and Monitoring Unit (FPMU) Ministry of Food and Disaster Management","","2008","Adopted","","2008","Food Planning and Monitoring Committee","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Social welfare|Sub-national|Women, children, families","Food Planning and Monitoring Unit (FPMU) Ministry of Food and Disaster Management Cabinet/Presidency, Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Social welfare","World Health Organization (WHO)|World Food Programme (WFP)|Food and Agriculture Organisation (FAO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) & National NGOs: Association of Development Agencies in Bangladesh","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","","","","Other","","Goal:
Ensure a dependable sustained food security for all people at all times
Core Objective 1: Adequate and stable supply of safe and nutritious food
Specific Objectives:
1. Sustained increase in food production
2. Efficient food markets
3. Non-distortionary food grain market intervention for price stabilization
Targets:
Core Objective 2: Increased purchasing power and access to food of the people
Specific objectives:
1. (Effective) Transitory shock management
2. Effective implementation of targeted programmes to improve food security
3. Employment generating income growth
Targets:
Core Objective 3: Adequate nutrition for all individuals, especially women and children
Specific Objectives:
1. Long-term national plan for ensuring balanced food in building a healthy nation
2. Supply of sufficient nutritious food for vulnerable groups
3. Balanced diet containing adequate micronutrients
4. Safe drinking water and improved sanitation
5. Safe quality and food supply
6. Adequate health status
Targets:
Key areas of intervention/Program areas:
1.1: Agricultural Research and Extension
1.2: Use and Management of Water Resources
1.3: Adequate Supply and Sustainable Use of Agricultural Inputs
1.4: Agricultural Diversification
1.5: Agricultural Credit and Insurance
1.6: Physical Market Infrastructure Development
1.7: Agricultural Marketing and Trade
1.8: Policy and Regulatory Environment
1.9: Early Warning System Development
1.10: Producer Price Support
1.11: Public Stock Management / Price Stabilization
2.1: Agricultural Disaster Management
2.2: Emergency Distribution from Public Stock
2.3: Enabling Environment for Private Food Trade and Stock
2.4: Effectiveness of Targeted Food Security Programs and Other Safety Nets
2.5: Income Generation for Women and the Disabled
2.6: Promotion of Agro-based/Agro-processing and Micro/Small Rural Enterprises
2.7: Market-driven Skill Development
3.1: Long-term Planning for Balanced Nutrition
3.2: Balanced and Nutritious Food at Minimal Costs for Vulnerable Groups
3.3: Nutrition Education for Dietary Diversification
3.4: Supplementation and Fortification for Balanced Nutrition
3.5: Safe Drinking Water and Improved Sanitation
3.6: Safe, Quality Food Supply
3.7: Women and Children’s Health
3.8: Promotion and Protection of Breastfeeding and Complementary Feeding
","Goal - Outcome-target indicators:
WFS (number of undernourished people) – Target: reduced from 39.3 million (1990-1992) to 19.65 by 2015
MDG (prevalence of undernourished) – Target: reduced from 35% (1990-2002) to 17.5 % by 2015
Objective 1 - Outcome/impact indicators:
Availability/Adequacy of supply: Agricultural GDP; food supply (domestic production, net imports, variation in stocks) compared to national requirements, food production and consumption requirements disaggregated by regions
Stability of supply: Variability of food production; food import dependency ratio, variability of food prices
Objective 2 - Outcome/Impact Indicators:
Proportion of people below the poverty line – MDG1 Target: Reduced proportion of people below US$1 per day (PPP) from 58.8% in 1991 to 29.4% by 2015
Proportion of people in extreme poverty – MDG1 Target: Proportion of people in extreme poverty reduced from 28% in 1991 to 14% by 2015
% increase in average HH cash income from on-farm and off-farm income generating activities
# HH with no food gap – have sufficient food to meet HH needs in all 12months of the year
# income sources per HH
% of HH income spent on food
Food price index; variability in food price
Objective 3 - Related Outcome/Impact indicators/Targets:
Low Birth Weight (Birth wt. <2.5 kg) – Target: reduced from 36% (2004) to 30% by 2010 and < 20% by 2015
Weight gain during pregnancy – Target: increased from 6.7 kg (2004) to 9-10 kg by 2010 and 11-12 kg by 2015
U-5 underweight (weight for age <-2SD) – Target: reduced from 51% (2000) to 38% by 2010 and 33% by 2015
U-5 stunting (height for age <-2SD) – Target: reduced from 49% (2000) to 37% by 2010 and 33% by 2015
U-5 wasting (Weight for height <-2SD) – Target: reduced from 12% (2000) to 10% by 2010and 7% by 2015
Rural-urban difference in U-5 (PEM) – Target: reduced from 10-12% point (2000) to 7-8% points by 2010 and 5-6% points by 2015
Chronic Energy Deficiency (CED) (Body Mass Index (BMI) <18.5 kg/m2) in women (including adolescent girls) – Target: reduced from 45% (2000) to 20% by 2010 and <20% by 2015
Vitamin A deficiency among children and women – Target: reduced from 30% (2000) to 15% by 2010 and to <10% by 2015
Iodine deficiency in children (6-12 years) and women (15-44 years) – Target: reduced from 34-38% (2005) to 25% by 2010 and to <10% by 2015
Iron deficiency anaemia (IDA) – Target: in infants (6-11 months), reduced from 77% (2003) to 60% by 2010 and to 40% by 2015; in adolescent girls (13-19 years) from 30% (2003) to 25% by 2010 and <20% by 2015; in pregnant women from 46% (2003) to 35% by 2010 and to 25% by 2015
Anthropometric indicators: height and weight of under-5 children – Target: increased to at least 80% of WHO standards by 2015
Others:
Per capita calorie intake – Target: Increased from 2238 (BBS, 2006) to 2400 (kcal/person/day)(provisional) by 2015
Dietary energy supply (DES) from cereals (%) – Target: decreased from the current 70% to 60% by 2015
Prevalence of food contamination and food adulteration (physical, chemical, microbiological) (%)
Incidence of food-borne illnesses (number of cases reported)
Goals:
Programs:
General objective:
The National Nutrition Policy serves as a legally binding document to substantially reduce levels of malnutrition, especially of vulnerable groups, and to mainstream nutrition in National Socio-Economic Development Plans (NSEDPs) in line with the implementation of the National Growth and Poverty Eradication Strategy (NGPES).
Specific objectives:
The National Nutrition Policy formulates ten specific objectives as follows:
1) Improve nutrient intake;
2) Prevent and reduce food and vector borne diseases;
3) Improve food access and food availability;
4) Improve mother and child care and education in nutrition and health;
5) Improve environmental health;
6) Improve nutrition programming with participatory management and M+E;
7) Make nutrition central in socio-economic development;
8) Priority investment in nutrition;
9) Strengthen the nutritional capacity within all levels and sectors of the GoL;
10) Facilitate action-oriented research and information systems.
Strategic principles
For the successful implementation of the policy the following strategic principles will be applied:
• Decentralization: bottom-up planning supported by increased implementation at provincial and district level;
• Prioritized targeting: focus on immediate needs and vulnerabilities
- Rural: Those groups living in remote upland areas with high levels of stunting
- Urban: Those groups with low educational status
- In transition: Those groups who have recently been resettled, who have been relocated from the uplands to the lowlands, and/or whose wild food resources have been destroyed
- Women of reproductive age: Women of reproductive age (focus will be women experiencing pregnancy, puerperium, and lactation) and children (focus will be children under 2 years, children under five years, and school age children)
• Integration and effective cooperation: integrating nutrition interventions into all relevant sectors;
• Institutionalizing nutrition within GoL: establishing coordination mechanisms for planning, implementation, management and M+E of the nutrition program;
• Capacity building and cultural sensitivity: providing technical skills and acknowledging cultural identity;
• Empowerment of women and vulnerable groups: ensure that women and vulnerable groups play an active decision-making role in the planning and implementation of nutrition interventions;
• Sustainability and resilience: sustainable production, harvest and consumption of nutritive plant and animal foods;
• Prevention and treatment: provide continued sufficient and adequate support for preventive and curative interventions;
• Principle of ‘no-harm’: control of adverse impacts on nutrition from other development sectors;
• Accountability for nutrition: ensure the signing of agreements between national or foreign investors and the GoL - particularly in the fields of agro-based industries, hydropower and mining - are in line with the recommendations of environmental and social impact assessments (EIA, SIA);
• Nutrition surveillance: establishing and strengthening participatory monitoring and evaluation systems.
Roles and responsibilities of Ministries and equivalent organizations accountable for nutrition
Health Sector
• MoH as the lead agency for the GOL on nutrition in coordination with National Science Council/Prime Minister’s Office;
• Develop a National Nutrition Strategy and National Plan of Action on Nutrition;
• Establish a Nutrition Centre or Nutrition Institute;
• Facilitate and coordinate the implementation of nutrition activities;
• Mobilize national and international funds to implement the nutrition program;
• Build and upgrade capacity in nutrition for technical staff at all administrative levels;
• Advocate for nutrition and increase public awareness of nutrition;
• Increase public awareness of the adverse impact on nutrition of tobacco and alcohol consumption;
• Focus on food quality control and food safety;
• Conduct surveys and operational research with appropriate indicators and dissemination of findings;
• Establish an inter-sectoral nutrition surveillance system together with other GoL key stakeholders;
• Report to the GoL (through NCMC) on the implementation of the nutrition program;
• Develop nutrition legislation in cooperation with the Ministry of Justice.
National Science Council at the Prime Minister’s Office
• Supervise and establish a National Nutrition Council with the Ministry of Health and in cooperation with other relevant sectors;
• Incorporate findings of scientific research into GoL actions plans leading to the improvement of the national nutrition status;
• Facilitate the coordination of the technical cooperation of all relevant Ministries and equivalent organizations on nutrition;
• Promote, coordinate, and monitor nutrition-related interdisciplinary scientific research activities;
• Supervise and facilitate the establishment of a Nutrition Information Unit in the Nutrition Center in cooperation with other relevant sectors.
Planning and Investment Sector
• Review and approve nutrition and related development strategies and plans to be incorporated into national socio-economic development plans;
• Advocate for nutrition and fundraise from the national budget, international donors and the private sector to implement the nutrition program;
• Manage, monitor and evaluate the nutrition program in collaboration with MoH and other key GoL stakeholders;
• Develop directions for the nutrition program by forecasting development trends;
• In cooperation with the Ministry of Justice, enforce State laws and regulations to ensure national or foreign direct investments (especially in the fields of mining, hydropower and agro-based industries) and other development programs or projects will not have adverse impacts on nutrition.
Agriculture and Forestry Sector and associated Research Institutes (NAFRI, NAFES)
• Expand the concept of and strategies for food security to encompass also nutrition security (with focus on dietary diversity);
• Plan and ensure food production at national level according to nutritional needs,
• Increase support for stable food security at household level;
• Encourage sustainable planning, usage and management of biodiversity resources for increased household food security;
• Facilitate the implementation of operational research in agriculture and forestry related to nutrition;
• Manage and promote safe food production (e.g. usage of pesticides and other chemicals);
• Build capacity in nutrition for technical staff at all administrative levels;
• Monitoring and evaluation of activities related to food security in cooperation with other key GoL stakeholders.
National Land Management Authority: Promote and implement the Law on Land and related regulations and expand to full coverage the correct allocation and titling (registration) of land to mitigate adverse impacts on nutrition.
Water Resource and Environment Agency, Committee for Forest Conservation and Committee for Water and Natural Resources
• Manage natural resource exploitation while focusing on the reduction of environmental contamination and mitigating adverse effects on nutrition;
• Promote and enforce environmental regulations for stable household food security (e.g. arresting illegal wildlife trade).
Energy and Mining Sector, National Energy Committee and Lao National Mekong Committee
• Develop social safeguard procedures under the “user pays” principle for mining and hydropower schemes with regard to adverse impacts on nutrition;
• Expand environmental and social impact assessment procedures with regard to long-term effects on nutrition;
• Prevent adverse impacts on nutrition due to mining and hydropower development.
Educational Sector
• Develop and incorporate nutrition into existing formal school curricula and into the non-formal education system;
• Improve teachers’ knowledge on nutrition;
• Increase nutrition awareness, campaigning and advocacy for the mobilization and propagation of nutritional messages (at all administrative level as well as for all staff members of MoE);
• Monitor and evaluate teaching skills and materials in nutrition;
• Assess the nutritional status of school children in collaboration with relevant agencies.
Industrial and Commercial Sector
• Manage and promote the production, transfer and distribution of food products to all regions;
• Manage the import and export of food products and maintain food stocks according to national regulations and needs;
• Build capacity in nutrition comprehension for technical staff at all administrative levels;
• Monitor and evaluate food quality, hygiene, and safety according to international standards in cooperation with MoH and other relevant institutions.
Information and Cultural Sector
• Manage and support of the mass media with the aim of disseminating information on nutrition and its relation to other development sectors and policies;
• Facilitate research on the different food cultures of the various ethnic groups in cooperation with the Lao Front for National Construction.
Labor and Social Welfare Sector
• Develop a National Natural Disaster Preparedness Plan in cooperation with the Ministry of Defense;
• Mobilize funds and allocate budget for the implementation of charitable activities to provide food.
Financial Sector
• Allocate the necessary budget to ensure that the implementation of the National Nutrition Policy will reach its targets;
• Ensure financial management in compliance with State laws and regulations in the financial sector;
• Enable the reinvestment of economic revenues into the nutrition program (in cooperation with MPI).
Mass organizations (Lao Women’s Union, Lao People’s Revolutionary Youth Union, Lao Federation of Trade Unions and Lao Front for National Construction)
• Include nutrition in their action plans;
• Mobilize the dissemination of nutrition information to villages (with special focus on non Lao-Tai ethnic groups).
Ministry of Foreign Affairs
• Coordinate and facilitate international and national multi-sectoral cooperation;
• Advocate for nutrition and mobilize national and international funds.
National Commission for Mother and Child
• Establish a National Committee on Nutrition;
• Support MoH in leading the nutritional activities in all relevant sectors;
• Support the implementation of the nutrition program at both central and local level;
• Mobilize national and international funds to implement the nutrition program;
• Manage, monitor and evaluate the nutrition program together with MoH.
","Targets by 2020
Stunting (CU5): 28%
Wasting (CU5): 2%
Underweight (CU5): 15%
Anemia (CU5): 20%
Anemia (WRA): 15%
Iodine deficiency (SAC): 10%
Iodine deficiency (WRA): 5%
Vitamin A deficiency (CU5): 20%
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in schools|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition","","http://www.moh.gov.la/index.php?option=com_phocadownload&view=category&id=8%3Apolices-and-strategies&download=47%3Afinal-version-of-nnp-in-english-30122008.pdf&Itemid=59&lang=en","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202008%20National%20Nutrition%20Policy.pdf" "7965","LBR","Liberia","","National Food Security and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2008","","","Ministry of Agriculture Republic of Liberia","","2008","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade","","","","","","","","","","","","","","","","","","The key objectives of the FSNS are to make certain that all Liberians have reliable access to the food they need and are able to utilize that food to live active and healthy lives. As such, ensuring food security and good nutrition is not a policy choice of government that it can decide to accept or reject, but a right of the citizens of Liberia which the government is obligated to respect, promote, and protect. Although the strategy encompasses the food security and nutritional needs of all Liberians, it prioritizes the needs of food insecure and nutritionally vulnerable groups in society, including the elderly who have little support, female-headed households, orphans, and HIV-affected households. In addressing the needs of nutritionally vulnerable households and in working to safeguard the food security and good nutritional status of others, two demographic groups are targeted - infants and children under 5 years of age and pregnant and lactating women. The period from conception through the first two years of life is crucial in terms of food security and nutrition, as growth failure in a child during this period cannot be fully corrected later in life. Consequently, the central outcome measures of whether this strategy can be judged successful are those that establish whether the food and nutritional needs of young children in Liberia are being met. If these needs are satisfied, prospects are good that all Liberians will be properly nourished and food secure.
","PRIORITIES FOR ACHIEVING FOOD SECURITY AND IMPROVED NUTRITION IN LIBERIA
The central outcome measures of whether this Food Security and Nutrition Strategy for Liberia can be judged successful are those that establish whether the food and nutritional needs of young children in Liberia are being met. If these needs are satisfied, prospects are good that all Liberians will be able to enjoy the chance of living active and healthy lives and to contribute to the emergence of a peaceful, secure, and prosperous Liberia. As such, the FSNS adopts child nutritional indicators based on anthropometry - stunting (low height for age), underweight (low weight for age), and wasting (low weight for height) prevalence levels - as key indicators of progress towards the objectives of the strategy.Of course, these indicators must be assessed in context, particularly in light of trends. While child nutritional indicators integrate the contributions of factors relating to food availability, access, and utilization, they are static indicators. That is, they do not give any indication of what the nutritional status of the children will be in the future. Consequently, the monitoring of trends in the underlying determinants of child nutrition - food security, but also nutritional care, and the provision of health services and a healthy environment - is necessary to assess the likely sustainability of current child nutritional status and any progress achieved under the FSNS.(pg.4)
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","","http://www.fao.org/righttofood/inaction/countrylist/Liberia/FoodandNutritionStrategy_2008.pdf","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202008%20National%20Food%20Security%20and%20Nutrition%20Strategy.pdf" "14773","TZA","United Republic of Tanzania","","The National Road Map Strategic Plan To Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania","Health sector policy, strategy or plan with nutrition components","","English","","2008","","2015","Ministry of Health and Social Welfare","4","2008","","","","","Cabinet/Presidency|Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Sport|Women, children, families","Ministry of Health and Social Welfare, Ministry of Community Development, Gender and Children, Ministry of Communication, Science and Technology","","","","","","","","","","","","","","","","","3.3. Goal
To accelerate the reduction of maternal, newborn and childhood morbidity and mortality, in line with MDGs 4 and 5, by 2015.
","3.7 Guiding principles:
o Addressing underlying causes of high mortality: Taking a multi-sectoral and partnership approach to address the underlying causes of maternal, newborn and child death such as, transport, nutrition, food security, water and sanitation, education, gender equality and women empowerment to ensure sustainability.
","3.5 Operational targets to be achieved by 2015:
4. Reduced stunting and underweight status among under-fives from38% and 22% to 22% and 14%, respectively.
5. Increased exclusive breast feeding coverage from 41% to 80 %
Other list of indicators to assess maternal, newborn and child health:
c) Neonatal indicators:
• Prevalence of low birth weight
• Early initiation of breast feeding (within the first hour)
• Proportion of district hospitals implementing Kangaroo Mother Care for management of Low Birth Weight
• Proportion of district hospitals that are accredited baby friendly
• Postnatal vitamin A coverage
Objectives
Initiatives
Accelerate public education and awareness on prevention, early detection and treatment of communicable and non-communicable diseases
Reduce malnutrition
Decrease morbidity rate
Incidence of non-communicable diseases
An Act Expanding the Promotion of Breastfeeding, Amending for the Purpose Republic Act No. 7600, Otherwise Known as """"An Act Providing Incentives to All Government and Private Health Institutions with Rooming-In and Breastfeeding Practices and for Other Purposes”
","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Nutrition counselling on healthy diets|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Improved hygiene / handwashing|Paid breastfeeding breaks|Unpaid breastfeeding breaks|Breastfeeding facilities|Promotion to the general public: Prohibition of advertising of BMS|Monitoring mechanism established|Sanctions exist","12417","","Scope of the Code: 0-36 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202009%20Republic%20Act%20No.%2010028%20Expanded%20Breastfeeding%20Promotion%20Act%20of%202009.pdf" "8405","SLE","Sierra Leone","","Sierra Leone National Food and Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2009","","","MINISTRY OF HEALTH AND SANITATION","8","2009","","","","MINISTRY OF HEALTH AND SANITATION","Education and research|Finance, budget and planning|Food and agriculture|Health|Nutrition council|Trade","Ministry of Education, Youth and Sports (MOEYS), Ministry of Finance, Development and Economic Planning (MOFDEP), Ministry of Agriculture, Forestry and Food Security (MAFFS), Ministry of Marine Resources and Fisheries (MMRF), Ministry of Health and Sanitation, Reproductive and Child Health (RCH) Directorate, Health Coordinating Committee, Nutrition Technical Task Force, Ministry of Trade and Industries (MOTI)","","","","","","","","","National NGOs","","","","Private sector","","","","Specific Objectives (SO)
I. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels on Nutrition issues and its relationship to development.
II. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy daily dietary needs of the population.
III. To promote adoption of appropriate feeding practices of households.
IV. To strengthen preventive measures against nutrition related diseases
V. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
VI. To institute nutritional surveillance system for monitoring the food and nutrition situation in the country.
VII. To promote operational research and periodic surveys into food and nutrition issues
VIII. To coordinate activities of relevant agencies involved in food and nutrition issues
SO1. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels at national and district levels on Nutrition issues and its relationship to development.
Policy: All relevant organizations should integrate nutrition considerations in programmes and activities
SO2. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy daily dietary needs of the population.
Policy: Small scale farmers should be provided effective support to improve their access to domestic food production and supplies.
SO3. To promote adoption of appropriate feeding practices of households.
Policy:
a. Protect, promote and support early and exclusive breastfeeding for infants from birth until six months, followed by introduction of nutritious and appropriate complementary foods with continued breastfeeding for up to two years and beyond.
b. Promote appropriate feeding practices for the family especially pregnant and lactating women at facility and community levels.
SO4. To strengthen preventive measures against nutrition related diseases
Policy: Antenatal, Post natal and the Family Package services should be promoted and introduced at the community level especially through outreach clinics
SO5. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
Policy:
a. Patients in hospitals should be provided with optimum dietary services to complement their clinical management.
b. Community-based Management of Acute Malnutrition (CMAM) approach should be integrated into child survival and development initiatives
c. Supplementary feeding programme should be integrated to ensure continuum of care for malnourished children.
SO6. To institute nutritional surveillance system for monitoring the food and nutrition situation in the country.
Policy: A regular and coordinated food and nutrition system that assists in long term health and development planning, programme management, timely warning and design of intervention programmes should be instituted
SO7. To promote operational research and periodic surveys into food and nutrition issues
Policy: Effective operational research and periodic surveys aimed at improving food security and nutrition should be integrated into programmes of relevant research institutions
SO8. To coordinate activities of relevant agencies involved in food and nutrition issues
Policy: Nutrition Division of the Ministry of Health and Sanitation should ensure that activities to address nutrition issues are reflected in plans of other programmes of the Ministry and implemented in a coordinated manner< /p>
Objective 1: Ensure the prevention and treatment of nutrition related disorders in emergency and non-emergency situations.
Objective 2: Reduce nutritional risk for individuals throughout their life-cycle through implementation of integrated health, nutrition, and food security interventions.
Objective 3: Increased optimal use of available food and micro level resources to maximize nutritional benefit.
Objective 4: To reduce nutrition risk and improve malnutrition prevention and treatment programming.
Objective 5: Ensure that the nutritional needs of people living with HIV & AIDS and their families are adequately addressed
Objective 6: Ensure quality food production that meets food safety standards.
Objective 7: Increased knowledge & awareness & improved nutrition practice at community level
Objective 8: Increase skills and capacity of nutrition staff and non-nutrition staff working in areas related to the direct and underlying causes of malnutrition.
Objective 9: Multi-sectoral coordination and collaboration to address malnutrition comprehensively and effectively, to bring about sustained change in population nutrition status (linked to Objective 3).
Objective 10: Strengthen nutrition information, research, and nutrition advocacy systems, to feed into national and local planning, analysis, monitoring and evaluation.
","Strategy 1:
a. Prevent chronic malnutrition through improved dietary intake and reduced infant morbidity.
b. Prevent, detect and treat acute malnutrition (including response to emergencies) through provision of appropriate services through the public health system.
c. Prevent, detect, and treat Micronutrient Deficiency Disorders (MDDs) through a combination of supplementation, fortification, education, and food based approaches.
d. Prevent obesity and lifestyle diseases through the promotion of optimal eating and physical exercise habits.
Strategy 2:
a. Improve maternal nutrition status
b. Improve infant and young child nutrition status
c. Address the nutritional needs of school age children and adolescents
d. Address the nutritional needs of adults and older persons
Strategy 3:
Strategy 4:
a. Reduce nutrition risk caused by excess morbidity through increased coverage and accessibility of quality of basic child health care services (IMCI).
b. Improve nutrition related programming through coordinated engagement of a wide range of health providers in nutrition related activities and the establishment of strong linkages between facility and community based nutrition activities.
Strategy 5:
a. Develop systems and guidelines to support the nutritional needs of people living with HIV & AIDS and their families
Strategy 6:
b. Develop systems and guidelines to safeguard quality food production that meets food security standards.
Strategy 7:
a. Utilise social mobilization, nutrition education/behavior change communication and advocacy strategies to promote improved knowledge and nutritional practices through all health facilities, at community level and through the general media.
Strategy 8:
a. Support and develop technical and managerial/planning capacity in nutrition for nutritionists and dieticians
b. Support and develop appropriate nutrition capacity of wider public health staff
c. Support and develop appropriate nutrition knowledge/ capacity of technical staff in related sectors
Strategy 9:
a. To promote and facilitate multi sectoral coordination and collaboration to address malnutrition at Federal and State levels
b. Nutrition information, research and advocacy
Strategy 10:
a. Strengthen and further develop timely & accurate nutrition information systems for action.
b. Carry out research in areas that will improve the understanding of nutritional risk in Sudan.
c. Utilisation of nutrition information in advocacy efforts across a range of nutrition related issues.
","2.2.1 Goal:
To operationalize the nutrition component of the Child Survival Strategy (CSS) in order to accelerate the reduction of under-five mortality, and thus contribute to the National Development Plan (NDP), the Health Sector Strategic Plan (HSSP) III, and the MDGs.
2.2.2 Overall Objective
To strengthen the implementation of a defined package of proven nutritional interventions that are cost effective and to achieve and sustain high coverage.
2.2.3 Specific Objectives
1. To implement cost effective nutrition interventions through community, population/scheduled, and clinical services.
2. To scale up proven nutrition interventions through community, population /scheduled and clinical services.
3. To sustain high coverage of proven interventions through community, population/scheduled and clinical services.
","Thematic Objective 1: Mainstreaming maternal nutrition interventions designed to ensure
adequate pregnancy outcomes and healthy infancy
Interventions
1. Providing iron and folic acid tablets to adolescents in and out of school, and to pregnant and
lactating mothers
2. Encouragement and support of antenatal care services through health education
3. Promotion of adequate intake of nutrient dense foods by the mother during pregnancy and
lactation, and of more daytime rest during pregnancy
4. Post-partum supplementation with vitamin A, iron and folate
5. Consideration of maize meal fortification with folic acid to help assure maintenance of
adequate serum folate prior to conception
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 2: Mainstreaming infant and young child nutrition interventions to ensure
growth and development
Interventions
1. Counselling during ante-natal and post-natal care to promote and support exclusive
breastfeeding.
2. Continued and intensified growth monitoring and promotion with intensive counselling to
address needed behavioural change, and referral as necessary for facility-based attention.
3. Promotion and support for exclusive breastfeeding for six months, timely introduction of
adequate complementary feeding, and continued breastfeeding to at least 24 months
4. Semi-annual Vitamin A supplementation to infants and children 6 to 59 months
5. Semi-annual deworming of children aged 1 to 14 years
6. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 3: Mainstreaming nutrition to ensure control and prevention of micronutrient
deficiencies
Interventions
1. Establishment of a comprehensive policy framework for micronutrient deficiency control
2. Support for implementation of a consolidated policy on micronutrient deficiency control
3. Advocacy for the control and prevention of micronutrient deficiencies
4. Control of iodine deficiency disorders
5. Vitamin A supplementation for children and post partum women
6. Iron supplementation for anaemic children and non pregnant women
7. Iron and folic acid supplementation for adolescent girls and for pregnant and lactating
women
8. Deworming of young children, school children and pregnant women
9. Food fortification, particularly of complementary foods with vitamin A, iron and other
micronutrients
10. Control of zinc deficiency through food fortification and supplementation as part of diarrhea
management
11. Ongoing monitoring of service delivery, evaluation of impacts, and surveillance sites to
assess trends.
Thematic Objective 4: Mainstreaming the treatment of acute malnutrition into the health delivery
system with nutrition interventions to control for co- morbidities
Interventions
1. Identification, referral and management of cases of acute malnutrition
2. Nutrition management and support of sick children following IMCI protocols.
Thematic Objective 5: Mainstreaming nutrition into the treatment and management of HIV/AIDS
Interventions:
1. Providing nutritional services and supplements in the context of HIV/AIDS
2. Support for Infant and Young Child Feeding (IYCF) in the context of HIV
3. Prevention of mother to child transmission of HIV.
Thematic Objective 6: Mainstreaming nutrition interventions into emergency planning,
preparedness and response
Interventions
1. Providing nutrition services in emergencies
2. Support for Infant and Young Child Feeding in emergencies.
Thematic Objective 7: Cross cutting issues
Interventions
1. Operational research
2. Human capacity strengthening
3. Linking services across ministries
4. Family Care Practices.
Thematic Objective 8: Development of a comprehensive communication strategy to support all
nutrition interventions
Interventions
1. Development of an effective and comprehensive communication strategy designed to
encourage optimal IYCN for use at all levels
2. Production of appropriate information, education and communication materials at all levels
3. Development of advocacy packages for policy makers, program managers and communities.
","M&E indicators are available.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Capacity building for the Code|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","http://www.health.go.ug/nutrition/docs/infant/Operational_Framework.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202009%20The%20Operational%20Framework%20for%20Nutrition%20in%20the%20National%20Child%20Survival%20Strategy.pdf" "14851","YEM","Yemen","","National Nutrition Strategy for Yemen","Comprehensive national nutrition policy, strategy or plan","","English","","2009","","","Ministry of Public Health and Population Primary Health Care","","2009","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Sub-national","Ministry of Public Health and Population Primary Health Care Education and research, Environment, Food and agriculture, Health, Health, Industry, Nutrition council, Social welfare, Sub-national, Women, children, families: National Health Education Center,","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Japan International Co-operation Agency (JICA)","Bilateral and donor agencies and lenders: Japan International Co-operation Agency (JICA)","","","National NGOs","National NGOs","","","","","Other","Other: EPI section,Family Health Doctor, Midwives, Health Workers, Volunteers","Overall goal: Health status of Yemeni people is improved through strengthening nutritional intervention by 2020.
Targets: Serious nutritional problems to be solved in this moment are malnutrition/under nutrition; including anemia, vitamin A deficiency, iodine deficiency, rickets, zinc deficiency and household insecurity.
","Conduct the following nutrition interventions:
Control of child undernutrition
- Reduce of the prevalence rate of undernutrition among infant and young children
- Improve infant and young child feeding
- Improve dietary habit affecting nutritional status of infant and children
- Contribute improving household food security
- Improve dietary habit affecting nutritional status of infant and children
- Reduce the risk of infectious diseases
- Reduce the prevalence of LBW
- Prevent the deterioration of malnutrition cases at early stage
Control of low birth weight
- Reduce the prevalence of low birth weight
- Reduce the prevalence of malnourished pregnant women
- Reduce cases of early and frequent pregnancies
- Reduce number of pregnant women having habit of smoking cigarette /shisha and chewing qat
- Improve the services of nutrition screening and counseling for pregnant women
- Increase the access rate of monitoring and providing special care for low-birth weight babies
Control of maternal undernutrition
- Reduce the prevalence of undernutrition among women of reproductive age
- Improve dietary diversity and modification for pregnant and lactating mothers
- Detect under-nutrition of pregnant mothers at early stage and provide appropriate counseling
- Prevent early pregnancy and frequent pregnancy
- Improve the life custom of women which can be a risk factor of maternal health and nutrition such as heavy work load, smoking and chewing qat
Control of rickets
- Eliminate the prevalence of rickets among children under five
- Increase the rate of children exposure to sunlight for children and pregnant mother
- Increase the consumption of foods rich with vitamin D and calcium in children and pregnant mothers
- Increase the rate of detection and treatment cases for children with rickets symptoms at early stage
Control of iron deficiency anemia
- Reduce the prevalence of anemia among children under five and women of reproductive age
- Improve the quality and diversity of diet to increase the intake and bioavailability of iron
- Promote the use of iron fortified food
- Increase the access of iron/folate tablets among pregnant and lactating women
- Reduce the risk factor of parasitic infestation (Malaria, Schistosomiasis, Helminthes)
Control of vitamin A deficiency
- Decrease the prevalence rate of vitamin A deficiency disorder among children under five and mothers
- Increase the consumption of vitamin A rich food
- Increase the covering of foods fortified with vitamin A
- Increase the coverage of vitamin A capsule for children and mothers
Control of iodine deficiency
- To eliminate Iodine Deficiency Disorders in Yemen
- To ensure all the people can access iodized salt
Control of zinc deficiency
- Reduce of the prevalence of zinc deficiency
- Clarify the severity and the target group/area of zinc deficiency
- Increase the zinc intake among people with high risk of zinc deficiency
- Reduce the risk factor of high excretion of zinc
School nutrition
- Reduce the prevalence of undernutrition among school children aged from 6 to 15 years
- Improve food intake of school children quantitatively and qualitatively
- Decrease the incidence of infectious diseases which interrupt the nutritional status of school children
- Reduce the prevalence of malnutrition at early stage
Nutrition for emergency situation
- Reduce the critical risk of death and malnutrition during emergency situation
- Improve the situation of food shortage in the people who suffer from natural or man-made disasters (flood, drought, earthquake, war, food price crisis, etc)
- Prevent death cases from malnutrition under emergency situation
","VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
2. Au niveau communautaire
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
C. N°3 : Amélioration de la sécurité alimentaire des ménages
D. N°4 : Promotion de la sécurité sanitaire des aliments
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
G. N° 7 : Intégration de la nutrition en milieu carcéral
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
Sensibilisation
Mobilisation sociale
J. N°10 : Promotion de la recherche en matière de nutrition
K. N°11 : Développement des compétences en matière de nutrition
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
La creación de un marco jurídico que permita implementar los mecanismos necesarios para mejorar la slud y calidad de vida de las mujeres y del recién nacido, y promover el desarrollo humano a través de asegurar la maternidad de las mujeres, mediante el acceso universal, oportuno y gratuito a información oportuna, verz y completa y servicios de calidad antes y durante el embarazo, parto o posparto, para la prevención y erradicación progresiva de la mortalidad materna-neonatal.
","Artículo 7. Establece la obligatoriedad, entre otras cosas, de promover embarazos saludables, procurando condiciones nutricionales adecuadas y administración de suplementos alimenticios y vitamínicos.
Artículo 8. Garantizar que las mujeres embarazadas reciban la atención de las intervenciones básicas, siendo la primera de estas, la atención prenatal de acuerdo con los estándares técnicos basados en la evidencica científica, con énfasis en la cantidad de controles del embarazo, vigilancia nutricional de la mujer y signos y síntomas de peligro len el embarazo.
Artículo 10. Garantizar que las mujeres recciban atención posparto, incluyendo en tercer lugar, la infomraicón sobre la importancica de un régimen nutricional y suplementos alimenticios para la recuperación física y emocional.
Artículo 11. Este artículo incluye la implementaicón de acciones costo-efectivas para la reducción de la muerte neonatal tales como la lactancia materna exclusiva.
Artículo 18. Para prevenir las complicaciones de embarazos que pongan en riesgo la vida de las mujeres, principalmente de las vulnerables, establece acciones inmediatas que conlleven en primer lugar, programas nutricionales a niñas, adolescentes, y mujeres embarazadas y lactantes, para prevenir el deterioro de su salud y los nacimientos de niños y niñas con bajo peso, así como las malformaciones congénitas y el deterioro de la salud de las madres.
","Artículo 19. Establece que el Ministerio de Salud Pública y Asistencia Social, a través del Centro Nacional de Epidemiología, del Sistema Gerencial en Salud (SIGSA) y el Programa de Salud Reproductiva, desarrollará acciones de vigilancia epidemiológica de la salud materna neonatal y de la morbilidad y mortalidad materna neonatal, sus consecuencias, factores de riesgo y el impacto en el sistema de salud pública, en el marco de la prevención y la atención de la salud materna neonatal.
Artículo 20. Las direcciones de área de salud, con el apoyo técnico del Centro Nacional de Epidemiología y del Programa Nacional de Salud Reproductiva del Ministerio de Salud Pública y Asistencia Social, tienen la responsabilidad de integrar los Comités de Vigilancia Epidemiológica de Mortalidad y Morbilidad Materna y Neonatal, las que deben incluir la participación de dos representantes de las organizaciones de la sociedad civil. El Centro Nacional de Epidemiología y el Programa Nacional de Salud Reproductiva, conjuntamente, deben elaborar las normas y protocolos de funcionamiento de dichos comités y los instrumentos y mecanismos de la vigilancia epidemiológica a nivel nacional.
Artículo 22. El Ministerio de Salud Pública y Asistencia Social, deberá crear la Comisión Multisectorial para la Maternidad Saludable (CMPMS), presidida por el Ministro de Salud o Viceministro Técnico. Entre sus funciones está en primer lugar, realizar el monitoreo y evaluación de la estrategia de la reducción de la mortalidad materna.
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Maternity protection|Underweight in women","","www.oj.gob.gt/es/QueEsOJ/.../cds/.../pdfs/decretos/D032-2010.pdf","El 20 de Abril de 2012, en el Diario de Centro América se publicó el Acuerdo Gubernativo No.65-2012 Reglamento para la Ley de Maternidad Saludable.","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/D032-2010.pdf" "23444","LAO","Lao People's Democratic Republic","","National Nutrition Strategy and Plan of Action 2010-2015","Comprehensive national nutrition policy, strategy or plan","","English","","2010","","2015","Ministry of Health","","2010","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Industry|Information|Labour","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Asian Development Bank (ADB)|Gesellschaft für Technische Zusammenarbeit (GTZ, Germany)|The World Bank","","","","","","","","","","","","Mission: Establish effective overall mechanisms through which policies, strategies, programmes, and activities can be identified, prioritized, coordinated, implemented, monitored, and evaluated for the attainment of nutrition and food security in Lao PDR.
Overall Goal: Since there is no single measure of nutritional status and food security, the overall goal has been translated into a number discrete, empirically observable and measurable targets by the Year 2015 (attainment year of MDGs) and the Year 2020 (year for exiting Less Developed Country status and entering Medium Income Country status). See indicator tab for list of goal indicators.
","
Strategic Direction I: Address Immediate Causes
SO1: Improve Nutrient Intake
SO2: Prevent and Reduce Food-, Water-, Vector-borne, and Infectious Diseases
Strategic Direction II: Address Underlying Causes
SO3: Increase and Diversify Domestic Food Production
SO4: Improve Access to Nutritious Food
SO5: Improve Mother and Child Care Practices
SO6: Improve Environmental Health and Access to Nutrition and Health Services
Strategic Direction III: Address Basic Causes
SO7: Improve Institutions and Coordination
SO8: Improve Human Capacity
SO9: Increase Quantity and Quality of Information
SO10: Increase Investments in Nutrition and Food Security
Overall Goal Indicators
Indicator (2006 Baseline, 2015 Target, 2020 Target)
Malnutrition
Rate of stunting among CU5 (NCHS standard) (40, 34, 28)
Rate of wasting among under CU5 (NCHS standard) (6, 4, 2)
Rate of underweight among CU5 (NCHS standard)* (37, 22, 15)
Rate of thinness of women among reproductive aged (WRA) (BMI<18.5kgm-2) (14, 12, 10)
Rate of anemia among CU5 (Hemoglobin < 11g/dL) (41, 30, 20)
Rate of Anemia among women of reproductive age (WRA) (Hemoglobin < 12 g/dL) (36, 25, 15)
Iodine deficiency among school age children (urinary iodine excretion < 100µg/L) (27, 17, 10)
Iodine deficiency among women of reproductive age (WRA) (13, 9, 5)
Vitamin A deficiency among CU5 (serum retinol < 0.7) (45, 30, 20)
Percentage of households with low < 1800 KC energy intake* (TBD, 10, 5)
Health
Infant mortality rate (IMR) (70/1,000, 49/1,000, 30/1,000)
Under 5-years old child mortality rate (CU5 MR) (98/1,000, 80/1,000, 40/1,000)
Maternal mortality rate (MMR) (405/100,000, 260/100,000, 100/100,000)
Poverty
Poverty Head Count Ration (HCR) (TBD, 24%, 8%)
* MDG Goal indicators. MDG Goal Indicators will be used as key proxy indicators to measure progress towards MDG 1
","Outcome indicators","","Baby-friendly Hospital Initiative (BFHI)|Counselling on infant feeding in the context HIV|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Promotion of exclusive breastfeeding for 6 months|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|Physical activity and healthy lifestyle|Vitamin A|Other B-vitamins|Iodine|Iron|Zinc|Micronutrient powder for home fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","National Nutrition Policy (2008) https://extranet.who.int/nutrition/gina/en/node/8022","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LAO%202010%20National%20Nutrition%20Strategy%20and%20Plan%20of%20Action.pdf" "7974","LKA","Sri Lanka","","National Nutrition Policy of Sri Lanka","Comprehensive national nutrition policy, strategy or plan","","","","2010","","2018","Ministry of Healthcare and Nutrition","","2010","Adopted","","2010","Ministry of Healthcare and Nutrition, Nimal Siripala De SilvaCabinet","Education and research|Food and agriculture|Health|Other|Women, children, families","Ministry of Healthcare and Nutrition Education and research, Food and agriculture, Health, Women, children, families: Ministry of Education, Food and Drug Control Authority, Ministry of Agriculture, FHB (Family Health Bureau), HEB (Health Education Bureau","","WHO,UNICEF, WFP, FAO","","Sarvodaya, world vision, Plan Sri Lanka, Save the Children","","WB","","","","","","","","","","","Goal:
To achieve and maintain the nutritional well
bring of all Sri Lankans enabling them to contribute effectively towards national socio
economic growth and development
Objectives: 1. To ensure optimal nutrition throughout the life cycle.
Policy Statement 5.1.1: Pregnant Women.
Ensure appropriate and adequate nutrition and related services for all pregnant women throughout the pregnancy enabling a delivery of a healthy baby with an adequate birth weight.
Policy Statement 5.1.2: Lactating Mothers.
Ensure supportive family environment, services and regulatory safety nets to enable mothers to provide optimal care including exclusive breastfeeding for 6 months and continuation of breast feeding for 2 years and beyond.
Policy Statement 5.1.3: Infant and Young Child.
Ensure a good foundation for all infants and young children during their early childhood years by providing optimal nutrition through provision of exclusive breastfeeding for 6 months followed by appropriate complementary feeding together with continued breast feeding for 2 years and beyond.
Policy Statement 5.1.4: Pr-School and School Children.
Ensure all pre-school and primary school children have access to adequate and safe nutrition, which will optimise their growth and development.
Policy Statement 5.1.5: Adolescents.
Reduce undernutrition and obesity (malnutrition) among adolescents enabling them to be healthy and productive adults.
Policy Statement 5.1.6: Adults and Elderly.
Promote appropriate nutrition for adults and elderly to ensure prevention and control of nutrition related Non-Communicable Diseases. To enhance capacity to deliver effective and appropriate interventions.
Policy Statement 5.2.1: Behaviour Change Communication.
Promote behaviour change communication to all sections of population enabling them to make right food choices and care practices.
Policy Statement 5.2.2 Capacity Building.
Strengthen capacity building of health staff and community-based workers for effective behaviour change communication with regards to nutrition promotion in all sections of the community.
Policy Statement 5.2.3 Community Empowerment.
Empower the community by reorganizing grass root level community organizations, in programme planning, implementation and monitoring of nutrition intervention programmes.
Policy Statement 5.2.4 Media.
Ensure dissemination of appropriate nutrition messages and promotion programmes through media in a responsible and ethical manner. To ensure effective management of adequate nutrition to vulnerable populations.
Policy Statement 5.3.1 : Vulnerable Populations.
Ensure targeting of nutritional interventions to underserved areas, plantation community, urban poor and areas identified by the nutrition surveillance system.
Policy Statement 5.3.2: Emergencies/Conflict.
Ensure access to adequate nutrition for people affected by emergencies (conflict or natural disasters) and ensure emergency preparedness and response plans to adequately address the basic nutrition needs of all people.
Policy Statement 5.3.3Illness/PLWHA.
Ensure adequate nutrition during and after illness with special considerations on those affected with chronic diseases and people living with HIV I AIDS (PLWHA). To ensure food and nutrition security for all citizens.
Policy Statement 5.4.1 : Food Based Approaches.
Ensure access to adequate, nutritious, safe and quality food at affordable price throughout the year.
Policy Statement 5.4.2: Dietary Diversification.
Promote consumption of a wide variety of foods ensuring intake of all macro and micronutrients to prevent deficiency disorders and diet related chronic diseases.
Policy Statement 5.4.3: Nutrient Enhancement.
Promote and facilitate improvement of quality of commonly consumed food items ( eg.
food fortification) to ensure micronutrient supplementation for vulnerable groups.
Policy Statement 5.4.4: Food Safety.
Enact and implement of appropriate legislations and other regulatory mechanisms to ensure provision of safe nutrition to all citizens of Sri Lanka.5. To strengthen advocacy, partnerships and networking.
Policy Statement 5.5.1 : Political Commitment.
Establish a mechanism for regular consultation and dialogue between political leadership, policy planners and other stakeholders to ensure sustainability of programmes in coherence with other nutrition related policies.
Policy Statement 5.5.2: Inter Agency Partnership.
Strengthen partnerships and networking with relevant sectors and stakeholders including private sector for undertaking collaborative programmes to improve nutrition at community level.6. To strengthen research, monitoring and evaluation.
Policy Statement 5.6.1 : Nutrition Surveillance.
Promote establishment and operation of National Nutrition Surveillance System providing policy makers, programme managers, and nutrition care providers with evidence needed for better programme management
Policy Statement 5.6.2: Evidence Based Review.
Prioritise and support research oriented activities and utilize evidence for regular monitoring and periodic evaluations of nutrition programmes
These are the Key Action areas [more detail in the strategic plan matrix]
Objective 1. To ensure optimal nutrition throughout the life cycle.
1.1.1 Reducing under nutrition and micronutrient deficiencies among women of reproductive age
1.1.2 Controlling and managing antenatal causes of fetal malnutrition (i.e., infectious disease, PIH)
1.2.1 Promoting, protecting and supporting exclusive breastfeeding for the first six months of life and continuation of breast feeding for 2 years and beyond
1.2.2 Strengthening complementary feeding practices
1.2.3 Strengthening Growth monitoring and Promotion
1.2.4 Promote psychosocial development of children during early childhood years
1.3.1 Strengthening Integrated Management of Childhood Illnesses
1.4.1 Create a good nutrition enabling environment in schools
1.4.2 Enhance fora in delivering nutrition services to non-school going adolescents
1.4.3 Regular nutritional status assessment of non-school going adolescents & youth
1.5.1 Regular nutritional status assessment of adults & elderly
1.5.2 Updating and implementing national food-based dietary guidelines
1.5.2 Promoting healthy workplaces
Objective 2. To enhance capacity to deliver effective and appropriate interventions.
2.1.1 Promote behavior change among all sections of population & enabling them to make right food choices and care practices
2.1.2 Build and empower the community organizations, in programme planning, implementation and monitoring of nutrition intervention programmes
2.1.3 Improving infrastructure facilities at all levels
2.1.4 Effect a behaviour surveillance system at all levels
Objective 3. To ensure effective management of adequate nutrition to vulnerable populations.
3.1.1 Ensure targeting of nutritional interventions to underserved areas, plantation community, urban poor and conflict affected areas
3.1.2 Establishing an effective hospital nutrition system
Objective 4. To ensure food and nutrition security for all citizens.
4.1.1 Ensure access to adequate, nutritious, safe and quality food at affordable prices throughout the year
4.1.2 Ensure provision of safe food
4.2.1 Ensuring intake of all macro and micronutrients to prevent deficiency disorders and diet related chronic diseases
Objective 5. To strengthen advocacy, partnerships and networking.
5.1.1 Mainstreaming nutrition in other related national and provincial policies
5.2.1 Establishing an effective coordinating system
5.3.1 Establish a high-level intersectoral coordination mechanism
5.3.2 Enhance coordination and harmonization of partners and stakeholders who work for food and nutrition in the country (UN agencies, bilateral agencies, NGOs/civil societies)
5.3.3 Strengthen partnerships and networking with relevant sectors and stakeholders for undertaking collaborative programmes at Provincial, Distriction, Divisional & community level to improve nutrition of the community
Objective 6. To strengthen research, monitoring and evaluation.
6.1.1 Strengthen National Nutrition Surveillance System
6.1.2 Establish National Nutrition Management Information System
6.1.3 Strengthen the support or research in nutrition and the use of its outcomes
6.1.4 Strengthen monitoring and evaluation of the impacts of nutrition intervention programmes
Outcome Indicators:
LBW rate
Exculsive Breast Feeding Rate at 6 months
% underweight, % stunting
Prevalence of iron deficiency anemia among infants at 6 – 11/12
% Wasting % Stunting
% under 5 children with diarrhea
% Stunting (Adolescents)
% Overweight (Adolescents)
% Anemic (School going children)
% Under-weight ( School going children)
% of reproductive age women under-weight
% of reproductive age women over-weight
% of reproductive age women anemic
% of health workers (PHM,PHI,HENO) reached competency level
% of BCC plans being implemented with quarterly follow ups
No of media channels reviewed monthly
% GSN divisions implement the package
% of resource centres at MCH clinics & hospitals developed
No. of communication materials developed
% of transport available - PHM, PHI, PHNS, MOH, HEO
% of behaviour surveillance programs conducted annually at community, PHM & MOH level
Under 5 year wasting and stunting % at District level
Percentage of hospitals using nutrition guidelnes
Proportion of population below minimum level of dietary energy
Anemia prevelance (<5yr)
Total goitre rate
Prevalence of Vitamin A deficiency
% of other relevant policies formulated inline with nutrition policy & strategic plan
Availability of a central management unit
Availability of an inter-ministerial committe
% Provinicial/local authorities using serveillance data for planing nutrition programs
No. of behaviour research conducted anually
Availability of periodical reports
% completion of the formulated research agenda
% Provincial & divisional bodies with laid-down evaluation programs
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Nutrition in schools|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|Dietary guidelines|Food-based dietary guidelines (FBDG)|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Food fortification|Nutrition education|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LKA%202010%20Sri%20Lanka%20National%20Nutrition%20Policy-English_0.pdf" "14985","TJK","Tajikistan","","Poverty Reduction Strategy of the Republic of Tajikistan 2010-2012","Multisectoral development plan with nutrition components","","English","","2010","","2012","The Government of Tajikistan","","2010","Adopted","","2010","Government of Tajikistan","Education and research|Finance, budget and planning|Food and agriculture|Health|Social welfare|Sub-national|Trade","Ministry of Health, Ministry of Agriculture, Academy of Agricultural Sciences, Ministry of Economic Development and Trade, Local Authorities, Ministry of Education, Ministry of Finance, Ministry of Labour and Social welfare","","","","","The World Bank","","","","","","","","","","","","
Food Security and Development of the Agricultural Sector
To increase gross agricultural output volume, ensure food security and allow achieving the MDGs and the priorities of the NDS, including poverty reduction, particularly in the rural areas.
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Food Security and Development of the Agricultural Sector
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Task 6, which relates to ensuring proper nutrition, aims at reducing the incidence of food related illnesses and strengthening the legislative and laboratory bases. It includes the following package of measures: drafting and/or adapting the recommended, temporary, national, physiological and sanitation standards for food quality and safety; providing equipment for information collection and evaluation in order to implement the Law “On salt iodization”; enriching processed flour with iron; addressing medical problems related to nutrition; supporting scientific research to supply laboratory equipment for food safety assessment; and supporting scientific and practical research to ensure proper nutrition, taking steps to prevent and treat malnutrition
","
Expansion of access to the water, sanitation, and housing and municipal services
Development of the Health Sector
Development of the Educational System
Organization of healthy nutrition
5.2.1.2 Contribute to the attainment of a significant reduction of morbidity and mortality due to environmental health and unhygienic practices and other environmental health related conditions.
o Disseminate the food hygiene and safety, safe water chain and hand washing guidelines.
o Support local governments to enforce food hygiene and safety, safe water chain and hand washing standards.
o Establish early warning systems on environmental health related risk factors e.g water quality, food safety and sanitation and hygiene related disease out breaks.
5.2.1.4 Improve the health status of the school children, their families and teachers and to inculcate appropriate health seeking behaviour among this population.
• Expand the coverage of the school health and nutrition programme to include more schools
• Strengthen the policy and legal environment for provision of school health services.
o Develop the missing health standards (e.g. nutrition and screening) and operationalise all standards
• Expand the provision of clean water and improved sanitation to schools, with special emphasis on primary schools
5.2.1.7 Scale up delivery of nutrition services:
Strategy 1: To reduce the incidence and prevalence macro- and micro-nutrient deficiencies and associated mortality among vulnerable groups.
• Strengthen maternal nutrition interventions to ensure optimal pregnancy outcomes and healthy infancy:
o Provide micronutrient supplements (iron, folic acid, vitamin A and other relevant) to target groups.
o Encourage and support antenatal care services through health and nutrition education.
o Promote the consumption of high nutrient density local foods
• Integrate infant and young child nutrition interventions into maternal, infant and young child services to ensure growth and development:
o Provide infant and young child feeding counselling services during ante-natal and post-natal care.
o Strengthen growth monitoring and promotion services at facility and community levels.
o Support infant and young child feeding in the context of HIV.
o Provide bi-annual Vitamin A supplementation and deworming to targeted groups.
• Scale up micronutrient initiatives:
o Develop a comprehensive policy framework for micronutrient deficiency control.
o Provide support for implementation of a consolidated policy on micronutrient deficiency control.
o Promote food fortification by working with relevant public and private stakeholders.
o Promote food supplementation
• Promote good quality diets through diet diversification:
o Conduct nutrition education and counselling at facility, family and community levels.
o Promote consumption of locally produced fortified foods.
o Encourage the production and preparation of a variety of locally available nutritious foods.
• Integrate the management of malnutrition into the health delivery system:
o Integrate identification, screening, referral and management of acute malnurished children into routine service delivery at facility level and community levels using national IMAM protocols.
o Support and promote national procurement of therapeutic feeds and supplies.
o Promote local production of therapeutic feeds.
• Integrate nutrition into the treatment and management of HIV/AIDS, TB and malaria:
o Incorporate nutrition support into the management and treatment of HIV/AIDS, TB and malaria interventions.
o Establish coordination mechanisms among partners involved in food and nutrition and HIV, TB and malaria interventions.
o Support community involvement in provision of nutrition support to HIV/AIDS and TB patients.
Strategy 2: To improve access and quality of nutrition services at facility and community levels.
• Support institutional feeding:
o Procure equipment for nutrition management like weighing scales, MUAC tapes, height meters, demonstration meters and food preparation equipment.
o Conduct pre- and in-service training for service providers to promote nutrition interventions.
o Develop curricula and training manuals for nutrition training.
o Determine the human resource needs for nutrition services.
o Train trainers and equip the VHTs, community resource persons and other community based organizations with nutrition knowledge and skills.
o Provide technical support supervision and mentoring of health workers.
o Support nutrition response in emergency
Strategy 3: To review, formulate, enforce and coordinate nutrition related policies, regulations, standards and programmes in consultation with other relevant sector stakeholders.
• Develop and disseminate nutrition policy and implementation guidelines:
o Initiate the review and up-date of the 2002 Uganda National Food and Nutrition Policy.
o Develop implementation guidelines for the reviewed Uganda National Food and Nutrition Policy and other related nutrition policies.
o Orient stakeholders on the revised Uganda National Food and Nutrition Policy.
• Strengthen nutrition related standards and regulations:
o Review the regulations on salt iodization.
o Review regulations on maternity protection.
o Support the development of the Codex on complementary foods and food supplements.
o Develop a regulatory framework for food fortification.
• Strengthening inter-sectoral collaboration and public-private partnership in the designing and implementation of nutrition programs:
o Operationalise the National Food and Nutrition Council and its secretariat.
o Conduct national, regional and district coordination and planning meetings.
Strategy 4: To strengthen advocacy and social mobilization for behavioural change.
• Strengthen advocacy, social mobilization and communication at all levels:
o Develop a comprehensive nutrition communication strategy.
o Develop and disseminate nutrition IEC materials using mass media including audio, visual and print media.
o Promote nutrition campaign initiatives.
Strategy 5: Strengthen nutrition information management systems for monitoring and evaluating nutrition interventions programs.
• Strengthen the regular collection of nutrition indicators in HMIS and other systems:
o Operationalise the Uganda Nutrition Information System.
o Establish nutrition sentinel sites to assess nutrition trends.
o Conduct basic and operational nutrition research.
o Collaborating with UBOS in collection of nutrition indicators during annual food consumption surveys.
o Conduct periodic nutrition surveys.
","5.2.1.2:
Percentage of households with access to safe water.
5.2.1.4:
The % of schools in Uganda that provide basic health and nutrition services increased to 25 % by 2015.
The % of primary and secondary schools with safe water source within 0.5 km radius of the school increased from 61% and 75% resp. to 80% by 2015.
5.2.1.7:
The proportion of underweight in under five year children reduced from 16% to 10%.
Vitamin A deficiency among children 6-59 months reduced from 20% to 10% and women of reproductive age from 19% to 9%.
The proportion of stunted children below 5 years reduced from 38% to 32%.
Vitamin A supplementation coverage increased for children aged 6-59 months from 60% to 80%.
Deworming coverage for children 1-14 years increased from 60% to 80%.
Iodine deficiency eliminated.
The proportion of the households consuming iodised salt increased from 95% to 100%.
The prevalence of anaemia among children decreased from 73% to 60%, women from 49% to 30% and men from 28% to 15%.
The proportion of underweight women of reproductive age decreased from 12% to 6%
Exclusive breastfeeding at 6 months increased from 60% to 80%.
Timely complementary feeding increased from 73% to 80%
Accessibility to appropriate and gender sensitive nutrition information and knowledge increased to 100%
Nutrition services to health units and the community scaled up to 100%.
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Growth monitoring and promotion|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/HSSIP_Final.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202010%20Health%20Sector%20Strategic%20%26%20Investment%20Plan.pdf" "23595","BWA","Botswana","","National Health Policy 2011","Health sector policy, strategy or plan with nutrition components","","","","2011","","2021","Ministry of Health","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Ministry of Local Government; Ministry of Infrastructure,Science and Technology; Ministry ofDefense, Justice and Security; Ministry of Transport and Communications; Ministry ofEducation and Skills Development; Ministry of Labour and Home Affairs; Ministry of Lands and Housing; Ministry of Environment, Wildlife and Tourism; Ministry of Finance and Development Planning; Ministry of Presidential Affairs and Public Administration; Ministry ofMinerals, Energy and Water Resources; Ministry of Youth, Sports and Culture; Ministry ofForeign Affairs and International Cooperation","","","","","","","","","National NGOs","","","","Private sector","","","","4.7.2.1 Goal
Increase access to affordable healthy food and promote healthy eating habits and increased physical activity in order to reduce malnutrition as well as preventing chronic diseases such as diabetes, cardiovascular disease, osteoporosis, etc.
4.7.2.2 Objectives
• To reduce obesity;
• To prevent children from obesity and malnutrition;
• To increase accessibility to affordable, healthy foodstuffs to all population particularly in deprived and rural areas; and
• To implement a physical exercise programme along with the health and wellness week in all work places and schools.
MDG Targets
1. Underweight children for under 5 (%) to reduce by half: baseline (1990-94) 17.0%; target (2015) 8.5%
","","","","","Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202011%20National%20Health%20Policy.pdf" "8561","BFA","Burkina Faso","","Stratégie de croissance accélérée et de développement durable","Multisectoral development plan with nutrition components","","French","","2011","","2015","","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Environment|Industry","","","","","","","","","","","","","","","","","","Objectif général
Réaliser une croissance économique forte, soutenue et de qualité, génératrice d'effets multiplicateurs sur le niveau d'amélioration des revenus, la qualité de vie de la population et soucieuse du respect du principe de développement durable.
Objectifs spécifiques
Pages 37-39
","Outcome indicators","","Food security and agriculture|Food sovereignty|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202011%20SCADD_1.pdf" "11638","SLV","El Salvador","","Política de Protección, Promoción y Apoyo a la Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Ministerio de Salud","","2011","Adopted","","2011","Ministerio de Salud","Nutrition council|Health|Education and research|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO","","","","","","","","","","","","","","","Objetivo General
Garantizar el ejercicio del derecho a la lactancia materna de las niñas, niños, madres y familias salvadoreñas, como elemento indispensable para lograr un óptimo estado de salud, desarrollo y nutrición.
Objetivos Específicos
1. Fortalecer el marco legal y normativo para la protección, promoción y apoyo de la lactancia materna en El Salvador.
2. Asegurar la promoción de la lactancia materna para la población salvadoreña, teniendo en cuenta las diferentes condiciones sociales, culturales y medio ambientales.
3. Fortalecer los mecanismos de apoyo a la lactancia materna a nivel comunitario, laboral y en la prestacción de los servicios de salud con participación intersectorial.
4. Generar condiciones que faciliten la lactancia materna en situaciones especiales y a grupos vulnerables.
","Para cada uno de los objetivos específicos, se definieron estrategias y líneas de acción.
1.1. Elaboración y actualización de instrumentos legales y normativos para la protección de la práctica de la lactancia materna a través de un proceso participativo.
1.1.1. Promover la adopción de los convenios y recomendaciones internacionales relacionadas con la práctica de la lactancia materna.
1.1.2. Promover el proceso de elaboración y aprobación de la Ley de protección, promociónl y apoyo a la lactancia materna que incluya los artículos del Código Internacional de Comercialización de sucedáneos de la Leche Materna.
1.1.3. Establecer mecanismos de monitoreo y evaluación de las prácticas de comercialización de los sucedáneos de la leche materna.
1.1.4. Promover y vigilar el cumplimiento de la legislación relacionada a las licencias por maternidad y período de lactancia de la madre trabajadora tanto en el sector público como en el privado, incluyendo aquellas que ejercen formas atípicas de trabajo.
1.1.5. Actualizar y armonizar la normativa del Sistema Nacional de Salud relacionada con la atención integral de la madre, el recién nacido y el lactante, la lactancia materna y la alimentación infantil.
2.1. Crear y desarrollar herramientas innovadoras e inclusivas de información, educación y comunicación sobre lactancia materna a nivel nacional, con enfoque de derecho, género y participación social.
2.1.1. Fortalecer el Comité Nacional de Lactancia Materna para la integración de las herramientas de información, educación y comunicación.
2.1.2. Implementar planes de información, educación y comunicación sobre la práctica de lactancia materna, dirigido al personal de salud que atiende a mujeres, niñez, familia, comunidad y otros actores sociales.
2.1.3. Implementar campañas permanentes dirigidas a mujeres, familia y comunidad, que contribuya a crear valores y comportamientos culturales favorables a la lactancia materna con participación intersectorial e interinstitucional a través de diferentes medios.
2.1.4. Gestionar la incorporación de la temática de lactancia materna con efoque de derecho y metodología innovadora en la currícula del sistema educativo del paísl.
3.1. Propiciar las condiciones necesarias para asegurar la práctica de la lactancia materna exclusiva hasta los seis meses y prolongada hasta los dos años y más.
3.1.1. En las instituciones de Salud:
3.1.1.1. Implementar en todos los hospitales del Sistema Nacional de Salud y del sector privado que cuentes con atención de partos, la iniciativa de Hospitales Amigos de la Niñez y las Madres a través del cumplimiento de los diez pasos para una lactancia exitosa:
3.1.1.2. Implementar en los establecimientos del primer nivel del Sistema Nacional de Salud y del sector privado la iniciativa de Unidades de Salud Amigas de la Niñez y las Madres que incluya:
3.1.2. Ámbito laboral:
3.1.3. Ámbito comunitario:
4.1. Velar por el ejercicio del derecho de lactancia materna en aquellas situaciones especiales que limitan su práctica.
4.1.1. Creación y desarrollo de los bancos de leche humana a nivel institucional para alimentar a las niñas y niños en situaciones especiales.
4.1.2. Garantizar las condiciones para iniciar o continuar la práctica de lactancia materna durante y despúes de una situación de emergencia y desastre.
4.1.3. Ampliar en la red de establecimientos del Sistema Nacional de Salud y en el sector privado el desarrollo de la estrategia canguro.
","
No los incluye el documento.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes","","http://siteresources.worldbank.org/EXTLACREGTOPNUT/Resources/4160377-1357590589927/8996498-1357590799892/8996560-1357606699744/POLITICA_LACTANCIA_MATERNA_FINAL.pdf","El 17 de agosto de 2011, la Primera Dama de la República y Secretaria de Inclusión Social, Dra. Vanda Pignato, junto a la Ministra de Salud, Dra. María Isabel Rodríguez, oficializaron la Política de Lactancia Materna.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/POLITICA_LACTANCIA_MATERNA_FINAL.pdf" "14572","SLV","El Salvador","","Estrategia de Atención en Nutrición y Desarrollo en la Primera Infancia.","Comprehensive national nutrition policy, strategy or plan","","Spanish","10","2011","","","Ministerio de Salud. Unidad de Nutrición","10","2011","Adopted","10","2011","Ministerio de Salud. Unidad de Nutrición","Education and research|Health","Ministerio de Salud, Ministerio de Educación","","","","","","","","","","","","","","","Other","Alcaldías","Objetivo General
Mejorar y/o mantener un adecuado estado nutricional de la población materno infantil para asegurar un desarrollo fetal armónico, un crecimiento y desarrollo normal de los niños y las niñas, asegurando una lactancia materna exitosa.
Objetivos Específicos
","
Componentes de la estrategia
A. Promoción del crecimiento y desarrollo infantil y evaluación nutricional.
1. Evaluación del estado nutricional y control del crecimiento y desarrollo de niños y niñas.
2. Evaluación nutricional de mujeres embarazadas y madres en período de lactancia.
B. Alimentos complementarios y suplementos de micronutrientes.
1. Alimento complementario fortificado.
2. Suplemento con micronutrientes.
C. Estimulación temprana, cuidados y alimentación afectiva.
D. Educación, comunicación e información en alimentación y nutrición.
","Para la evaluación de proceso como de resultados se han establecido los siguientes indicadores:
1. Niños y niñas de 6 a 23 meses:
1.1. Porcentaje de niños con talla para la edad normal que reciben complemento nutricional.
1.2. Porcentaje de niños con estado nutricional normal de acuerdo al índice de peso/edad que reciben complemento nutricional.
1.3. Porcentaje de niños con sobrepeso según el índice de peso/talla que reciben complemento nutricional.
1.4. Porcentaje de niños con prueba de hemoglobina que reciben complemento nutricional.
1.5. Prevalencia de anemia en niños que reciben complemento nutricional.
2. Mujeres embarazadas y madres en periodo de lactancia
2.1. Porcentaje de embarazadas de 10 a 49 años que finalizan su embarazo con estado nutricional normal.
2.2. Porcentaje de mujeres puérperas con estado nutricional normal.
2.3. Porcentaje de embarazadas de 10 a 49 años con prueba de hemoglobina que reciben complemento nutricional.
2.4. Prevalencia de anemia en mujeres embarazadas de 10 a 49 años que reciben complemento nutricional.
2.5. Prevalencia de anemia en mujeres embarazadas de 10 a 49 años en el último trimestre de embarazo que reciben complemento nutricional.
3. Círculos comunitarios de nutrición y desarrollo
3.1. Porcentaje de círculos comunitarios de nutrición y desarrollo formados.
3.2. Porcentaje de círculos comunitarios de nutrición y desarrollo activos.
3.3. Porcentaje de niños menores de 2 años participantdo en el círcuclo comunitario de atención en nutrición y desarrollo.
3.4. Porcentaje de embarazadas de 10 a 49 años atendidas en el círculo comunitario dle atención en nutrición y desarrollo.
","Process indicators","","Breastfeeding|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Vitamin A|Iron|Zinc|Food distribution/supplementation for prevention of acute malnutrition","","","","","" "22859","GMB","Gambia","","Strategic Plan for Implementation of The Gambia’s National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","National Nutrition Agency (NaNA), The Government of Republic of the Gambia","5","2011","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research","National Nutrition Agency (NaNA)","","","","","","","","","National NGOs","National association of salt producers","Research/academia","Medical Research Council","","","Other","Media; Food Production Industry; Nutrition Resource Centers; Micronutrient Deficiency Control Committee","
The plan spells out the strategies and activities that must be carried out in order to achieve the policy objectives of the ‘National Nutrition Policy 2010-2020’. The paper provides detailed cost tables, which contain the chronology of priority areas, strategies and the activities that need to be implemented.
Objectives
1.1: To reduce the prevalence of malnutrition among women of child bearing ages
2.1: To promote optimal infant and young child feeding practices
2.2: To create an enabling environment for mothers and caregivers to make and implement informed feeding choices
2.3: To raise public awareness on the main problems affecting infant and young child feeding
3.1: To promote the utilization of diverse and safe foods of high nutritional value
3.2: To promote the diversification of the food production base
4.1: To increase awareness on causes, consequences and prevention of micronutrient malnutrition in the general population
4.2: To increase household consumption of iodised salt from 7% in 2005 to 90% by 2015
4.4: To reduce the prevalence of diseases related to micronutrient deficiencies among the general population especially women and children
5.1: To formulate and establish codes of practice for food standards, quality and safety
5.2 To raise public awareness on the importance of food quality and safety
6.1: To improve the nutritional status of children under five, pregnant and lactating women and other vulnerable groups
6.2: To ensure that stakeholders appreciate the importance of good nutritional status in both the management and prevention of infectious diseases
7.1: To increase awareness of the risk factors and major determinants of diet-related NCDs
7.2: To reduce the mortality associated with diet-related NCDs
7.3: To improve the health and quality of life of individuals with diet-related NCDs
8.1: To establish an effective nutritional care and support system for the socio-economically deprived and nutritionally vulnerable groups
9.1 To increase awareness on the relationship between nutrition and HIV/AIDS
9.2: To provide nutritional information, care and support to people infected and affected by HIV/AIDS.
10.1: To ensure timely access to adequate food by people in emergency situations
11.1: To make nutrition information available to all stakeholders for appropriate decision making, planning, policy development and programming
12.1: To create an enabling environment for human nutrition research
13.1: To inform and educate the Gambian population on the need for and importance of good nutrition, through effective information and communication mechanisms
14.1: To improve on the resources base of the Agency for effective functioning and investment in nutrition
14.2: To create an enabling environment to facilitate resource mobilization for various partners and stakeholders for the provision of adequate resources
14.3: To coordinate investment in nutrition
15.1: To ensure that nutrition is mainstreamed in key development policies and programmes
16.1: To ensure effective implementation of the Policy
","Priority areas of intervention
Tujuan1. Menurunnya prevalensi gizi kurang anak balita menjadi 15,5 persen,2. Menurunnya prevalensi pendek pada anak balita menjadi 32 persen, dan3. Tercapainya konsumsi pangan dengan asupan kalori 2.000 Kkal/orang/hari.
Strategy1. Perbaikan gizi masyarakat, terutama pada ibu pra-hamil, ibu hamil dan anak melalui peningkatkan ketersediaan dan jangkauan pelayanan kesehatan berkelanjutan difokuskan pada intervensi gizi efektif pada ibu pra-hamil, ibu hamil, bayi, dan anak baduta.2. Peningkatan aksesibilitas pangan yang beragam melalui peningkatkan ketersediaan dan aksesibilitas pangan yang difokuskan pada keluarga rawan pangan dan miskin.3. Peningkatan pengawasan mutu dan keamanan pangan melalui peningkatkan pengawasan keamanan pangan yang difokuskan pada makanan jajanan yang memenuhi syarat dan produk industri rumah tangga (PIRT) tersertifikasi.4. Peningkatan perilaku hidup bersih dan sehat (PHBS) melalui peningkatkan pemberdayaan masyarakat dan peran pimpinan formal serta non formal terutama dalam perubahan perilaku atau budaya konsumsi pangan yang difokuskan pada penganekaragaman konsumsi pangan berbasis sumber daya lokal, perilaku hidup bersih dan sehat, serta merevitalisasi posyandu.5. Penguatan kelembagaan pangan dan gizi melalui penguatan kelembagaan pangan dan gizi di tingkat nasional, provinsi, dan kabupaten dan kota yang mempunyai kewenangan merumuskan kebijakan dan program bidang pangan dan gizi, termasuk sumber daya serta penelitian dan pengembangan.
IV. B. Strategy
Five Pillar Intervention Strategies with Stratification of Provinces
1. Improvement of community nutrition, particularly in pre-pregnant mothers, pregnant mothers and children through increasing availability and accessibility of sustainable health services focusing to effective nutrition interventions in pre-pregnant mothers, pregnant mothers, infant and children under two years old.
2. Improving diversed food accessibility through improvement of accessibility and accessibility of foods focusing to the vulnerable family to food and the poor
3. Improving quality control and food safety through improvement of food security monitoring focusing to requirement-filled food hawkers and certified home industrial products (PIRT).
4. Improving clean and healthy lifestyle (PHBS) through improvement of community empowerment and roles of formal leaders especially on behavioral change or food consumption culture focusing to diversity of food consumption based on local resources, clean and healthy lifestyles, and revitalization of Posyandu.
5. Strengthening Institutionalization of Food and Nutrition through strengthening of institutionalization of food and nutrition at national, province and district/municipality levels with authority to formulate policies and programs of food and nutrition, including resources as well as research and development activities.
Policies in each of the strata:
Strata 1: To continue reduction of prevalence of undernutrition in mother and children by maintaining consumption level of community, to contrbute to the acceleration of the achievement of the MDGs 1, 4, 5 and 6.
Strata 2: to continue reduction of prevalence of undernutrition in mother and children and by improving level of community consumption especially in very vulnerable areas to foods.
Strata 3: Accelerating reduction of prevalence of undernutrition in mother and children and maintaining community consumption to have calory intake 2000 Ccal/person/day.
Strata 4: Accelerating reduction of prevalence of undernutrition n mother and children and improving availability and accessibility of diversed foods to fulfill the need of community consumption.
The food and nutrition action plans are developed in action-oriented programs covering the five pillars of intervention strategies.
","GIZI MASYARAKAT1) Peningkatan Pembinaan Gizi Masyarakat1. Persentase balita gizi buruk dirawat sesuai standar2. Persentase bayi usia 0-6 bulan mendapat ASI Eksklusif3. Cakupan rumah tangga yang mengkonsumsi garam beryodium4. Persentase balita 6-59 bulan mendapat kapsul vitamin A5. Persentase kabupaten dan kota yang melaksanakan surveilans gizi6. Persentase penyediaan bufferstock MP-ASI untuk daerah bencana7. Jumlah (persentase) Puskesmas dengan tenaga terlatih Tatalaksana Anak Gizi Buruk8. Jumlah (persentase) RSUD dengan tenaga terlatih Tatalaksana Anak Gizi Buruk9. Persentase balita ditimbang di Posyandu (D/S)10. Persentase Puskesmas memiliki tenaga terlatih pemantauan pertumbuhan11. Persentase Pembinaan kader di Posyandu12. Persentase Puskesmas memiliki konselor menyusui13. Persentase Puskesmas membina kelompok pendukung ASI2) Peningkatan Kesehatan Ibu dan Anak1. Persentase ibu hamil mendapat tablet Fe 90 tablet2. Persentase ibu hamil KEK mendapat PMT3. Persentase bayi 6-12 bulan dan anak 1-5 tahun mendapat kapsul vitamin4. Persentase Kunjungan Ibu Hamil ke-4 (K4)5. Persentase Kunjungan Neonatal Pertama (KN1)AKSESIBILITAS PANGAN1) Pengembangan Ketersediaan Pangan 1. Jumlah Desa Mandiri Pangan yang dikembangkan 2. Jumlah lumbung pangan yang dikembangkan di daerah rawan pangan 3. Penanganan daerah rawan pangan 4. Ketersediaan data rawan pangan 5. Pemantauan dan pemantapan ketersediaan dan kerawanan pangan (Sistem Kewaspadaan Pangan dan Gizi)2) Pengembangan Sistem Distribusi dan Stabilitas Harga Pangan 1. Lembaga Distribusi Pangan Masyarakat (LDPM) di daerah produsen pangan 2. Tersedianya data dan informasi tentang distribusi, harga dan akses pangan 3. Terlaksananya pemantauan dan pemantapan distribusi, harga dan akses pangan3) Pengembangan Penganekaraga man Konsumsi Pangan dan Peningkatan Keamanan Pangan Segar1. Jumlah desa P2KP (Percepatan Penganekargaman Konsumsi Pangan)2. Jumlah prov/kab. dan kota yang melaksanakan promosi penganekaragaman konsumsi pangan dan keamanan pangan3. Penyediaan tenaga/petugas lapangan seperti penyuluh (Pendamping (P2KP)4. Jumlah provinsi dan kab. dan kota yang melakukan penanganan Keamanan Pangan segar tingkat produsen dan konsumen5. Terlaksananya pemantauan dan pemantapan penganekaragaman konsumsi pangan dan keamanan pangan (termasuk skor PPH dan tingkat konsumsi energi rata-rata penduduk)6. Tersedianya data dan informasi tentang pola konsumsi penganekaragaman dan keamanan pangan4) Pengelolaan Produksi Tanaman SerealiaLuas areal penerapan budidaya serealia yang tepat dan berkelanjutan termasuk untuk bahan bakar nabati (ribu ha) :SL - PTT padi non hibridaSL - PTT padi hibrida (ribu ha)SL - PTT Padi lahan kering (ribu ha)SL - PTT Jagung hibrida (ribu ha)Pengembangan peningkatan produksi gandum (ribu ha)Pengembangan peningkatan produksi sorghum (ribu ha)5) Pengelolaan produksi tanaman aneka kacang dan umbiLuas areal penerapan budidaya tanaman aneka kacang dan umbi yang tepat dan berkelanjutan termasuk untuk bahan bakar nabati (ribu ha) :SL- PTT kedelai (ribu ha)SL - PTT kacang tanah (ribu ha)SL - PTT kacang hijau (ribu ha)PTT kacang hijau (ribu ha)PTT ubi kayu (ribu ha) PTT ubi jalar (ribu ha) PTT pangan lokal (ribu ha) 6) Peningkatan Produksi, Produktivitas Dan Mutu Produk Tanaman Buah Berkelanjutan (Prioritas Nasional dan Bidang) Pengembangan kawasan tanaman buahPengembangan registrasi kebun tanaman buah Perbaikan mutu pengelolaan kebun tanaman buahPerbaikan mutu pengelolaan pasca panen tanaman buahPengembangan registrasi packing housePeningkatan jumlah kelembagaan usaha Tanaman Buah7) Peningkatan Produksi, Produktivitas Dan Mutu Produk Tanaman Sayuran dan Tan. Obat BerkelanjutanPengembangan kawasan tanaman sayuran dan tanaman obatPengembangan registrasi lahan usaha tanaman sayuran dan tanaman obat Perbaikan mutu pengelolaan kebun tanaman buahPerbaikan mutu pengelolaan pasca panen tanaman sayuran dan tanaman obat Pengembangan registrasi packing house Peningkatan jumlah kelembagaan usaha tanaman sayuran dan tanaman obat 8) Peningkatan Produksi, Produktivitas dan Mutu Tanaman SemusimPeningkatan luas areal penanaman (ribu ha) Swasembada Gula Nasional Tebu 9) Peningkatan Produksi Ternak dengan Pendayagunaa n Sumberdaya LokalOptimalisasi IB dan INKA (pkt)Pengembangan agribisnis peternakan melalui LM3 (kelompok)Pengembangan budidaya ternak Perah (kelompok)Pengembangan budidaya kambing/domba (kelompok)Pengembangan budidaya perunggasan (kelompok)Pengembangan budidaya ternak non ungags (kelompok)10) Penyediaan Beras Bersubsidi (Raskin) untuk Rumah Tangga Sasaran (RTS)Jumlah RTS penerima Raskin11) Pengembangan dan Pengelolaan Perikanan TangkapJumlah produksi perikanan tangkap (juta ton)12) Peningkatan Produksi Perikanan Budidaya Volume produksi (juta ton) 13) Peningkatan Daya Saing Produk Perikanan Volume produk olahan hasil perikanan yang bernilai tambah dengan kemasan dan mutu terjamin (juta ton) Jumlah rata-rata konsumsi ikan per kapita nasional (kg) 14) Kegiatan Fasilitasi Penguatan dan Pengembangan Pemasaran Dalam Negeri Hasil Perikanan Jumlah pelelangan ikan dan pasar ikan yang berfungsi sesuai standar Jumlah lokasi pelaksanaan kegiatan GEMARIKAN (Gerakan Memasyarakatkan Makan Ikan) 15) Kegiatan Penyuluhan Kelautan dan Perikanan Jumlah kelompok potensi perikanan yang disuluhMUTU DAN KEAMANAN PANGAN1) Pengawasan Obat dan Makanan Proporsi makanan yang memenuhi syarat 2) Pengawasan Produk dan Bahan Berbahaya Persentase makanan yang mengandung cemaran bahan berbahaya/dilarang 3) Inspeksi dan Sertifikasi Makanan 1. Persentase sarana produksi makanan MD yang memenuhi standar GMP yang terkini 2. Persentase sarana produksi makanan bayi dan anak yang memenuhi standar GMP yang terkini 3. Persentase sarana penjualan makanan yang memenuhi standar GRP/GDP 4) Peningkatan jumlah dan kompetensi tenaga Penyuluh Keamanan Pangan (PKP) dan Pengawas Pangan Kabupaten / Kota (District Food Inspector) Jumlah tenaga Penyuluh Keamanan Pangan (PKP) dan Pengawas Pangan Kabupaten / Kota (District Food Inspector) 5) Bimbingan Teknis pada Industri Rumah Tangga Pangan (IRTP) 1. Jumlah Penyusunan Modul Penerapan Prinsip-prinsip Keamanan Pangan pada Proses Produksi di IRTP Berdasarkan Jenis Produknya 2. Jumlah IRTP yang Dilatih dan Difasilitasi Penerapan Prinsipprinsip Keamanan Pangan pada Proses Produksi di IRTP Berdasarkan jenis produknya 3. Jumlah IRTP yang Dilatih dan Difasilitasi Disain dan Implementasi Cara Produksi Produk Pangan yang Baik (CPPB) pada Industri Rumah Tangga 4. Monitoring dan Verifikasi Penerapan CPPB pada Industri Rumah Tangga 6) Bimbingan Teknis dan Monitoring pada Kantin Sekolah 1. Jumlah Kantin Sekolah yang Dilatih dan Difasilitasi Penerapan Prinsip-prinsip Keamanan Pangan di Kantin Sekolah 2. Monitoring dan Verifikasi Pelaksanaan Bimtek pada Kantin SekolahPERILAKU HIDUP BERSIH DAN SEHAT1 Pembinaan PHBS Pangan dan GiziPersentase rumah tangga melaksanakan PHBSKELEMBAGAAN PANGAN DAN GIZI1) Peningkatan Kelembagaan Pangan dan Gizi di Daerah 1. Jumlah provinsi dan kabupaten dan kota yang mempunyai kelembagaan pangan dan gizi di daerah 2. Jumlah tenaga kesehatan gizi di puskesmas 3. Jumlah kecamatan yang mempunyai tenaga PPL pertanian yang mengikuti pelatihan pangan dan gizi 4. Jumlah provinsi dan kabupaten dan kota yang mempunyai data tingkat konsumsi energi 5. Jumlah provinsi yang memasukkan agenda penelitian pangan dan gizi 6. Jumlah penelitian mengenai zat gizi mikro pada tingkat nasional 7. Fortifikasi vitamin A pada minyak goreng 8. Konsep Kebijakan Fortifikasi zat besi pada beras 9. Jumlah provinsi, kabupaten dan kota yang sudah memasukkan program pangan dan gizi pada RPJMD
Programmes/Activities are categorized by the five pillars, each with several indicators (97 in total)
Output indicators
1. Coverage of breast-feeding, D/S, KN and K4 increased
2. Diversified food consumption and score of Desirable Food Pattern (DFP) increased
3. Coverage of good hawkers for school children and certified home industry products increased
4. Number of household implementing CHB increased
5. Number of districts/municipalities having established food and nutrition institutions increased
6. Number of food and nutrition regulation increased
7. Diploma-3 nutrition working at HC and sun-district field agriculture educators ( PPL kecamatan ) increased
","","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Growth monitoring and promotion|Vitamin A|Iodine|Iron|Food fortification|Rice|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Vulnerable groups","","http://www.bappenas.go.id/node/165/2981/rencana-aksi-nasional-pangan-dan-gizi-2011-2015/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IDN%202011%20Rencana%20Aksi%20Nasional%20Pangan%20dan%20Gizi.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/IDN%202011%20Rencana%20Aksi%20Nasional%20Pangan%20dan%20Gizi.pdf" "22865","IDN","Indonesia","","National Plan of Action for Food and Nutrition 2011-2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","Ministry of National Development Planning, National Development Planning Agency","12","2010","","","","","Health|Food and agriculture|Education and research|Other","Home Affairs, National Planning/ National Planning Bureau, The National Agency of Drug and Food Control","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","University of Indonesia","Private sector","Indonesian Food and Nutrition Association, Indonesian Medical Nutrition Doctor Association","Other","Various Non-Governmental Organizations","IV. A. Objectives
IV. B. Strategy
Five Pillar Intervention Strategies with Stratification of Provinces
1. Improvement of community nutrition, particularly in pre-pregnant mothers, pregnant mothers and children through increasing availability and accessibility of sustainable health services focusing to effective nutrition interventions in pre-pregnant mothers, pregnant mothers, infant and children under two years old.
2. Improving diversed food accessibility through improvement of accessibility and accessibility of foods focusing to the vulnerable family to food and the poor
3. Improving quality control and food safety through improvement of food security monitoring focusing to requirement-filled food hawkers and certified home industrial products (PIRT).
4. Improving clean and healthy lifestyle (PHBS) through improvement of community empowerment and roles of formal leaders especially on behavioral change or food consumption culture focusing to diversity of food consumption based on local resources, clean and healthy lifestyles, and revitalization of Posyandu.
5. Strengthening Institutionalization of Food and Nutrition through strengthening of institutionalization of food and nutrition at national, province and district/municipality levels with authority to formulate policies and programs of food and nutrition, including resources as well as research and development activities.
Policies in each of the strata:
Strata 1: To continue reduction of prevalence of undernutrition in mother and children by maintaining consumption level of community, to contrbute to the acceleration of the achievement of the MDGs 1, 4, 5 and 6.
Strata 2: to continue reduction of prevalence of undernutrition in mother and children and by improving level of community consumption especially in very vulnerable areas to foods.
Strata 3: Accelerating reduction of prevalence of undernutrition in mother and children and maintaining community consumption to have calory intake 2000 Ccal/person/day.
Strata 4: Accelerating reduction of prevalence of undernutrition n mother and children and improving availability and accessibility of diversed foods to fulfill the need of community consumption.
The food and nutrition action plans are developed in action-oriented programs covering the five pillars of intervention strategies.
","Programmes/Activities are categorized by the five pillars, each with several indicators (97 in total)
Output indicators
1. Coverage of breast-feeding, D/S, KN and K4 increased
2. Diversified food consumption and score of Desirable Food Pattern (DFP) increased
3. Coverage of good hawkers for school children and certified home industry products increased
4. Number of household implementing CHB increased
5. Number of districts/municipalities having established food and nutrition institutions increased
6. Number of food and nutrition regulation increased
7. Diploma-3 nutrition working at HC and sun-district field agriculture educators ( PPL kecamatan ) increased
","Outcome indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Growth monitoring and promotion|Vitamin A|Iodine|Iron|Food fortification|Rice|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Vulnerable groups","","http://scalingupnutrition.org/wp-content/uploads/2013/07/National-Food-and-Nutrition-Action-Plan.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IDN-2011-2015%20National-Food-and-Nutrition-Action-Plan.pdf" "23177","KEN","Kenya","","National School Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Public Health and Sanitation/Ministry of Education","","2011","","","","","Health|Education and research|Women, children, families|Social welfare","Ministry of Public Health and Sanitation, Ministry of Gender, Children and Social Development","","","","","","","","","","","","","","","","","","Nutrition in schools:
1. To sensitize the stakeholders at all levels on the importance of school nutrition services.
2.To ensure all schools have instituted sustainable home-grown meals programmes by 2014. Instituting sustainable home-grown meals programmes.Provide mid morning snacks to pre-primary and primary school children in ASALs and targeted slum schools. Sensitizes the stakeholders on the scaling up of the mid-morning snacks.
3. Enhance nutrition: Review and update the curricula to enhance nutrition information. Develop/harmonize/print training manuals on nutrition, education and counseling. Train TTC lecturers and in-service teachers on nutrition education & assessment. Sensitize school community, and parents on nutrition education. Initiate and strengthen health clubs (4K clubs) in schools. Intiate school gardens including container gardens in urban schools for demonstration.
4. Micronutrient supplementation. 1. To address micronutrient deficiencies. Conduct bi-annual micronutrient supplementation (Vitamin A).
5. Enhance sustainability of school nutrition services. To strengthen mechanisms for sustainability of school nutrition services. Initiate/strengthen school gardens/tree nurseries and income generating activities. Supporting community based growing of food, diversification, milling, fortifying and preservation initiatives. Involve communities in planning, mobilization of resources and management of home-grown meals programmes. Encourage schools to use locally available foods
Food safety: Provision of safe food in schools.
To ensure all food for use should be transported, stored, prepared and served in a hygienic manner. To sensitize school management committee on the importance of medical examination, hygienic food handling and use of protective gear in schools.
","
75 % of pre-primary schools providing mid morning snack by 2014
60 % schools have school gardens by 2014
70 % of children vitamin A supplemented by 2014
50 % of schools with functional kitchen gardens/trees nurseries and income generating activities by 2014
","","","Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20School%20Health%20Strategy%20Implementation%20Plan%202011-2015.pdf" "14917","KGZ","Kyrgyzstan",""," ПРОГРАММА сектора здравоохранения Кыргызской Республики по адаптации к изменению климата на период 2011‐2015 [National Programme for Health Sector of Kyrgyzstan in relation to Climate Change]","Health sector policy, strategy or plan with nutrition components","","Russian","","2011","","2015","Ministry of Health","10","2011","Adopted","10","2011","Ministry of Health","Health|Food and agriculture|Education and research|Finance, budget and planning|Sub-national","","","","","Association of Industrial Science for Preventive Medicine","","","","","National NGOs","","","","","","Other","Media; Organizations for Curative and Preventive Care; Center for Family Medicine","
Приоритет 5 – Обеспечение доступа населения к безопасной питьевой воде
Приоритет 6 – Улучшение процедур контроля и качества безопасности пищевых продуктов
Приоритет 10 – Обучение и повышение информированности населения по вопросам влияния климата на здоровье
Приоритет 6 – Улучшение процедур контроля и качества безопасности пищевых продуктов
Приоритет 10 – Обучение и повышение информированности населения по вопросам влияния климата на здоровье
Мониторинг Программы сектора здравоохранения КР по адаптации к изменению климата предусматривает:
В Плане определяются мероприятия, необходимый бюджет, сроки выполнения и ответственные организации. Представление отчетов и ответственность за выполнение ложится на национальный организационный комитет по изменению климата и адаптации сектора здравоохранения.
","","","Underweight in children 0-5 years|Right to water|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education|Nutrition & infectious disease|Food safety|Food security and agriculture","","http://www.infoik.net.kg/images/files/KGZ%202011.pdf","Link to the MOH adoption document: http://climatechange.kg/wp-content/uploads/2013/11/Ob-utverzhdenii-Programmy-sektora-zdravoohraneniya.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202011%20National%20Programme%20for%20Health%20Sector%20of%20Kyrgyz%20Republic%20in%20relation%20to%20Climate%20Change.pdf" "40055","LBR","Liberia","","National Health and Social Welfare Policy and Plan","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2021","Ministry of Health and Social Welfare","","2011","","","","","Health|Education and research|Social welfare","Ministry of Health and Social Welfare","","","","","","","","","National NGOs","","","","","","","","","
A. Maternal and newborn health services
6. Maternal and Newborn Nutrition will focus on supplementation with iron and vitamin A and on promoting breastfeeding.
B. Child health services
3. Child Nutrition. The Essential Nutrition Actions approach, an integrated package of preventive nutrition actions encompassing infant and young child feeding, micronutrient supplementation and women’s nutrition, will be utilized. Rapid nutrition assessments will be carried out quarterly in selected communities by community volunteers using a MUAC tape. Growth monitoring will be re-introduced as part of the routine services at all levels.
4. Infant and Young Child Feeding. Early initiation of breastfeeding, and its continuation, first exclusively and later with complementary food will be promoted.
5. Management of Acute Malnutrition (MAM). Therapeutic and supplementary feeding programs will be integrated in existing health facilities with a phased approach.
6. Micronutrient Supplementation. The MOHSW will advocate for food fortification. General CHVs will be trained to provide information on proper nutrition and to distribute vitamin A supplements and deworming medications every six months.
","","","","Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Monitoring of children’s growth in school|Vitamin A|Micronutrient supplementation|Management of moderate acute malnutrition","","moh.gov.lr","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202011%20National%20Health%20and%20Social%20Welfare%20Policy.pdf" "23733","MDG","Madagascar","","Politique nationale de prévention et lutte intégrées contre les maladies chroniques non transmissibles","NCD policy, strategy or plan with healthy diet components","","French","","2011","","","Ministère de la Santé, du planning familial et de la protection sociale","","2011","","","","Ministère de la Santé Publique","Health|Education and research|Social welfare","Ministère de la Santé, du planning familial et de la protection sociale MNP","World Health Organization (WHO)","","","","","","","","","","","","","","","","
Promouvoir un environnement propice à la réduction des facteurs de risque et de la létalité des Maladies Chroniques Non Transmissibles. Réduire le fardeau humain et socioéconomique dû aux maladies chroniques non transmissibles
- Réduire d'au moins 10% la proportion de la population adulte à risque pour les MCNT
- Réduire de 20% la morbidité due aux MCNT
- Réduire d'au moins 10% la mortalité due aux MCNT
","","- Prévalence de la sédentarité inférieure à 2%
- Prévalence de l'HTA (de 17 à 12%)
...
- Prévalence de consommation quotidienne de fruits (de 30 à 40%)
- Prévalence de consommation quotidienne d'au moins 5 portions de fuits et légumes (de 75 à 90%)
- Prévalence de l'excès pondéral (de 9 à 8%)
","","","Overweight and obesity in adults|Raised blood pressure|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)","","http://www.iccp-portal.org/sites/default/files/plans/Madagascar%20-%20Politique%20nationale%20contre%20les%20maladies%20non%20transmissibles.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202011%20Politique%20nationale%20contre%20NCDs.pdf" "11530","MOZ","Mozambique","","Plano de Acção Multissectorial de Redução da Desnutrição [Multisectoral plan for chronic malnutrition reduction 2011 – 2014 (2020)]","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2014","MAPUTO","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Urban planning|Industry","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) -","Other|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID),","","","","","","","","","","","GENERAL OBJECTIVE:
To accelerate the reduction of chronic undernutrition in children under 5 years of age from 44% in 2008 to 30% in 2015 and 20% in 2020, contributing to the reduction of infant morbidity-mortality and ensuring the development of a healthy and active society.
GOALS FOR EACH TARGET GROUP:
Adolescents
• Reduce anaemia rates in adolescents in and out of school from (estimated) 40% in 2010 to 20% in 2015 and 10% in 2020.
Pregnant and nursing women
• Reduce rates of anaemia during pregnancy from 53% in 2002 to 30% in 2015 and 15% in 2020.
• 30% increase in the number of women who gain 5kg during pregnancy in 2015 and 2020 (baseline to be assessed).
• Reduce iodine deficiency in pregnant women from 68% in 2004 to 35% in 2015 and 15% in 2020.
• Increase coverage rates of preventive postpartum administration of vitamin A from 60% in 2010 to 70% in 2015 and 90% in 2020.
Women of Reproductive Age
• Reduce rates of anaemia in women of reproductive age from 56% in 2010 to 30% in 2015 and 15% in 2020.
Children under 5 years of age, with emphasis on children under 2 years of age:
• Reduce Low Birth Weight from 15% in 2008 (MICS) to 10% in 2015 and 5% in 2020.
• Reduce the prevalence of chronic undernutrition in children under two years from 37.4% in 2008 (MICS) to 27% in 2015 and 17% in 2020.
• Increase the rates of exclusive breastfeeding in infants under six months from 37% in 2008 (MICS) to 60% in 2015 and 70% in 2020.
• Increase the rate of children aged 9-11 months who received at least three meals of complementary food during the day, from 37% in 2008 (MICS) to 52% in 2015 and 67% in 2010.
• Reduce the prevalence of anaemia in children from 74% in 2002 to 30% in 2015 and 15% in 2020.
Strategic Objectives:
1: To strengthen activities with impact on the nutritional status of adolescents.
2: To strengthen interventions with impact on the health and nutrition of women of reproductive age before and during pregnancy and lactation.
3: To strengthen nutrition activities for children in the first two years.
4: To strengthen household-oriented activities to improve access and utilization of foods with a high nutritional value.
5: To strengthen the Human Resources capacity in the area of nutrition.
6: To strengthen the national capacity for advocacy, coordination, management and progressive implementation of the Multisectoral Action Plan for the Reduction of Chronic Undernutrition.
7: To strengthen the food and nutrition surveillance system.
","Interventions/Activities included in the Activity Plan of the PDF
","
M & E Indicators included in the Activity Plan of the PDF (Section 5.2)
","","","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 women|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.who.int/nutrition/landscape_analysis/MozambiqueNationalstrategyreductionstunting.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf" "22852","MMR","Myanmar","","National Plan of Action for Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2015","National Nutrition Centre, Department of Health, Ministry of Health","","2013","","","","","Education and research|Environment|Food and agriculture|Health|Nutrition council|Other|Social welfare","National Nutrition Centre, Department of Health, Ministry of Health Education and research, Environment, Food and agriculture, Health, Nutrition council, Social welfare: Food and Nutrition Working Group","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), United Nations Industrial Development Organization (UNIDO), United Nations Population Fund (UNFPA), World Food Programme (WFP), World Health Organization (WHO),","","","Australian Agency for International Development (AUSAID)|Department of International Development (DFID)|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: Australian Agency for International Development (AUSAID), Department of International Development (DFID), Japan International Co-operation Agency (JICA), US Agency for International Development (USAID),","European Union","","","","","","","","","","Goal
The goal of the NPAFN is to ensure adequate access to, and utilization of food that is safe, adequate and well-balanced on a long term basis in order to enhance the physical and mental development of the people of Myanmar
Strategic Objectives (SOs)
Selected targets by 2016:
4.2 proportion of stunted of children < 5 (≤2 SD of WHO CGS median), Current: 35.1%, 2016: 30%
2.4 Proportion of Non-pregnant women with < Hb 12g/dL, Current: 45%, 2016: 30%
2.5 Prevalence of anemia for pregnant women, Current: 71%, 2016: 60%
4.1 incidence of LBW, Current: 8.6%, 2016: 8%
4.4 proportion of OW children below age five (<2 years and 2-5 years), Current: 2.6%, 2016: 2.2%
1.1 % of exclusively breastfed < 6 months olds, Current: 23.6%, 2016: 50%
4.3 proportion of wasted children <5 (wt-for ht ≤ 2SD of WHO CGS median), Current: 22.6%, 2016: 20%
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","Extract from the NPAFN log frames specifying the Action Areas linked to the ten strategic objectives (SOs). Each action area contains several interventions illustrated in the log frames.
SO1: Promote consumption of healthy foods and Improve Nutrient Intake
SO2: Prevent and reduce food, water, vector–borne and infectious diseases
SO3: Increase and diversify domestic food production
SO4: Improve access to food
SO5: Improve mother and child care practices
SO6: Improve environmental health and food safety
SO7: Improve institutional capacity and coordination
SO8: Improve Human capacity
SO9: Improve quality and quantity of information
SO10: Increase investments in nutrition and food security
See more in the Plan of Action for Food and Nutrition, which compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","The Plan of Action for Food and Nutrition compiles ten (10) log frames, each directed to a specific strategic direction. The log frames specify the interventions or action areas, indicators (in red), targets (whenever available), prioritization based on consensus among Republic of the Union of Myanmar agency representatives and responsible agency from both government and development partners.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Monitoring of the Code|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School milk scheme|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Rice|Staple foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy ReviewACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202011%20National%20Plan%20of%20Action%20for%20Nutrition.pdf" "11534","NAM","Namibia","","Strategic Plan for Nutrition 2011–2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","MOHSS","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Sport|Trade|Information|Sub-national|Other","Regional Development, Gender, Defense, Lands and resettlement, Youth Sport and Culture, Saftey and Security, Office of the Prime Minister (OPM) and Namibia Alliance for Improved Nutrition (NAFIN) Trust","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Other, please specify under further details|Voluntary Services Overseas (VSO)","Health Unlimited (Britain), Doctors of the World( Spain), CESTAS (Italy), People in Need (Czech Republic), Chinese Medical Programme, faith-based organisations","Other|Centers for Disease Control and Prevention (CDC USA)|Gesellschaft für Technische Zusammenarbeit (GTZ, Germany)|US Agency for International Development (USAID)","PEPFAR (USA), Global Fund","European Commission|European Union","","National NGOs","","Research/academia","","Private sector","food producers, distributors, outlets, gyms, fitness institutions, Namibian grain producers Bokomo, Namib Mills and Southern Choice Mill","","","GOAL:
To improve the nutritional status of the Namibian population, with special emphasis on children, women and people living with HIV and TB, resulting in the reduction of morbidity and mortality due to or associated with malnutrition.
STRATEGIC PRIORITIES;
1. Maternal and child nutrition
2. Micronutrient deficiencies
3. Diet-related diseases and lifestyles
4. Nutritional management of communicable diseases
Objectives:
4.1.2.1. Underweight in under-fives reduced from 17 percent to 10 percent and severely underweight from 4 percent to 1.5 percent
4.1.2.2. Chronic malnutrition in women of reproductive age reduced from 16 percent to 12 percent
4.2.2.1. Disorders associated with iodine, iron, zinc and vitamin A deficiencies eliminated
4.3.2.1. Prevalence of obesity reduced from 12 percent to 8 percent and overweight from 16 percent to10 percent in women of reproductive age and from 4.3 percent to 1.5 percent in under-5s.
4.4.2.1. Appropriate nutrition care provided for at least 80 percent of people living with HIV and TB
4.4.2.2. Nutrition care integrated into management of malaria and other communicable diseases
Priority 1 Strategies:
I. Growth Monitoring and Nutrition Promotion
II. Universal implementation of Baby and Mother Friendly Hospital Initiative
III. Infant and Young Child Feeding
IV. Integrated Management of Acute Malnutrition
V. Code of Marketing of Breast-milk Substitutes
VI. Maternal and Child Nutrition Promotion
VII. Nutrition Surveillance
Priority 2 Strategies:
I. National household food consumption and micronutrient deficiency survey
II. Micronutrient supplementation (iron, zinc, vitamin A)
III. Universal salt iodisation
IV. Food fortification
V. Promotion of dietary diversification
VI. Legislative framework
Priority 3 Strategies:
I. Assessment of prevalence and causes of obesity and associated NCCD in the general population
II. Monitoring and promotion of healthy diets and physical activity
III. Dietary management of diet-related non-communicable diseases
IV. Regulation of food safety, food standards and food labelling
Priority 4 strategies:
I. Integrated Management of Acute Malnutrition
II. Promotion of appropriate nutrition for PLHIV and TB
III. Raise awareness on water and food safety, hygiene and sanitation
IV. Nutrition surveillance
V. Nutrition assessment, counselling and support
OUTPUT INDICATORS:
OUTCOME INDICATORS:
IMPACT INDICATORS:
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202011%20Final_strategic_Plan_for_Nutrition_14_March_2011%20%282%29.pdf" "8374","RWA","Rwanda","","Early childhood development policy","Health sector policy, strategy or plan with nutrition components","","English","","2011","","","Ministry of Education","","2011","","","","","Health|Education and research","","","","","","","","","","","","","","","","","","
3.2. GOAL AND OBJECTIVE OF ECD POLICY
Goal of ECD policy
To ensure all Rwandan children achieve their potential, are healthy, well-nourished and safe, and their mothers, fathers and communities become nurturing caregivers through receiving integrated early childhood development services.
3.3. SPECIFIC OBJECTIVES
The ECD policy seeks to contribute:
1. To improve birth outcomes, reduce infant and maternal mortality and high fertility rates through the expanded use of family planning; pre-conception services; HIV prevention and care services and antenatal education; health and nutrition care services; and the increased use of medically attended births as well as improved neonatal care.
2. To improve parents’ and legal guardians’ knowledge, skills and resources to support the development of their children, with an emphasis on infants and children up to 6 years of age.
3. To ensure infants and toddlers receive nurturing care and developmental services, and that young children from 3 years to primary school entry are well developed and prepared for success in school and life.
4. To prevent and reduce stunted growth, and improve child development outcomes for the most vulnerable children and children with special needs.
5. To reduce malnutrition and children under-5 child mortality and morbidity through preventive measures and basic maternal-child health care and nutrition services, with emphasis on neonatal and post-natal care and maternal-child nutritional rehabilitation services.
6. To reduce the incidence of childhood illnesses and diseases due to unclean water, poor hygiene and unhygienic waste disposal.
7. To ensure that all new-borns are registered, the rights of all young children are respected, and orphans and vulnerable children from birth to 6 years are identified and receive quality, well-coordinated child protective services.
8. To provide comprehensive ECD services of high quality through developing culturally appropriate and state-of-the-art curricula, training manuals, educational materials, teaching aides, and pre-and in-service training for teachers, community facilitators and supervisors of ECD programmes and services.
9. To ensure that all children are ready to begin school at the correct age and this may entail the special provision of rapid school readiness programmes.
10. To support the coordination, monitoring and evaluation of all processes, programmes and services related to ECD, and to promote the preparation of research studies on key child development issues.
11. To sensitise local authorities, opinion leaders, parents, communities and journalists about the importance of children’s early development, ECD Policy provisions, and their roles in assisting with planning, implementing, and overseeing essential children’s services.
","5. RECOMMENDED POLICY ACTIONS
The ECD Strategic Plan contains a comprehensive results framework which is organised into four Strategic Outcomes, which will be achieved over the course of the five-year Strategic Plan.
a) Operationalize policy and institutional framework to support the implementation of ECD at all levels
b) Increase equitable access for all children aged 0-6 to adequate early stimulation, effective and relevant education, sufficient nutrition, quality health care and protection.
c) Strengthen effective public-private and international partnership supporting the integration of services, scale up & sustainability of ECD interventions
d) Evidence Based Programming and Effective Monitoring and Evaluation There are Output-level results for each Outcome which contains specific activities, with indicators, targets, timelines and budgets, with the responsible actor identified for each activity.
While the ECD Strategic Plan lays out the recommended policy actions in greater detail, below are the key recommended policy actions which will be implemented to meet the ECD Policy Objectives:
Operationalize policy and institutional framework to support the implementation of ECD at all levels
1) Develop and disseminate ECD Standards and Guidelines to support smooth implementation
2) Establish National institutional framework to define roles and responsibilities, including TORs and induction programme for National coordinating bodies.
3) Establish Multi-sectoral ECD implementation teams at district and sector levels, conduct induction program and advocate for budget provision for ECD at district level.
4) Build Capacity of community ECD centre management teams and develop manual for ECD centre management.
5) Develop and Implement Communication strategy, organize seminars and sensitization campaigns on ECD and protection of children against violence, and contribute to Radio/TV talk shows, develop flyers, newspapers articles etc.
Increase equitable access for all children aged 0-6 to adequate early stimulation, effective and relevant education, sufficient nutrition, quality health care and protection.
1) Adapt and include Family ECD package (stimulation, nutrition, child protection and primary health care) into existing health and nutrition programs for infants and toddlers, integrate family ECD package into training for health professionals and sensitize community leaders, parents and future parents on the importance of ECD and protection of children.
2) Scale up Mother and child primary health care services in communities.
3) Develop screening tools to identify children with special needs and developmental delays and incorporate intervention programmes for children with specials needs and into ECD programmes.
4) Provide ECD facilities and equipment countrywide to ensure one ECD centre per
Sector (Community based, school based, Health centre-based, centres for children in vulnerable circumstances).
5) Establish ECD pre and in service training system (accreditation and professional development) and produce textbooks and tutors’ guide for ECD.
6) Improve quality of ECD service provision in ECD centres (3-6 year old) though curriculum and materials development, integrating ECD supervision, mentoring and monitoring support into induction programme for all Sector Officers.
7) Support ECD Nutrition Programme.
8) Train communities on child rights and protection, including protecting children against violence.
Strengthen effective public-private and international partnership supporting the integration of services, scale up & sustainability of ECD interventions
1) Establish Effective Coordination and resource mobilisation mechanisms to bring together Public and Private sector partners, putting in place a national ECD
Secretariat and a fundraising package to mobilize resources for ECD scale up.
2) Develop MoUs with Public and Private actors, civil society, FBOs and development partners outlining commitments to support ECD.
3) Establish a trust fund to support community ECD activities and ensure sustainability.
Evidence Based Programming and Effective Monitoring and Evaluation
1) Develop and Operationalize Strategic M & E and Research Plan and disseminate and publish key findings.
2) Establish Data management, information and reporting systems, agree upon key ECD indicators for Rwanda ensuring their integration into national information system (DEVI INFO, EMIS, IMIS)
3) Implement M&E capacity building plan at national, district and community level
","","","","Low birth weight|Stunting in children 0-5 yrs|Underweight in women|Nutrition counselling on healthy diets","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWA%202011%20-%20Early%20childhood%20development%20policy.pdf" "8234","UGA","Uganda","","Uganda Nutrition Action Plan 2011-2016: Scaling Up Multi-Sectoral Efforts to Establish a Strong Nutrition Foundation for Uganda's Development","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2016","Government of Uganda","","2011","Adopted","","2011","presidential cabinet","Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Other|Trade","Government of Uganda Prime Ministry & Ministry of Public Service, Ministry of Agriculture, Animal Industry & Fisheries, Ministry of Health, Ministry of Education & Sports, Ministry of Trade and Cooperatives, Ministry of Gender, Labour & Social Development","","","","","","USAID, others development partners","","","","","","","","","","","5.1 Goal
The goal of the Uganda Nutrition Action Plan is to reduce malnutrition levels among women of reproductive age, infants and young children from 2011 through 2016 and beyond.
5.2 Objectives, Strategies, and Strategic Interventions
Objective 1: Improve access to and utilisation of services related to maternal, infant, and young child nutrition
Objective 2: Enhance consumption of diverse diets
Objective 3: Protect households from the impact of shocks and other vulnerabilities that affect their nutritional status.
Objective 4: Strengthen the policy, legal, and institutional frameworks and the capacity to effectively plan, implement, monitor, and evaluate nutrition programmes.
Objective 5: Create awareness of and maintain national interest in and commitment to improving and supporting nutrition programmes in the country.
","5.2 Objectives, Strategies, and Strategic Interventions
Objective 1: Improve access to and utilisation of services related to maternal, infant, and young child nutrition
Strategy 1.1: Promote access and utilisation of nutrition and health services to all women of reproductive age, infants, and young children.
Interventions
1) Promote and support health and nutrition education to increase the level of awareness of good nutrition.
2) Promote integration of nutrition services in all routine and outreach health services and programmes targeting children and mothers.
3) Manage nutrition for sick children, pregnant and lactating mothers, and other women of reproductive age.
4) Integrate the management of severe and moderate acute malnutrition into routine health services.
5) Promote utilisation of antenatal and postnatal care services among all pregnant and lactating mothers to monitor child growth, and the health and nutrition status of both the mother and the child.
6) Promote and support breastfeeding policies, programmes, and initiatives.
7) Promote and support appropriate complementary feeding practices.
8) Support and scale up community-based nutrition initiatives.
9) Promote proper food handling, hygiene, and sanitation through increased knowledge, use of safe water, and hand washing practices at household level.
Strategy 1.2: Address gender and socio-cultural issues that affect maternal, infant, and young child nutrition.
Interventions
1) Promote male involvement in family health services and in food security and nutrition programmes.
2) Advocate and seek solutions for reducing workload for all women, especially pregnant women and lactating mothers.
3) Address detrimental food taboos and norms that impair nutrition of women, infants, and young children.
Objective 2: Enhance consumption of diverse diets
Strategy 2.1: Increase access and use of diverse nutritious foods at household level
Interventions
1) Promote production and consumption of diversified nutritious foods at household and community levels.
2) Advocate for and support integration of nutrition in agricultural programmes at national and local government levels.
3) Increase consumption of both raw and processed nutritious foods.
4) Promote and support local food processing and value addition at household and community levels.
5) Promote and support the utilisation of safe labour-saving technologies at household and community levels.
6) Support on farm enterprise mix to promote stable diversified food production.
7) Promote production and consumption of indigenous foods to enhance diet diversification.
8) Promote positive indigenous dietary practices.
Strategy 2.2: Enhance post-harvest handling, storage, and utilisation of nutritious foods at household and farm levels.
Interventions
1) Promote and support adoption of post-harvest handling and storage technologies at household and community levels.
2) Provide an enabling environment to the private sector to manufacture, market, and distribute appropriate post-harvest handling and storage technologies.
Strategy 2.3: Promote the consumption of nutrient-enhanced foods.
Interventions
1) Promote production of fortified common staples by local manufacturers.
2) Promote production of bio-fortified varieties.
3) Promote consumption of nutrient-enhanced foods through increased awareness of their benefits.
4) Support local production of ready-to-use therapeutic and complementary food.
Objective 3: Protect households from the impact of shocks and other vulnerabilities that affect their nutritional status.
Strategy 3.1: Develop preparedness plans for shocks.
Interventions
1) Strengthen and scale up early warning systems on food and nutrition information from community to national levels.
2) Support and promote urban farming to serve the most vulnerable households in urban areas.
3) Develop, promote, and implement in a timely fashion a comprehensive package of nutrition services and food items to provide during emergencies and recovery periods.
4) Make integration of nutrition in all disaster management programmes mandatory.
5) Promote and support diversified production of drought-resistant crops including vegetables and raising of animals tolerant to heat stress at household and community levels.
6) Carry out sensitisation programmes for communities to raise their awareness of prevention, mitigation, and response to risks of malnutrition during shocks.
Strategy 3.2: Promote social protection interventions for improved nutrition.
Interventions
1) Provide social transfers to and support livelihoods for the most vulnerable households and communities.
2) Develop and implement programmes for special social assistance and for livelihood promotion and protection in areas with high levels of malnutrition.
3) Advocate for and promote school feeding programmes.
4) Manage cases of SAM by integrating care into routine health services and providing follow-up support and monitoring at household and community levels.
5) Promote social protection interventions for improved nutrition.
Objective 4: Strengthen the policy, legal, and institutional frameworks and the capacity to effectively plan, implement, monitor, and evaluate nutrition programmes.
Strategy 4.1: Strengthen the policy and legal framework for coordinating, planning, and monitoring nutrition activities.
Interventions
1) Fast-track enactment of the Food and Nutrition Bill, which will provide the statutory mechanism for establishing the FNC and its secretariat.
2) Revitalise and legalise the functionality of the FNC and establish its secretariat/coordinating unit.
3) Review the Food and Nutrition Policy to integrate emerging issues.
4) Revise the draft Uganda Food and Nutrition Strategy to align it with the prevailing national, regional, and global nutrition agenda and disseminate the Strategy widely.
5) Advocate for the enactment of bylaws and ordinances that promote nutrition and food security at district and sub-county levels.
6) Integrate nutrition issues into plans and budgets at all levels of governments by mainstreaming nutrition and creating vote functions for nutrition.
7) Support the development of nutrition curricula for all levels of education and training.
8) Advocate for establishment of lower and middle cadre nutrition courses in the education structure.
9) Review and integrate nutrition issues in the existing curricula of formal and non-formal education and in pre- and in- service training.
Strategy 4.2: Strengthen and harmonise the institutional framework for nutrition from local to central government levels.
Interventions
1) Review the country’s current institutional framework for nutrition and implement a suitable one.
2) Establish an interim multi-sectoral coordination mechanism for nutrition programming and M&E.
3) Strengthen human resource capacity for nutrition programming at all levels in all sectors.
Strategy 4.3: Strengthen human resource capacity to plan, implement, monitor, and evaluate food and nutrition programmes in the country.
Interventions
1) Design and implement a capacity-strengthening plan for nutrition programming at national, local government, and community levels.
2) Establish a food and nutrition M&E system for tracking performance of nutrition indicators and for timely decision-making.
3) Conduct a national food and nutrition baseline survey to establish up-to date nutrition baseline monitoring indicators.
4) Conduct periodic district-level food and nutrition surveys in vulnerable areas and among vulnerable populations.
5) Undertake mid-term and end-of-term impact evaluation of the UNAP.
6) Strengthen district-level food and nutrition surveillance systems.
Strategy 4.4: Enhance operational research for nutrition.
Interventions
1) Conduct formative research studies on best practices for nutrition.
2) Research, document, and disseminate findings on positive indigenous dietary practices.
3) Compile food composition data for all foods consumed in Uganda.
4) Identify and conduct research relevant to scaling up food and nutrition interventions.
5) Collate and share research findings and best practices for scaling up food and nutrition in Uganda.
Objective 5: Create awareness of and maintain national interest in and commitment to improving and supporting nutrition programmes in the country.
Strategy 5.1: Increase awareness of and commitment to addressing nutrition issues in the country.
Interventions
1) Develop and implement a nutrition communication strategy.
2) Produce annual policy statements and periodic policy briefs on the national food security and nutrition situation.
3) Commemorate nutrition-related events and take advantage of other opportunities to raise the profile of nutrition.
Strategy 5.2: Advocate for increased commitment to improving nutrition outcomes.
Interventions
1) Develop and implement a nutrition communication strategy.
2) Develop and implement a comprehensive and sustainable nutrition advocacy plan.
3) Produce and publish an annual report on the state of the food security and nutrition situation in the country.
","Key Nutrition Outcome Indicators
1. Stunting among under-5s: baseline 38%, target 32%
2. Underweight among under-5s: baseline 16%, target 10%
3. Underweight among non-pregnant women age 15-49 (BMI less than 18.5 kg/m2): baseline 12%, target 8%
4. Iron deficiency anemia among under-5s: baseline 73%, target 50%
5. Iron deficiency anemia among women age 15-49: baseline 49%, target 30%
6. Vitamin A deficiency among under-5s: baseline 19%, target 13%
7. Vitamin A deficiency among women age 15-49: baseline 20%, target 12%
8. Low birth weight (newborns weighing less than 2.5 kg: baseline 13%, target 9%
9. Exclusive breastfeeding to age 6 months (percentage of infants): baseline 60%, target 75%
10. Dietary diversification index (percentage calories consumed from foods other than cereals and starchy roots): baseline 57%, target 75%
11. Calorie consumption (average daily energy intake per capita): baseline 2,220 kcal, target 2,500 kcal
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Nutrition in schools|Provision of school meals / School feeding programme|Home grown school feeding|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Staple foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20Uganda%20Nutrition%20Action%20Plan.pdf" "14808","UGA","Uganda","","National Strategic Programme Plan of Interventions for Orphans and other Vulnerable Children (NSPPI-2)","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2011","","2016","Ministry of Gender, Labour and Social Development","","2011","Adopted","","","All major stakeholders from all line government sectors, civil society, UN bodies and development partners","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Sub-national","Ministry of Gender, Labor and Social Development","United Nations Children's Fund (UNICEF)","","","","US Agency for International Development (USAID)","","","","","","","","","","","","- Food and Nutrition Security: 70% of households are food secure and have proper nutrition
- Health, Water, Sanitation and Shelter: Increased access to and utilization of safe water and sanitation facilities for OVC at household, community and institutional levels especially in schools, children’s and remand homes.
Objective 2: Expand access to essential services for orphans and other vulnerable children, their caregivers and families/households.
Interventions:
2.1 Provide social assistance to OVC households to address hunger and malnutrition
a) Implement a national cash transfer programme to increase access to and utilization of food
b) Provide food aid to critically vulnerable OVC and their households
1.2 Promote increased agricultural production and livelihood diversification for OVC households to strengthen their food security
d) Promote commercial agriculture for OVC households to enable them generate income and meet their diversified dietary needs
2.3 Promote proper nutrition for OVC in homes, schools, and other institutions
a) Promote diet diversification, supplementation and fortification for children in households and institutions (children’s homes, schools)
b) Support Community education and sensitization programs on proper nutrition for children including training in food handling, preparation and storage
c) Train communities, VHT and other duty bearers in nutrition monitoring and basic health care practices
d) Promote breast feeding among lactating mothers except where it is not medically recommended
Indicator: Number of OVC/ OVC households who receive food support. Target: 95% of all OVC fully nourished
Indicator: Number of OVC caregivers trained in food security and nutrition. Target: 400 000 (baseline not available)
Increase number of OVC households receiving emergency food aid from 34,334 OVC households with emergy food aid (baseline) to 211, 718 (target)
NSPPIS-2 does not speciy when targets are to be met (or when baseline values were predicted)
","Outcome indicators","","Breastfeeding|Underweight in children 0-5 years|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.unicef.org/uganda/Final_Printed_OVC_Strategic_Plan_Uganda_-NSPPI_2.pdf","","http://scalingupnutrition.org/sun-countries/uganda","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20National%20Strategic%20Programme%20Plan%20of%20Interventions%20for%20Orphans%20and%20Other%20Vulnerable%20Children.pdf" "11519","VNM","Viet Nam","","National Nutrition Strategy for 2011-2020, With a vision toward 2030","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2020","Medical Publishing House","","2012","","","","","Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Social welfare","Medical Publishing House Education and research, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Social welfare: Ministry of Education and Training, Ministry of Finance; Ministry of Planning and Invest","","","","","","","","","National NGOs","National NGOs: Vietnam Women’s Union; Vietnam Fatherland Front; Vietnam Famer’s Association; Association for Elderly People","","","","","Other","Other: Vietnam Television","General objectives:
By the year 2020, the average diet of Vietnamese people will be improved in quantity, balanced in quality, hygienic and safe; Child malnutrition will be further reduced, especially the prevalence of stunting, contributing to improved nutrition status and stature of Vietnamese people; and obesity/overweight will be managed, contributing to the control of nutrition-related chronic diseases.
Specific objectives:
1. To continue to improve the diet of Vietnamese people, in terms of quantity and quality
2. To improve the nutrition status of mothers and children
3. To improve micro-nutrient status
4. To effectively control overweight and obesity and risk factors of nutrition related non-communicable chronic disease in adults
5. To improve knowledge and practices regarding proper nutrition in the general population
6. To reinforce capacity and effectiveness of the network of nutrition services in both community and health care facilities
","PROJECTS AND PROGRAMS TO IMPLEMENT THE NNS:
1. Project for Nutrition education, communication and capacity building
2. Project for maternal and child malnutrition control, focused on reduction of stunting, improvement of height, and proper health and nutrition for pregnant women
3. Project for micronutrient deficiency control
4. Program for School Nutrition
5. Project for overweight and obesity and nutrition-related, non-communicable, chronic disease control
6. Program for food and nutrition security and nutrition in emergencies
7. Nutrition surveillance
","• The proportion of households with low energy intake (below 1800 Kcal) will be reduced to 10 % by 2015 and 5 % by 2020.
• The proportion of households with a balanced diet (Protein:Lipid:Carbohydrate ratio – 14:18:68) will reach 50% by 2015 and 75% by 2020.
• The prevalence of chronic energy deficiency in reproductive-aged women will be reduced to 15% by 2010 and less than 12% by 2020.
• The rate of low birth weight (infants born less than 2,500g) will be reduced to under 10% prevalence by 2015 and less than 8% by 2020.
• The rate of stunting in children under 5 years old will be reduced to 26% by 2015, and to 23% by 2020.
• The prevalence of underweight among children under 5 years old will be reduced to 15% by 2015 and to 12.5% by 2020.
• By 2020, the average height of children under 5 will increase by 1.5 – 2cm in both boys and girls; and height in adolescents by sex will increase by 1-1.5 cm compared with the averages from 2010.
• The prevalence of overweight in children under 5 will be less than 5% in rural areas and less than 10% among urban populations by 2015, and will be maintained at the same rate by 2020.
• The prevalence of children under five with low serum vitamin A (<0.7 μmol/L) will be reduced to 10 % by 2010 and below 8 % by 2020.
• The prevalence of anaemia in pregnant women will be reduced to 28% by 2015 and to 23 % by 2020.
• The prevalence of anaemia among children will be reduced to 20% by 2015 and 15% by 2020.
• By 2015, standardised iodized salt (≥20 ppm) will be regularly available throughout the country, with coverage of more than 90% of households. Mean urinary iodine levels in mothers with children under 5 will be between 10-20 mcg/dl, and these concentrations will be maintained by 2020.
• The prevalence of overweight and obesity in adults will be controlled to a rate of less than 8% by 2010 and will increase to no more than 12% by 2020.
• The proportion of adults with elevated serum cholesterol (over 5.2 mmol/L) will be less than 28% in 2015 and will remain relatively controlled with less than 30% prevalence in 2020.
• The rate of exclusive breastfeeding (EBF) for the first 6 months will reach 27% by 2015 and 35% by 2020.
• The proportion of mothers with proper nutrition knowledge and practices when caring for a sick child will reach 75% by 2015 and 85% by 2020.
• The proportion of adolescent females receiving maternal and nutrition education will reach 60% by 2015 and 75% by 2020.
• By 2015, the proportion of nutrition coordinators receiving training in community nutrition (from 1 to 3 months) will reach 75% among provincial level employees and 50% of those at the district level. By 2020, this proportion will be 100% and 75%, respectively.
• By 2015, 100% of communal nutrition coordinators and nutrition collaborators will be trained and updated on nutrition care practices. Training of all nutrition staff will be maintained in 2020.
• The proportion of central and provincial hospitals with dieticians will reach 90% at central level, 70% at provincial level and 30% at district level by 2015. By 2020, this proportion will be 100%, 95%, and 50% respectively.
• The proportion of hospitals applying nutrition counseling and therapeutic treatment for conditions such as aging health, HIV/AIDS and TB, will reach 90% among central, 70% among provincial, and 20% among district hospitals by 2015. By 2020, the coverage will be 100%, 95% and 50%, respectively.
• The proportion of provinces qualified for performing nutrition surveilance will reach 50% by 2015 and 75% by 2020. Nutrition data will be monitored with particular focus in vulnerable provinces, in emergency situations, and in provinces with high prevalence of malnutrition.
Strategic Directions:
SD 1: Prevention of Stunting in Children Under-Two Years of Age: First 1000 Most Critical Days
SD 2: Increasing Micronutrient and Macronutrient Availability,Accessibility and Utilization through Improving Food and Nutrition Security.
SD 3: Early Identification,Treatment, and Follow -up of Severe Acute Malnutrition
SD 4: Improving Nutrition Education and Nutritious Feeding through School
SD 5: Increase Linkages among Hygiene, Sanitation, Infection Control, and Nutrition
SD 6: Food and Nutrition to Mitigate HIV and AIDS
SD 7: Nutrition Related Control and Prevention Measures of Diet Related Non Communicable Diseases
SD 8: Food and Nutrition Preparedness and Response to Emergencies
SD 9: Strengthening Governance, Capacity Building and Partnerships in Support of Food and Nutrition Interventions at All Levels
SD 10: Monitoring and Evaluating Food and Nutrition Situation, Interventions and Research to Support their Improvement and Expansion
SD 11: Expanding and Developing Communication and Advocacy Support for Food and Nutrition Interventions at Various Levels.
","Strategies:
SD 1 Strategies
a) Expansion and enhancing integration of high impact maternal and child nutrition interventions focusing on the First 1000 Most Critical Days. This will involve development of a nation -wide programme to be designed with broad cross sector and civil society participation and rapid but phased implementation supported by well-designed monitoring and communication support elements.
b) Develop a costed funding strategy seeking resources from multiple sectors, and substantial funds from international sources committed to Scale up Nutrition (SUN).
c) Plan, generate necessary buy-in from leadership, sector ministries and other stakeholders at national and sub national levels and begin implementation of a national “First 1000 Most Critical Days Programme (MCDP)” to Prevent Stunting in Children Less than two Years of Age.
SD 2 Strategies
a) Promote sustainable production, processing, preservation, storage, consumption and marketing of variety of food crops (especially legumes, vegetables, and fruits), fish, and livestock.
b) Increase production and use of fortified and bio-fortified foods including home fortification to improve micronutrient nutrition.
c) Strengthen Public –Private Partnerships and support for food fortification.
d) Promote and expand micronutrient supplementation innovations to complement food-based approaches for increasing micronutrients availability, accessibility, and utilization.
SD 3 Strategies
a) Finalization and implementation of new national protocols for the management of severe acute malnutrition at hospital, clinic and community levels.
b) Strengthen Community Groups (e.g. Community health workers, Nutrition groups etc.) roles regarding acute malnutrition in children.
c) Increase resources to support community level resources for management of moderate and severe acute malnutrition.
SD 4 Strategies
a) Review, expand , and strengthen school health nutrition programme interventions countrywide.
b) Institutionalize home-grown school feeding program.
c) Strengthen nutrition education in schools.
d) Advocate for the improvement of appropriate water and sanitation facilities in all schools to carter for all learners including those with special needs and girls.
e) Strengthen school feeding and nutrition education.
SD 5 Strategies
a) Develop and provide sustainable water supply and sanitation services in rural, urban and periurban areas.
b) Enhance capacity in effective planning, implementation and monitoring of programmes for water supply and sanitation service delivery.
c) Strengthen human, technical and financial capacity of institutions for improved water supply and sanitation service delivery in the rural, urban and peri-urban areas.
d) Enhance communication and advocacy for improved sanitation and hygiene practices.
SD 6 Strategies
a) Advocacy for mainstreaming of food and nutrition as an integral part of comprehensive HIV management and support for those infected and affected by HIV and AIDS.
b) Strengthen community-clinic linkage on nutrition support for PLHIV and affected families.
c) Strengthening the community HIV programmes nutrition support capacity.
SD 7 Strategies
a) Strengthening nutrition related aspects of non-communicable diseases’ national control programme.
SD 8 Strategies
a) Develop and implement training in key areas of food and nutrition in the context of emergency preparedness and disaster risk reduction and response.
SD 9 Strategies
a) Position food and nutrition on the national development agenda.
b) Build institutional and human capacity for the effective delivery of nutrition services, including the design, development and implementation of relevant nutrition programmes, projects and interventions.
c) Establish strategic and operational partnerships and alliances with private, public and civil society organizations in food and nutrition.
SD 10 Strategies
a) Use of evidence based information for nutrition programme design.
b) Strengthen food and nutrition results-oriented monitoring and evaluation system.
SD 11 Strategies
a) Create platforms for information sharing and networking for decision and policy formulation aimed at promoting availability, accessibility and utilization of micronutrient and macronutrient among the public.
b) Increase knowledge and awareness among mothers and other stakeholders in Zambia on the prevention of stunting in children less than two years of age.
c) Advocate for effective implementation of policies that promote food and nutrition component in care, treatment and support services for PLHIV.
d) Advocate for the strengthening of existing policies and their implementation aimed at promoting early identification, treatment and follow-up of acute malnutrition.
e) Advocate for effective implementation of policy that support food and nutrition emergency preparedness and response.
f) Advocate for the development of policies and programmes that promote prevention and control of dietary related NCDs.
g) Promote practices that enhance sustainable availability, accessibility and consumption of a variety of foods at household level.
h) Advocate for improved investment in food and nutrition interventions.
M & E Indicators included in the Implementation Matrix
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|Maize flours|Refined sugar|Complementary foods|Biofortifcation|Acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202011-2015_NFNC-Stratergic-Plan-2011-2015%5B1%5D.pdf" "23148","ZMB","Zambia","","National Health Strategic Plan","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Health","","2011","","","","","Cabinet/Presidency|Education and research|Finance, budget and planning|Health","Ministry of local government and housing, National AIDS Council","","","","","","","","","National NGOs","","","","Private sector","","","","Overall goal: To improve the health status of people in Zambia in order to contribute to socio-economic development.
Objectives:
To significantly improve public health surveillance and control of epidemics, in order to reduce morbidity and mortality associated with epidemics.
To halt and begin to reverse the incidence and prevalence of NCDs including the improvement of mental health services throughout Zambia.
To significantly improve the nutritional status of the population and ensure food safety, particularly for children, adolescents and mothers in child bearing age, so as to prevent diseases.
To promote and improve hygiene and universal access to safe and adequate water, food safety, and acceptable sanitation, with the aim of reducing the incidence of water and food borne diseases throughout Zambia.
To provide efficient and effective health education and promotion, in order to empower individuals, families and communities with appropriate knowledge to develop and practice healthy lifestyles.
","Key strategies for nutrition:
- Strengthen nutrition service delivery in HIV/AIDS and TB programmes and activities.
- Strengthen implementation of infant and young child feeding programme.
- Promote maternal nutrition in pregnancy and during lactation;
- Provide support to micronutrient deficiency prevention and control (supplementation).
- Provide quality dietary, including food aid management services and information to in- and out patients.
- Strengthen use of Growth Monitoring and Promotion to improve nutrition interventions.
- Capacity building in Nutrition Advocacy and technical support and supervision.
- Scale-up public awareness and education on the importance of nutrition.
- Strengthen national and multi-sector coordination of nutrition programmes.
Key strategies for the child health programme:
Scale up infant and young child feeding services, including promotion of breastfeeding and complementary feeding after 6 months.
- Strengthen the School Health and Nutrition (SHN) Programme.
Key strategies for cross-cutting issues:
- Strengthen Maternal, Neonatal and Child Health (MNCH) interventions through the CARMMAZ strategy
- Improve the availability of MNCH and nutrition commodities (e.g. FP commodities, vaccines, therapeutic feeds).
- Strengthen community involvement in MNCH and nutrition services.
- Mainstream nutrition in other key health sector interventions, such as maternal and adolescent health, HIV care, TB, IMCI and NCDs.
- Scale-up and sustain high impact nutrition interventions, such as micronutrients deficiency control (Vitamin A supplementation in under five children, iron-folate supplements to pregnant women and iodations of salt).
- Provide comprehensive health promotion services in all programmes.
- Strengthen operational research.
Key strategies for Non-Communicable Diseases (NCDs):
- Conduct a situational analysis of NCDs and their social, behavioral, and political determinants.
- Introduce and strengthen the reduction in the levels of exposure of individuals and the populations at large to the common modifiable risk factors for NCDs.
- Strengthen and scale up screening programmes for NCDs.
- Strengthen the health system to respond to the need for effective management of NCDs, (e. g. developing evidence based standards and guidelines for cost effective interventions).
- Undertake operational research.
- Develop a comprehensive NCDs Strategy.
Key strategies for environmental and occupational health
- Promote establishment of new and strengthening of existing Water, Sanitation and Hygiene Education (WASHE) Committees at national, provincial, district and sub-district levels.
- Institutionalise Food Safety Protocols of Hazard Analysis and Critical Control Point System (HACCP).
- Promote the provision of appropriate and suitable water and sanitation facilities in peri-urban and rural areas.
- Strengthen national health care waste management at all levels of care.
Key strategies for health education and promotion
- Strengthen the policy and strategic framework for health education and promotion.
- Strengthen the health promotion unit at MOH head quarters, so as to ensure effective coordination.
- Advocate for public policies that support and promote health.
- Strengthen community response and participation in health education and promotion.
- Strengthen health education and promotion in schools, through the School Health and Nutrition Programme.
- Integrate health education and promotion in all health programmes and at all levels.
- Establish collaborative systems with partners, private sector, civil society, CHAZ and other stakeholders to support health education and promotion.
","Reduce under-five mortality rate/1000 births from 199 (in 2007) to 63 by 2015
Reduce prevalence of underweight children under 5 years of age (target not set)
Reduce maternal mortality ratio (MMR)/100 000 livebirths from 591 (2007) to 159 in 2015
","Outcome indicators","","Underweight in children 0-5 years|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Vaccination|Water and sanitation","","","","http://www.nationalplanningcycles.org/sites/default/files/country_docs/Zambia/zambia_nhsp_2011-2015_.pdf ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202011%20National%20Health%20Strategic%20Plan.pdf" "23149","ZMB","Zambia","","National AIDS Strategic Framework","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Government of Zambia","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Development|Labour|Other","Cabinet Committee on HIV and AIDS, Ministry of Community Development and Social Services, Ministry of Youth Sports and Child Development, Ministry of Science, Technology and Vocational Training","","","","","","","","","","","","","","","","","","3.1.5. Prevention of mother to child transmission
Priority strategies:
ii. Providing technical guidance to optimize quality pediatric HIV prevention, care nutrition support
and treatment services
3.2.1. Antiretroviral therapy
Priority strategies:
v. Provide nutrition for malnourished people living with HIV (PLHIV), children and infants
3.3.1 Vulnerable households and Individuals
Priority strategies:
iii. Provide food and material support to incapacitated vulnerable households (e.g. because of
physical or life-cycle status)
iv. Promote small scale sustainable community or households agricultural projects that will
improve household food security. Some of the livelihood initiatives would be more of income
generating activities
v. Prioritise food assistance to food insecure households with chronically ill adults and children
3.3.2 Orphans and vulnerable children
Priority strategies
ii. Provide education, psychosocial and material support nutrition, and shelter, and a caregiver to in and out- of- school female and male OVC
","Annex 1. The NASF Results Framework
D) MITIGATION
Outcome result:
Vulnerable households and food security
[OC17] More people receive comprehensive and quality care at home and in the community. Female and male aged 15-59 who either have been very sick or who died within the last 12 months after being very sick whose households received certain free basket external support to care for them within the last year increased from 41% in 2009 to 50 % in 2013 and 60 % by 2015.
Output result
[OP44] Households with vulnerable persons who received all three types (medical, emotional, and social/material) of support in the last year increased from 5.5% in 2007 to 10% in 2013 and 20% by 2015
[OP45] Females and males adult PLHIV who are clinically malnourished and who received nutritional support increased from 15% in 2007 to 25% in 2013 and to 50% in 2015.
","","","Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202010%20National%20AIDS%20Strategic%20Framework.pdf" "7980","BGD","Bangladesh","","United Nations Development Assistance Framework for Bangladesh","Non-national nutrition policy document","","English","","2012","","2016","United Nations System in Bangladesh","","2011","Adopted","","","UN, UNDP, ILO, FAO, IOM, UNESCO, UNFPA, UNHCR, UNAIDS, UNICEF, WFP, WHO, IAEA, IFAD, OHCHR, UN Women, UNCDF, UNCTAD, UNEP, UN-HABITAT, UNIDO, UNODC, UNOPS","Education and research|Food and agriculture|Health|Other","BAEC, MoFDM, MoA, MoFL, MoHFW, IPHN, MoFL","United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)|Other","IAEA","","","","","","","National NGOs","","","","Private sector","","","","","Pillar Four
UNDAF Pillar Four: Food Security and Nutrition
OUTCOME 4.1 The urban and rural poor have adequate food security and nutrition throughout the life cycle.
Indicators:
Output 4.1.1 Poor communities benefit from strengthened institutional mechanisms for coordinating and monitoring the implementation of food security, safety and nutrition policies and programs, effective at national and in targeted sub-national levels.
Indicators:
Output 4.1.2 Communities, including the most vulnerable, benefit from services for the prevention and treatment of maternal and child malnutrition at Upazila and union levels
Indicators:
Output 4.1.3. Poor communities benefit from improved access to agricultural inputs, food technologies and fortified foods.
Indicators:
Output 4.1.4 Disaster- stricken, food insecure household's benefit from adequate and diversified food and agricultural rehabilitation support provided in a timely manner.
Indicators:
Output 4.1.5. The rural and urban poor have improved knowledge and practices on nutrition, e.g. gender, hygiene, IYCF and food safety
Indicators:
1.3. GOAL
To improve access and educational achievement of schoolchildren through health and nutrition interventions in educational establishments in Ethiopia.
1.4. OBJECTIVES
The main objectives are:
The specific objectives are:
El documento no plantea objetivos pero, del capítulo de presentación se deducen los siguientes:
Concretar la articulación Plan-Presupuesto y armonizar las prioridades de la gestión pública y las asignaciones presupuestarias.
Definir las orientaciones del Sistema Nacional de Planificación para contar con una herramienta para la planeación y previsión presupuestaria que de respuesta a los desafíos de las condiciones económicas, sociales y ambientales que configuran la realidad nacional.
Ubicar las prioridades del desarrollo para el trienio 2012-2014, que permitan visualizar un futuro posible e inmediato que coadyuve a reducir las brechas de exclusión y discriminación existentes en el país, con acciones estratégicas, firmes y sostenibles.
","Se incluyen los siguientes ejes:
1. Desarrollo económico
2. Seguridad alimentaria y nutrición
3. Educación
4. Salud
5. Seguridad y justicia
6. Desarrollo municipal y democrático
7. Gestión ambiental
Se construyeron matrices de trabajo por eje las que incluyen, para cada una de las acciones de política pública, lo siguiente:
Las acciones de política pública incluida en el eje de seguridad alimentaria y nutrición son:
","
En las matrices de trabajo del eje de seguridad alimentaria y nutrición (páginas 47-56 del documento adjunto) aparecen los indicadores de proceso e impacto para cada una de las acciones sectoriales, según el marco programático.
","Outcome indicators|Process indicators","","Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Growth monitoring and promotion|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iron|Micronutrient powder for home fortification|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food security and agriculture|Family planning (including birth spacing)|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Orientaciones%20Estrat%C3%A9gicas%20de%20Pol%C3%ADticas.pdf" "23626","GTM","Guatemala","Occidente","Plan estratégico de seguridad alimentaria y nutricional para Occidente – Planocc - 2012 - 2016","Sub-national nutrition policy document","","Spanish","","2012","","2016","","","2011","Adopted","10","2011","Resolución No. 10 del 28 de Octubre de 2011. Guatemala","Health|Food and agriculture|Education and research|Finance, budget and planning|Information","","","","","","","","","","","","","","","","","","OBJETIVOS ESTRATÉGICOS
1.Apoyar y promover estrategias de transformación productiva
que favorezcan la disponibilidad, acceso y la dinámica de los mercados locales con enfoque de sostenibilidad y equidad étnica y de género.
2. Generar las orientaciones que propicien condiciones favorables para construir
medios de vida sustentables de calidad, que permitan mejorar los ingresos
familiares y medios de subsistencia, reduciendo la vulnerabilidad alimentaria.
3. Promover buenas prácticas alimentarias y nutricionales,
Generando condiciones socioculturales para orientar en el hogar, la familia y la comunidad, la mejora en el consumo de alimentos, la generación de capacidades y competencias individuales y colectivas, con equidad de género y pertinencia cultural.
4. Fortalecer la institucionalidad pública
, articulando de manera efectiva y eficiente
la programación, ejecución y evaluación de los recursos presupuestarios y
financieros, para la gestión de la seguridad alimentaria y nutricional, desarrollando
alianzas y complementariedades entre los diferentes actores (sociedad civil, empresariado, liderazgo local, autoridades municipales y donantes ), para asegurar
los resultados del Plan.
5. Promover la adecuada coordinación de los servicios sociales básicos
(educación, salud, agua y saneamiento) y las acciones necesarias para favorecer el
aprovechamiento biológico de los alimentos, reducir la desnutrición, con énfasis en
las niñas y niños menores de cinco años, mujeres en edad reproductiva,
gestantes y aquellas en situación de mayor vulnerabilidad.
6. Apoyar a la gestión adecuada del territorio, valorizando sus recursos naturales,
especialmente el agua, para garantizar su utilización y conservación; reducir la
vulnerabilidad ante los efectos de la variabilidad y cambio climático, armonizando
el conocimiento tradicional y científico
","2. Objectifs globaux Les objectifs globaux visent, d’ici 2012 à 2015, à :
(i) réduire la prévalence de la malnutrition chronique (taille/âge<-2ET) chez les enfants de moins de 5 ans, soit de 50,1% à 42,8%,
(ii) contribuer à la réduction de la mortalité des enfants de moins de 5 ans, de 72 pour 1000 naissances vivantes en 2008 à 56 en 2015.
3. Objectifs spécifiques De 2012 à 2015, les objectifs visent plus spécifiquement à :
i- Réduire la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 5 ans, à moins de 28%;
ii- Réduire la prévalence de la malnutrition aiguë (poids/taille<-2ET) à moins de 5%, chez les enfants de moins de 5 ans;
iii-Réduire la malnutrition aiguë sévère (poids/taille<-3ET) à moins de 1%, chez les enfants de moins de 5 ans ;
iv- Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
v- Augmenter le taux d’allaitement maternel exclusif jusqu’à 6 mois de 51% à 65% et maintenir le taux d’allaitement maternel jusqu’à 2 ans et au-delà, à plus de 98% ;
vi- Réduire la proportion des victimes de l’insécurité alimentaire, de 65% à 43%. Il s’agit des personnes n’atteignant pas le niveau minimum d’apport calorique de 2 300 kilocalories par jour.
Axe stratégique1 : La prévention de la malnutrition
1-2- Les objectifs spécifiques
Les objectifs spécifiques relatifs à cette stratégie sont les suivants: De 2012 à 2015 :
Réduire le taux d’insuffisance pondérale à moins de 28% chez les enfants de moins de 5 ans
Réduire de 50% à 30 % la proportion des enfants de moins de 5 ans présentant de l’anémie ferriprive, de 66% à 40 % chez les enfants d’âge scolaire et de 35% à 15% chez les femmes enceintes ;
Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
Augmenter de 51% à 65% le taux d’allaitement maternel exclusif.
Axe stratégique 2 : La sécurité alimentaire et nutritionnelle
1-2- Objectifs spécifiques
En vue de l’atteinte des objectifs du millénaire pour le développement, le pays s’est fixé de réduire la proportion de la population victime de l’insécurité alimentaire de 65% à 43% d’ici 2015. Cependant, les enquêtes CFSVA auprès des ménages ruraux, ont démontré une détérioration de la situation de sécurité alimentaire des ménages entre 2005 et 2010, avec un taux d’insécurité alimentaire passant de 25% à 35%. Ainsi, l’objectif spécifique auquel contribuera cette stratégie consiste à fixer à 30% le taux d’insécurité alimentaire des ménages ruraux en 2015.
Axe stratégique 3 : La prise en charge de la malnutrition
1-2- Objectifs spécifiques :
Réduire le taux de malnutrition aiguë/globale à moins de 5% chez les enfants de moins de 5 ans, jusqu’en 2015 ;
Contribuer à la réduction de la mortalité des enfants de moins de 5 ans de 72‰ naissances vivantes en 2009 (EDS) à 65‰.
Axe stratégique 4 : Urgences, réhabilitation et développement pour la réduction de risque de la malnutrition
1-2- Les objectifs spécifiques :
Les objectifs spécifiques auxquels contribuera cette stratégie visent à:
Diminuer le taux de la malnutrition aiguë sévère (poids/taille<-3ET) chez les enfants de moins de 5 ans à moins de 1%;
Maintenir le taux brut de mortalité à moins de 1 décès par 10 000 habitants par jour et le taux de mortalité des enfants de moins de 5 ans à moins de 2 décès par jour.
Atténuer les effets des aléas de catastrophes sur la nutrition par des interventions post catastrophes de relance agricole.
Axe stratégique 5 : Coordination et amélioration de l’environnement favorable au développement du secteur nutrition
1-2- Les objectifs spécifiques :
Ce système de coordination et de suivi assurera plusieurs fonctions essentielles pour favoriser la mise en oeuvre du PNAN II dans les meilleures conditions afin d’atteindre les objectifs fixés. Ces objectifs spécifiques visent ainsi à :
Renforcer la coordination du secteur nutrition ;
Renforcer le plaidoyer relatif à la communication institutionnelle, la communication éducationnelle au niveau de la communauté et aux partenaires techniques et financiers ;
Développer la mobilisation et la gestion optimale des ressources financières internes et externes ;
Appuyer la planification et la programmation du secteur nutrition
","Axe stratégique1 : La prévention de la malnutrition
Intervention 1 : Mise à l’échelle des sites PNNC
Intervention 2 : Surveillance, promotion de la croissance et du développement
Intervention 3 : Promotion de l’ANJE et nutrition des femmes (NDF) à travers l’approche cycle de vie
Intervention 4 : Promotion de la nutrition des adolescentes (13-20 ans)
Intervention 5 : Renforcement des activités d’éducation nutritionnelle au sein des écoles
Intervention 6 : Amélioration de l’accès à l’eau potable, l’assainissement et l’hygiène (WASH)
Intervention 7 : Supplémentation en micronutriments (Fer Acide folique, multimicronutriments (MMN), Vit A, Zinc…) des femmes enceintes et allaitantes, des adolescentes de 15 à 24 ans, des enfants de moins de 5 ans et d’âge scolaire de 6 à 14 ans.
Intervention 8 : Fortification alimentaire
Intervention 9 : Déparasitage des enfants de moins de 5 ans, des femmes enceintes, des enfants en âge Scolaire
Axe stratégique 2 : La sécurité alimentaire et nutritionnelle
Intervention 1 : Promotion des cultures maraîchères et des produits riches en micronutriments
Intervention 2 : Promotion de pratiques de petits élevages (à cycle court)
Intervention 3 : Amélioration de l’accessibilité des ménages à l’alimentation pendant toute l’année
Intervention 4 : Mise en place des cantines scolaires dans les zones d’insécurité alimentaire
Axe stratégique 3 : La prise en charge de la malnutrition
Axe stratégique 4 : Urgences, réhabilitation et développement pour la réduction de risque de la malnutrition
Intervention 1 : Préparation et réponses aux urgencies
Intervention 2 : Appui et suivi de la mise en oeuvre de la stratégie pour la réduction du risque de la malnutrition post catastrophe.
Axe stratégique 5 : Coordination et amélioration de l’environnement favorable au développement du secteur nutrition
Intervention 1 : Amélioration et renforcement du cadrage institutionnel dans le secteur nutrition
Intervention 2 : Planification stratégique et programmation du secteur nutrition
Intervention 3 : Développement de la communication institutionnelle pour le plaidoyer
Intervention 4 : Développement de la communication pour le changement de comportement
Intervention 5 : Renforcement de la coordination de l’ONN et renforcement de capacité des intervenants du secteur nutrition
Intervention 6 : Développement de la capacité nationale
Intervention 7 : Recherche et développement
Intervention 8 : Contribution du secteur nutrition à l’application des normes en alimentation et en nutrition
Intervention 9: Renforcement du système de suivi évaluation et d’information du secteur nutrition
Intervention 10 : Mise en place d’un système de veille nutritionnelle et de surveillance alimentaire
","2. Objectifs globaux Les objectifs globaux visent, d’ici 2012 à 2015, à :
(i) réduire la prévalence de la malnutrition chronique (taille/âge<-2ET) chez les enfants de moins de 5 ans, soit de 50,1% à 42,8%,
(ii) contribuer à la réduction de la mortalité des enfants de moins de 5 ans, de 72 pour 1000 naissances vivantes en 2008 à 56 en 2015.
3. Objectifs spécifiques De 2012 à 2015, les objectifs visent plus spécifiquement à :
i- Réduire la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 5 ans, à moins de 28%;
ii- Réduire la prévalence de la malnutrition aiguë (poids/taille<-2ET) à moins de 5%, chez les enfants de moins de 5 ans;
iii-Réduire la malnutrition aiguë sévère (poids/taille<-3ET) à moins de 1%, chez les enfants de moins de 5 ans ;
iv- Réduire la prévalence de l’insuffisance de poids à la naissance (< 2.500 grammes) à moins de 10% ;
v- Augmenter le taux d’allaitement maternel exclusif jusqu’à 6 mois de 51% à 65% et maintenir le taux d’allaitement maternel jusqu’à 2 ans et au-delà, à plus de 98% ;
vi- Réduire la proportion des victimes de l’insécurité alimentaire, de 65% à 43%. Il s’agit des personnes n’atteignant pas le niveau minimum d’apport calorique de 2 300 kilocalories par jour.
L’objectif général de la Politique Nationale de Nutrition (PNN) est de contribuer à assurer à chaque malien un statut nutritionnel satisfaisant pour son bien-être et pour le développement national.
Les objectifs spécifiques, ci-après listés, sont ciblés d’ici 2021:-
4.1. Stratégies
4.1.1. Surveillance de la croissance et du développement de l’enfant
4.1.2. Alimentation du nourrisson et du jeune Enfant
4.1.3. Lutte contre les carences en micronutriments
4.1.4. Prévention des maladies chroniques liées à l’alimentation
4.1.5. Nutrition scolaire
4.1.6. Production alimentaire familiale à petite échelle et transferts sociaux
4.1.7. Communication pour le Développement (CPD)
4.1.8. Renforcement de la participation communautaire en faveur de la nutrition
4.1.9. Systèmes d’Information en matière de nutrition (SIN)
4.1.10. Recherche Appliquée et formation en nutrition
4.1.11. Promotion de la sécurité sanitaire des aliments
4.1.12. Préparation et réponse aux situations d’urgence
4.1.13. Intégration Systématique des objectifs de Nutrition dans les politiques et programmes de développement et de protection sociale
4.1.14. Renforcement du cadre institutionnel
","
Indicateurs (Unités, Situation initiale 2010, Objectifs en 2015, Objectifs en 2017)
Autres indicateurs de suivi et d’évaluation de la politique nationale de nutrition
Impact
Indicateurs (Périodicité de collecte, Sources)
Pratiques alimentaires
Indicateurs (Périodicité de collecte, Sources)
Couvertures
Indicateurs (Périodicité de collecte, Sources)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Conditional cash transfer programmes","","","https://extranet.who.int/ncdccs/Data/MLI_B14_POLITIQUE%20NATIONALE%20DE%20NUTRITION_version%20finale%20du%2019%20FEV%202013%20%20avec%20Preface%2006%20SEPT%202013.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","" "23258","NAM","Namibia","","Multi-Sectoral Nutrition Implementation Plan, Results Framework & Dashboard of Indicators","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Namibian Alliance for Improved Nutrition (NAFIN)","","2013","","","","","Health|Food and agriculture|Education and research|Women, children, families","Ministries of Health, National Planning Council, Education, Gender, Water and Sanitation, Agriculture, MAWF, MOE, DDRM, & NPC","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","SUN","Other, please specify under further details","faith based org. NRCS, CAA, CHS","The World Bank","","","","","","Research/academia","Educational Institutions","Private sector","Namib Mills, FANTA, I-Tech","Other","Media, Regional Development Coordinating Committees(RDCC) and Constituency Development Committees(CDC), food fortification working group, CHBC","","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fruit and vegetable intake|Vegetables|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School gardens|Dietary guidelines|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Staple foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.unicef.org/namibia/Namibia_Report_on_the_Multi-sectoralCIP_100913).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Multi-Sectoral%20Nutrition%20Implementation%20Plan.pdf" "40384","NAM","Namibia","","National Policy on Sexual, Reproductive and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2022","Directorate of Primary Health Care","","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Information|Justice|Labour|Other","Directorate of Primary Health Care, Ministry of Safety and Security, Ministry of Defense, Ministry of Home Affairs and Immigration, Ministry of Agriculture, Water and Forestry, Gender, ICT, Regional Reproductive and Child Health Committee, National Statistics Agency, Ministry of Regional and Local Government, Housing, and Rural Development","","","","","","Unspecified","","","National NGOs","Namibia Alliance for Improved Nutrition (NAFIN), Churches and faith-based organizations","Research/academia","","Private sector","Private health and social services providers","Other","Food Fortification Technical Working Group, Health Professions Councils of Namibia (HPCNA), National Youth Council, civil society organizations","
3.1 Goal
The overall goal of this policy is to enhance the attainment of the highest possible standard of Sexual, Reproductive Health, Child Health and Nutrition for the Namibian population through provision of equitable, accessible and affordable health and nutrition information and services.
3.3 Objectives (nutrition-related only)
","
Nutrition Policy Statements
Stunting rate among under 5 children
Prevalence of Malnutrition (wasting, stunting and underweight) disaggregated by age.
Prevalence of NCDs
Early initiation of breastfeeding: Proportion of children born in the last 24 months who were put to the breast within one hour of birth
Exclusive breastfeeding"": Proportion of infants aged 0-6 months who are fed exclusively with breast milk.
The new ""minimum acceptable diet"": Proportion of children 6-23 months of age who had both minimum meal frequency and dietary diversity (in both BF and non-BF children).
","","Outcome indicators|Process indicators","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Sexual%2C%20Reproductive%2C%20and%20Child%20Health%20Policy.pdf" "40732","NAM","Namibia","","Namibia’s Fourth National Development Plan 2012/13 to 2016/17","Multisectoral development plan with nutrition components","","English","","2012","","2017","Office of the President National Planning Commission","","2012","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Trade|Labour|Other","Office of the President National Planning Commission, Home Affairs","","","","NGO service providers","Other","Bank of Namibia","","","National NGOs","","","","","","","","Desired Outcome 3 (DO3): By 2017, Namibians have access to a quality health system, both in terms of prevention, cure, and rehabilitation, characterised by an improvement in healthy adjusted life expectancy (HALE) from baseline 57 (2011) to 59 (2017).
Desired Outcome 4 (DO4): By 2017, the proportion of severely poor individuals has dropped from 15.8% in 2009/10 to below 10%.
Desired Outcome 9 (DO9): Agriculture experiences average real growth of 4% per annum over the NDP4 period.
","The drivers of health outcomes are multifaceted and include factors such as income, sanitation, education and health service provision. It is important to recognise the need for multi-sectoral approach that include not only the health sector, but also improvements in poverty, education, sanitation, food security (through agriculture) and infrastructure.
","","","","School-based health and nutrition programmes|Provision of school meals / School feeding programme|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20NDP4_0.pdf" "40737","NER","Niger","","La stratégie 3N (Les Nigériens nourrissent les Nigériens)","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2015","Haut Commissariat à l’initiative 3N","4","2012","","","","Haut Commissariat à l’initiative 3N","Cabinet/Presidency|Food and agriculture|Education and research|Finance, budget and planning","Haut Commissariat à l’initiative 3N, Ministère des Affaires Etrangères et de la Cooperation, Collectivités Territoriales (Communes et régions)","","","","","","","","","National NGOs","Organisations des Producteurs (OP)","","","","","Other","collectivités territoriales, organisations de producteurs, organisation de la société civile","5.2.1. OBJECTIFS
L’objectif global de l’i3N est de : « contribuer à mettre durablement les populations Nigériennes à l’abri de la faim et de la malnutrition et leur garantir les conditions d’une pleine participation à la production nationale et à l’amélioration de leurs revenus ».
L’objectif spécifique est de : « Renforcer les capacités nationales de productions alimentaires, d`approvisionnement et de résilience face aux crises alimentaires et aux catastrophes naturelles».
","5.3. AXES STRATÉGIQUES
Note: details for each strategy are given in document
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Food security and agriculture|Household food security|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202012%20La%20strat%C3%A9gie%203N.pdf" "11533","SLE","Sierra Leone","","Sierra Leone National Food and Nutrition Security Policy 2012 - 2016","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Ministry of Health and Sanitation","","2012","Adopted","","","SUN","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade","Ministry of Health and Sanitation, MAFFS, MEST, MOFED, MFMR and MOTI","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","SUN","Helen Keller International (HKI)","NGOs and Faith Based Organisations, NFFA","","","","","","","Research/academia","schools, research and training institutions, SLARI and Njala University","Private sector","food production parties","Other","Nutrition Technical Committee; Small scale farmers, relevant organizations that could provide storage, facilities, resources; banks, microfinance institutions, mass media","Goal:
The overall goal of the National Food and Nutrition Policy is to contribute to the improved health, social and economic well-being of all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups.
General Objective:
To improve the current nutritional status of the population, especially infants and young children, pregnant and lactating women and other vulnerable groups in Sierra Leone
Specific Objectives (SO):
I. To undertake advocacy for policy makers, policy advisors and programme designers at national and district levels on nutrition and its relationship to development.
II. To actively promote and facilitate adequate household food security (quantity, quality and safety) to satisfy the daily dietary needs of the population.
III. To promote adoption of appropriate feeding practices by households.
IV. To strengthen preventive measures against nutrition related diseases
V. To provide curative services to individuals who are either malnourished or present a condition requiring diet therapy.
VI. To institute a nutritional surveillance system for monitoring the food and nutrition situation in the country.
VII. To promote operational research and periodic surveys into food and nutrition issues
VIII. To coordinate activities of relevant agencies involved in food and nutrition issues
SO 1 Strategies:
SO 2 Strategies:
SO 3 Strategies:
SO 4 Strategies:
SO 5 Strategies:
SO 6 strategies:
SO 7 strategies:
SO 8 Strategies:
The overall goal of the policy is to contribute to the improved health, social and economic well-being for all the people in Sierra Leone, especially women, children and other nutritionally vulnerable groups. The general objective is to improve the nutritional status of the population especially infants and young children, pregnant and lactating women in Sierra Leone.
The policy has eight specific objectives
Nutrition Indicator Targets of the implementation plan
Strategic interventions
2.1 Priority Food and Nutrition Interventions
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Indicators of each priority intervention
1. Improve breastfeeding and complementary feeding
2. Increase micronutrient intake
3. Improve diarrhoea and parasite control
4. Treatment of acute malnutrition
5. Improve household food security
6. Improve maternal nutrition
7. Improve nutritional status of PLHIV/AIDS/TB/OVCs & reduce prevalence of NCDs
Цели и задачи Программы
усиление государственного контроля в сфере обеспечения продовольственной безопасности, разработка технических регламентов продовольственной безопас- ности (согласно требованиям Кодекса Алиментариус Организации Объединных Наций) и гармонизация стандартов.
","","","","Food safety|Food security and agriculture|Vulnerable groups","","http://moa.tj/wp-content/Program_Taj_Rus_Eng_ready.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202012%20Program%20on%20Agricultural%20Reform%202012-2020.pdf" "14872","YEM","Yemen","","National Agriculture Sector Strategy 2012- 2016","Food security or agriculture sector national policy, strategy or plan with nutrition components","","","","2012","","2016","Ministry of Agriculture and Irrigation","","2012","","","","","Education and research|Environment|Food and agriculture|Other|Sub-national|Trade","Ministry of Agriculture and Irrigation Ministry of Agriculture and Irrigation","United Nations Development Programme (UNDP)","UNDP","","","","","","","National NGOs","","","","Private sector","","","","Vision Statement: The agriculture sector in Yemen will play the primary role in raising rural incomes and creating jobs, and increasing food security, while protecting the environment and natural resources.
Objectives
The overall objective of the agriculture sector is to increase growth, sustainability, and equity by raising agricultural output, and to increase rural incomes, particularly for the poor. More specifically, the objectives in the agriculture sector are to:
","
To achieve these overall objectives, it is important that development of the agriculture sector include the following strategic elements:
Policy Commitments
1. Policy Advice and Analysis:
The government of Zimbabwe is committed to ensuring that policy instruments that protect and enhance food and nutrition security particularly amongst the most vulnerable, are formulated and inform Government and non-Government decision-making and action.
2. Agriculture and Food Security:
The Government of Zimbabwe is committed to ensuring food security for all, including access to adequate, diverse and nutritious food by all people at all times
3. Social Assistance and Social Protection:
The government of Zimbabwe is committed to ensuring that where social protection including social assistance programmes are implemented , these must contribute and enhance food and nutrition security of the most vulnerable in the short and medium term.
4. Food Safety and Standards:
The government of Zimbabwe is committed to the provision of safe and wholesome food to all. Consequently, all food whether imported or locally produced shall meet national Public Health legislation and international standards for quality and safety.
5. Nutrition Security:
The government of Zimbabwe is committed to ensuring nutrition security for all through the implementation of evidence-based nutrition interventions that are integrated within a broad public health framework including health services, water and sanitation.
6. Food and Nutrition Security Information:
The Government of Zimbabwe is committed to ensuring a national integrated food and nutrition security information system that provides timely, reliable information on the food and nutrition security situation, effectiveness of programmes and informs decision-making.
7. Enhancing and strengthening national capacity for food and nutrition security:
The Government of Zimbabwe is committed to enhancing and strengthening national capacity in food and nutrition security primarily through supporting and reinforcing local community capacity and responsibility for food and nutrition security, applied context-specific research and learning and multi-sectoral professional training in food and nutrition security
","","Activity and Output (Quartely):
Outcome (Annually):
Impact (Every 3-4 years):
II. BUT ET OBJECTIFS DU PLAN
2.1. But
Contribuer à la réduction d’au moins 40% du retard de croissance chez les enfants âgés de 0 – 59 mois d’ici 2025 et à la réduction de la mortalité infanto-juvénile au Burkina Faso.
2.2. Objectif Général
Augmenter le taux de pratique d’allaitement maternel exclusif chez les enfants âgés de moins de 6 mois de 38% en 2012 à au moins 80% en 2025 et le taux de pratique d’alimentation minimale acceptable chez les enfants âgés de 6 – 23 mois de 3.5% en 2012 à au moins 30% en 2025.
2.3. Objectifs spécifiques
En termes d’objectifs spécifiques, le plan de passage à l’échelle de la promotion des pratiques optimales d’ANJE se propose de :
1. Renforcer la qualité et la couverture des interventions communautaires de promotion des pratiques optimales d’ANJE.
2. Créer au niveau communautaire un environnement favorable à la protection et à la promotion des pratiques optimales d’ANJE.
3. Mettre en oeuvre au niveau national un plan de communication d’appui aux activités communautaires.
4. Appuyer la protection et la promotion des pratiques optimales d’ANJE au niveau des structures sanitaires.
5. Renforcer l’application du code international de commercialisation des substituts du lait maternel par une adoption du texte réglementaire relu et la mise en place d’un système de surveillance
6. Renforcer les compétences pour la gestion de l’ANJE dans les situations difficiles (VIH, urgences).
2.4. Résultats attendus
Résultat 1 : D’ici fin 2022, 1122519 soit 90% des femmes enceintes et 1791949 soit 90% des mères d’enfants de 0 à 23 mois de la population totale du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
Résultat 2 : D’ici fin 2022, un environnement favorable à la mise en oeuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies, bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
Résultat 3 : D’ici fin 2022, au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso.
Résultat 4. D’ici fin 2022, la mise en oeuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
Résultat 5. D’ici fin 2016, une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
Résultat 6 : D’ici fin 2022, les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH, situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
","Tableau II : Paquet Intégré des Services d’ANJE à travers le cycle de vie
GASPA Composante du Paquet Intégré des Services d’ANJE
1 Femmes enceintes
Promotion de la consultation prénatale et de l’accouchement assisté
Promotion d’une bonne nutrition chez les femmes enceintes
Appréciation de la perception de la femme enceinte sur la mise au sein précoce et de l’AME pour des conseils appropriés.
Appui à la mise au sein précoce par des conseils appropriés et la création d’un environnement propice.
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
2 Femmes allaitantes d’enfants de moins de 6 mois d’âge
Suivi de l’option des mères pour l’alimentation de leurs nourrissons pour des conseils appropriés
Promotion d’une bonne nutrition chez les femmes allaitantes
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
3 Mère d’enfants ages de 6 – 24 mois.
Rappel systématique de l’introduction d’aliments de complément dès 6 mois
Evaluation de la poursuite de l’allaitement pour des conseils appropriés
Evaluation de la fréquence des repas pour des conseils appropriés
Evaluation de la diversité alimentaire pour des conseils appropriés
Promotion de l’accessibilité à des sources de micronutriments (farine infantile enrichie, fortification à domicile, production vivrière améliorée, produits forestiers non ligneux)
Promotion du principe des mélanges multiples pour la préparation de menus et farine de complément équilibrés par la démonstration culinaire
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
Promotion de la production vivrière améliorée pour la diversification alimentaire
Suivi de l’état nutritionnel des enfants et des mères
Promotion des jeux d’éveil et d’affection chez les enfants
","Indicateurs objectivement vérifiables
Réduction de 40% du retard de croissance chez les enfants ages de 0 – 59 mois d’ici 2025.
Le pourcentage des mères d’enfants âgés de 0 – 23 mois capables de citer trois avantages corrects de la mise au sein précoce augmente au moins de 80% au niveau national en 2025 par rapport à la situation de base.
Le pourcentage de mères d’enfants âgés de 0 – 23 mois capables de décrire correctement les critères pour une alimentation minimale acceptable augmente au moins de 50% en 2025 au niveau national par rapport à la situation de base.
Le taux d’initiation de l'allaitement dans la première heure après la naissance augmente de 29 2% en 2012 à 80% en 2025 au niveau national.
Le taux d’allaitement exclusif des enfants de moins de 6 mois augmente de 38% en 2012 à 80% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une fréquence minimale des repas augmente de 66 6% en 2012 à 85% en 2025 au niveau national.
Pourcentage des enfants de 6-23 mois ayant une diversité alimentaire minimale augmente de 4 8% en 2012 à 30% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une alimentation minimale acceptable (score minimum de diversité alimentaire et fréquence minimale des repas) augmente de 3 5% en 2012 à 30% en 2025 au niveau national.
D’ici fin 2022 1 122 519 soit 90% des femmes enceintes et 1 791 949 soit 90% des mères d’enfants de 0 à 23 mois de la population total du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
D’ici fin 2022 un environnement favorable à la mise en œuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
D’ici fin 2022 au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso
D’ici fin 2022 la mise en œuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
D’ici fin 2016 une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
D’ici fin 2022 les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
D’ici fin 2022 les capacités de 18 ONG RENCAP dans le cadre de la politique de contractualisation des interventions communautaires sont renforcés dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 au moins 35 839agents de santé communautaire sont formés pour le respect d’une norme de qualité dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE au niveau des 63 districts sanitaires du Burkina Faso.
D’ici fin 2022 au moins35 839 personnes ressources volontaires (élus locaux enseignants représentant des groupements de femmes représentant des groupements de jeunes animateurs de radios communautaires leaders communautaires guides religieux ou guides traditionnels) sont identifiées et orientées pour appuyer les ASBC dans la diffusion des pratiques optimales d’ANJE et contribuer à la levée des barrières.
D’ici fin 2022 au moins 35 839 ASBC sont outillés en kits de démonstration culinaire et en boîtes à image pour animer des sessions de groupes d’apprentissage de femmes enceintes et de mères d’enfants âgés de 0 – 23 dans le cadre de la mise en œuvre au niveau communautaire du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 63 fermes modèles sont créées au niveau des districts sanitaire pour servir de cadre de démonstration et de renforcement de capacité de 1 383 760 mères d’enfants 6 – 23 mois sur les activités de production vivrière améliorés (cultures maraîchères et l’arboriculture fruitière petit élevage).
D’ici fin 2022 630 promotrices de production vivrière sont formées dans la gestion de 63 fermes modèles pour assurer le transfert de compétences en direction des GASPA.
92 251 sessions de formation en direction de 1 383 760 mères d'enfants âgés de 6 - 23 mois à travers les Groupes d’Apprentissage et de Suivi des Pratiques optimales d’ANJE sont organisées sur les techniques de production vivrière améliorés
D’ici fin 2022 691 880 mères d’enfants âgés de 0 – 23 mois sont appuyées selon un système de transfert monétaire pour mettre en œuvre leur plan d’action de conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage).
D’ici fin 2022 l’accessibilité des farines infantiles enrichies aux enfants des zones les plus vulnérables (milieu rural zone péri- urbaine) est améliorée par la création de 1260 points de vente à travers le pays.
D'ici 2016 le Burkina Faso dispose d'une stratégie d'extension de la fortification à domicile sur la base de la conduite d'une phase pilote au niveau de la région du Nord.
Au moins une campagne de mass média est organisée annuellement en lien avec la célébration avec la semaine mondiale d’allaitement maternel.
D’ici fin 2014 le Burkina Faso dispose d’un kit d’outils de formation pratiques des prestataires de santé sur l’ANJE qui intègre (1) le guide pratique du formateur (2) et le manuel du participant
D’ici 2015 les curricula de formation du personnel de santé en pré-emploi intègrent la promotion des pratiques optimales d’ANJE.
D’ici fin 2014 le Burkina Faso dispose d'un pool national de formateurs sur l'ANJE de 25 membres intégrant les agents de la DN.
D’ici fin 2018 le Burkina Faso dispose de 13 pools régionaux de formateurs sur l'ANJE de 65 membres pour appuyer les formations décentralisées.
D’ici fin 2023 au moins 5 456 prestataires de santé des formations sanitaires du Burkina Faso sont formés pour jouer leur partition dans la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici 2022 6 000 aide-mémoire pratiques des prestataires de santé pour la délivrance du paquet intégré des services d'ANJE sont mis en place dans les 1 728 formations sanitaires.
D’ici 2022 des outils d’institutionnalisation et de suivi des dix conditions pour le succès de l’allaitement maternel au niveau des services liés à la maternité sont mis en place dans les 1 728 formations sanitaires.
L’arrêté de 1993 d’application du code international de substitut du lait maternel a été revu par un comité de relecture et adopté par le Parlement.
Un comité de vulgarisation et de surveillance de la version revue de l’arrêté d’application du code internationale des substituts du lait maternel est mis en place et produit semestriellement un rapport sur les violations du code et les actions correctrices.
Des aspects d’application du code international des substituts du lait maternel sont intégrés dans les outils de formation des prestataires de santé sur l’ANJE.
D’ici fin 2015 les aspects de gestion de l’ANJE dans les situations difficiles (VIH urgences) sont effectivement pris en compte dans par leur intégration dans le kit d’outils de formation pratiques sur l’ANJE validés et adoptés au niveau national.
D’ici fin 2015 le Burkina Faso adopte une position tranchée conforme aux recommandations de l’OMS 2010 au sujet de l’alimentation des enfants nés de mères séropositives par rapport au niveau d’accessibilité ou non du traitement préventif ARV chez la mère et l’enfant au cours de la grossesse et après la naissance.
D’ici fin 2015 le plan national de contingence multirisques de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d’ANJE.
Kit d’outils de formation des acteurs communautaires développés d'ici fin 2013.
Outils développés
L'atelier de validation et d'adoption organisé en 2013
Reproduction annuelle de 2000 Guides du formateur des agents communautaires sur l'ANJE 5000 Manuels de l’agent communautaire entre 2014 et 2019
5000 Aide-mémoires reproduits annuellement entre 2014 et 2019.
90 agents des ONG-RENCAP formés à travers 6 sessions de formation entre 2013 et 2018.
468 agents d’OBCE formés travers 19 sessions de formation entre 2013 et 2018
1543 diagnostics de base suivis de restitution aux communautés ciblées réalisés dans les aires communautaires des formations sanitaires (CMA CM et CSPS) d'ici 2023.
35 839 agents de santé communautaire ou autres agents communautaires formés à travers 1473 sessions de formation entre 2013 et 2022
35 839 personnes ressources volontaires orientés à travers 1434 sessions d’orientation sur l’utilisation des aide-mémoire entre 2013 et 2022
Au moins 143 356 Outils PRV reproduites d'ici 2022
35 839 boites à images et de kits de démonstration culinaires mis en place au niveau communautaire.
100% des femmes enceintes sont identifiées pour recevoir les services d’ANJE (2) 100% des mères d'enfants 0 – 23 mois sont identifiées pour recevoir les services d’ANJE. (3) Au moins 194 298 groupes d’apprentissage des femmes (soit 15 femmes par groupe) sont constitués.
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des femmes enceintes sont réalisées (soit 67 352 séances réalisées sur 74 835 planifiées mensuellement).
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des mères d’enfants 0
– 23 mois sont réalisées (soit 107 517 séances réalisées sur 119 463 planifiées mensuellement).
D’ici fin 2022 au moins 80% des femmes enceintes attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 898 015 présences sur les 1 122 519 attendues).
D’ici fin 2022 au moins 80% des mères d’enfants 0 – 23 mois attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 1 433 559 de présence sur les 1 791 949 attendues).
D’ici fin 2022 au moins 80% des dialogues communautaires planifiés trimestriellement par les personnes ressources volontaires sont réalisées en direction des cibles secondaires (maris grand mères leaders communautaires) (soit 278 176 réalisées sur 347 720 planifiées trimestriellement).
16 412 activités de mobilisations sociale autour des pratiques optimales d’ANJE semestriellement d'ici 2023 au niveau l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées.
16 412 activités de mobilisations sociales autour des pratiques optimales d’ANJE au niveau de l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées sur la base d’un paquet minimum d’appui financier
Pourcentage de réalisation des missions de supervision des OBCE en direction des ASBC en collaboration avec les ONG réalisées.
Pourcentage de réalisation des missions de supervision des prestataires de santé en direction des sites communautaires de mise en œuvre du PISA en collaboration avec les ONG partenaires des districts sanitaires.
Reproduction de 2000 guide du facilitateur et 5000 manuels du participant annuellement entre 2014 et 2022
Guide et manuel sur les techniques d'activités de production vivrière améliorée.
63 fermes modèles mis en place entre 2014 et 2022.
630 promoteurs de production vivrière formés entre 2014 et 2018.
1 383 760 mères d’enfants 6 – 23 mois sur les techniques de production vivrière améliorée entre 2014 et 2022
691 880 mères d'enfants âgés de 6 - 23 mois bénéficient de transfert monétaire pour exécuter leur plan d'action de production vivrière améliorée (maraîchage ou petit élevage)
1 260 points de vente de farines infantiles enrichies et/ou bouillies enrichies au niveau des districts sanitaires entre 2014 et 2022
Au moins une campagne de marketing sociale sur les farines infantiles enrichies organisée annuellement entre 2014 et 2022
Produire annuellement 5000 guides français et 5000 guides en langue locale de recettes locales par an entre
La phase pilote sur la fortification à domicile est effectivement réalisée évaluée.
Atelier effectivement tenu en 2016.
Un plan d'extension de la fortification à domicile élaboré sur la base des leçons apprises de la phase pilote de fortification à domicile.
Existence du plan stratégique de communication pour la mise en œuvre du PISA
90% des activités planifiées dans le plan stratégique de communication pour la mise en œuvre du PISA sont financés et réalisées
Au moins une activité de plaidoyer organisée annuellement sur les sujets prioritaires en rapport avec les interventions d'ANJE
Au moins une campagne de communication sur l'ANJE réalisée annuellement en lien avec la célébration de la semaine mondiale d'allaitement maternel
Existence du kit d'outils de formation sur l'ANJE à partir de 2013.
L'atelier de validation et d'adoption organisé en 2013
Reproduire annuellement 1000 guides du formateur et 2000 manuels du prestataire de santé sur l'ANJE entre 2014 et 2022.
Une session de formation d'un pool national de formateurs sur l'ANJE de 25 membres organisée en 2014
8 sessions de formation au profit de formateurs régionaux sur l'ANJE constitué chacun de 10 membres au niveau de chaque région du Burkina Faso
5436 prestataires de santé formés à travers 217 sessions de formation entre 2013 et 2018 au niveau des districts sanitaires du Burkina Faso
Outils développés et mis en place au niveau des services de maternité
1000 aide-mémoires reproduits annuellement entre 2014 et 2019.
Des sessions d'orientation sur l'ANJE sont organisées annuellement en direction du personnel enseignant et des prestataires en fin de cycle de formation en pré-emploi entre 2014 et 2016. (2) - Un atelier est organisé pour étudier les modalités de renforcement des services d'ANJE dans le curriculum de formation des agents de santé en pré-emploi à partir de 2017.
Au moins 90% des missions d'appui et de supervision des Equipes cadres de districts sanitaires en direction des prestataires de santé des formations sanitaires planifiées annuellement sont réalisées.
Au moins 90% des missions d'appui et de supervision de la Direction de la Nutrition en direction des districts sanitaires et des hôpitaux en collaboration avec le pool national de formateurs ANJE les équipes régionales et les partenaires techniques planifiées annuellement sont réalisées.
Le comité existe et est fonctionnel.
Tenue de l'atelier de validation de la revue de l'arrêté d'application du code international de commercialisation des substituts du lait maternel tenu avant fin 2016
Tenue de la session de plaidoyer avant fin 2015.
Le mécanisme existe et est fonctionnel d'ici 2017 (2) l'arrêté est diffusé et vulgarisé d'ici 2017
le mécanisme existe et est fonctionnel d'ici 2017 (2) au moins 2 sorties sont réalisées par an.
Un atelier national d'affinement des recommandations actuelles au sujet de l'alimentation des enfants nés de mères séropositives est organisé d'ici fin 2014.
5000 boites à images révisées sont reproduites annuellement entre 2015 et 2020
Existence au moins d'un module consacré à la gestion de l'ANJE dans les situations difficiles (Urgence VIH)
D'ici 2015 le plan national de contingence multirisque de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d'ANJE
Au moins 200 agents humanitaires présetes au Burkina Faso sur la gestion de l'ANJE dans les situations d'urgence d'ici 2015.
Les plans de réponses aux urgences du système des Nations Unies intègrent au moins un axe stratégique sur la gestion de l'ANJE avec un budget associé à partir de 2014.
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia|Minimum acceptable diet|Dietary practice|Fruit and vegetable intake|Fruits|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food safety|Food security and agriculture|Health related|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202014%20Plan%20de%20passage%20%C3%A0%20l%27echelle%20ANJE.pdf" "38223","TCD","Chad","","Politique Nationale de Nutrition et d'Alimentation","Comprehensive national nutrition policy, strategy or plan","","French","","2013","","2025","Ministère de l'A Ministère de la Santé Publique","","2015","Adopted","","2015","Ministry of Public Health, Ministry of Agriculture, Council of Ministers","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Industry","Ministère de la Santé Publique; Ministère de l’Education Nationale et le Ministère de l’Enseignement Supérieur; Ministère de l’Agriculture et de l’Irrigation et le Ministère de l’Elevage; Ministère des Affaires Sociales et de la Famille; Ministère du Commerce et de l'Industrie; Ministère de la Communication","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","","","","","","","Centre National de Nutrition et de Technologie Alimentaire","Trois objectifs généraux sont retenus en vue d’une résilience optimum :
OG1- Assurer aux Tchadiens l’accès aux denrées alimentaires en quantité et en qualité suffisantes et de façon pérenne, en particulier les plus pauvres,
OG2- Réduire de façon significative et durable la mortalité et la morbidité liées aux problèmes de nutrition et d’alimentation, en particulier par la prévention et la prise en charge correcte de la malnutrition et à l’échelle,
OG3- Promouvoir des comportements alimentaires et nutritionnels adéquats à mieux de garantir un développement du capital humain
","La Politique Nationale de Nutrition et d’Alimentation (PNNA) s’articule autour de 5 axes stratégiques programmatiques d’intervention :
Dans le cadre de la mise en oeuvre, ces 5 axes stratégiques seront appuyés par 6 axes transversaux :
Effet UNDAF 3. Les populations et en particulier les femmes et les autres groupes vulnérables bénéficient d’une offre accrue de services sociaux de base de qualité avec un intérêt particulier pour la résolution des conflits et la consolidation de la paix.
","L’amélioration de l’accès des populations aux interventions essentielles de santé avec un accent particulier sur la santé maternelle, infanto-juvénile et de nutrition.
L’augmentation du nombre de personnes ayant un accès aux services améliorés d’eau potable et d’assainissement en milieu rural et périurbain.
","% d’enfants de moins de 6 mois nourris exclusivement au sein. Pourcentage actuel 37 % Cible 60 %
Taux d’insuffisance pondérale chez les enfants de moins de 5 ans. Taux actuel : 24 %, cible : < 10 %
% des enfants de 6 à 23 mois qui ont reçu l’apport alimentaire minimum acceptable (en dehors de l’allaitement maternel). Taux actuel : 3,7 (EDS) Cible : 20 %
","","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Minimum acceptable diet|Management of moderate acute malnutrition|Management of severe acute malnutrition|Improved hygiene / handwashing|Water and sanitation","","http://cd.one.un.org/content/dam/unct/rdcongo/docs/UNCT-CD-UNDAF.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COD%202013%20UNDAF.pdf" "17834","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2015","Government of the Federal Democratic Republic of Ethiopia","","2013","Adopted","","","National Nutrition Coordination Body (State Ministers of Health, of Education, of Industry, of Water and Energy, of Trade, of Agriculture, of Labour and Social Affairs, of Finance and Economic Development, and of Women, Children and Youth Affairs)","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry","","","","","","","","","","","","","","","","","","Strategic Objective 1: Improve the nutritional status of women (15-49 years) and adolescents (10-19 years)
Strategic Objective 2: Improve the nutritional status of infants (0-6 months), young children (6-24 months) and children under 5 years
Strategic objective 3: Improve the nutrition service delivery for communicable and non-communicable/lifestyle related diseases (all age groups)
Strategic objective 4: Strengthen implementation of nutrition sensitive across sectors
Strategic objective 5: Improve multisectoral coordination and capacity to ensure implementation of the NNP
Impact Objectives: Improve Nutritional status of women and children
(Additional outcome, output, process and input indicators from Accountability and results matrix in relation to the strategic objectives, results and initiatives.)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.moh.gov.et/English/Resources/Documents/NNP.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202013%20National%20Nutrition%20Programme.pdf" "23816","KGZ","Kyrgyzstan","","Программa по профилактике и контролю неинфекционных заболеваний в Кыргызской Республике на 2013-2020 годы [Program for prevention and control of noncommunicable diseases in Kyrgyzstan 2013-2020 with action plan]","NCD policy, strategy or plan with healthy diet components","","Russian","","2013","","2020","Ministry of Justice of Republic Kyrgyzstan","11","2013","Adopted","11","2013","Prime Minister and the Government of Kyrgyzstan","Health|Education and research|Finance, budget and planning|Information|Justice|Sub-national|Other","Ministry of Internal Affairs; Ministry of Rural Organization","","","","","","","","","","","","","","","Other","Media","Задача № 1. Формирование национальной политики профилактики и контроля неинфекционных заболеваний на основе межсекторального подхода и партнерства
1.6: Внедрение политики контроля употребления поваренной соли
1.7: Внедрение политики по повышению физической активности населения
Задача № 2. Изучение и проведение оценки распространенности основных НИЗ и их факторов риска на уровне первичного звена здравоохранения
Задача № 3. Регулирование и контроль основных факторов риска НИЗ на индивидуальном и популяционном уровнях
Задача № 4. Повышение качества оказания медицинской помощи при НИЗ на всех уровнях здравоохранения
Задача N 5. Снижение неравенства в доступности населения к медицинской помощи независимо от географических условий проживания, транспортной доступности и уровня доходов
","1.1.3: Проведение выпусков теле- и радиопрограмм по факторам риска НИЗ
Внедрение политики контроля употребления поваренной соли
1.6.1: Проведение информационных кампаний, ""круглых столов"" с предпринимателями о вреде чрезмерного употребления поваренной соли
1.6.2:. Внесение предложений по пересмотру рациона питания в школьных и дошкольных учреждениях
1.6.3: Приведение документов в соответствие с положениями Закона Кыргызской Республики ""Технический регламент ""О маркировке пищевых продуктов""
2.1.1: Проведение ""STEPS""-исследования факторов риска НИЗ
2.1.2: Проведение ежегодной акции ""Узнай свое давление!""
2.1.3: Обеспечение функционирования государственного регистра больных сахарным диабетом и внедрение регистра раковых больных
3.1.1: Подписание меморандума со СМИ, разработка медиа-плана и тиражирование
3.1.2: Проведение обучающего семинара для журналистов, сотрудников кабинетов укрепления здоровья, проведение ""Дня открытых дверей"", пресс-туров, фотовыставки по профилактике факторов риска НИЗ
3.2.1: Проведение семинаров для преподавателей школ и вузов
3.2.2: Повышение информированности специалистов и население по вопросам здоровья и о ""вредных"" продуктах""
3.2.3: Поддержка программы ""Грудного вскармливания""
4.1.1: Внедрение программ по борьбе с сердечно-сосудистыми заболеваниями, сахарным диабетом, хроническими обструктивными заболеваниями легких на уровне первичной медико-санитарной помощи
4.1.2: Создание и укрепление потенциала ""Школ диабета"", ""Астма-кабинетов"" на уровне первичной медико-санитарной помощи
","Process
Outcome
2) относительное снижение распространенности недостаточной физической активности - на 10%;
4) предотвращение перехода преддиабета в диабет;
5) стабилизация показателя общей смертности от сердечно-сосудистых заболеваний, рака, диабета, хронических респираторных заболеваний;
6) относительное снижение среднепопуляционного потребления соли/натрия на 30%;
7) увеличение показателя системы эффективного контроля гипертонической болезни с 2,4% до 4,3%;
","","","Fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|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)|Food labelling|Salt/sodium|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education","","http://cbd.minjust.gov.kg/act/view/ru-ru/94879","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202013%20-%20Decree%20on%20Programme%20for%20prevention%20of%20NCDs%202013-2020.pdf" "24476","LSO","Lesotho","","Lesotho United Nations Development Assistant Plan (LUNDAP)","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team of Lesotho","12","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Environment|Industry|Justice|Labour|Sub-national","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","
Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf" "11531","NPL","Nepal","","Multi-sectoral Nutrition Plan For Accelerating the Reduction of Maternal and Child Under-nutrition in Nepal","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","GOVERNMENT OF NEPAL National Planning Commission","4","2012","","","","","Development|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Sub-national|Urban planning|Women, children, families","Secretary Ministry of Local Development, Secretary Ministry of Education, Ministry of Environment, Secretary Ministry of Finance, Secretary Ministry of Agriculture and Cooperatives, Secretary Ministry of Health and Population, Secretary Ministry of Commerce and Supplies, Nutrition and Food Security Steering Committee - District Level, VDC Level and Municipal Level, Secretary Ministry of Physical Planning and Works, Secretary Ministry of Women Children and Social Welfare","","","","","","","","","","","","","","","","","Goal:
The longer-term vision of the multi-sectoral nutrition plan, over the next ten years, is to embark the country towards significantly reducing chronic malnutrition to ensure that it no longer becomes an impeding factor to enhance human capital and for overall socio-economic development. The goal over the next five years is to improve maternal and child nutrition, which will result in the reduction of MIYC under-nutrition, in terms of maternal Body Mass Index (BMI) and child stunting, by one third.
Outcomes:
Outcome 1: Policies, plans and multi-sectoral coordination improved at national and local levels.
Outcome 2: Practices that promote optimal use of nutrition ‘specific’ and nutrition ‘sensitive’ services improved, leading to enhanced maternal and child nutritional status.
Outcome 3: Strengthened capacity of central and local governments on nutrition to provide basic services in an inclusive and equitable manner.
Activities:
1.1. Raise nutrition profile among ministries
1.2 Advocate with Ministries for prioritizing nutrition in their plans, and for including core nutrition specific and sensitive indicators
1.3 Incorporate nutrition in the national and sectoral plans, and include nutrition specific and sensitive monitoring and evaluation framework
1.4 Update National Nutrition Policy and Strategy, including M&E framework in line with the MSNP
1.5 Incorporate nutrition aspects in local plans and planning process, including nutrition specific and sensitive M&E framework
2.1 Establish/ strengthen secretariat for supporting the nutrition and food security initiatives within the NPC
2.2 Establish effective communication to improve coordination
2.3 Form multi-sectoral steering committees at local level
3.1 Implement/scale up maternal infant and young child feeding through a comprehensive approach
3.2 Maintain/expand programmes to improve maternal infant and young child micronutrient status
3.3 Scale up and manage infant and child severe acute malnutrition
3.4 Update health sector nutrition related acts, regulations, policies, strategies, standards, guidelines and nutrition training packages (including establishment of National Nutrition Centre)
3.5 Institutional strengthening of the health sector
4.1 Nutrition integration with life-skills education to adolescent girls, with a focus on improving maternal and child nutrition and on reducing chronic malnutrition (create an enabling environment)
4.2 Raise adolescent girls’ knowledge and skills on reduction of chronic malnutrition
4.3 Prepare/update resource materials on parenting education for improved child care and feeding practices
4.4 Organize programmes to enhance parental knowledge on maternal and child care and feeding practices
4.5 Develop mid-day meal to adolescent girls (grades 5 to 8) to enhance their school performance and participation
4.6 Provide nutritional support to adolescent girls (IFA with deworming to all and schools meals in the targeted areas) to increase their educational participation and performance (grades 5-8)
5.1 Organise promotional campaigns to increase practices on hand washing with soap at critical times, especially among adolescents, mothers with infants and young children
5.2 Conduct Open Defecation Free campaigns, with a particular focus among the most affected districts
5.3 Raise awareness on water safety plan and use of safe water at the point of use, with a particular focus on the most affected areas
6.1 Provide targeted support to make MN rich food available, including animal source foods, at households and community levels
6.2 Recipe development and promotion of MN rich minor/indigenous crops.
6.3 Link up programs to increase income and MNrich foods consumption among adolescent girls, pregnant and lactating mothers and children less than 2 years age from lowest quintile
6.4 Provide support for clean and cheap energy to reduce Women’s workload
6.5 Revise existing child cash grants mechanism (from pregnancy to U2 years children) based on review of the existing evidence to reduce maternal malnutrition and child stunting
7.1Build/facilitate for staff capacity development at central and local level
7.2 Carry out organisation and management assessment of the sectors for organisational strengthening
7.3 Establish uniform and results based reporting system
7.4 Review indicators in PMAS and DPMAS to incorporate MSNP key indicators
7.5 Carry out routine and joint sectoral monitoring of implementation
7.6 Establish monitoring framework and mechanisms at local levels (DDC and other line agencies)
7.7 Allocate institutional responsibilities for nutrition at all levels
8.1 Link/Update nutrition information at central level (PMAS, HMIS, EMIS, WASH, Agriculture and Local Development)
8.2 Link/Update nutrition information in DPMAS at local levels DDC, municipality; and health, education, WASH, agriculture and NGOs
","
M & E Indicators included in the Action Plan
","Outcome indicators","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Fat reduction (total, saturated, trans)|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf" "23190","NPL","Nepal","","Multi-sector Nutrition Plan For Accelerating the Reduction of Maternal and Child Under-nutrition in Nepal 2013-2017 (2023)","Comprehensive national nutrition policy, strategy or plan","","","","2013","","2023","Government of Nepal","","2012","Adopted","","2012","National Planning Commission","Education and research|Finance, budget and planning|Food and agriculture|Health|Other|Urban planning","Government of Nepal","","","","","","","","","","","","","","","","","2.2 Goal
2.5 Major outcomes, outputs and interventions
Strategic Direction 1: Food and nutrition advocacy to sustain commitment and mobilise resources for policy implementation
Strategic Direction 2: Prevent stunting in children under two years of age at national scale
- National level 1st 1000 Days Campaign
- Refocused and strengthened District Plans to Eliminate Malnutrition (DPEM) and District Food and Nutrition Steering Committee (DF&NSC)
- Village level: “1st 1000 Days Community-Based Food and Nutrition Programs”
Strategic Direction 3: Promote services and practices that result in improved household food security
Strategic Direction 4: Prevention and management of all forms of malnutrition
Strategic Direction 5: Improving food and nutrition in schools
Strategic Direction 6: Assuring food and nutrition in emergencies
Strategic Direction 7: Supporting programmes and services
","Community based monitoring of food and nutrition needs to be strengthened. This includes development of key indicators by and for the 1st 1000 Days groups and community leaders. Frontline personnel need to monitor household participation in 1st 1000 Days CBNP.
Further improvements to multisector monitoring and evaluation systems to support nutrition and household food security programmes and strategies.
Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "24716","SEN","Senegal","","Programme d’Amélioration de la Qualité, de l’Équité et de la Transparence (PAQUET)","Multisectoral development plan with nutrition components","","French","","2013","","2025","","7","2013","","","","","Education and research","Ministère de la Femme, de l’Enfant et de l’Entrepreneuriat fémininMinistère de l’Éducation nationaleMinistère de l’Enseignement supérieur et de la RechercheMinistère de la Formation professionnelle, de l’Apprentissage et de l’Artisanat","World Food Programme (WFP)","","","","","","","","National NGOs","","","","","","","","","Pour le résultat intermédiaire « Offre d’éducation et de Formation suffisante et adaptée à la demande »
(i) Capter les enfants les plus vulnérables et les plus défavorisés en renforçant la protection sociale des enfants et en mettant en place des programmes de nutrition et d’uniformes scolaires notamment dans les zones caractérisées par la pauvreté et une insécurité alimentaire chronique ;
","% de CPE bénéficiant de cantine scolaire
","","Process indicators","Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202013%20Paquet.pdf" "40064","BEN","Benin",""," Stratégie nationale pour l’alimentation du nourrisson et du jeune enfant 2015-2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2014","","2019","Ministère de la santé","7","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Catholic Relief Services|Other, please specify under further details|Plan International|Terre des Hommes","Borne Fonden","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","Université d'Abomey CalaviIRSP","","","","","Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
3.2 Objectifs
3.2.1 Objectif général
Décrire une méthodologie harmonisée de mise en place et d’interventions de l’Initiative Ecole Amie de la Nutrition (IEAN) au plan national dans une approche intégrant l’alimentation, la nutrition, l’hygiène, l’assainissement et la santé.
3.2.2 Objectifs spécifiques
- Définir les directives nécessaires pour la mise en œuvre de l’IEAN pour l’amélioration de l’état nutritionnel des enfants en âges préscolaire et scolaire tout en réduisant les carences en micronutriments et la prévention de toutes les formes de malnutrition ;
- Faciliter l’application des actions standardisées pour la mise en œuvre de l’IEAN en respectant les habitudes alimentaires ;
- Orienter toutes les parties prenantes sur leurs rôles et les responsabilités dans le développement décentralisé de l’IEAN à tous les niveaux ;
- Fournir les outils nécessaires pour le mécanisme de suivi/évaluation à tous les niveaux d’intervention de l’IEAN.
…
3.6 Méthodologie de mise en œuvre au Bénin
La méthodologie de mise en œuvre doit être identique dans toutes les écoles qui prétendent mettre en œuvre l’IEAN. Elle s’organise autour des cinq (5) composantes ci-après.
3.6.1 Composante 1 : Avoir un règlement pour l’IEAN
C’est un document d’orientation des interventions de l’école à devenir EAN.
Ce document comporte les cinq composantes clés et inclut:
- Le rationnel pour une alimentation saine et variée, l’activité physique, la prévention de toutes les formes de malnutrition et des facteurs y contribuant ;
- Les objectifs avec des échéances de temps et les étapes importantes à réaliser ;
- Un plan d’action comprenant l’approche «Whole school», le processus, la structure organisationnelle, les rôles et responsabilités, les droits et équité, la nondiscrimination, l’engagement fort des acteurs y compris les familles et les communautés.
- Un plan de suivi et évaluation
3.6.2 Composante 2 : Renforcer et/ou améliorer les capacités de la communauté scolaire
- Dissémination du règlement pour son appropriation par les acteurs des municipalités, les leaders d’opinion etc..).
- Formation des enseignants sur les problèmes de santé, d’hygiène, d’assainissement, d’alimentation et de nutrition.
- Activités pour les familles et les communautés, implication des communautés des mairies et des zones reculées affectées par les problèmes de santé et de nutrition (formulation dans le document original exploité)
3.6.3 Composante 3 : Développer un curriculum de l’école pour la promotion de la santé et de la nutrition
- Curriculum d’éducation nutritionnelle appropriée à la culture.
- Curriculum sur les menus à valeurs nutritives adaptées à l’âge de l’enfant.
- Curriculum d’activités physiques culturellement appropriées.
- Curriculum d’éducation pour une hygiène de vie saine tout au long de la vie.
- Suivi régulier des curricula de l’IEAN et évaluation de l’impact des enseignements pour l’atteinte des objectifs.
3.6.4 Composante 4 : créer un environnement favorable au sein de l’école pour la promotion de la santé et de la nutrition
- Promotion d’une alimentation saine à travers les repas scolaires de qualité fournis par les vendeurs d’aliments et les prestataires de cantines
- Messages en faveur de la nutrition et des activités physiques et sportives
- Eviction de toute forme de marketing pour les aliments et boissons non sains
- Lieux de préparation des aliments propres et adéquats
- Accès à de l’eau potable ou saine.
- Promotion de l’hygiène et de comportement hygiénique
- Disponibilité de toilettes propres et séparées pour les filles et les garçons
- Opportunité d’accès aux espaces et terrain de sport
- Actions concrètes contre les persécutions, stigmatisation, discrimination.
- Le personnel de l’école est un modèle dans l’encouragement pour une alimentation saine et variée, la pratique de l’éducation physique et une hygiène de vie saine
3.6.5 Composante 5 : Fournir des services de soutien pour la nutrition et la santé
- Suivi régulier de la croissance des enfants.
- Rétro-information effective aux parents et aux enfants des résultats du suivi régulier.
- Service de santé scolaire effectif incluant la possibilité de référer les enfants à problème dans une structure de santé
- Implication des nutritionnistes pour l’élaboration des menus qui tiennent compte des habitudes alimentaires des écoliers/élèves dans les cantines.
…
3.9 Les domaines d’interventions
3.9.1 Promotion de l’Hygiène et de l’Assainissement et de la Sécurité sanitaire des Aliment Hygiène chez les écoliers
L’enfant doit :
- se laver chaque matin ;
- se brosser les dents chaque matin et le soir avant de se coucher ;
- rincer la bouche après chaque repas ;
- avoir un point d’eau potable pour la boisson dans toutes les écoles ;
- avoir un dispositif de lavage des mains à l’eau et au savon liquide et à tour de rôle ;
- avoir les tenues toujours propres, les cheveux soignés et bien peignés et les ongles taillés à ras.
Hygiène chez les vendeuses et les prestataires des cantines
- Eviter de servir les repas sous les arbres ;
- Disposer d’un hangar approprié pour la distribution/vente des repas ;
- Déposer les nourritures sur une table propre et couverte ;
- Avoir une hygiène vestimentaire et corporelle et éviter d’avoir le cure-dents (la brosse végétale) dans la bouche lors des prestations ;
- Disposer de tabliers et ds coiffes toujours propres ;
- Eviter de servir les repas avec la même main qui prend l’argent ;
- Servir les repas avec une grande cuillère, une fourchette ou une louche ;
- Choisir des aliments sains et de bonnes qualités ;
- Maintenir le lieu de préparation et de vente des aliments toujours propres ;
- Avoir des ustensiles de cuisine en bon état et toujours propres ;
- Avoir un couvert de service toujours propre et désinfecté ;
- Servir les repas toujours chauds et bien couverts ;
- Eviter les produits chimiques nocifs dans les préparations de repas ;
- Eviter le bavardage lors du service des repas.
Hygiène et Assainissement de l’environnement
- Assurer la propreté des toilettes en organisant les écoliers des classes supérieures (CM1 et CM2) à tour de rôle à cette tâche avec du matériel approprié et sous l’encadrement des enseignants ;
- Nettoyer régulièrement les salles de cours, les urinoirs, les latrines, la cour et les alentours de l’école et des maisons ;
- Sarcler les alentours des maisons et de l’école ;
- Enlever régulièrement les ordures ;
- Clôturer entièrement l’école ;
- Vidanger régulièrement les fosses septiques ;
- Eviter de déféquer en plein air ;
- Rendre disponibles des toilettes propres séparées pour garçons et filles ;
- Rendre disponibles des poubelles en quantité suffisante pour les écoles ;
- Assurer la propreté des classes, de la cour et des alentours de l’école.
3.9.2 Développement des actions de promotion de la santé et de la nutrition
- Faire le suivi de la croissance et du développement des enfants deux fois dans l’année de démarrage et ensuite une fois tous les ans ;
- Mettre en place un système de rétroaction à l’endroit des parents et des enfants, pour résoudre les problèmes de nutrition identifiés lors du suivi de la croissance des écoliers ;
- Prendre des mesures pour déparasiter tous écoliers, prévenir et traiter la diarrhée, le paludisme, l’anémie, l’intoxication alimentaire et administrer au besoin de compléments de micronutriments ;
- Faciliter l'accès à des nourritures préparées avec peu de matières grasses et riches en éléments nutritifs tels que les fruits et légumes…. ;
- Fournir une gamme diversifiée de repas à l’école ;
- Rendre disponibles les fruits dans les écoles (au moins deux fruits de saison) ;
- Faire des contrôles réguliers des repas servis et sensibiliser les vendeuses sur les bonnes pratiques de l’alimentation et de la nutrition ;
- Organiser les restauratrices en cantine pour offrir un repas complet par jour aux enfants à l’école ;
- Déparasiter de façon systématique et périodique les enfants ;
- Véhiculer des messages positifs sur la nutrition ;
- Aménager un endroit adéquat pour la restauration des écoliers (endroit propre et surveillé) ;
- Rendre disponible des boissons naturelles avec au besoin peu sucre ajouté ;
- Rendre disponible en permanence l'eau de boisson potable dans l’école (par exemple : mettre en place dans chaque classe de dispositifs ayant de cuvettes d’eau avec robinets et des gobelets propres, puis assurer le maintien de leur qualité hygiénique) ;
- Promouvoir l’hygiène bucco-dentaire, par exemple : sensibiliser les enfants sur les causes de la carie dentaire, ses conséquences et comment les prévenir ;
- Organiser quotidiennement le contrôle de la qualité des aliments par le comité santé nutrition de l’école ;
- Veiller au déparasitage périodique et à la réalisation effective des examens de contrôle de santé aux vendeuses (Radiographie pulmonaire, examen de selles et l’examen des crachats à la recherche des Bacille de Koch…) et exiger les carnets de santé à chaque rentrée de classe ;
- Sensibiliser les vendeuses et les directeurs des établissements sur la nécessité de dépistage et de vaccination contre les hépatites ;
- Rendre disponible un environnement et un équipement adéquats pour la cuisson des aliments à l’école (par exemple : conditions hygiéniques de stockage des denrées alimentaires et de distribution/vente des repas, disposition d'eau potable) ;
- Faire prendre conscience à tout le personnel de l’école de son rôle de promoteur des saines habitudes alimentaires et de vie ;
- Sensibiliser les enfants sur les risques qu’ils courent en consommant les aliments de rue.
3.9.3 Promotion des activités physiques et sportives
- Rendre accessibles à tous les groupes d’âges d’écoliers, des installations sportives pendant et après les classes ;
- Rendre disponibles des aires de jeux pour les activités d’EPS ;
- Pratiquer régulièrement des activités d’EPS adaptées à l’âge de l’enfant ;
- Rendre disponibles de matériels appropriés pour l’EPS tels que : ballons, cordes pour le grimper et cordes élastiques pour le saut en hauteur, poids pour le lancer, maillots, etc.. ;
- Introduire les jeux locaux propres à la région.
3.9.4 Mise en place d’un cadre d’enseignement et d’apprentissage adéquat
- Prévoir un cadre d’enseignement et d’apprentissage aéré, bien aménagé d’espace vert et d’arbres fruitiers ;
- Doter les écoles en infrastructures respectant les normes ;
- Pourvoir les écoles en ressources humaines de qualité et en nombre suffisant.
","School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|Settings where children gather such as schools, childcare and other educational establishments|Voluntary marketing restrictions|Voluntary in schools only|Voluntary standards|School lunches|Vendors outside school|Schools (standards)|Use seasonal produce|Award / certification|Fruit and vegetables (standards)|Water (standards)|Sugar-sweetened beverages (standards)","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/4.%20Guide%20technique%20IEAN%20BENIN%202014.pdf" "26100","CMR","Cameroon","","2014-2016 Plan de Réponse Stratégique","Non-national nutrition policy document","","French","","2014","","2016","","4","2014","","","","","Health|Education and research","","","","","","","","","","","","","","","","","","Mesures prioritaires
• Les mesures prioritaires pour l’insécurié alimentaire consisteront en la fourniure d’une assistance alimentaire d’urgence aux populations et la distribution des semences et d’engrais. Un accent sera mis sur l’appui au relèvement économique et à la résilience sociale des femmes et jeunes filles rendues vulnérables du fait de l’insécurité alimentaire et des catastrophes naturelles dans les zones d’intervention.
• Dans le domaine de la malnutrition les priorités sont : la prise en charge des cas de malnutrition aigüe dans tous les districts des régions du Nord et de l’Extrême-Nord, et en priorité dans les districts qui accueillent des réfugiés dans l’Adamaoua et l’Est ; l’intégration effective de la prise en charge de la malnutrition aigüe sévère dans le paquet d’intrants, prestation de service et suivi intégré du système de santé ; et la mise en place d’un système de surveillance nutritionnelle solide en collaboration avec le secteur santé.
• Dans le secteur de l’Eau, l’Hygiene et l’Assainissement, il s’agira : d’ameliorer l’acces à l’eau potable dans les communautés, les sites de regroupement des populations deplacés, et les centres de santé intégrant la prise en chagre des enfants malnutris ; accroitre l’acces à l’assainissement tant en milieu communautaire, hospitalier que dans les camps de regroupement des populations vulnerables ; promouvoir les bonnes pratiques d’hygiene en milieu communautaire, hospitalier et dans les camps.
","","OBJECTIF STRATEGIQUE N°3 : Fournir aux personnes en situation d’urgence une assistance coordonnée et intégrée, nécessaire à leur survie.
Indicateur: Nombre d'enfants déchargés guéris des programmes de prise en charge de la MAS (Malnutrition)
Référence: 66%
Cible 2016: 75%
","","","Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Water and sanitation","","","","UN Office for the Coordination of Humanitarian Affairs","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR-2014-2016-Plan%20Strategique%20.pdf" "24708","COM","Comoros","","Plan de mise en œuvre & de suivi évaluation de la politique nationale de nutrition et d’alimentation","Comprehensive national nutrition policy, strategy or plan","","French","","2014","","2019","","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Trade|Labour","","","","","","","","","","National NGOs","","","","","","","","Objectifs :
Le présent plan de mise en œuvre se fixe comme objectifs principaux :
see document P32-37
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Household food security","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA%20M%26E.pdf" "24462","COG","Congo","","Plan Cadre des Nations Unies pour l’Aide au Developpement 2014-2018","Non-national nutrition policy document","","French","","2014","","2018","Republique du Congo, Coordination Resident du Systeme des Nations Unies","","2014","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Environment|Other","Energie, développement durable","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Women","Other","WWF","Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","Effet UNDAF 3: D’ici 2018, les populations les plus vulnérables utilisent les services sociaux de base de qualité (éducation, santé, sécurité alimentaire, eau et assainissement) ainsi que des services financiers adaptés.
Produit 3.1 : Les populations les plus vulnérables ont accès à un paquet de services essentiels de santé de qualité définis selon les normes nationales.
Produit 3.3 : Les ménages atteignent un niveau de sécurité alimentaire acceptable
Produit 3.4 : Les populations vulnérables ont accès à l’eau potable
","3. Les ménages atteignent un niveau de sécurité alimentaire acceptable : depuis plusieurs années, la couverture des besoins alimentaires nationaux est en partie assurée par un important volume d’importations, essentiellement constituées de produits carnés, traduisant la forte dépendance à l’extérieur ; d’où la nécessité de la relance de la production nationale. Les capacités des femmes seront renforcées étant donné leur important rôle dans le secteur agricole en général et en particulier dans la culture de production subsistance et dans l’alimentation. Le SNU accompagnera le renforcement des capacités techniques, logistiques et humaines du secteur agricole et halieutique, par l’encadrement des producteurs au niveau départemental et par l’appui à la diversification de leurs activités.
4. Les populations vulnérables ont accès à l’eau potable : L’accès à l’eau de boisson est un défi majeur au Congo. Malgré quelques progrès réalisés ces dernières années, des disparités existent toujours selon le milieu de résidence et les départements, et les risques d’exposition aux maladies d’origine hydrique (diarrhées, choléra) demeurent importants, au regard du faible accès à l’eau potable et des faiblesses des services d'assainissement, notamment dans les zones rurales et périurbaines. La fréquence des épidémies (choléra, poliomyélite…) enregistrées au cours de ces trois dernières années en est une excellente illustration. De ce fait, le SNU accompagnera techniquement le gouvernement dans l’amélioration de la fourniture et de la surveillance de la qualité de l’eau potable fournie aux populations.
","Taux de mortalité maternelle. Baseline : 426/100 000 Cible : 390/100 000
Taux de mortalité infantile. Baseline : 81décès pour 1000 naissances vivantes Cible : 56décès pour 1000 naissances vivantes
Taux de malnutrition chronique. Baseline : 24,4% ; Cible : 20,0%
Taux d’accès à l’eau potable. Baseline : 32% dans les zones rurales et 65%en milieu urbain ; Cible : 95%
Proportion des formations sanitaires offrant un paquet de services essentiels de santé complet. Baseline : 30% ; Cible : 90%
Pourcentage de la population qui utilise le paquet de services essentiels. Baseline : 20% ; Cible : 60%
Pourcentage des ménages ayant bénéficié d’un appui pour compléter leur ration alimentaire (jardins potagers, petit élevage, etc.).
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202014%20UNDAF.pdf" "23501","GHA","Ghana","","National Nutrition Policy 2014-2017","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2017","Government of Ghana","","2013","","","","no","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Labour|Sub-national|Other","Government of Ghana, Education and research, Finance, budget and planning, Food and agriculture, Health, Industry, Labour and employment, Environment, Gender and Social protection, Informationa and media Relations, Trade, Local Government, M. of Water and Housing","Other","SUN + unspecified 'traditional devlopment partners'.","","CSO's, NGOs","","","","","National NGOs","","Research/academia","","Private sector","food producers","Other","Cross Sectoral Planning Group, Ghana Statistical Service","3.1 Policy Goal
The goal of the NNP is to ensure optimal nutrition of all people living in Ghana throughout their lifecycle.
3.2 Policy Objectives
The NNP has three objectives:
1. To increase coverage of high-impact nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout their lifecycle, with special reference to maternal health and child survival
2. To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
3. To reposition nutrition as a priority multi-sectoral development issue in Ghana.
","3.3 Policy Measures
3.3.1 Policy Objective 1: To increase coverage of high impact
nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout the lifecycle with specific reference to maternal health and child survival
Policy Measures
1. Nutrition of Women in Child-Bearing Age and the New-Born
2. Optimal Nutrition during Infancy and Childhood
3. Nutrition of School-Age Children and Adolescents
4. Nutrition in the General Population
5. Prevent and Manage Obesity and Diet-Related Non-Communicable Diseases
6. Prevent and Manage Acute Malnutrition
7. Nutrition in Emergency Situations
3.3.2 Policy Objective 2: To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
Policy Measures
1. Health, Water, Hygiene, and Sanitation Services
2. Agriculture and Food Security
3. Social Protection and Safety Nets
4. Education
3.3.3 Policy Objective 3: To Reposition Nutrition as a Priority Multi-Sectoral Development Issue in Ghana
Policy Measures
1. Advocacy and Communication
2. Nutrition as a Priority
3. Integration and Coordination
4. Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Minimum acceptable diet|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Dietary guidelines|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","http://ndpc.gov.gh/downloads/Policy%20Almanac/Nutrition%20Policy_September%202013%20(Draft).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202013%20National%20Nutrition%20Policy.pdf" "23523","GIN","Guinea","","Plan Stratégique Multisectoriel d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","5","2014","","2016","Ministère de la Santé et de l'Hygiène Publique","5","2014","Adopted","5","2014","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Environment|Industry|Information|Sub-national","Comité national de suivi de la CINAlliance guinéenne pour la fortification des aliments Conseil national de sécurité alimentaire Agence nationale de développement agricole et de sécurité alimentaire, Division alimentation et nutrition)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)|Terre des Hommes","","Other|Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","3.2 Objectifs du plan stratégique national de nutrition et alimentation
Le but de ce plan est de faire reculer la sous-alimentation et la malnutrition ainsi que leurs conséquences socio-sanitaires.
Les objectifs spécifiques d’ici à fin 2016 sont de:
3.4.2 Approche stratégique 2 : La sécurité nutritionnelle des groupes vulnérables
7. Promotion de l’alimentation de la mère et de l’enfant
12. Supplémentation alimentaire aux groupes vulnérables – enfants de 24 à 59 mois, personnes âgées, malades, population carcérale, enfants dans la rue, réfugiés, soudure rigoureuse, PVVIH
15. Supplémentation en micronutriments (Fer Acide folique, Vit A, Zinc, Calcium…) des femmes enceintes et allaitantes, femmes de 15 à 45 ans, enfants scolarisés et non scolarisés de 1 à 14 ans
3.4.3 Approche stratégique 3 : L’Accès universel à la prise en charge holistique des cas de malnutrition
3.4.4 Approche stratégique 4 : La Formation, la recherche et le développement pour la sécurité alimentaire et nutritionnelle
Further detail on activities per strategies can be found in tables P20-25
","
3.3 Objectifs
L’objectif général est d’éradiquer la sous-alimentation et de faire reculer la malnutrition ainsi que ses conséquences économiques et socio-sanitaires.
Les objectifs spécifiques sont :
(i) atteindre l’autosuffisance alimentaire,
(ii) consolider la sécurité alimentaire,
(iii) garantir la couverture universelle de la prise en charge holistique de tous les cas de malnutrition et des maladies provoquées par la malnutrition et,
(iv) parvenir à une couverture universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité
","3.4.1 Axe 1 : La mobilisation nationale pour éradiquer la sous-alimentation
Il s’agit d’aligner les stratégies sectorielles de développement socio-économique pour la sécurité alimentaire et nutritionnelle à travers une meilleure coordination, une analyse approfondie de la situation socio-économique territoriale et la création des synergies pour des effets tangibles sur la sous-alimentation. Les secteurs suivants sont concernés au premier chef : développement agropastoral et halieutique, protection de l’environnement, promotion de l’emploi des jeunes, éducation des filles, alphabétisation, promotion de l’agro-industrie, hydraulique, énergie, eau, transports et travaux publics, communication, douanes, forces de sécurité.
3.4.2 Axe 2 : La mobilisation nationale pour faire reculer la malnutrition
Il s’agit de créer une synergie sectorielle effective pour des interventions sensibles à la nutrition telles que l’éducation nutritionnelle, la fortification alimentaire, l’hygiène alimentaire, l’assainissement du milieu, la sécurité sanitaire des aliments, la communication, l’enseignement supérieur et la recherche scientifique et technique.
3.4.3 Axe 3 : La capacitation des collectivités déconcentrées et décentralisées et des communautés locales à la base
Il s’agit d’engager davantage les autorités des collectivités déconcentrées et décentralisées dans la promotion et le suivi des activités concourant à la sécurité alimentaire et nutritionnelle d’une part et de veiller à l’appropriation effective des activités par les organisations communautaires à la base d’autre part.
3.4.4 Axe 4 : Le renforcement du système de santé pour l’accès universel aux services et soins de santé primaires de qualité
Il s’agit de veiller particulièrement à la prise en charge holistique de tous les cas de malnutrition et à l’intégration effective des interventions essentielles d’alimentation et de nutrition dans le continuum des soins pour protéger les 1000 premiers jours de vie sur l’ensemble du territoire.
","
4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
CHAPTER (4)
POLICY CONCEPTS, GOALS, OBJECTIVES AND STRATEGIES
...
4.3. Objectives of the ECCD Policy
164. To achieve the Main Goals of the ECCD Policy, the following Objectives will be attained progressively, using a phased approach. The first Five-Year ECCD Strategic Plan, 2014-2018 will constitute Phase I for achieving the following ECCD Objectives:
Policy Objectives
1. Improve birth outcomes and ensure mothers have skilled birth attendants, safe deliveries, and newborns who are well nurtured, promptly registered, healthy, immunised, breastfed, and well nourished and developed.
2. Improve and maintain essential parenting skills and ensure children develop well, receive preventive and basic health and nutrition care, are upto- date in their immunisations, breastfeed exclusively for 6 months, receive nutritious and balanced complementary feeding, are safe and protected, and have hygienic homes and child care centres.
3. Improve the development and status of children 0 to 5 years with developmental delays, malnutrition, chronic illnesses, disabilities and atypical behaviours, with a special focus on achieving the full acceptance and inclusion of children with special needs.
...
4.4. Policy strategies
165. To achieve these ECCD goals and objectives, the following 10 Policy Strategies will be pursued.
Policy strategies
...
Chapter (5)
Services and Activities for Each Strategy
...
5.1.4 Antenatal care including nutrition
174. Antenatal education complements but does not replace the antenatal care that is provided at Health Centres. A minimum of 4 health and nutrition antenatal checkups will be provided, and they should begin during the first trimester. For high-risk pregnant mothers or for those who develop conditions of concern (such as preeclampsia, bleeding, etc.), additional checkups will be provided. Essential micronutrients, and especially iron folate and vitamins, will be given to all mothers and adolescent girls with anaemia or other nutritional deficiencies. Village Food Banks will be promoted, with a focus on pregnant and lactating mothers and their children. In-service training will be provided for health personnel, including auxiliary midwives and traditional birth attendants. Immunisations will also be administered, as per needs.
...
5.2.9 Comprehensive and continuous maternal, newborn and child health and nutrition services
199. Rather than relying mainly on promotion programmes for immunisations and micronutrients, renewed emphasis will be placed providing comprehensive, regular and continuous health, nutrition and environmental sanitation services through expanding and improving the national health system of community services, with a special emphasis on Rural Health Centres
...
5.2.11 Maternal nutrition and support for breastfeeding and complementary feeding
203. Postnatal home visits will include special attention to reinforcing the importance of breastfeeding and appropriate complementary feeding, helping with complications that may develop, and encouraging mothers to continue exclusive breastfeeding until their infant reaches 6 months of age.
204. For mothers working outside of the home, it will be important to ensure they receive enabling and accessible services for breastfeeding, health and nutrition, including afterwork opportunities for health care. Work-site facilities for breastfeeding mothers will be provided. Balanced and appropriate maternal nutrition will be emphasised, along with the provision of micronutrients as needed. Education will be provided regarding the avoidance of contraindicated substances while breastfeeding, such as alcohol, smoking, damaging chemicals used in cleaning products, etc.
5.2.12 Child health and nutrition services, 0 to 3
...
207. These scheduled visits of parents and children to the Health Centre will include:
- Infant and child basic check ups;
- Child height and weight measurements, followed by immediate plotting on a growth chart by age and gender in order to assess the nutritional status of the child;
- Physical and developmental screenings and referrals to additional services such as early childhood intervention (ECI) services, if needed;
- Regular immunisations, as per evolving MoH plans, guidelines and protocols (MoH, 2012c);
- Provision of essential micronutrients, as needed, such as A, D, E, K, C, B-1, B-6, B-12, riboflavin, niacin, biotin, folic acid, pantothenic acid, iron, zinc, iodine, copper, manganese, and selenium; and
- Comprehensive guidance for parents regarding complementary feeding.
...
5.4.9 Preschool health care and feeding systems
...
252. Preschool feeding will be given a special priority in geographic areas of poverty and scarce food resources. Preschools must work with the local Health Centre to ensure that no child becomes or remains malnourished. Malnourished preschool age children will be identified and speedily enrolled in preschools to ensure they receive the stimulation, health care, food and micronutrients they require for healthy development.
...
5.5.8 Kindergarten and primary school health and feeding services
...
275.
...
Basic health staff will also provide occasional learning sessions for children, parents and teachers on essential topics regarding child health, nutrition and hygiene. In addition, children will receive micronutrients and deworming tablets, according to schedule and types of needs.
276. Good child nutrition will be ensured through the provision of nutritious school breakfasts and lunches, especially in communities with families living in poverty. For children from well-to-do homes, a fee will be charged for this service. For other children, parents will not pay a fee but they will be asked to help on a rotating basis with school feeding services, once they have received training on how to prepare nutritious food in a sanitary manner. All schools will use the guidelines of a school nutrition package.
","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Maternity protection|Low birth weight|Anaemia|Anaemia in adolescent girls|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Iron and folic acid|Micronutrient supplementation|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://www.dsw.gov.mm/mm/ebook/mnmaaeruiiarykelsuungypcupiethaangerng-phnphierchiungraa-muuwd","","MCA policy survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MMR%202014%20Early%20Child%20Care%20and%20Development.pdf" "23737","NPL","Nepal","","Multisectoral Action Plan for the Prevention and Control of Non Communicable Diseases (2014-2020)","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","Government of Nepal","","2014","","","","","Health|Education and research|Development|Transport|Urban planning|Environment","","","","","","","","","","","","","","","","","","
Goal
The goal of the multisectoral action plan is to reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in Nepal.
Targets
","
Adopt breast feeding promotion and protection regulation
","
Indicator 1: Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases
Indicator 6: Age-standardized mean population intake of salt(sodium chloride) per day in grams in persons aged 18+years
Indicator 7: Age-standardized prevalence of raised blood pressure among persons aged 18+ years (defined as systolic blood pressure > 140 mmHg and/or diastolic blood pressure >90 mmHg) and mean systolic blood pressure
Indicator 8: Age-standardized prevalence of raised blood glucose/diabetes among persons aged 18+ years (defined as fasting plasma glucose concentration > 7.0 mmol/l (126 mg/dl) or on medication for raised blood glucose)
Indicator 16: Adoption of national policies that limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, as appropriate, within the national context and national program
Indicator 17: Age-standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruit and vegetables per day
Indicator 18: Age-standardized prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol >5.0 mmol/l or 190 mg/dl); and mean total cholesterol concentration
","Outcome indicators","","International Code of Marketing of Breast-milk Substitutes|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|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)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Fats|Salt/sodium|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|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle","","http://www.searo.who.int/nepal/mediacentre/ncd_multisectoral_action_plan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202014%20NCD%20Multisectoral%20Action%20Plan.pdf" "24482","NER","Niger","","Plan cadre des Nations Unies Pour l’assistance au développement (UNDAF)","Non-national nutrition policy document","","French","","2014","","2018","UN Country Team of Niger","","2014","","","","","Health|Education and research|Women, children, families|Development|Justice|Other","Intérieur","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, CEA, IOM, UN Women, UNCDF, PNUD, UNEP, UNOPS, UN Habitat, ONUD","Other","","Other|Japan International Co-operation Agency (JICA)","USA, Belgique, France","European Union","","National NGOs","","","","Private sector","","","","
Effet 1. D’ici à 2018, les ménages vulnérables et les communautés ciblés augmentent leur résilience en matière de sécurité alimentaire et nutritionnelle, d’environnement, de catastrophes et d’inclusion socio-économique
Produit 1-2 : Les ménages vulnérables ciblés utilisent les services de prévention et de soins et les bonnes pratiques en vue d’améliorer leur nutrition
Produit 1-3 : Les ménages vulnérables dans les zones d’intervention ont accès à des filets sociaux et des programmes de relèvement adaptés
Effet 2. D'ici à 2018, les institutions nationales, régionales et locales appuyées utilisent des systèmes et mécanismes adaptés pour la prévention/gestion des risques/ catastrophes, la gestion durable de l’environnement et de la sécurité alimentaire
Produit 2-3 : Les institutions de vulgarisation nationales, régionales et locales soutenues disposent de capacités renforcées de transfert de compétences pour améliorer la production agro-pastorale et l’état nutritionnel des populations
","24. La stratégie du SNU consistera à apporter un appui-conseil au Gouvernement, à renforcer les capacités des acteurs, à développer un plaidoyer en faveur de la mobilisation des ressources et à inciter les pouvoirs publics à formuler et à mettre en oeuvre des politiques et programmes appropriés dans ses secteurs d'intervention.
25. Dans cette perspective, le SNU contribuera à l’amélioration de la sécurité alimentaire et nutritionnelle, de l'accès aux moyens de subsistance et de la gestion des ressources naturelles. Le SNU propose de faciliter aux ménages vulnérables un meilleur accès aux intrants (services financiers, eau, engrais, semences améliorées, équipements, appui-conseil/vulgarisation/encadrement, intrants zootechniques, etc.), aux marchés et aux infrastructures de stockage et transformation ainsi qu'à l'énergie, dans une approche de sauvegarde d'un environnement sain et d’atténuation des impacts du changement climatique. Le SNU veillera également à renforcer l’implication des acteurs des chaînes alimentaires et des institutions pour permettre l’adoption des bonnes pratiques limitant les pertes post-récoltes (infrastructures qualité).
26. L’amélioration de l’état nutritionnel des enfants et des femmes implique nécessairement : i) le renforcement et l’extension de couverture des services de prévention, de soins et de prise en charge de la malnutrition aiguë et chronique ; ii) la diversification de leur alimentation et la correction des carences nutritionnelles spécifiques (micronutriments) ; iii) l'application des pratiques familiales essentielles pour la survie et le développement de l’enfant (lavage des mains, allaitement maternel, espacement des naissances, utilisation des moustiquaires imprégnées, etc.) ; iv) l’amélioration de l’accès à l’eau potable et l’assainissement.
27. Le SNU facilitera également l'accès des ménages vulnérables, y compris les ménages non agricoles, à des filets sociaux de sécurité adaptés (transferts conditionnels et inconditionnels d’espèces, etc.), à des programmes de relèvement et de restauration des moyens d’existence diversifiés (AGR, etc.), à des opportunités économiques, à des emplois décents et à des connaissances utiles et pratiques pour promouvoir le changement social et de comportement et rehausser le niveau de leur résilience. Le SNU renforcera aussi les capacités du Dispositif National de Prévention et de Gestion des Catastrophes et des Crises Alimentaires (DNPGCCA) et des institutions nationales compétentes pour assurer une meilleure efficacité dans le domaine de la prévention et de la gestion des crises alimentaires et des catastrophes.
","1.1 Taux de prévalence de l’insécurité alimentaire sévère et modérée pour les ménages (désagrégé par sexe)
1.2 Taux de prévalence de la malnutrition aiguë et chronique
1.5 Pourcentage des ménages des zones vulnérables à l’insécurité alimentaire bénéficiaires de filets sociaux
1.1.1 Pourcentage de ménages vulnérables à l’insécurité alimentaire utilisant les intrants agricoles (désagrégé par sexe)
1.2.1 Taux de guérison des enfants malnutris par sexe pris en charge dans les centres de récupération nutritionnelle
1.2.2 Taux de couverture des enfants en vitamine A
1.2.3 Pourcentage de ménages assurant la diversification de l’alimentation des enfants (désagrégé par milieu de vie)
1.2.4 Pourcentage de mères pratiquant l’allaitement maternel exclusif pendant les 6 premiers mois dans les localités ciblées
1.3.2 Pourcentage des ménages vulnérables bénéficiant de programmes de restauration et de développement de moyens d'existence
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Vitamin A deficiency|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Conditional cash transfer programmes","","http://www.uncclearn.org/sites/default/files/niger_undaf.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202014%20UNDAF.pdf" "24486","NGA","Nigeria","","United Nations Development Assistance Framework ","Non-national nutrition policy document","","English","","2014","","2017","UN country team in Nigeria","7","2013","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Urban planning|Trade|Environment|Information|Justice|Labour|Sub-national|Other","Tourism and culture, Youth development","Food and Agriculture Organisation (FAO)|International Food Policy Research Institute (IFPRI)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UN Women, UNODC, UNOPS, UN Habitat, UNITAR, WMO OIC, UNOCHA, ITC, UNEP, IAEA","Other","","Other|Department of International Development (DFID)|The World Bank","GIZ, IMF, KOICA","European Union","","National NGOs","","","","","","","","Outcome 2.2 Health/WASH/Nutrition. By 2017, health related MDGs achieved and sustained through strong and well-coordinated health systems implementing innovative, high impact and cost effective, equitable, gender responsive interventions inclusive of foundational determinants of health at community, LGA states and Federal levels with active engagement of right holders, informed by South-South cooperation and evidence-based learning.
Output 2.2.1 Public agencies and civil society organizations at federal, state, and LGA levels are able to implement updated, harmonized, evidence based, gender responsive policies and plans to facilitate equitable access to quality water supply and sanitation services and the practice of good hygiene by vulnerable populations and institutions based on innovative communication for development and coordination systems
Output 2.2.2 Capacities of government and partners at all levels including intersectoral linkage and coordination are strengthened to implement high impact, equitable, gender responsive and innovative nutrition and food security interventions, enhance nutrition friendly agricultural productivity especially at household level and promote crop and livestock diversification to improve nutrition outcomes (reduce stunting, acute malnutrition, and micronutrient deficiencies rates) amongst most vulnerable groups especially children and women.
","","Under-five mortality rate
% of people with access to (a) improved sanitation and (b) improved water supply
% of infants under 6 months breastfed exclusively
Prevalence of children under 5 years of age that are underweight
Number of states with (a) WASH policies (b) investment plans and (c) M&E frameworks
Number of states with decentralized WASH services and functional LGA WASH departments
Number of additional children provided with access to WASH in schools
Hunger Index
Number of health facilities providing treatment to severely malnourished children under 5 years
% of children aged 6-59 months who received at least one dose of Vit A in last 6 months
# of community structures supported to assist mothers to appropriately feed children under 2 years
Number of community structures/sites supported to alleviate food insecurity
Proportion of States supported to develop a strategic plan for NCDs
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","https://www.unops.org/SiteCollectionDocuments/Information-disclosure/UNDAFs/Nigeria-UNDAF-2014-2017.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202014%20UNDAF.pdf" "24466","SOM","Somalia","","Somali National Micronutrient Deficiency Control Strategy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","2016","","","2014","","","","","Health|Food and agriculture|Education and research|Social welfare","The Ministry should advocate and sensitize all stakeholders notably agriculture and other line ministries, institutions, development partners and industry on the national strategy on Micronutrient Deficiency Control and Management. It should pay particular attention to integrating micronutrient control into the health, nutrition, education, social welfare and other relevant programmes and the broader health care programs for women and children.","","","","","","","","","","","","","","","","","Effet UNDAF 1 : La sécurité alimentaire, la résilience des communautés aux changements climatiques et l’accès des jeunes et des femmes à l’emploi sont améliorés
Effet UNDAF 2 : Les populations notamment les plus vulnérables ont un accès équitable aux services sociaux de base de qualité
Produit 2.2 : L’offre des services de prévention, de traitement, de soins et d’appui en matière de maladies transmissibles et non transmissibles est améliorée
Produit 2.3 : La nourriture, l’eau, l’hygiène et l’assainissement sont rendus disponibles dans les écoles, les formations sanitaires et dans les communautés.
","La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
Pour en savoir plus, consulter VII. Résultats indicatifs.
","Taux de couverture des besoins alimentaires.
Pourcentage d’enfant de moins de 5 ans souffrant de malnutrition chronique.
Pourcentage d’enfants bénéficiant d’un allaitement maternel exclusif.
Nombre de personnes vivant dans des communautés ayant atteint le statut FIDAL (fin de la défécation à l’air libre).
Nombre d’école primaire publique et de structures sanitaires bénéficiant d’un point d’eau potable, et de latrines améliorées.
Nombre d’écoles publiques bénéficiant de repas scolaires pendant les jours ouvrables.
Nombre d’enfants scolarisés des écoles publiques des zones défavorisées recevant au moins un repas équilibré par jour.
Nombre de cadre de concertation, pour une alimentation saine et suffisante et une nutrition équilibrée, fonctionnels.
Nombre d’établissements scolaires disposant de jardins et des cantines scolaires fonctionnels
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TGO%202014%20UNDAF.pdf" "23503","ZWE","Zimbabwe","","Zimbabwe National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2018","Food and Nutrition Council","","2014","","","","","Education and research|Food and agriculture|Health|Labour|Nutrition council|Social welfare|Women, children, families","Food and Nutrition Council Education and research, Food and agriculture, Health, Labour, Nutrition council, Social welfare, Women, children, families,","","UN","","International NGOs & National NGOs","","","","","National NGOs","","","","","","","","KEY RESULT AREAS GOALS AND STRATEGIES
1) KRA 1 Adolescent and Maternal Nutrition Services
a. Goal 1: Coverage of health and community nutrition services for adolescents increased to 50% by 2018
b. Goal 2: Standard maternal health and nutrition package scaled up to 90% coverage by 2018
c. Goal 3: 50% of women of reproductive age have positive support from spouses and communities for decisions on maternal health, nutrition, healthy lifestyles and safe living environment by 2018.
2) KRA2: Infant and Young Child Nutrition
a. Goal 4: All health institutions provide the standard IYCF package (BMFHI, BF, CF, multiple micronutrient supplementation and fortification, dietary diversification, disease prevention and management, nutrition interventions in emergencies, feeding behaviours and stimulation, PMTCT, WASH and IMAM) by 2018
b. Goal 5: Community IYCF counseling package increased from 44% to 100% of districts and in at least 90% of the wards by 2018
c. Goal 6:Coverage of growth monitoring and promotion for under-fives increased from 2 districts to 20 districts by 2016 and to 40 districts by 2018 and covering 5 wards per district by 2018
3) KRA3 Clinical Nutrition Services
a. Goal 7: To increase the proportion of the adult population practicing at least one or a combination of the top 5 healthy lifestyles to 40% by 2018
b. Goal 8: Proportion of health facilities (central, provincial, mission and district hospitals) providing quality nutrition services for communicable (schistosomiasis, HIV, malaria, soil transmitted helminthes) and non-communicable diseases increased to 75% by 2018.
c. Goal 9: 30% of institutions adopt national food service and nutrition guidelines by 2018.
4) KRA4 Enhancing the Quality of Nutrition Information Systems and Effectiveness of Advocacy
a. Goal 10: Timely availability of relevant nutrition information that incorporates disaster risk reduction at all levels adequate for disaster preparedness planning and nutrition programming by 2018.
5) KRA 5 Strengthening Multi-sectoral Coordination and Collaboration for Integrated Nutrition Response
a. Goal 11:80% of women of reproductive age have the capacity to safely provide for their food, health and nutrition security using appropriate technologies
b. Goal 12: Coverage of health and community nutrition services for school children increased to 50% by 2018
c. Goal 13: All provinces and districts have Food and Nutrition Security Committees that are fully discharging their terms of reference by 2014, 50% of ward level committees functioning by 2018
d. Goal 14: To increase the proportion of households consuming safe and acceptable diets all year round to at least 80% by 2018
e. Goal 15: Scale up evidence-based nutrition sensitive interventions in social protection services to 80% coverage by 2018
f. Goal 16: At least 50% of community based health workers promote WASH related behaviour change whilst integrating nutrition messaging by 2018
g. Goal 17: To ensure that at least 50% of imported and locally produced foods are evaluated for safety by 2018.
6) KRA6 Capacity Development for Nutrition Service Delivery and Resource Mobilization
a. Goal 18:To ensure that the National Nutrition Department has a critical mass of staff with the ability, tools, supportive supervision and resources to integrate nutrition into other sectors
b. Goal 19: To increase resource allocation to nutrition to 1% of GDP per year by 2018.
","","Table 14 contains Outcome Indicators, Baseline Values, Targets and Allowable Variance
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202014%20National%20Nutrition%20Strategy.pdf" "24707","BFA","Burkina Faso","","Plan de Renforcement de la Lutte Contre les Carences en Micronutriments","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2015","","2020","Ministere de la Sante","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Industry","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Helen Keller International (HKI)|Nutrition International|Terre des Hommes","","","","","","","","","","","","","","Objectif général
financements pour une mise en oeuvre efficiente de la lutte contre les carences en Contribuer à la réduction des carences en micronutriments au Burkina Faso d’ici 2020.
Objectifs spécifiques
Supplémentation médicamenteuse
La fortification à domicile
L’iodation universelle du sel
Education nutritionnelle
Renforcement du suivi et de l’évaluation des interventions
","Table Pages 44-45
","Outcome indicators","","Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Nutrition in the school curriculum|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Maize flours|Complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202015%20Plan%20contre%20les%20carences%20en%20micronutriments.pdf" "39438","CMR","Cameroon","","Politique nationale d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2035","","8","2015","","","","","Nutrition council|Health|Education and research|Sub-national","Commissions régionales, départementales et communales","","","","","","","","","National NGOs","","Research/academia","","","","Other","Partenaires au développementPartenaire Technique et Financier","But: Garantir à la population camerounaise, en particulier aux groupes les plus vulnérables, un état nutritionnel optimal leur permettant de jouir des capacités intellectuelles, physiques, psychoaffectives, pour mener une vie active, productive et contribuer à réduire les taux de morbidité et de mortalité maternelle, infantile et infanto-juvénile.
Objectifs :
5. 1.Promotion de l’Alimentation du Nourrisson, du Jeune Enfant, et de la nutrition de la femme enceinte et allaitante.
5.2. Lutte contre la sous-nutrition et les carences en micronutriments
5.4. Sécurité alimentaire des ménages et sécurité sanitaire des aliments
5.6. Lutte contre la surnutrition et les maladies liées à l'alimentation et aux modes de vie
5. 8. Recherche, formation et renforcement des capacités dans le domaine de la nutrition et l’alimentation
5 .9 . Accompagnement alimentaire et nutritionnel des personnes socio économiquement vulnérables
","
6.2. Objectif Général
L’objectif général du Plan National Multisectoriel pour la Nutrition 2016-2020 est
d’améliorer le statut nutritionnel de la population.
6.3. Objectifs Spécifiques
6.4. Objectifs Sectoriels
Evolution nationale attendue des indicateurs aux échéances 2019 et 2025 conformément aux cibles mondiales et nationales de réduction
Apport journalier moyen en sel (chlorure de sodium) en grammes dans la population, standardisé selon l’âge chez les personnes âgées de 18 ans ou plus
2019 : Baisse de 15%, 2025 : Baisse de 30%
Prévalence standardisée selon l’âge de la pression sanguine élevée chez les personnes âgées de 18 ans ou plus (tension systolique ≥140 mmHg et/ou une tension diastolique ≥90 mmHg)
2019 : 27,8%, 2025: 23,2%
Prévalence standardisée selon l’âge de l’hyperglycémie modérée à jeun chez les personnes âgées de 18 ans ou plus 10’ Prévalence standardisée selon l’âge du diabète chez les personnes âgées de 18 ans ou plus (définie comme glycémie plasmatique à jeun ≥7,0 mmol/l (126 mg/dl) ou sous traitement pour élévation de la glycémie)
2019: 9.6%, 2025: 9.6%
Prévalence de l’excès pondéral et de l’obésité chez l’adolescent (définis de la manière suivante selon les normes OMS de croissance pour l’enfant d’âge scolaire et l’adolescent : un écart type de l’IMC en fonction de l’âge et du sexe pour l’excès pondéral et deux écarts types de l’IMC en fonction de l’âge et du sexe pour l’obésité)
2019: 0% d’augmentation, 2025: 0% d’augmentation
Prévalence standardisée selon l’âge du surpoids chez les personne âgées de 18 ans ou plus (défini comme un IMC ≥25 kg/m² et 12’) Prévalence standardisée selon l’âge de l’obésité chez les personne âgées de 18 ans ou plus (défini comme un IMC> ou =30 kg/m²)
2019: 26.9%, 2025: 26.9%
Prévalence standardisée selon l’âge des personnes (âgé de 18 ans ou plus) qui consomment moins de cinq portions (400 grammes) de fruits et de légumes par jour
2019: 52.3%, 2025: 49.6%
Prévalence standardisée selon l’âge de l’hyper-cholestérolémie totale chez les personnes âgées de 18 ans ou plus (taux de cholestérol total ≥5,0 mmol/l ou 190 mg/dl)?
2019: 18.9%, 2025: 17.9%
","Objetivo
Garantizar el derecho a la salud de todas las personas mediante un Sistema Nacional de Salud integrado, sólido, que fortalezca sostenidamente lo público y regule efectivamente lo privado, con un abordaje de determinación social de la salud y la aplicación plena de la estrategia de APS-I, sumando esfuerzos hacia la cobertura universal de salud, el acceso universal a la salud, búsqueda constante de la equidad y de un ambiente sano y seguro, a través de la promoción de la salud, prevención de la enfermedad, curación y rehabilitación.
","Ejes estratégicos de la Reforma de Salud
Líneas de acción
Observatorio de la Reforma de Salud
El observatorio se constituye en la instancia ofi cial para dar seguimiento a los avances y retos del proceso de reforma del sector. Es una herramienta integrada de gestión para aportar información y conocimiento que apoye el trabajo de los responsables de políticas y los tomadores de decisiones. Tendrá como marco de referencia el proceso de reforma (10 ejes actualmente establecidos) y como marco teórico la APS-I, la determinación social de la salud y el modelo de atención en salud basado en el individuo, familia y comunidad. Líneas de acción
- 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
3. Цели и задачи улучшения школьного питания в Республике Таджикистан
15. Основными целями Концепции являются:
а) разработка Государственной и устойчивой национальной программы школьного питания с максимальным охватом в целях содействия достижению целей в следующих секторах: образование (качество образования, вовлеченность, посещаемость), социальная защита (особенно для наиболее уязвимых лиц), питание;
б) в условиях экономических и физических ограничений создание Программы школьного питания в соответствии с международными нормами по качеству, количеству и разнообразию питания, способствующего улучшению здоровья обучающихся в Республике Таджикистан;
в) вклад в устойчивое развитие, рост и конкурентоспособность агропромышленного сектора Республики Таджикистан посредством производства продуктов высокого качества и стимулирования продовольственных рынков;
г) вклад в страновой потенциал Республики Таджикистан и зашита от внутренних и внешних угроз продовольственной безопасности.
","16. Для достижения указанных целей необходимо решение следующих задач:
а) развитие соответствующей нормативной правовой базы для Национальной программы школьного питания по созданию эффективной системы управления и мониторинга Программы, а также сохранению качественных и количественных норм контроля за питанием, гигиеной и обслуживанием.
б) разработка рамочной программы бюджетирования, с учетом финансовой поддержки государства и частного сектора, включая местные, национальные и международные источники, способные обеспечивать финансовую устойчивость Программы школьного питания.
в) развитие потенциала местного пищевого производства, взаимосвязанного с Программой школьного питания, включая модернизацию производства и товаропроводящей инфраструктуры, основанной на современных технологиях.
г) поддержка и усиление взаимодействия партнеров на местном, национальном и международном уровнях с целью повысить уровень сотрудничества, диверсифицировать источники финансирования и увеличить возможности применения лучших практик для реализации и управления Программой.
д) продвижение Концепции здорового школьного питания на всех уровнях, включая гражданское общество.
","28. Первый этап (2015-2016 годы). На первом этапе осуществляется:
29. Второй этап (2017-2020 годы). На втором этапе осуществляется реализация Стратегии устойчивой национальной программы школьного питания путем:
30. Третий этап (после 2020 года). На третьем этапе осуществляется переход к самостоятельной реализации программ улучшения школьного питания в рамках ежегодно предусмотренных средств Государственного бюджета и за счёт других источников, не запрещённых законодательством Республики Таджикистан, завершается формирование современной отрасли школьного питания в соответствии с международными стандартами современных и эффективных программ школьного питания.
","Process indicators","","School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food security and agriculture|Food sovereignty","","http://moh.tj/wp-content/uploads/2017/08/pdf_4-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202015%20School%20Nutrition.pdf" "25771","TJK","Tajikistan","","Стратегия Питания И Физической Активности [Strategy for Nutrition and Physical Activity]","Comprehensive national nutrition policy, strategy or plan","","Russian","","2015","","2024","","","2015","Adopted","12","2014","Government of Tajikistan","Nutrition council|Health|Education and research|Social welfare|Sport|Justice|Other","Inter-Sectoral Committee (ISC); Republican Center for Nutrition","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","Other","Tajikstandart; Medical Institutions","5. ЦЕЛЬ СТРАТЕГИИ
50. Целью Стратегии является охрана здоровья населения республики посредством улучшения их питания и физической активности.
","8. ПРИОРИТЕТНЫЕ МЕРЫ ВМЕЩАТЕЛЬСТВА СТРАТЕГИИ
60. Усиление нормативно-законодательной и методической базы. На межсекторальном уровне (с ведущими специалистами министерств и ведомств) осуществляется работа по внесению изменений и дополнений к действующим законам Республики Таджикистан, относящимся к вопросам питания, повышения уровня физической активности и профилактики НИЗ. Разрабатываются и утверждаются руководства и рекомендации, касающиеся вопросов питания, физической активности и профилактики НИЗ.
61. Развитие науки и кадрового потенциала. На межсекторальном уровне разрабатываются проекты НИР по вопросам питания, физической активности и профилактике НИЗ, осуществляется их реализация. Совместно с ведущими специалистами соответствующих государственных секторов осуществляется подготовка кадров по вопросам питания.
62. Стратегия в конечном итоге - повысить уровень предоставления услуг по профилактике, диагностике и лечению алиментарно-зависимых заболеваний (в первую очередь на уровне ПМСП).
63. Наряду с мерами по укреплению потенциала ответственных лиц, достаточное внимание уделяется на до- и последипломное обучение и повышение квалификации специалистов здравоохранения по вопросам прав человека и гендерным вопросам. Включаются программы обучения по вопросам питания, физической активности и профилактики НИЗ в учебных заведений.
64. Улучшение кормления младенцев и детей раннего возраста. Стратегия направлена на дальнейшее поощрение грудного вскармливания и правильной практики ведения дополнительного питания, которые не только создадут необходимые условия для физического и умственного развития, но и будут способствовать профилактике НИЗ. Для обеспечения участие мужчин в организации правильного питания и профилактики болезней, связанных с нарушением питания у беременных женщин и детей грудного возраста, а также ухода за ними в случае заболеваний планируется консультировать оба родителя по вопросам питания и физической активности.
65. Организация здорового питания детей до- и школьного возрастов. Организация здорового питания школьников на национальном уровне является одним из основных задач различных правительственных секторов. Международные организации также участвуют в улучшении питания, физической активности и профилактики НИЗ, определяющих генофонд нации (важный элемент для укрепления здоровья, развития человеческого капитала и благополучия). Программа школьного питания будет способствовать развитию до- и школьного питания.
66. Включение в школьную программу аспектов питания, повышение уровня активности и профилактики НИЗ является необходимым образовательным компонентом.
67. На межсекторальном уровне разрабатываются национальные руководства, рекомендации по питанию, физической активности и профилактике НИЗ. Также особое внимание уделяется ""Нормам здорового питания, физической активности и правила личной гигиены для детей"".
68. Планируется включение Республики Таджикистан в исследования ВОЗ по мониторингу за статусом питания детей.
69. В рамках подхода ВОЗ по использованию вмешательств с оптимальным соотношением затрат и эффективности осуществляется контроль маркетинга пищевых продуктов, предназначенных для детей, с особым акцентом на борьбу с неэтичной рекламой заменителей грудного молока, ликвидацией транс-жиров и уменьшением потребления соли.
70. Разработка комплекса инициатив по питанию и физической активности. В рамках межсекторальной деятельности разрабатываются информационные материалы на основе доказательной медицины для повышения уровня знаний населения по вопросам питания и физической активности.
71. Указанными структурами осуществляются реализации мероприятий по обеспечению населения качественно йодированной солью, оцениваются уровни потребления соли и транс-жиров.
72. В связи с важностью фактора повышения уровня активности населения в профилактике НИЗ на межсекторальном уровне предусматривается реализация ряда мероприятий, направленных на усиление нормативно правовой базы, подготовки кадров, разработки программ относительно развития физической культуры и спорта и их внедрение в учебные программы до- и школьных, вузов и др. структур.
73. Создается план информационного воздействия и связи в целях реализации Стратегии, которая позволит координировать деятельность различных средств информации и создается синергизм между ними в интересах пропаганды надлежащего питания и физической активности. Осуществляется анализ тезисов для информационного воздействия и санитарно-просветительских материалов на предмет отражения в них гендерных различий, особенно для основных групп риска (таких как беременные и кормящие женщины и девочки-подростки).
74. Укрепление межсекторального сотрудничества. Усиливаются механизмы межсекторального сотрудничества и коммуникации для своевременного реагирования и принятия эффективных мер по организации правильного питания, физической активности и профилактики НИЗ.
75. Контроль над реализацией Стратегии возлагается на ""Межведомственный комитет"" (далее ""МВК""), который создается приказом Министерства здравоохранения и социальной защиты населения Республики Таджикистан из числа высококвалифицированных специалистов соответствующих министерств и ведомств (по согласованию). Представители международных организаций также могут входить в состав МВК.
76. Подготавливается база для разработки национальной политики для организации здорового питания населения Таджикистана.
77. Мониторинг и оценка. Мониторинг будет осуществляться на основе регулярного отслеживания отобранных индикаторов, основываться на международных стандартах и требованиях и предоставлять качественные, надежные и стандартизированные данные. Система надзора должна генерировать и отслеживать информации о питании, физической активности и о наиболее актуальных НИЗ у различных групп населения (в первую очередь детей и женщин, людей пожилого возраста, включая вопросы гендерных различий), определяя их бремя (включая экономия средств).
80. Будут определены индикаторы воздействия и отслеживания;
а) индикаторы воздействия (Стратегии) будут использоваться для определения специфических изменений, тенденций и проблем в области питания, физической активности и профилактики НИЗ. Например: распространенность острой и хронической форм недоедания среди детей в возрасте 6,59 месяцев, ЖДА, ЙДЗ, ожирений среди детей и женщин или среднесуточное потребление овощей и фруктов, сахара, соли, жирных кислот к рекомендованным ВОЗ уровням их потребления;
б) индикаторы отслеживания (программные или мероприятия) будут привязаны к конкретным срокам и действиям реализации мероприятий.
","6. ИНДИКАТОРЫ СТРАТЕГИИ
51. Содействие грудному вскармливанию и своевременному введению надлежащего прикорма:
а) увеличение исключительно грудного вскармливания детей до 6 месяцев на 20%.
52. Существенное сокращение распространенности недостаточности питания, дефицита микроэлементов и ожирения, особенно у женщин и детей, и других алиментарно-зависимых неинфекционных заболеваний к 2024 году:
а) снижение уровня ЖДА среди женщин репродуктивного возраста до 30%;
б) снижение острого недоедания (низкого веса) на 30%;
в) уменьшение избыточной массы тела у детей и женщин;
г) снижение низкорослости среди детей на 20%.
53. Использование наиболее выгодного с экономической точки зрения вмешательства (на межсекторальном уровне) по продвижению здорового питания с помощью финансовых и маркетинговых механизмов:
а) постепенное искоренение из рациона питания населения транс-жиров;
б) снижение количества потребления соли до 5 гр. в сутки;
в) адаптирование правил регулирования реклам и сбыта детских пищевых продуктов.
54. Суточное потребление энергии за счет насыщенных жирных кислот и свободных сахаров менее 10%.
55. Потребление более 400 гр. фруктов и овощей в день населением.
56. Ускорение деятельности (на межсекторальном уровне) в области профилактики и контроля ожирения (особенно у детей) посредством реализации мер, предложенных в Европейской хартии по борьбе с ожирением:
а) организация и реализация системы наблюдения за пищевым статусом населения.
57. Укрепление системы мониторинга фактического питания и пищевого статуса, а также эпиднадзора за НИЗ с акцентом на наиболее уязвимые группы населения:
а) проведение периодических исследований на национальном уровне.
58. Реализация Стратегии в области питания гарантирует всеобщий доступ к пище, социальную справедливость и гендерное равенство в отношении питания населения Таджикистан.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Overweight in children 0-5 yrs|Saturated fat intake|Trans fat intake|Sodium/salt intake|Free sugars|Fruit and vegetable intake|Right to food|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Food safety|Vulnerable groups","","","http://webcache.googleusercontent.com/search?q=cache:dyZclwkfwsUJ:filial-nic-mkur.tj/doc/1/2/2/15%2520%25D0%25A1%25D1%2582%25D1%2580%25D0%25B0%25D1%2582%25D0%25B5%25D0%25B3%25D0%25B8%25D1%258F%2520%25D0%25BF%25D0%25B8%25D1%2582%25D0%25B0%25D0%25BD%25D0%25 https://extranet.who.int/ncdccs/Data/TJK_B13_NPA%20strategy%20FINAL_ENG_24%2001%202015.pdf","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202014%20Nutrition%20and%20Physical%20Activity%202015-2024.pdf" "24689","BEN","Benin","","Directives nationales pour la surveillance de la croissance et du développement de l’enfant au Benin","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","6","2016","","","Ministère de la Santé/DIRECTION DE LA SANTE DE LA MERE ET DE L’ENFANT","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","Objectif général
Améliorer les pratiques de la surveillance de la croissance et du développement de l’enfant pendant et après la fenêtre d’opportunité des 1000 premiers jours de vie.
Objectifs Spécifiques
surveillance de l’état nutritionnel de la femme enceinte
surveillance de l’état nutritionnel chez la femme allaitante
surveillance de la croissance et le développement des enfants 0-24 mois
surveillance de la croissance et du développement de l’enfant après les 1000 premiers jours de vie
","
2.1. But
Contribuer à la réduction de la mortalité infantile à travers l’allaitement maternel.
2.2. Objectif général
Améliorer l’état nutritionnel des enfants de 0 à 24 mois, à travers la pratique adéquate de l’allaitement maternel d’ici fin 2020
2.3. Objectifs spécifiques
D’ici 2020 :
•Porter de 46,6 à 80% le taux de mise au sein dès la première heure de vie ;
•Porter de 41,4 à 60%, le taux d’allaitement maternel exclusif jusqu’à six mois ;
•Accroître de 45,5 à 70%, le taux d’allaitement maternel continu jusqu’à 24 mois en plus de la diversification alimentaire.
2.4. Objectifs intermédiaires
2.4.1. Chez les mères
D’ici 2020 :
1. Amener 90% des mères à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
2. Augmenter à 75% la proportion des mères qui adoptent un bon positionnement du nouveau-né au sein et une bonne prise de sein,
3. Porter à 75%, la proportion des mères qui pratiquent adéquatement la technique d’expression du lait maternel,
4. Augmenter à 60%, la proportion des mères qui jouissent de leurs droits relatifs à l’allaitement maternel au Bénin.
5. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
6. Amener 80% des mères à appliquer la Méthode Kangourou chez les enfants de faible poids de naissance (hypotrophe et prématuré) ;
7. Rendre disponible dans toutes les formations socio-sanitaires, les fiches techniques et les affiches sur l’allaitement maternel ;
2.4.2. Chez les membres de la communauté
8. Augmenter à 80%, la proportion des mères qui continuent l’allaitement maternel jusqu’à 24 mois en plus de la diversification alimentaire adéquate,
9. Amener 50% des membres de la communauté à avoir une bonne connaissance des avantages et des méthodes d’expression et de conservation du lait maternel,
10. Mettre en place au moins un groupe de soutien à l’allaitement dans chaque village ou quartier de ville.
2.4.3. Chez le personnel socio-sanitaire
11. Amener75% du personnel socio-sanitaire à avoir une bonne connaissance sur les avantages, les méthodes d’expression et de conservation du lait maternel ainsi que la durée de conservation,
12. Augmenter à 75%, la proportion du personnel socio-sanitaire qui donne des conseils adéquats sur l’AM lors des séances d’éducation individuelle et collective
13. Amener 80% du personnel de maternité, de pédiatrie et de vaccination à faire la mise au sein précoce
2.4.4. Au plan administratif, politique et législatif
14. Renforcer les connaissances des différents acteurs (employeurs, agents socio-sanitaires, mères) sur les textes et les lois en faveur de l’AM.
15. Inciter à la révision et l’application des textes et lois en faveur de l’AM
","
I- STRATEGIES
Pour atteindre ces objectifs, les orientations stratégiques suivantes sont proposées :
process indicators: see pages 19-27
outcome indicators: see pages 30-34
","Outcome indicators|Process indicators","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Monitoring of the Code|Capacity building for the Code|Regulation on marketing of complementary foods","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20de%20Renforcement%20Alllaitement%20maternel.pdf" "24686","BFA","Burkina Faso","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2016","","2025","ministry of health","2","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families","","","","","","","","","","","","","","","","","","OBJECTIF GENERAL DE LA POLITIQUE
Améliorer l’état nutritionnel des populations à travers la mise en œuvre d’interventions multisectorielles
Orientations stratégiques
Réduction de la sous nutrition (detailed activities page 18-20)
Réduction des carences en micronutriments (detailed activities page 20-22)
Renforcement de la lutte contre la surnutrition et les maladies chroniques non transmissibles liées à la nutrition. (detailed activities page 22)
Renforcement de la sécurité sanitaire des aliments (detailed activities page 23-24)
Amélioration de la gouvernance et les dispositions législatives en matière de nutrition. (detailed activities page 24)
A l’horizon 2025, le Burundi vise :
(6) Réduction de la malnutrition jusqu’aux seuils de l’OMS soit : malnutrition chronique :<40%, Insuffisance pondérale :<25%, Malnutrition aigue : <5% particulièrement chez les populations les plus vulnérables notamment les enfants de moins de cinq ans, les femmes enceintes ou allaitantes, les personnes vivant avec le VIH et les personnes âgées.
(10) L’accès pour les jeunes de 20- 24 ans à l’éducation nutritionnelle des jeunes
","6.1.3. Domaine prioritaire III : amélioration de la santé maternelle, du nouveau-né, de l’enfant d’âge préscolaire, de l’enfant d’âge scolaire, de l’adolescent(e) et de la personne âgée.
(1) Période pré-gestationnelle:
(2) Période gestationnelle:
(3) Période de travail et de l’accouchement :
(5) Période postnatale (nouveau-né):
(6) Période de la petite enfance ( jusqu’à 11 mois):
(7) Période de l’enfance (12-59 mois)
(8) Période scolaire (6 à 10 ans): (
(9) Période de l’adolescence (10- 20 ans)
(10) Période de la jeunesse (20- 24 ans) :
6.1.4. Domaine prioritaire IV : lutte contre la malnutrition
6.1.4.1. Reduction de la malnutrition chronique chez les enfants de moins de 5 ans
6.1.4.2. Reduction de la malnutrition chez la femme en âge de procréer, surtout la femme enceinte ou la femme allaitante
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
% d’enfants < 5 ans souffrant de malnutrition chronique
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20National%20Health%20Policy.pdf" "40363","BDI","Burundi","","Stratégie nationale de la santé des adolescents au Burundi","Health sector policy, strategy or plan with nutrition components","","French","","2016","11","2020","Ministère de la santé publique et de la lutte contre le sida","11","2015","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information|Justice","Ministère de la Jeunesse, Sport et CultureMinistère de la Communication et des relations avec le ParlementMinistère de la Solidarité Nationale, des Affaires Sociales et du GenreMinistère de l’Intérieur et de la Formation PatriotiqueMinistère de la Défense et des Anciens Combattants et le Ministère de la sécurité publique","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","US Agency for International Development (USAID)","coopération AllemandeRoyaume des Pays Bas","","","","","","","","","Other","Organisations de la société civile Organisations confessionnellesOrganisations de jeunesse","","","Pourcentage d'adolescents et de jeunes ayant des connaissances sur au moins trois composantes de santé des adolescent(e)s et des jeunes(nutrition, activité physique, santé sexuelle et reproductive, usage d'alcool, tabac et autres substances nuisibles à la santé (psychoactives), accident de la voie publique).
","Process indicators","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202015%20Strategie%20Sante%20des%20Adolescents_0.pdf" "39451","CIV","Côte d'Ivoire","","Plan National de Development Sanitaire 2016-2020","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2020","","","2016","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Environment","ministère de la promotion de la femme, de la famille et de la protection de l’enfant","","","","","","","","","National NGOs","","","","","","","","","AXE 4 : LUTTE CONTRE LA MALADIE
EFFET 4: La morbidité et la mortalité liées aux principales maladies sont réduites d'ici 2020 de 50%
Effet intermédiaire 4.3 : La proportion de la population présentant une malnutrition est réduite de 25%. Deux (2) extrants concourent à l’atteinte de cet effet intermédiaire. Ce sont : (i) la sous nutrition est réduit de 20% chez les enfants ; (ii) la surnutrition est réduite de 30% au niveau de la population générale ;
","","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years","","http://www.nationalplanningcycles.org/sites/default/files/planning_cycle_repository/cote_divoire/pnds_2016-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202016%20Plan%20national%20de%20developpement%20sanitaire_0.pdf" "39458","SLV","El Salvador","","Plan Estratégico Nacional Intersectorial de Promoción, Protección y Apoyo a la Lactancia Materna 2016 - 2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2016","","2019","Ministerio de Salud","","2016","","","","","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Labour","","","UNICEF","","Salvadorian Institute for Women, College of Physicians, Centre for Breastfeeding support","","","","","National NGOs","","","","","","","","Propósito:
Incrementar la práctica de la lactancia materna exclusiva y prolongada hasta los dos años, en el ámbito familiar y comunitario, contribuyendo a la salud integral de la niñez de El Salvador.
Objetivo:
Establecer las estrategias, mecanismos y acciones que favorezcan la promoción, protección y apoyo a la lactancia materna durante el período del 2016 al 2019.
","Actividades
Indicadores
Línea estratégica 3: Monitoreo y evaluación
Objetivo Específico:
Establecer mecanismos y acciones que permitan monitorear y evaluar la promoción, protección y apoyo a la lactancia materna.
Actividades e Indicadores
Monitoreo y evaluación del cumplimiento del plan estratégico intersectorial de promoción protección y apoyo a la lactancia materna.
Evaluación del cumplimiento del Código internacional de comercialización de sucedáneos de la leche materna.
Vigilancia a travès de auditorias permanentes de trabajo sobre la implementaciòn de las salas de lactancia materna y del cumplimiento de la hora de permiso por patrono
Actualización de la Inciativa de Hospitales amigos de la niñez y las madres
Acreditación de 10 nuevos hospitales como amigos de la niñez y las madres
STRATEGIC OBJECTIVE 1: Improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years)
STRATEGIC OBJECTIVE 2: Improve the nutritional status of children from birth up to 10 years
STRATEGIC OBJECTIVE 3: Improve the delivery of nutrition services for communicable and non-communicable/lifestyle related diseases
STRATEGIC OBJECTIVE 4: Strengthen the implementation of nutrition-sensitive interventions across sectors
STRATEGIC OBJECTIVE 5: Improve multisectoral coordination and capacity to implement the national nutrition program
","","
2020 TARGETS
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20National%20Nutrition%20Programme%20II.pdf" "39359","ETH","Ethiopia","","Health Sector Transformation Plan","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","FMOH","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Labour|Other","Ministry of Capacity Building","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","International NGOs","","","","","National NGOs","","","","","","","","","
Strategic Initiatives:
Nutrition
8. Scale-up community-based nutrition (CBN) program and the first 1000 days initiative
9. Implement the Sequota declaration of ending child under nutrition
10. Implement Baby-friendly hospitals initiative in all hospitals
","
Reduce childhood stunting, wasting and under-weight in under-5 year from 40%, 9% and 25% to 26%, 4.9% and 13%, respectively
Increase proportion of children ages 6-59 months who received vitamin A supplementation to 95%
Increase availability of quality assured iodized salt to 100%
Increase proportion of under 5 children with regular growth monitoring to 95%
More indicators in table on p. 165 (Nutrition) and p. 169 (NCDs)
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vaccination","","www.moh.gov.et","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Health%20Sector%20Transformation%20Plan.pdf" "24468","ETH","Ethiopia","","United Nations Development Assistance Framework for Ethiopia ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team in Ethiopia","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Industry|Justice","","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNCTAD, UNEP, UNCDF,UNODC , UNOPS, UN Women","Other","","","","","","","","Research/academia","","Private sector","","","","
Outcome 1: By 2020 Ethiopia will achieve increasingly robust and inclusive growth in agricultural production and productivity and increased commercialisation of the agricultural sector.
Outcome 7: Enhanced appropriate feeding and care practices for improved nutrition status of children under five years,adolescents, pregnant and lactating women.
Output 7.1: National,subnational and partner capacity (multisectoral nutrition technical committees and nutrition coordination bodies at all levels) strengthened for National Nutrition Programme (NNP) implementation, coordination, monitoring and reporting.
Output 7.2: Improved nutrition care practices for infants, young children, adolescents, and pregnant and lactating women (PLW).
Output 7.3: Enhanced capacity of the health system to provide quality preventive and curative nutrition services for infants, young children, adolescents, and pregnant and lactating women.
Outcome 9: By 2020 the Ethiopian population, in particular women, children and vulnerable groups, have increased access to and use affordable, safe and adequate water, sanitation and hygiene (WASH) services.
Output 9.1: Strengthened capacity of WASH sector Ministry (water, health & education) in conducting strategic planning, coordination, leveraging, advocacy and implementation of development and emergency WASH interventions.
Output 9.2: Strengthened sector WASH capacity in knowledge management that informs improvements in service delivery, policies, procedures, monitoring and evaluation at the federal and regional levels.
Output 9.3: Enhanced support for children and families leading to resilient and equitable, access to and use of safe and adequate water and sanitation services and adoption of appropriate hygiene practices in households and institutions in urban and rural areas.
Output 9.4:Populations affected by WASH Emergencies receive WASH services in line with minimum standards.
","Outcome 1. Under this outcome the UN will work with the relevant Government and other partners to strengthen the capacities of farmers and agro-pastoralists to adopt innovative farming techniques and inputs for increased production and productivity. Specific technologies that will be promoted through advocacy and practical training sessions include agricultural technologies and practices that: help increase production and productivity; ensure the reduction of pre and post-harvest losses; improve livestock production; encourage sustainable land management; promote integrated watershed management; and stimulate climate-smart agricultural practices and nutrition-sensitive agriculture. Furthermore emphasis will be placed on crop diversification as well as value added processing and commercialization of
selected commodities through inclusive value chain approaches. On the supply side, the capacity of service providers and local level institutions will be strengthened to deliver quality agricultural extension services, including financial services, further improving the capabilities of farmers, (especially women and youth) to access and control productive resources and have access to markets and agricultural related financial products.
Outcome 7. In the area of nutrition the UN will support the Government to implement and monitor the National Nutrition Programme, including the strengthening of coordination of partners working in the sub-sector at national, regional and zonal levels. At the service delivery level, the capacity of the health, agriculture and education system to provide quality preventative and curative nutrition services for infants, young children, adolescents, pregnant and lactating women, and people living with HIV will be strengthened. At the community level the UN will engage with households to improve nutrition care practices for infants, young children, adolescents and pregnant and lactating women, and provide treatment of moderate and severe acute malnutrition. In addition to this, UN agencies will use their collective capacity and work with other partners to strengthen the capacity of Government to monitor and use nutrition information, and prepare and respond to nutrition needs during emergencies.
Outcome 9. In this area the UN will work with the Government to build the capacity of technical staff in the Ministry of Water, Irrigation and Energy and at subnational level to plan, coordinate and implement both development and emergency related WASH interventions; increasing their capacity of relevant institutions to collect and analyse data to inform evidence-based service delivery. At the community level emphasis will be placed on increasing communitylevel knowledge and awareness to improve hygiene and sanitation practices within the household.
","3.3: Global acute malnutrition rate (GAM)
7.1: Proportion of children 6 to 23 months with minimum acceptable diet
7.2 Proportion of children under 6 months exclusively breastfed (disaggregated by national & refugee population)
7.1.1: Federal and regional coordination bodies and technical committees (NNCB, NNTC, RNCBs, RNTCs) meet as per schedule
7.1.2: NNP monitoring mechanism (scorecard) established at federal and regional level and updated on a regular basis
7.1.3 Number of ministries that have aligned their respective sector plan with NNP
7.1.4 Integrated NNP monitoring tool established at different levels (national and woreda)
7.2.1: Percent of GMP participation for girls and boys under 2 year of age
7.2.2: Number of woredas in developing regions with active Women-to-Women support groups.
7.3.1: Percent of children under 5 receiving vitamin A supplementation
7.3.2:. Percent of health facilities providing SAM treatment
7.3.3: Number of health posts or mobile health and nutrition teams (MHNT) providing MAM treatment
7.3.4: Number of woredas with schools providing nutrition programmes including adolescents
7.3.5: Number of SAM cases treated among refugee populations
9.1: % of populations using safe and adequate WASH services disaggregated by rural and urban areas
9.3.1: % of Ethiopian population and refugee users of safe, adequate and resilient water supply services disaggregated by urban and rural areas
9.3.2: % of Ethiopian population and refugee using safe, adequate and resilient sanitation services disaggregated by urban and rural areas
9.3.4: # of people adopting appropriate hand washing practices
9.4.1: # of people affected by WASH emergencies provided with safe and adequate water supply as per minimum emergency standards
9.4.2: # of people affected by WASH emergencies provided with appropriately designed emergency latrines
9.4.3: # of people affected by WASH emergencies participating in hygiene promotion activities
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Minimum acceptable diet|School-based health and nutrition programmes|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://et.one.un.org/content/unct/ethiopia/en/home/assistance-framework/undaf.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20UNDAF.pdf" "23588","GTM","Guatemala","","Plan Estratégico de Seguridad Alimentaria y Nutricional - PESAN - 2016 – 2020","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2016","","2020","CONASAN /SESAN","","2016","","","2016","Food security and nutritional ministry","Nutrition council|Food and agriculture|Education and research|Finance, budget and planning|Environment","","","","","","","","","","","","","","","","","","Los Pilares de la SAN y Coordinación y su vinculación con los Objetivos Estratégicos del PESAN 2012 – 2016.
1. DISPONIBILIDAD NACIONAL DE ALIMENTOS
Facilitar la producción de alimentos a nivel nacional, la importación,
procesamiento, comercialización y que lleguen a toda la población, en
suficiente cantidad y que se obtengan reservas por concepto de donaciones
de ayuda alimentaria.
2. ACCESO A LOS ALIMENTOS
Promover el acceso de la población a los alimentos necesarios para cubrir
las necesidades y requerimiento nutricionales que garanticen su desarrollo
humano.
3. CONSUMO DE ALIMENTOS
Propiciar que toda la población adopte y fortalezca hábitos alimentarios
que le permitan tomar decisiones adecuadas en cuanto al consumo diario de
alimentos nutritivos, inocuos, culturalmente aceptados y ambientalmente
compatibles, considerando su ciclo de vida.
4. APROVECHAMIENTO BIOLÓGICO DE LOS ALIMENTOS
Incrementar la resiliencia de las personas y las comunidades mediante el
mejoramiento sostenido de las condiciones ambientales y de salud y el
acceso a servicios básicos que garanticen a toda la población condiciones
necesarias para una óptima utilización biológica de los alimentos de la
población.
5. COORDINACIÓN
Impulsar la consolidación, el fortalecimiento y el desarrollo del SINASAN,
considerando los ejes transversales y promover la planificación, ejecución y el
análisis de la información requerida para la evaluación y gestión del
conocimiento de la SAN y sus factores determinantes
","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Total carbohydrate|Added sugars|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|Nutrition in the school curriculum|School milk scheme|School gardens|Dietary guidelines|Nutrition counselling on healthy diets|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Maize flours|Refined sugar|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.sesan.gob.gt/index.php/descargas/10-pesan-2012-2016/file","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GUA%202012%20PESAN2012-1016.pdf" "24473","GNB","Guinea-Bissau","","Partnership framework between Guinea-Bissau and the United Nations ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team of Guinea-Bissau","4","2016","Adopted","10","2016","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Justice|Other","Foreign Affairs, Defense, Security","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC, UNOPS, UN Women","","","The World Bank","","European Union|Other","African Union, IMF","National NGOs","","Research/academia","","Private sector","","","","
Outcome 3:All citizens, particularly the most marginalized and vulnerable, have equitable, sustainable access to and will use the services in health, nutrition, HIV/AIDS, water, sanitation and hygiene, education, and protection services.
","The promotion of the right to food and the improvement of governance of food and nutritional security as well as land governance;
The improvement in infant and newborn health through the implementation of the vaccination strategy, the promotion at the community level of knowledge, behaviors, and practices affecting the health of the newborn, infant, and mother, and the reduction in acute and moderate malnutrition in children 6 to 59 months of age, pregnant women, and nursing mothers;
The improvement of the nutritional status of TB and HIV patients under treatment;
In the area of water, sanitation and hygiene, the interventions of the United Nations team will make a contribution to the promotion of the use of improved sanitation facilities, the transition to scale of the washing of hands using soap, the promotion of sustainable, equitable access to potable water in the communities, schools, and health centers, and the development of the capacities of resource managers in potable water.
","Indicator 3.7: Proportion of children under 5 years old suffering from chronic malnutrition
Indicator 3.8: Proportion of children at least 5 years old suffering from acute malnutrition
Indicator 3.12: Rate of defecation in open air
Indicator 3.13: Proportion of people with access to potable water
Indicator 3.16: Nutritional recovery rate
","Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202016%20UNPAF.pdf" "40054","LSO","Lesotho","","Lesotho Food and Nutrition Policy (LFNP) 2016-2025","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2025","Food and Nutrition Coordinating Office","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Other","Food and Nutrition Coordinating Office (under the Prime Minister’s Office), Ministry of Local Government, Ministry of Water, Ministry of Gender, Youth, Sports and Recreation, Disaster Management Authority, Food Management Unit, National AIDS Commission","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","NGOs (unspec.), community volunteers","","","","","National NGOs","","","","","private education institutions","","","2.3. Goal
To attain optimal nutritional requirements for the improvement of health status among the population of Lesotho, enabling them to contribute effectively to national socio-economic growth and development.
3.1. Policy Objectives
Objective I. Nutrition-Specific Programming
1. To ensure that women of child-bearing age and during the neonatal period consume a diet that provides adequate nutrients appropriate for their physiological needs
2. To ensure that all infants and young children 0-59 months of age in Lesotho are appropriately fed
3. To ensure optimal nutrition for school-age children and adolescents
4. To ensure prevention, treatment and management of acute malnutrition according to IMAM guidelines
5. To ensure prevention and control of diet-related non-communicable diseases and ensure a healthy lifestyle.
6. To ensure that all people in Lesotho have adequate micronutrient status
7. To ensure that nutrition aspects are strengthened in all TB and HIV and AIDS prevention, treatment and care programmes.
Objective II. Nutrition-Sensitive Programming
1. To achieve reliable production, supply and utilisation of a variety of safe, adequate, affordable and nutritious foods at all times, the Government shall aim to promote climate-smart technologies
2. To ensure that multiple micronutrients are added to staple and other regularly consumed foods
3. To enact and implement appropriate legislation and other regulatory frameworks to ensure that safe and high quality food is available at all times
4. To expand the coverage of social protection programmes, target nutritionally vulnerable groups and strengthen the quality of service provision
5. To ensure that all children in Early Childhood Care and Development (ECCD) centres and primary schools get adequate nutrition and that nutrition education is covered in curricula from ECCD to institutions of higher learning
6. To ensure that all households and other institutions in Lesotho can live in conditions of good environmental health.
Objective III. Enabling Environment
1. Nutrition capacity building
2. Nutrition research, to ensure coordinated, regulated and appropriately prioritised nutrition research that contributes to and supports policy objectives, poverty reduction and strategy reviews.
3. Institutional framework, to facilitate coordination and harmonisation of all nutrition-related policies and programmes in order to avoid duplication, ensure optimal use of scarce resources and ensure standardisation of operations by all public and private entities
4. Budget - Efficient allocation and use of resources for implementation of LFNP
5. Common Results Framework - Monitoring and evaluation of nutrition programmes.
3.2. National Nutrition Targets to be achieved by 2025
Based on WHA global targets, the following national targets have been formulated for the LFNP to be achieved by 2025:
1. Stunting among children 6-59 months of age will be reduced to a prevalence of 23 per cent or lower
2. Anaemia prevalence among women of reproductive age (15-49 years) will be reduced to 13 per cent or lower
3. Childhood overweight will not have increased and at most will affect 7 per cent of children under five years of age
4. The exclusive breastfeeding rate during the first six months will be maintained at a level of at least 50 per cent
5. Childhood wasting will be maintained at a level below 5 per cent.
6. Low birth-weight will be maintained at a level below 5 per cent.
","
4.1. Improving Maternal Nutrition
Strategic objectives:
1. Integrate nutrition services into antenatal and postnatal care and family health packages.
2. Ensure routine iron folate supplementation and deworming.
3. Institutionalise universal maternity care.
4. Prevent malnutrition and mother-to-child transmission of HIV; ensure adherence to treatment through provision of nutrition services to women and infants.
5. Promote nutritional support for malnourished women of child-bearing age.
4.2 Promotion of Appropriate Infant and Young Child Feeding Practices
Strategic objectives:
1. Promote, protect and support exclusive breastfeeding and create an enabling environment that includes enforcement of the law on marketing breast-milk substitutes.
2. Promote efficient nutrition assessment and counselling.
3. Promote and create access to appropriate, diverse, nutritionally adequate complementary foods for children aged 6-to-24 months.
4. Support the monitoring of IYCF trends.
5. Provide essential nutrition services.
6. Advocate for the incorporation of IYCF into the curricula at all levels of formal and non-formal education systems.
4.3. Prevention, Treatment and Management of Malnutrition
Strategic objectives:
1. Promote efficient early identification, management and follow-up of acute malnutrition patients at community and health facility level.
2. Ensure availability of specialised nutrition products to treat acute malnutrition.
3. Enhance monitoring, evaluation and management of acute malnutrition programmes.
4.4. Nutrition in the General Population
Strategic objectives:
1. Facilitate the prevention and control of nutritional deficiencies through micronutrient supplementation, food fortification, food-based approaches and disease-control measures.
2. Promote behavioural practices supportive of optimal nutrition and healthy lifestyles.
4.5. Preventing and Managing Diet-Related Non-Communicable Diseases
Strategic objectives:
1. Promote consumption of healthy foods and diets, physical activity and healthy lifestyles
2. Promote programmes on prevention and management of diet-related NCDs
3. Promote screening for NCDs
4.5. Preventing Micronutrient Deficiencies
Strategic objectives:
1. Provide access to essential nutrition services, with a focus on vitamin A and iron supplementation and salt iodisation
2. Enforce micronutrient legislation
3. Support the implementation of appropriate micronutrient supplementation programmes for identified groups at risk (pregnant and lactating mothers, infant and young children, school-aged children and people living with HIV/AIDS and TB)
4. Promote the production, processing, preservation, packaging and consumption of foods rich in micronutrients
5. Develop new (and/or update existing) regulations and legislation on micronutrient fortification of both locally-produced and imported foods
6. Develop and implement a communication strategy on the importance of foods rich in micronutrients, to encourage behavioural change
7. Strengthen collaboration and linkages between communities, the GoL, NGOs and the private and informal sectors
8. Support the enforcement of food-fortification regulations and legislation
9. Advocate for the integration of routine de-worming for all populations at risk.
4.6. Nutritional Needs of Special Groups
4.6.1. Nutrition, HIV and AIDS and TB
Strategic objectives:
1. Integrate nutrition into TB, HIV and AIDS prevention, treatment and care programmes
2. Advocate for increased commitment at public, private, NGO and community levels to support nutrition, TB, HIV and AIDS programmes
3. Establish linkages between nutrition assessment care and support (NACS) in communities and livelihood programmes.
4.6.2. School-Aged Children and Adolescents
Strategic objectives:
1. Promote nutrition for optimal growth and development for school-age children and adolescents
2. Promote optimal nutrition composition of all school meals
3. Support school-based meals that contribute to improved daily attendance and reduction of dropout rates
4. Strengthen nutrition education.
5. POLICY OBJECTIVE 2: NUTRITION-SENSITIVE PRIORITY ACTIVITY AREAS
5.1. Food and Nutrition Security at National, Community and Household Level
Strategic objectives:
1. Promote utilisation of diverse, safe and nutritious foods
2. Contribute to the diversification of sustainable food production and supply-base, considering climate-smart technologies
3. Promote community nutrition programmes that support income-generating, sustainable and resilient livelihoods
4. Promote climate-smart and labour-saving technologies.
5.2. Food Fortification
Strategic objectives:
1. Promote the consumption of nutrient-enhanced foods.
2. Advocate for the provision of multiple micronutrient sachets for addition to a child’s meal before consumptions and addition to milling machines used in the community each time a pre-measured portion of grain is added.
5.3. Food Safety and Standards
Strategic objectives:
1. Improve/ensure food standards, quality and safety.
2. Develop food standards guidelines.
5.4. Caring for the Socio-Economically Deprived & Nutritionally Vulnerable
Strategic objectives:
1. Promote social protection interventions for improved nutrition
2. Promote participation by men in the provision of nutritional care and support for their families
3. Support the creation of community-based livelihood and growth-promotion programmes
4. Build capacity for the provision of nutritional care to socio-economically deprived and nutritionally vulnerable household members
5. Advocate for food and nutrition programmes directed to vulnerable groups
6. Ensure that all food packages aimed at nutritionally vulnerable groups meet nutritional standards.
5.5. Early Childhood Care and Development
Strategic objectives:
1. Improve the nutritional status of children in ECCD
2. Improve the nutritional status of children in primary schools
3. Reduce malnutrition in schools
4. Improve food and nutrition security
5. Increase knowledge on nutrition, food production and livelihood opportunities at all schools.
5.6. Water, Sanitation and Hygiene (WASH)
Strategic objectives:
1. Promote safety of drinking water, including commercially bottled water
2. Promote essential WASH practices (hand-washing with water and soap at critical times, treatment and safe storage of drinking water, and sanitary disposal of human faeces)
3. Promote water protection interventions
4. Advocate for water, sanitation and hygiene distribution services to households and other institutions.
5.7. Nutrition in Emergency Situations
Strategic objectives:
1. Strengthen nutrition early warning systems by including a food security and nutritional assessment
2. Strengthen the capacity of Government, UN agencies and NGOs to respond to nutrition and nutrition-related early warning information related to potential shocks
3. Ensure availability of specialised nutrition products, supplementary food, therapeutic food, safe drinking water and water purification commodities
4. Support integration and linkage of emergency programmes to livelihood interventions and social safety nets/transfers
5. Support infant and young child nutrition emergency principles, including breastfeeding support, essential WASH actions and access to other critical services.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202016%20Food%20and%20Nutrition%20Policy.pdf" "40739","NER","Niger","","Politique nationale de securite nutritionnelle au Niger","Comprehensive national nutrition policy, strategy or plan","","French","","2016","","2025","Structure chargée de la coordination de la politique nationale de securite nutrionnelle (PNSN)","","2016","Adopted","","2016","Ministère de la Santé","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry","Structure chargée de la coordination de la politique nationale de securite nutrionnelle (PNSN), conseils régionaux , conseils communaux, Ministère de l’Hydraulique et de l’Assainissement, Ministère de l’Environnement, de la Salubrité Urbaine et du Développement Durable,Ministère de la Population, de la Promotion de la Femme et de la Protection de l’Enfant","","","","Organisation de la Société Civile","","","","","National NGOs","","","","","secteurs concernées par l'alimentation","","Les Partenaires Techniques et Financiers","
But de la Politique
La présente politique vise à permettre au Niger d’atteindre les Objectifs de Développement Durable (ODD), particulièrement l’ODD2: éliminer la faim, assurer la sécurité alimentaire, améliorer la nutrition et promouvoir une agriculture durable.
Objectif général
La politique nationale sur la sécurité nutritionnelle, qui exprime l'engagement pris par le Gouvernement de la République du Niger, vise à éliminer toutes les formes de malnutrition au travers d’une large mobilisation multisectorielle de ressources institutionnelles, humaines, et financières.
Objectifs spécifiques
Engagement 1: Le Niger s’engage à assurer que les politiques et instruments qui protègent et améliorent la sécurité nutritionnelle et le cadre de vie des Nigériennes et des Nigériens, particulièrement au niveau des groupes vulnérables, soient formulés et guident les décisions et actions du Gouvernement et de ses partenaires.
Engagement 2: Le Niger s’engage à assurer une nutrition et un développement optimal pour chaque enfant, une nutrition adéquate durant l’adolescence en particulier pour les jeunes filles, et un apport nutritionnel approprié pendant la grossesse et l’allaitement.
Engagement 3: Le Niger s’engage à créer les conditions d’une disponibilité accrue de l’approvisionnement et de la consommation d’aliments diversifiés, pour garantir une alimentation quantitativement et qualitativement adéquate aux enfants de moins de cinq ans, aux adolescentes et adolescents, aux femmes enceintes et allaitantes et ceci durant les différentes périodes de l’année y compris la période de soudure.
Engagement 4: Le Niger s’engage à assurer le développement et la mise à l’échelle de stratégies permettant un accès à l’eau potable, et aux infrastructures d’hygiène et d’assainissement pour les enfants, les femmes et les hommes.
Engagement 5: Le Niger s’engage à ce qu’un socle de protection sociale ou des programmes de protection sociale contribuent directement ou indirectement à la promotion de la sécurité nutritionnelle en particulier pour les catégories les plus vulnérables.
Engagement 6: Le Niger s’engage pour une éducation formelle et non formelle qui promeut la sécurité nutritionnelle.
Engagement 7: Le Niger s’engage à lutter contre le surpoids et l’obésité, y compris la surnutrition des enfants, et à réduire l’incidence des maladies non transmissibles (prévenir et contrôler les maladies liées à la mauvaise alimentation et ses conséquences).
Engagement 8: Le Niger s’engage à développer et mettre à l’échelle des stratégies de communication cohérentes et multisectorielles assurant un support politique, des changements sociaux et de comportements favorisant une meilleure nutrition.
Note: for each commitment, stratgies are listed in document pages 15-21
","","","","Maternity protection|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202016%20PNSN_0.pdf" "36175","LKA","Sri Lanka","","Multisector Action plan for the prevention and control of Non communicable Diseases","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","Ministry of Health","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","Ministry of Health Ministry of Health, Ministry of Education, Ministry of Trade, Ministry of Sports, Ministry of Finance, Ministry of Mass communication, Ministry of Local Government","","WHO","","NCD alliance,","","WB","","","National NGOs","","","","","","","","Health and nutrition is crucial for the physical growth and mental development of school children. But studies carried out in the recent past show that children are suffering from various nutritional deficiencies. The main reason for this state of affairs is wrong food practices.
Healthy foods have an impact on learning achievement of the child. Lack of healthy and nutritious food affects learning, lead to nutritional problems like underweight, stunting, overweight and obesity and may cause non-communicable diseases such as heart disease, diabetes, cancer and dental problems. It is important to inculcate correct food habits in the school. It is necessary to ensure that instead of instant foods and carbonated drinks, every person takes adequate quantity of quality food as indicated in the National Nutrition Policy.
Creating awareness of correct nutritional practices and making such foods available, ensuring the safety of food and providing food at a reasonable price are expected of school canteens.
It will lead to the creation of a healthy generation of children devoid of nutritional problems.
Accordingly, from the school term commencing in January 2016, it is compulsory that the following criteria should be followed in supplying food in the school canteen as well as in the school environment.
1. The School Development Society must decide whether the school canteen is run by the School Development Society or by a contractor selected according to the procurement procedure. Whatever procedure is adopted, the responsibility for the school canteen is with the School Development Society.
(a) Ensure that facilities are available in all schools for students to obtain healthy foods in terms of the provisions of Food Act no. 26 of 1980 and the Consumer Protection Act no. 09 of 2003.
(b) Ensure the standards of cleanliness of persons handling food, places from where food is supplied and the utensils used in the preparation of food are clean.
(c) Encourage the sale of healthy foods in the canteen.
(d) Prohibit the sale of unhealthy foods with too much of oil, sugar, or salt.
…
1.0 Guidance on sale of food items in the canteen
…
2.0 Maintaining the environment of a healthy canteen
…
3.0 Food safety Preparation
…
4.0 Model recipes of Menu
…
5.0 Exhibits for display in and outside the canteen
…
","Underweight in adolescent girls|Overweight in school children|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|Provision of school meals / School feeding programme|School meal standard|Food safety|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Schools (standards)|Procure from local sources|Use recyclable food packaging|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Milk (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Unsaturated oils for cooking (standards)|Water (standards)|Whole grain bread and cereals (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Salt and high-sodium condiments (standards)|Carbonated or non-carbonated soft drinks (standards)|Energy and sport drinks (standards)|Liquid and powder concentrates (standards)|Ready-to-drink tea or coffee (standards)|Nudging / product placement","","","Manual on School Nutrition Programme https://moe.gov.lk/wp-content/uploads/2020/06/Manual-on-School-Nutrition-Program.pdf","","" "24485","UGA","Uganda","","United Nations Development Assistance Framework for Uganda","Non-national nutrition policy document","","English","","2016","","2020","","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Environment|Industry|Justice|Other","Foreign affairs","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNCDF, UN Habitat, UNEP, UN Women, OHCHR","Other","","","","","","National NGOs","","","","Private sector","","","","Outcome 2.2. Health By end 2020, Ugandan population enjoys healthier and productive lives with substantial reductions in mortality and morbidity, especially among children, adolescents, pregnant women and other vulnerable groups; and sustained improvements in population dynamics.
Output 2.2.2. Water, Sanitation and Hygiene (WASH) By end 2020, targeted institutions with adequate technical and operational capacity to deliver cost-effective and sustainable models of community-based safe WASH & environmental preservation systems; and hygiene, sanitation behavior change at household, health facility and school settings.
Output 2.2.3 Nutrition and Household Food Security By end 2020, coordination capacity of OPM and technical and operational capacity of targeted stakeholders strengthened to ensure operationalization and scale-up of proven high-impact, cost-effective, multi-sectoral, integrated and community-based nutrition & Household Food Security interventions that effectively contribute to reducing stunting and other forms of malnutrition and enhanced food security.
Output 2.2.5. Dual burden of communicable and non-communicable diseases (NCD) By end 2020, equitable and increased coverage of effective preventive and care services, particularly for major communicable diseases (malaria, HIV/AIDS, TB) targeting most-at-risk populations; and comprehensive NCD control and management of major risk factors (tobacco, alcohol and substance abuse, physical inactivity and diet) and mental health.
","2.2.2.1. Provide Technical and financial support to MWE for strengthened coordination of the WASH partnerships and improved resource allocation
2.2.2.2. Strengthen national and district functional and financial capacity to increase coverage of water and sanitation services in rural growth centers, health facilities and schools, including in humanitarian situations
2.2.2.3. Support MoH and MoLG Scale-up community-led total sanitation (Hygiene promotion)
2.2.2.5. Support MoLG and private sectors for a sustained, community ownership and maintenance of water and sanitation, infrastructures
2.2.2.6. Support OPM, MoH, MWE, and LGs, MoES, to operationalize an integrated ( communities, schools and Health centers) WASH resilience programme
2.2.3.2 Support advocacy efforts with parliament and relevant ministries for leveraging domestic resources for nutrition
2.2.3.3 Provide technical support to MWE, MoES, MoLG and MoH to scale-up and sustain high-impact child and maternal nutrition interventions with a particular focus on the first 1000 days of life, including in humanitarian situations
2.2.3.4 Support OPM, MoH and other UNAP stakeholders in evidence generation on the burden of all forms of malnutrition; nutrition-sensitive budgeting and equity-focused planning
2.2.3.5 Provide technical and financial support to the OPM and relevant sectors to implement the National Nutrition and Food Security Monitoring and Evaluation Framework
2.2.5.1 Strengthen evidence generation and use for, policy formulation, programming, advocacy for multisectoral collaboration, enhanced partnerships, increased financing for accelerated scale up of service coverage for communicable and non-communicable diseases
2.2.5.2 Provide technical and financial support to MoH to develop/review policies, strategies, guidelines and plans for communicable and non- communicable diseases
2.2.5.3 Support capacity building at all levels for sustainable prevention and control of communicable and non-communicable diseases
","Percentage of rural and urban people with access to improved sanitation, by rural/urban
Percentage of people with access to (and using) hand washing facilities (households and schools)
Existence of national Integrated Food and Nutrition M&E System
Number of districts with a functional comprehensive community- based nutrition model
National Food consumption score
Prevalence of major NCD risk factors
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202016%20UNDAF.pdf" "36033","TZA","United Republic of Tanzania","","TFNC Strategic Plan 2016/21","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","TFNC","7","2016","Adopted","","2016","TFNC","Nutrition council|Education and research|Information|Sub-national","TFNC, Mass media","","UN-REACH","","","","","","","National NGOs","","Research/academia","","Private sector","","","DNET, DFPA, DNPP,","In total eight objective forms the Plan including the two generic objectives. The derived objectives are:
(i) Coordination of nutrition and nutrition related activities strengthened;
(ii) Research and training on subjects related to food and nutrition improved;
(iii) Food and nutrition programme for the benefit of the public strengthened;
(iv) National nutrition information and data improved;
(v) Planning, budgeting, financial controls and soliciting of funds strengthened; and
(vi) Staff welfare and capacity enhanced;
Objective A: Service improved and HIV/AIDS infections and non-communicable diseases reduce reduced
Objective B: Enhance, Sustain and Effective Implementation of the National Anti-Corruption Strategy
Objective: Service improved and HIV/AIDS infections and non-communicable diseases reduce reduced
Targets
Objective: Coordination of nutrition and nutrition related activities strengthened;
Targets
Objective: Research and training on subjects related to food and nutrition improved
Targets
Objective: Food and nutrition programme for the benefit of the public strengthened
Targets
Objective: National nutrition information and data improved
Targets
Objective: Planning, budgeting, financial controls and soliciting of funds strengthened
Targets
Objective: Staff welfare and capacity enhanced
Targets
Objective: Service improved and HIV/AIDS infections and non-communicable diseases reduce reduced
Indicators
Objective: Coordination of nutrition and nutrition related activities strengthened;
Indicators
Objective: Research and training on subjects related to food and nutrition improved
Indicators
Objective: Food and nutrition programme for the benefit of the public strengthened
Indicators
Objective: National nutrition information and data improved
Indicators
Objective: Planning, budgeting, financial controls and soliciting of funds strengthened
Indicators
Objective: Staff welfare and capacity enhanced
Indicators
The NMNAP’s broad goal is to accelerate scaling up of high impact multisectoral nutrition specific and nutrition sensitive interventions and creating an enabling environment for improved nutrition, to contribute to the building of a healthy and wealthy nation.
NMNAP Key targets by 2020/21
4.5 Key strategies
4.5.1 Community-centred multisectoral approach as overarching strategy
82. Acknowledging that nutrition is a crosscutting issue that requires the effective contribution of multiple actors, sectors and administrative levels, the NMNAP is based on a national multisectoral strategic nutrition framework for planning, implementation and coordination. Thus, the overarching strategy for the NMNAP is a community-centred multisectoral nutrition approach that explicitly embraces simultaneous actions for nutrition specific interventions at the level of immediate causes and nutrition sensitive interventions at the levels of underlying and basic causes of malnutrition. A multisectoral nutrition system is composed of multiple sectors (e.g. agriculture, health, WASH (water, sanitation and hygiene), education, social protection, environment); multiple levels (national, regional, Local Government Authorities and importantly the community); and multiple partners (Government, development partners – UN/multi-laterals, bilaterals, NGOs, CSOs, academia and private sector). The multisectoral community-centred strategy is based on the overwhelming scientific evidence that achieving high coverage of the evidence-based high impact nutrition interventions (Lancet Nutrition Series 2008 and 2013) requires multisectoral harmonization and collaboration with key nutrition stakeholders.
4.5.2 Supportive cross-cutting strategies
83. The overarching multisectoral approach is complemented by several supportive strategies which are relevant and applicable to each of the seven key result areas. These include: -
1) Social and Behaviour Change Communication (SBCC) for nutrition through interpersonal communication and mass media to promote adoption of appropriated behaviours and practices and commitment to achieving common results for everyone and everywhere in the country for improved nutrition. The NMNAP will use the SBCC Strategy for 2013-2018.
2) Advocacy and Social mobilization to sustain political will and Government commitment for nutrition and to mobilise adequate resources for nutrition. Social mobilisation activities are important to create awareness of the problems of malnutrition among decision makers and community members to improve nutrition. For example, a 2013 landscape analysis by TFNC found that policy makers and communities do not perceive stunting and micronutrient deficiencies as problems to be addressed. Since many of the actions in advocacy and social mobilization require behavioural, attitude and practice changes by policy makers and communities for overall societal change all types of media need to be involved. Social mobilization will also increase the participation of communities in the implementation of the NMNAP. Since the key actors for improved nutrition are households and communities ensuring their active participation of communities is a critical success factor for the NMNAP.
3) Community-Centred Capacity Development (CCCD): The development of human, institutional and organizational capacity is critical in the implementation of the NMNAP especially at the community level. Community participation in doing their own triple A processes of assessment, analysis and action can be greatly enhanced by developing the capacity of the community and that of community-based organisations to support social accountability mechanisms (see section 6.1 for definition of social accountability). Recognizing that communities constitute the greater whole of society and that they exist in relationship with society as a whole, development of capacity of communities should go hand in hand with developing capacity at the higher levels – council, district, region, national.
4) Developing functional human resource capacity: Although human resource technical capacity in nutrition is fairly adequate, functional capacity in communication skills, coordination and strategic leadership and management requires further development. System-wide development of nutrition relevant institutions, especially for TFNC as the institutional leader in the implementation of this NMNAP will be given priority. Institutionalization of the nutrition steering committees at all levels and developing their functional capacity will be further explored.
5) Aligning all stakeholders with the NMNAP through Community-Public-Private Partnerships (C-PPP) using the “three ONES principle” of ONE plan, ONE coordinating mechanism and ONE monitoring and evaluation framework, so that every stakeholder come together to tackle malnutrition and build an enabling environment for improved nutrition with equity. Capacities will be developed to conduct and manage C-PPPs as part of a collaborative leadership strategy. Forming strategic partnerships at all levels of the nutrition system will enhance coordination and accountability. Strategic collaboration, including the engagement of the private sector through implementation of appropriate principles of social and corporate responsibility, is likely to result in cost-efficiency and effectiveness and promote ownership and sustainability.
6) Delivery of quality and timely nutrition services: This NMNAP will promote the delivery of nutrition and nutrition-relevant services that are timely and of high quality. Tools will be put in place to assess the effective implementation and delivery of services, and where bottlenecks are identified, remedial and corrective measures will be adopted including legal enforcement as appropriate.
7) Mainstream equality in all the seven Key Result Areas of the NMNAP without discrimination, focusing on women, children and adolescent girls. Although generally Tanzania has made good progress in empowering women, traditional patriarchal practices remain, that favour men, including in nutrition relevant practices, and are often reflected in both formal and informal systems and institutions especially in the rural areas.
8) A resource mobilization strategy will be developed to advocate for resource allocation to the NMNAP by both Government and partners.
9) Tracking progress and operational research and development will be promoted to ensure key lessons and insights gained from the implementation of the NMNAP are learnt and used in adjusting and improving the proposed interventions at regular intervals and linking research with programmes and training. Research will also provide quality assurance, robust data on program performance and support learning. Linking research to the programmes and to training will assure evidence-based sharing of experience and intergenerational transfer of knowledge. Efforts will be made to link the implementation of the NMNAP with nutrition-relevant centres of excellence both nationally and internationally.
10) Overall planning and coordination is a key strategy to align implementation of the NMNAP to achieve far greater results than what single sectors could achieve alone.
","note: indicators are embedded in targets: see above and document, table 4, p49
","Outcome indicators","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Staple foods|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Family planning (including birth spacing)|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.tfnc.go.tz/uploads/publications/en1512587132-NMNAP%202016-21.pdf ","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf" "24490","TZA","United Republic of Tanzania","","United Nations Development Assistance Plan","Non-national nutrition policy document","","English","","2016","","2021","UN country team of Tanzania","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry|Sub-national|Other","","International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, ITC, OHCHR, UN Habitat, UNCTAD; UNEP, UNODC, UNV, UN Women, UNCDF, IOM","Other","","","","","","National NGOs","","","","Private sector","","","","Outcome statement: Increased coverage of equitable, quality and effective nutrition services among women and children under five
Output: Improved nutrition specific services for women and children under five available
Output: Relevant MDAs and select LGAs are better able to realize a multi-sectoral nutrition response at national, regional and district level
Output statement: Vulnerable groups have increased access to safe and affordable water supply sanitation and hygiene
Output: Select MDAs are better able to formulate policies, plans and guidelines for the sustainable management of water, sanitation and hygiene
Output: Select LGAs have enhanced capacity to plan and implement sustainable water, sanitation and hygiene services
","Tanzanians’ consistently poor nutritional status demands action. UN Tanzania will therefore support duty bearers to realize a multi-sectoral nutrition response at national, regional and district levels for those living on both the mainland and Zanzibar, supported by an effective nutrition information and surveillance system. The quality and coverage of services for those most at risk of poor nutritional outcomes, namely women and children under five, will also be enhanced.Key government institutions and select LGAs will be supported to effectively integrate nutrition in their planning and budgeting processes, with emphasis given to a multi-sectoral approach with concomitant resources for coordination. It is anticipated that >80% of all LGAs on the mainland will implement nutrition plans and budget that include at least five nutrition specific or sensitive interventions integrated in their MTEFs by 2021. Regional and district nutrition officers plus health workers will be given regular technical and supervisory training to ensure they meet the highest professional standards whilst agricultural extension workers will be afforded supplies and technical expertise to mainstream nutrition in their food security interventions.
Nutrition services for women and children under five will receive a boost with service providers enabled to promote appropriate Maternal, Infant and Young Child Feeding methods through counselling and supplies provision, including use of iron-folic acid supplements during pregnancy, exclusive breastfeeding for infants under five months and provision of vitamin A supplements and deworming for those between 6-59 and 12-59 months respectively. Additional support will be afforded for the treatment of Moderate and Severe Acute Malnutrition (SAM) by health workers, including those operating at the community level. It is anticipated that the numbers of children with Moderate Acute Malnutrition treated in UN supported districts will rise from 5,000 in 2014 to 30,000 by 2021, whilst those treated for SAM will increase from 7,000 to 80,000 over the same five year period. Moreover, small and medium scale producers will be facilitated to provide food fortified with micronutrients specifically Vitamin A, Iron and Iodine.
Implementation of the national Nutrition Action Plan will be monitored through regular sector reviews and remedial action effected where required. Furthermore, regular nutrition surveys at national, regional and district levels will provide timely, quality and disaggregated data for decisionmaking, resource mobilization and effective programming, with accountability improved through the use of nutrition scorecards across mainland and Zanzibar.
Further, the MoHSW will be supported to develop and disseminate the national strategy and guidelines for WASH in health facilities which includes the promotion of sound WASH behaviours and management of medical waste. As a complement, technical and financial assistance will be afforded for the implementation of WASH in priority health facilities alongside schools and communities, with compliance to national guidelines assured. In addition, a National Behaviour Change Communication Strategy for the promotion of sanitation and hygiene will be developed and disseminated.
","% of girls and boys age 6-59 months who receive vitamin A supplement during the previous 6 months
% of pregnant women who receive iron-folic acid supplement for at least 90 days
% of infants 0-5 months (girls and boys) who are exclusively breastfed
% of children aged 0-59 months with Severe Acute Malnutrition (SAM) appropriately treated
% if targeted districts with at least 90% of children aged 6-59 months covered with two annual doses of vitamin A supplement
% of small and medium scale miller fortifying flour in UN supported Districts in mainland
% of mothers/caregivers of children 0-23 months who participate in counselling sessions on IYCF in UN Supported Distrcits
# of SAM children treated according to WHO guidelines in UN Supported Districts
# of MAM children treated according to WHO guidelines in UN Supported Districts
% of children 6-23 months participating in supplementary feeding programme in UN Supported Districts in mainland
% of districts on the mainland with nutrition plan and budget that includes at least five nutrition specific or sensitive interventions integrated in MTEF
% of LGA budgets on the mainland allocated to nutrition activities
% of population using improved safe drinking water source
Status if national WASH behaviour change communication (BCC) strategies
% of LGAs implementing activities based on a comprehensive MIS- informed local plan for WASH
% of schools with a functional WASH package meeting national guidelines in UN supported districts
% of health care facilities complying with national WASH guidelines in UN supported districts
% of water points which are functional
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/---ilo-dar_es_salaam/documents/publication/wcms_549240.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202016%20UNDAP.pdf" "25934","TZA","United Republic of Tanzania","","Strategic and Action Plan for the Prevention and Control of Non Communicable Diseases in Tanzania 2016-2020","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health, Community Development, Gender, Elderly and Children","5","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Trade|Industry","","","","","","","","","","","","","","","","","","• Reduction in the mean population intake of salt to less than 5gms per day
• 0% increase in obesity prevalence from baseline
• 25% reduction from baseline in the prevalence of raised blood pressure
• 10% reduction from baseline in the proportion of individuals with raised total cholesterol
• 10% reduction from baseline in the prevalence of diabetes
","3.10.3.2.5 Priority actions and activities for strategic intervention to: Reduce modifiable NCDs risk factors and create health promoting environment
Indicators of Success
Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","
Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","
4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
Ministry of Education: Promote a healthy diet in the School Feeding Program
Ministry of Agriculture:
Encourage communities to grow and consume fruits and vegetables.
Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
Promote healthy eating and balance diet
Ministry of Commerce and Industry:
Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
Enforce food labeling on all foods being sold to the public.
A1.5 Renforcer la législation (lois sur la santé mentale, commercialisation des aliments, allaitement maternel, personnes handicapées, utilisation du sel, protection des consommateurs
S 2 Réduction de l’exposition aux FdR modifiables et environnementaux (écologiques) des MNT et des Handicaps en créant des environnements favorables à la santé
","
1. Vision and missions
Vision: To promote physical, mental and social health of entire students
Mission: Developing Health Promoting Schools for learning and working environment for all education families
Purpose of this strategy is to provide systematic framework to promote physical, mental and social health of entire students and promote healthy behaviour to prevent communicable and non-communicable diseases as well as determinants of health and risk factors to prevent diseases through comprehensive health promoting school approach
","Strategic 2: Improve health and well-being through health literacy and Services
This strategy is the key toward prevention and promotion of health in school settings that include school students, teachers, parents and community participation in children’s health and well-being, as well as provide multiple effects on health and sustainable development.
Based on standard of health promoting school, basic health services and health education need to be in place. To strengthen current promotion of healthy lifestyles, health literacy is emphasis
Four level of services based on the situation in each school;
Basic health services (minimum package) (BHS): mostly feasible in all school
without financial support
Basic health education and literacy on healthy behaviour (physical activity, diet, personal hygiene, awareness of tobacco products and alcohol consumption, etc.)
Promote physical activity and active life-style to reduce NCD risk factors, and sustainable development
Prevention of infectious disease through improving hygiene include oral health and menstrual hygiene
Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
Prevent injury and develop the safety environment in/around school
Basic sanitation and waste management in school( Basic WASH facilities)
Basic life-skills education including reproductive health
Basic health promotion package plus (BHP+): including the “basic health services”
with additional items that are mostly feasible in all school with financial support
Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
Provide the school health service for improvement of overall health for students including parents, peer and community supports including address bullying and violence in schools
Prevent and control specific communicable diseases (HIV/AIDs, Dengue, TB, malaria, encephalitis, leprosy, etc.)
Intermediate package with advancement (IPA): including the implementation of all the
basic school health services, other health promotion package, and select these objectives based on the school/community situations and resources
Oral Health Check-up by dentist
Eye check-up byotolaryngologist
Reproductive health and gender equality
Prevent alcohol and substance abuse
Advance stage of school health services (ASH): depend on resource and needs in
each school the following activities can be integrated to response to specific needs.
As the country still have low capacity on counselling and psychosocial support for schools, mental health issue required more advance steps to advocate for human resources, training, research, and active participations of students to address mental health issue in schools.
Mental health including suicide prevention, screening and treatment of mental health related problems.
Strengthen school resilience for climate change and disaster preparation
Whole-school approach:
Based on the Myanmar students’ health concerns reported in recent surveys GYTS and GSHS, whole-school approach need to be adopted to address high priorities health issues namely tobacco and alcohol consumption, bullies, carbonated and sugary added drinks, and injuries.
Whole-school approach is proven to be most effective to change behaviour and address
factors hazardous to health. Strategically, comprehensive school health should address the
immediate health issues by:
…
Call for healthier schools
Make it school policy to control sale and distribution of carbonated sugary drinks in school
Remove sugar added drinks in canteen or school dispensers in all occasion (especially in school events)
Health education to students and parents on effects of carbonated sugary drinks
Conduct health literacy on healthy and nutritious food and beverages
…
Partnership with community to generate secure, safe, healthy environment for children inside and outside school boundary
Community plays crucial roles in protection and safe guard school environment both inside and outside the boundary. Major activities may include
Coordination with communities to create secure, safe, and healthy environment for students of all ages
Community leaders could be part of school health committee to share their view, learn and contribute to building safe, protective, and healthy environment for children. Community involvement in school food gardening or building safe playground is common in many countries. Positive impacts from community engagement also include child’s watch programme to prevent bully and violence; to stop selling of alcohol, cigarette, drugs and substances to students; to zone out selling of unhealthy products such as carbonated drinks, high sugar content beverages and snacks, as well as to introduce speed limit around the schools, street crossing regulation, and other preventions of traffic accident, injuries and disability prevention.
...
Major Activities
...
2.2.4 Nutrition services or school food programme (safe and standard nutrition, including school lunch menu and cafeteria/food service environment, along with health education)
2.3.1 Promote specific healthy diet and nutrition to reduce obesity and address double burden of malnutrition
…
Recommendations for School Level Implementation
A. List of Facilities and Equipment in school
...
Activities and services: Facilities
Equipment and costing
Basic health promotion package plus (BHP+)
Promote healthy diet and nutrition (reduce obesity and address double burden of malnutrition)
School feeding:
- foodstuffs, kitchen, drinking water, cooking materials, cook
Health check-up (height and weight) and assessment and feedback of their nutritional condition
height and weight scale
Student medical examination
record cards recording sheet
Gardening / plant cultivation in school for nutritional improvement
farmland, farming material, seed, irrigation water, organic fertilizer
Calculation of energy intake and consumption.
information for the calculation
Healthy lunch box guide and demonstration
Healthy lunch box examples
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
text book/ charts
…
Objectives:
...
4. Promote healthy diet and nutrition (reduce obesity and address double burden of malnutrition)
Beneficial/target groups:
Kindergarten and primary school children
Recommended activities and services needed
- School feeding if possible, by the supports of donors
- Health check-up (height and weight) and assessment and feedback of their nutritional condition
- Student medical examination record cards
- Gardening / plant cultivation in school for nutritional improvement
Suggested Strategies for school level policy or administration:
Develop the school lunch/feeding program based on the socioeconomic analysis of school and community
Strengthen the Health check-up system including record sheet management.
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
Beneficial/target groups:
Secondary school students
Recommended activities and services needed:
- Health check-up (height and weight) and self-assessment their nutritional condition
- Calculation of energy intake and consumption.
Suggested Strategies for school level policy or administration:
Develop the education curriculum for diet, nutrition, growth of body, body mass index and obesity/malnutrition
Beneficial/target groups:
Teachers and parents
Recommended activities and services needed:
- Healthy lunch box
- School canteens programme
- regulation of school canteen about selling foodstuffs and food safety measures
Suggested Strategies for school level policy or administration:
Education on healthy lunch box and screening of food handlers at home and in school
","C. Recommended checklist for School implementation
HPS Activities implementation status in school
...
Nutrition and School feeding program
% of children who receive the school feeding program
How many days dose SFP conduct in school
note/scale
% of children times/y
…
I. Goal and Implementation index
General Indicator
General indicator of children's health improvement 2013-14 2017 2018 2019 2020 2011 2022
Health check up
Rate of overweight / obese children by age and gender: 2013-14 (3.4%); 2020 <3%; 2022 <2%
Rate of thin or malnutrition children by age and gender: 2020 <10%; 2022 <7%
","","","Overweight in school children|Dietary practice|Sugar intake|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens","","http://mohs.gov.mm/su/hzqTZG","","","" "39770","NAM","Namibia","","National Multisectoral Strategic Plan For Prevention and Control of Non-Communicable Diseases (NCDs) in Namibia 2017/18 – 2021/22","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2022","Ministry of Health and Social Services, Primary Health Care Directorate, Family Health Division, Non-Communicable Diseases (NCDs) Programme","11","2017","Adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Industry|Information","","","","","","","","","","National NGOs","","","","","","","","POLICY AND GUIDELINES ON HEALTHY FOOD AND BEVERAGE CHOICES IN SCHOOLS AND IN DEPED OFFICES
...
2. The Policy and Guidelines aim to:
a. make available healthier food and beverage choices among the learners and DepEd personnel and their stakeholders;
b. introduce a system of categorizing locally available foods and drinks in accordance with geographical, cultural, and religious orientations;
c. provide guidance in evaluating and categorizing foods and drinks; and
d. provide guidance in the selling and marketing of foods and beverages in schools and DepEd offices including the purchasing of foods for school feeding.
...
Objectifs strategiques 3
Améliorer les compétences individuelles en matière de santé et de lutte contre les MNT
Objectifs Spécifiques
3.1. Amener au moins à 80% le nombre de personnes qui connaissent les 4 principaux facteurs de risque associés aux MNT (alimentation trop grasse, trop huilée, trop sucrée, trop salée, insuffisance de la consommation de légumes et fruits, obésité et manque d’activités physiques, tabagisme et alcoolisme);
3.2. Amener au moins à 80% le nombre de personnes qui sont au courant de l’existence de lois protégeant contre certains facteurs de risque des MNT (tabac, alcool, composition des aliments, produits de dépigmentation, environnement…);
3.3. Amener au moins à 50% le nombre de personnes qui affirment avoir réduit leur consommation de sel;
","
Ainsi, en plus des programmes de sensibilisation et d’éducation des populations sur les facteurs de risques, la mise en place de législations et de politiques fiscales (telles que l’application des sanctions (verbalisation), la taxation sur le tabac, l’alcool, les boissons sucrées, la lutte contre la publicité du tabac et des produits de dépigmentation) de même que la subvention pour soutenir l’accès à des aliments sains (fruit, légumes…) seront encouragés.
D’autres actions seront aussi encouragées notamment en organisant des lieux de vie propices à la santé (pistes cyclables, installations sportives et de loisirs attrayants, préservation des espaces naturels et de détente, préparation de repas sains dans les cantines au travail, à l’école ou dans les niches socio-économiques défavorisées (gares routières), etc.…).
","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Taxation on unhealthy foods|Subsidies on healthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Salt reduction|Nutrition education|Food safety","","https://extranet.who.int/ncdccs/Data/SEN_B3_Plan Stratégique MNT VF Juillet 2017.pdf","","WHO NCD Document Repository","" "41889","TJK","Tajikistan","","ПОСТАНОВЛЕНИЕ О СТРАТЕГИИ УСТОЙЧИВОГО РАЗВИТИЯ ШКОЛЬНОГО ПИТАНИЯ В РЕСПУБЛИКЕ ТАДЖИКИСТАН НА ПЕРИОД ДО 2027 ГОДА / On Sustainable Development of School Nutrition in Tajikistan up to 2027","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Russian","9","2017","","2027","Government of Tajikistan","9","2017","Adopted","9","2017","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Sub-national|Other","National Standards Agency","","","","","","","","","","","Research/academia","Agricultural Institutes; Nutrition Research Institutes","","","Other","Public Schools","6. Стратегия предусматривает поэтапное расширение охвата системой школьного питания общеобразовательных учреждений в зависимости от экономических возможностей, социального и демографического развития Республики Таджикистан и отдельных регионов.
7. Стратегия разработана с учетом возможности предоставления бесплатного питания детям из необеспеченных семей и частичного софинансирования стоимости школьного питания для семей с низким уровнем доходов.
28. Реализация стратегии будет осуществляться в соответствии с целями, задачами и основными направлениями развития системы школьного питания, определенными в концепции улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан.
29. Целью стратегии является обеспечение условий для сохранения и укрепления здоровья и совершенствования образовательных результатов учащихся через устойчивое развитие школьного питания в Республике Таджикистан.
30. Для обеспечения устойчивого развития школьного питания в Республики Таджикистане требуется решение следующих задач:
31. Решение предусмотренных настоящей стратегией задач осуществляется путем разработки и реализации краткосрочных, среднесрочных и долгосрочных программ, пилотных проектов и иных мероприятий по отдельным направлениям реализации настоящей стратегии
","32. Основными направлениями действий по совершенствованию государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
46. На первом этапе (2017 - 2018 годы) осуществляется формирование базовых условий, необходимых для развития системы школьного питания в Республике Таджикистан и решения задач, определяемых настоящей стратегией:
47. На втором этапе (2019 - 2020 годы) осуществляется:
49. На третьем этапе (2021 - 2026 годы) осуществляется:
38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
3. Promote healthy diet and physical activity
3.1 Conduct a national survey on salt use.
3.2 Promote healthy diet and physical activity through the healthy city program
3.3 Promote healthy diet and physical activity in schools.
3.4 Raise public awareness about healthy diet and physical activity through mass media.
3.5 Develop and implement the national action plan on salt reduction
3.6 Replace trans-fat with unsaturated fat
3.7 Develop national guideline on nutrition for all sectors
3.8 Strengthen the management of advertisements (food and non-food products) that are fraud, misleading or cheating about the quality and safety of products to be used without following established regulations.
3.9 Manage taxes on foods and subsidies
3.10 Replace saturated fat with unsaturated fat
3.11 Provide health and safety education at low income workplaces
3.12 Reduce consumption of plastic products
","Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","
Objectif Stratégique (OS) n°1 : Réduire d’au moins 20% la prévalence du retard de croissance d’ici 2021 au niveau national
OS.1.1. Réduire d’au moins 40% la prévalence du retard de croissance dans les régions de Sédhiou, Tambacounda, Kédougou, Kolda, Louga Kaffrine, Fatick, Matam, Diourbel ;
OS.1.2. Réduire d’au moins 15% la prévalence du retard de croissance dans les autres régions (Dakar, Thiès, Kaolack, Saint-Louis, Ziguinchor) ;
OS.1.4.Augmenter d’au moins 30% la proportion de femmes enceintes et allaitantes qui ont un régime alimentaire varié, diversifié, de quantité suffisante et équilibrée ;
OS.1.5. Augmenter à 20% au moins la proportion d'enfants 6-23mois qui bénéficient d'un apport alimentaire minimum acceptable.
Objectif Stratégique (OS) n°2 : Réduire de 15% la proportion d’enfants ayant un faible poids de naissance, d’ici 2021
OS.2.1. Réduire d'au moins 40% la prévalence du faible poids de naissance dans les régions Centre et Nord ;
Objectif Stratégique (OS) n°3 : Réduire à moins de 5% la prévalence de la malnutrition aigüe des enfants de 0 à 5 ans
OS.3.1. Réduire à moins de 10% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les régions de Saint Louis, Matam, Louga, Tambacounda et Diourbel ;
OS.3.2. Réduire à moins de 5% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les autres régions.
OS.2.2. Réduire d'au moins 20% la prévalence du faible poids de naissance dans les régions Sud, Sud-Est et Ouest.
Objectif Stratégique (OS) n°4 : Porter à 43% au moins le taux de l’Allaitement Maternel Exclusif durant les 6 premiers mois
OS.4.1. Réduire de 50% le pourcentage de femmes qui donne de l’eau en plus de l’allaitement maternel pendant les six (06) premiers mois ;
OS.4.2. Porter la mise au sein précoce (dans l’heure qui suit la naissance) à 50% au moins.
Objectif Stratégique (OS) n°5 : Réduire de 25% la prévalence de l’anémie chez les groupes vulnérables
OS.5.1. Réduire de 25% la prévalence de l’anémie chez les enfants de 6 - 59 mois ;
OS.5.2. Réduire de 25% la prévalence de l’anémie chez les adolescentes (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.5.3. Réduire de 25% la prévalence de l’anémie chez les femmes en âge de reproduction.
Objectif Stratégique (OS) n°6 : Réduire d’au moins 20% la prévalence des carences pour les autres micronutriments (iode, zinc et vitamine A)
OS.6.1. Réduire de 20% la carence en zinc chez les enfants de moins de 5 ans ;
OS.6.2. Réduire d’au moins 20% la prévalence de la carence en iode chez les FAR ;
OS.6.3. Réduire d’au moins 20% la prévalence de la carence en iode chez les FE ;
OS.6.4. Réduire d’au moins 20% la prévalence de la carence en Vitamine A chez les enfants de moins 5 ans ;
OS.6.5. Porter à 80% le taux de consommation de sel adéquatement iodé dans les ménages.
Objectif Stratégique (OS) n°7 : Réduire de 10% la prévalence de l’obésité chez les groupes vulnérables
OS.7.1. Réduire la prévalence de l’obésité d’au moins 5% chez les enfants de moins de 5 ans ;
OS.7.2. Réduire la prévalence de l’obésité de 5% chez les adolescents (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.7.3. Réduire la prévalence de l’obésité de 5% chez les FAR.
","","*Voir le Tableau 1 sur la page 70
","","","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|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|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|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Vitamin A|Other B-vitamins|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","http://intomorrowetrust.com/psmn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2017-2021-Plan%20Strategique%20multisectorel%20de%20la%20Nutrition.pdf" "40346","BEN","Benin","","Plan stratégique intégré de lutte contre les maladies non transmissibles 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé","11","2018","","","","","Cabinet/Presidency|Health|Education and research|Development|Trade","","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","- Promouvoir un régime alimentaire équilibré
- Assurer la consommation d’au moins 5 portions de fruits et légumes par jour
","Adoption de mesures favorisant une alimentation équilibrée
Plaidoyer pour la mise en place des environnements favorables à la consommation de fruits et légumes
Communication pour un changement de comportement
Objetivo específico
Posicionar el abordaje integral de las ENT en la agenda nacional multisectorial como un problema prioritario de salud públicEstrategia 1.1: Fortalecer alianzas y acciones intra y multisectoriales para el abordaje integral de las Enfermedades no Transmisibles
Línea de acción
Incluir en los diferentes espacios intra e intersectoriales de carácter técnico y político, el análisis de las medidas, resultados y su impacto en las ENT
Promover la corresponsabilidad y la participación activa de instituciones públicas y privadas para potenciar en la población ambientes, modos y estilos de vida saludable
Objetivo específico
Fomentar la promoción de la salud y la prevención de las Enfermedades No Transmisibles con participación intra e intersectorial y de la sociedad civil como parte de su abordaje integral
Estrategia
Implementar intervenciones estratégicas de promoción de la salud, educación para la salud y prevención de las Enfermedades no Transmisibles con participación social e intersectorial
Línea de acción
Implementación del plan nacional intra e intersectorial y multidisciplinario de intervenciones estratégicas de promoción de la salud y educación para la salud.
","","
Monitoreo, evaluación y rendición de cuentas
El presente plan de implementación será monitoreado de manera trimestral y evaluado semestral y anualmente con participación intra e intersectorial y de la sociedad civil. Los resultados de las evaluaciones serán presentados en el marco de rendición de cuentas para el seguimiento de los avances y realizar ajustes necesarios para el cumplimiento de la Política Nacional para el Abordaje Integral de las ENT.
Objetivo específico
Fortalecer la vigilancia en salud pública y desarrollar investigaciones para la toma de decisiones en el abordaje integral de las Enfermedades No Transmisibles
Estrategia
Fortalecer el Sistema Único de Información en Salud (SUIS)
Línea de acción
Desarrollo e implementación de la vigilancia en salud pública dentro del SUIS para el abordaje integral de las ENT Diseñar el componente de vigilancia en salud pública de las ENT.
","Process indicators","","Raised blood glucose/diabetes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Physical activity and healthy lifestyle","","http://asp.salud.gob.sv/regulacion/pdf/planes/planimplementacionpoliticaabordajeenfermedadesnotransmisibles2019.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV%202019%20Plan%20implementacion%20politica%20abordaje%20enfermedades%20no%20transmisibles.pdf" "96701","MOZ","Mozambique","","Estratégia de Alimentação Saudável, Actividade Física e Saúde 2019-2023","Comprehensive national nutrition policy, strategy or plan","","Portuguese","","2019","","2023","Ministério da Saúde","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Industry","Nutriçaõ e Saúde, Agricultura, Educação, Juventude e Desportos, Indústria e Comércio, Finanças,Acção Social, Sociedade Civil, Associação dos Consumidores, Sector Privado, Obras Públicas e Habitação","","","","","","","","","National NGOs","","","","","","","","","","","","","International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fruits|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School gardens|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|Subsidies on healthy foods|Media campaigns on healthy diets and nutrition|Iodine|Food fortification|Food grade salt|Conditional cash transfer programmes","","https://extranet.who.int/ncdccs/Data/MOZ_B16_s21_Estratégia Alimentação Saudável e Actividade Fisica 2019-2023 MISAU.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MOZ%202018%20Estrat%C3%A9gia%20Alimenta%C3%A7%C3%A3o%20Saud%C3%A1vel%20e%20Actividade%20Fisica%202019-2023%20MISAU.pdf" "40328","NER","Niger",""," Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles 2019-2021","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","","","2019","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Labour","Assemblée nationaleMinistère en charge de la Renaissance Culturelle","World Health Organization (WHO)","","","","","","","","National NGOs","Société Civile (ONG, Associations et Fondations)","","","","","","","Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
E- CIBLES
Objetivo General
Garantizar las oportunidades para el desarrollo integral de niñas y niños desde la gestación hasta cumplir los 9 años.
Objetivos específicos
Acciones clave
Evaluación
La evaluación de la Estrategia Nacional para el Desarrollo Integral de la Primera Infancia abordará procesos, productos, resultados e impacto. Se realizarán tres evaluaciones: inicial, intermedia y final. La evaluación inicial al finalizar el tercer año de la implementación, la evaluación intermedia al finalizar el séptimo año de implementación y una evaluación final, al concluir el décimo año de implementación.
Indicadores
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:
Objective three
Strategies:
Objective Four
Strategies:
Objective 5
Strategies:
Objective Six
Strategies:
Objective Seven
Strategies:
Specific Objectives of the M&E plan for the NNP are to:
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
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" "40713","SLV","El Salvador","","Estrategia multisectorial educativa y de comunicación social para promover comportamientos alimentarios adecuados y actividad física en la población salvadoreña","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2018","","","Ministerio de Salud","2","2019","Not adopted","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research","","","","","","","","","","","","","","","","","","Objetivo General
Promover comportamientos alimentarios adecuados y actividad física en la población salvadoreña, que contribuya a disminuir los problemas de malnutrición y las Enfermedades No Transmisibles (ENT), a través de acciones multisectoriales de educación, comunicación e incidencia social. A. Objetivos específicos: 1. Fortalecer la adopción de patrones alimentarios adecuados, para la prevención de la malnutrición y las ENT.
2. Promover la práctica de lactancia materna exclusiva y alimentación complementaria adecuada.
3. Fomentar la corresponsabilidad social, a través de acciones de incidencia y abogacía.
4. Fomentar la práctica de actividad física como un factor protector de la salud y de prevención de las ENT.
","Componente de la Estrategia Educativa
Plan de Implementación
La estrategia se realizará en dos fases: una preparatoria en la cual se elaborarán materiales, instrumentos, gestión de recursos y otros elementos necesarios para una adecuada gestión y la fase de implementación propiamente dicha.
1. Fase preparatoria
Se desarrollarán las siguientes acciones:
a) Consensuar con las instituciones participantes el Plan de implementación y los aportes y compromisos de cada una de ellas.
b) Definición de grupos de población a priorizar, áreas geográficas, alcance para la implementación de la Estrategia y el período de ejecución.
c) Gestión de recursos humanos y financieros para la implementación.
d) Socialización de la estrategia a tomadores de decisiones del Gobierno, titulares de las poblaciones meta terciarias, sector privado, parlamentarios, gobernadores y alcaldes.
e) Elaboración de módulos de contenidos educativos y materiales de apoyo para las acciones a realizar con las poblaciones meta primarias y secundarias.
f) Diseño de la Campaña de comunicación social con medios de comunicación:
2. Fase de Implementación de la Estrategia
Durante esta fase de desarrollarán las siguientes acciones:
a) Socialización de la estrategia a ejecutores.
b) Socialización de la estrategia a medios de comunicación.
c) Fortalecimiento de capacidades de los funcionarios participantes.
d) Capacitación de las poblaciones meta secundarias.
e) Implementación de las campañas en los medios de comunicación.
f) Desarrollo de acciones con las poblaciones meta primarias.
g) Movilización social.
","Monitoreo y Evaluación
La estrategia contará con un sistema de monitoreo y evaluación, el cual considerará los Planes de monitoreo específicos por cada componente de la estrategia, desagregándose todas las actividades planificadas a realizar para cada uno de ellos, definiéndose indicadores de proceso y/o impacto según corresponda. Las acciones a realizar para evaluar el desarrollo de la estrategia educativa se detallan a continuación: a) Línea de Base al inicio de la Estrategia b) Visitas de campo para evaluación de acciones a nivel territorial por parte de funcionarios de las instituciones ejecutoras c) Reuniones de coordinación y seguimiento al avance de la estrategia d) Evaluación de la situación nutricional de las audiencias primarias a través de la información generada en el Sistema de Información en Salud y del Sistema de Vigilancia Nutricional. e) Evaluación de resultados CAP como efecto de las campañas y acciones territoriales en el cambio de comportamientos al final del 3er año de implementación. f) Desarrollo de jornadas de evaluación y retroalimentación con el primer nivel de atención. g) Evaluación CAP al final de los 4 años de implementación de la Estrategia.
","Process indicators","","Anaemia|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Folic acid|Calcium|Micronutrient supplementation|Nutrition education","","http://asp.salud.gob.sv/regulacion/pdf/estrategias/Estrategia_multisectorial_educativa_comunicacion_social_promover_comportamientos_alimentarios_poblacion-salvadorena-CONASAN.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SLV%202019%20Estrategia_multisectorial_educativa_comunicacion_social_promover_comportamientos_alimentarios_poblacion-salvadorena-CONASAN.pdf" "41463","SDN","Sudan","","National Nutrition Strategic Plan 2014-2025 ","Comprehensive national nutrition policy, strategy or plan","","English","","2014","","2025","Ministry of Health","8","2014","Not adopted","","","","Health|Food and agriculture|Education and research","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","Goal
The overall goal of the national nutrition strategic plan is to improve the nutritional status of people throughout the life- cycle through encouraging Sudan to reposition nutrition as central to its development agenda.
It aims to support the country in establishing and implementing nutrition interventions, according to the local situation and resources to protect and promote healthy child and maternal nutrition, prevent acute, chronic and micronutrient under-nutrition.
It also addresses emerging issues of over- nutrition to overcome increasing rates of obesity and diet- related non-communicable diseases.
Indicators:
1. National stunting rate by the end of the plan cycle
2. Global malnutrition rate by the end of the plan cycle
Targets
Target 1: 4% 8% reduction of stunting among children under five years.
Target 2: 50% reduction of anaemia in women of reproductive age
Target 3: 20% 30% reduction of low birth weight
Target 4: Increase exclusive breastfeeding rates in the first 6 months up to at least 70% 50%
Target 5: No increase in childhood overweight
Target 6: Reducing and maintaining childhood wasting to less than 10%
Strategic Objectives
1. To create a supportive environment including political commitment, multi-sectoral coordination, and enhance nutrition assessment, monitoring and evaluation.
2. To promote management of acute malnutrition; both severe and moderate malnutrition.
Interventions
3. To promote prevention of malnutrition through improving infant and young child feeding practices and services and increase micronutrient uptake.
Interventions
Improve of exclusive breast feeding and complementary feeding time, quantity and quality
Promote maternal and child nutrition through improve up take of the essential micro nutrients:
4. To build capacity for programme management in general and for emergency preparedness in nutrition.
Increase coverage of existing nutrition services in emergency situations with support to vulnerable groups.
Training of health staff on nutrition in emergency setting
5. To enhance community based interventions insuring good nutrition to all age group focussing on women and children and preventing obesity
Promoting nutritional knowledge and appropriate attitudes and practices of caregivers towards food, social and dietary customs, family/child care and feeding practices as well as household hygiene.
Development of pre- school and school nutrition programs
Promotion of consumption of diversified local food
Engage other sectors in nutrition prevention and control
6. To promote prevention & treatment of all nutritional disorders
number of hospital that introduced deit therapy protocol
Allocation of specific budgets for diet therapy
","Indicators
% of mother start breast feeding in the 1st hour from delivery
% of women introduce good complementary food after 6 month
% of women exclusively breast feed up to 6 month
% of women continue breast feeding up to 2 year
% of household consume iodize Salt
% of children receive vitamin A supplementation twice annually
% and lactating mothers who receive vitamin A supplementation within 6 weeks from delivery
% of pregnant women receive Fefol tablet from first trimester up to one month after delivery
% of health facilities that provide complete nutrition services package in emergency settings.
% of health workers who are trained on management of integrated package of management of malnutrition including emergency.
% of population covered by emergency nutrition services
% 0f communities covered with nutrition behavioural change practices
Progress in implementation of nutrition national advocacy plan
Progress in promotion of nutrition tackling through school program
% of households who adopt home garden approach for food diversification
No of sector and communities actively supporting nutrition sensitive interventions
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|School-based health and nutrition programmes|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|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Calcium|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Multiple micronutrients supplementation|Micronutrient powder for home fortification|Food fortification|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Home, school or community gardens|Diarrhoea or ORS|Vulnerable groups","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC194858","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN_2014_National%20Nutrition%20Strategic%20Plan%202014-2025%20.pdf" "40691","BDI","Burundi","","Plan stratégique national de la sante de la reproduction, maternelle, néonatale, infantile et des adolescents","Health sector policy, strategy or plan with nutrition components","","French","","2019","","2023","Ministère de la santé publique et de la lutte contre le sida","1","2019","Not adopted","","","","Health|Education and research|Finance, budget and planning","","United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","CARE","","","","","","","","","","","","","","","
2.3. Amélioration de l’état nutritionnel des femmes enceintes et allaitantes
2.3.1 Offrir le paquet complet de services de prévention et de prise en charge nutritionnel des femmes enceinte et allaitante
RA 2.6.Une supplémentation nutritionnelle chez les femmes enceintes et allaitantes est assurée
3.2 Amélioration de l’état nutritionnel des enfants
3.2.1 Renforcer la mise en œuvre des approches de préventions et de prise en charge de la malnutrition au niveau communautaire (FARN/FAN, ANJE, MNPs)
3.2.2 Renforcer les compétences des prestataires de soins sur la PCIMA
3.2.3 Doter les FOSA en intrants nutritionnels, médicaments, outils et matériel nécessaire pour la prise en charge de la malnutrition
4.2 Amélioration de l’état nutritionnel des adolescents
4.2.1 Mener l’évaluation annuelle de la malnutrition au niveau des écoles
4.2.2 Offrir un paquet complets des services et soins nutritionnels chez les adolescents dans les 46 DS
","SD3 Adolescent Nutrition
Problem Statement
Malnutrition, micronutrient deficiencies and other nutrition related diseases among adolescents, particularly adolescent girls contributes to the perpetuation of intergenerational malnutrition.
Strategic Objectives
1.To reduce under nutrition and anaemia among adolescent girls (pregnant and non-pregnant) and boys;
2.To reduce the risk of low birth weight babies, pregnancy related complications and nutritional risks among adolescent girls;
3.To reduce micronutrient deficiencies such as Calcium, Vitamin D and Iodine deficiency among pregnant adolescent girls;
4.To improve lifestyles and reduce the risks of overweight and obesity among all adolescents.
","Key Strategies
1.Mainstream nutrition education and promotion and hygiene education including hand washing into the health care system, education system as well as other systems which reach out-of-school adolescents;
2.Establish programmes that promote dietary diversification, dietary adequacy, fortified foods and nutrition security through community and school based interventions;
3.Strengthen the capacity of service providers to deliver effective nutrition counselling and services to all adolescents, with a special focus on raising awareness on the consequences of child marriage and meeting the nutritional needs of pregnant adolescent girls;
4.Provide and promote micronutrient supplementation (i.e. IFA and MMS), consumption of fortified foods and de-worming at health facilities, schools, and workplace;
5.Conduct community based awareness campaigns on the importance of good nutrition, healthy foods and the consequences of malnutrition, anaemia and obesity on the overall development and growth of adolescents;
6.Promote and improve access to sports and physical activity in the community, schools and at the workplace.
","","","","Low birth weight|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Iodine deficiency disorders|Overweight in adolescents|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Calcium|Iodine|Iron and folic acid|Vitamin D|Micronutrient supplementation|Food fortification|Nutrition education|Deworming|Improved hygiene / handwashing|Water and sanitation","","http://etoolkits.dghs.gov.bd/toolkits/bangladesh-program-managers/national-strategy-adolescent-health-2017-2030","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202016%20National%20Strategy%20for%20Adolescent%20Health%202017-2030.pdf" "40696","LSO","Lesotho","","National Adolescent Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","","The Government of Lesotho","11","2006","Not adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Justice|Labour|Other","the National AIDS Commission","","","","","","","","","","","","","","","","","3.3 Objective of the NMNAP II
The objective of the NMNAP II is to address the triple burden of malnutrition in Tanzania with emphasis on nutrition-specific and nutrition-sensitive interventions from various sectors, including health, social protection, education, food, water, community development, finance, industry, and trade. The plan is expected to address the shortfalls of the previous plan, identify and propose high- impact low-cost interventions, and engage all sectors, while harnessing the benefits of the existing frameworks to ensure sustainability. The expected result or desired change for the NMNAP II is that all Tanzanians are better-nourished and leading healthier and more productive lives which contribute to the economic growth and sustainable development of the countr
In order to achieve the expected result, a total of four (4) KRAs and five (5) strategic outcomes have been defined as follows.
KRAs:
Reducing undernutrition
Reducing micronutrient deficiencies
Reducing overweight and obesity
Strengthening the enabling environments
Strategic outcomes are:
Strategic Outcome 1. Increased coverage of adequate, equitable and quality nutrition services at the community and facility levels.
Strategic Outcome 2. Women, men, children and adolescents practice appropriate nutrition behaviours
Strategic Outcome 3. Sustainable and resilient food systems that are responsive to nutritional needs
Strategic Outcome 4. Strengthened multisectoral and private sector engagement for nutrition Strategic Outcome 5. Enabling environments (adequate policies and frameworks) that are supportiveof adequate human and financial resources for nutrition
Planned Results
IMPACT RESULTS
Reduced prevalence of stunting among children 0-59 months
Maintain prevalence of global acute malnutrition among children 0-59 months
Reduced prevalence of low birthweight
Reduced proportion of non-pregnant women 15-49 years with anaemia
Reduced prevalence of Vitamin A deficiency among children aged 6-59
Maintain median urinary iodine of women of reproductive age between 100- 299 μg/L by 2026
Maintain prevalence of overweight among children under five
Maintain prevalence of overweight/obesity among women aged 15-49 years
Maintain prevalence of overweight among adults
OUTCOME RESULTS
Increased proportion of children aged 0-5 months who are exclusively breastfed
Increased proportion of children aged 6-23 months who receive a minimum acceptable diet
Increased proportion of children aged 6-59 months who received Vitamin A Supplement during the last 6 months
Increased proportion of households consuming adequately iodized salt
Increased proportion of pregnant women taking iron and folic acid (IFA) for 90+ days during pregnancy
Increased proportion of children under five in need of SAM treatment who are admitted in the program annually
Increased proportion of children under five in need of MAM treatment who are admitted in the program annually
Reduced percentage of people who eat less than 5 servings of fruit and/or vegetables on average per day
Increased production of horticultural crops
Increased milk production
Increased per capital consumption of milk in Tanzanian population
Increased number of primary schools implementing school milk feeding program
Increased Meat production
Increased per capital consumption of meat in Tanzanian population
Increased fish production
Increased per capital consumption of fish in Tanzanian population
Number of adolescents trained on health and wellbeing.
Increased percentage of schools implementing school feeding program
Percentage of rural population with access to piped or protected water as their main source.
Proportional of the households in Rural areas with improved sanitation facilities
Percentage of Regional Centre’s population with access to piped or protected water as their main source.
","","","Low birth weight|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Breastfeeding - Exclusive 6 months|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Provision of school meals / School feeding programme|School milk scheme|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Biofortifcation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Home, school or community gardens|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/tan212099.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202021%20National%20Multisectoral%20Nutrition%20Action%20Plan.pdf" "36469","SLV","El Salvador","","Normativa de Tiendas y Cafetines Escolares Saludables","Legislation relevant to nutrition","","Spanish","12","2017","","","Ministerio de Educación","6","2017","Adopted","6","2017","Diario oficial el 16 de junio de 2017: Acuerdo N° 15-0733","Health|Education and research","","","","","","","","","","National NGOs","","","","","","","","","","","","Artículo 1º.- Ámbito de aplicación: El presente Reglamento se aplicará a todos los servicios de sodas o expendios de alimentos instalados en los centros educativos públicos dentro del territorio nacional. Se recomienda su aplicación en aquellas sodas o expendios de alimentos instalados en centros educativos privados.
Artículo 2º.- Objetivo: Proteger la salud de la comunidad educativa y a la vez, promover el desarrollo y mantenimiento de hábitos alimentarios saludables, como parte del proceso formativo integral a partir de la experiencia vivencial en el centro educativo público, todo sobre la base del interés público.
…
Artículo 10º.- De la propaganda comercial de productos alimenticios. La Junta Educativa o Administrativa deberá velar por el cumplimiento de lo establecido en el artículo 9 de este Reglamento, y porque en la soda y el resto del plantel educativo no se use, coloque o exhiba propaganda comercial que promocione, directa o indirectamente, el consumo de productos alimenticios.
…
CAPÍTULO III
De la alimentación en el servicio de soda
Artículo 13º.- De la oferta alimentaria. En los servicios de soda o expendios de alimentos de las instituciones educativas públicas se debe vender alimentos que propicien una alimentación saludable de acuerdo con lo establecido en las Guías Alimentarias de Costa Rica. En todas las sodas debe existir una oferta diaria de frutas y vegetales frescos, como componente básico de la dieta alimenticia que se ofrezca a la comunidad educativa. Todos los alimentos pre-envasados utilizados como materia prima en la preparación de alimentos y los que se expendan en las sodas, deben contar con el Registro Sanitario del Ministerio de Salud.
Artículo 14º. Preparación de alimentos: Para la preparación de alimentos en las sodas se debe utilizar los siguientes criterios:
a) Para las bebidas preparadas en las sodas se puede utilizar azúcar o edulcorante. Como máximo, se puede utilizar dos cucharaditas (10 gramos) de azúcar o su equivalente en edulcorante, por cada vaso de 250 ml de refresco o batido.
b) Se prohíbe la cocción de alimentos con fritura profunda o por inmersión (“deep fried”).
c) Si se desea agregar aceite, mayonesa, queso crema, natilla o salsas como aderezos de los alimentos, debe utilizarse como máximo dos cucharaditas (10 gramos) por porción servida.
d) Si se desea agregar margarina o mantequilla, se podrá utilizar una cucharadita (5 gramos) por porción servida.
e) Para la cocción de alimentos debe usarse únicamente aceites libres de ácidos grasos trans.
f) Las grasas de untar o aderezos deben ser libres de ácidos grasos trans.
Artículo 15º.- Productos prohibidos para su expendio. En las sodas no se permite el expendio o venta de:
a) Bebidas pre-envasadas y bocadillos en cuya lista de ingredientes de la etiqueta nutricional se indique como primer ingrediente: azúcar o azúcares (sirope, tapa de dulce, jarabe de maíz, etc.) o grasa (aceite, manteca vegetal o de cerdo).
b) Bebidas y otros alimentos preparados con pulpas azucaradas y concentrados artificiales que contengan más de 15 gramos de azúcar por vaso o porción de 250 ml.
c) Bebidas carbonatadas, incluso las “light” o “dietéticas”.
d) Bebidas energéticas (tal y como se definen en el Decreto Ejecutivo N° 36134-S Reglamento RTCR 436:2009 Suplementos a la Dieta, Requisitos de Registro Sanitario, Importación, Desalmacenaje, Etiquetado y Verificación del 10 de mayo de 2010 y sus reformas).
e) Embutidos que no sean “light” (se consideran embutidos “light” aquellos que tienen menos del 25% de grasa total).
f) Alimentos preparados con manteca, aceites o margarinas parcialmente hidrogenadas en cuya etiqueta no se indique que estén libres de ácidos grasos trans.
g) Producto alimenticio pre-envasado que no cuente con etiqueta que indique el contenido nutricional.
h) Producto alimenticio pre-envasado (no bebida) que con base en lo declarado en la etiqueta, se pueda calcular que una porción de 100 gramos de ese producto contiene más de 10 gramos de grasa ó 5 gramos de grasa saturada, más de 20 gramos de azúcar, más de 300 miligramos de sodio, o más de 400 calorías.
i) Bebida pre-envasada (incluyendo bebidas lácteas y yogurt) que con base en lo declarado en la etiqueta, se pueda calcular que una porción de 100 mililitros de esa bebida contiene más de 2 gramos de grasa, más de 1 gramo de grasa saturada, más de 300 miligramos de sodio o más de 60 calorías.
","Overweight in school children|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|Limit exists for some settings, products or areas only|Settings where children gather such as schools, childcare and other educational establishments|Energy (marketing)|Energy drinks (marketing)|Fat (marketing)|Nutrient profile model (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugar-sweetened beverages (marketing)|Sugars (marketing)|Trans fat (marketing)|Mandatory marketing restrictions|Mandatory in schools only|Mandatory standards|Food stores and snack bars in schools|Schools (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in added sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Sugar-sweetened beverages (standards)|Total fat (standards)|Saturated fats (standards)|Trans-fats (standards)|Energy (standards)|Sodium (standards)|Sugars (standards)|Monitoring mechanism established|Sanctions exist","","http://cse.go.cr/sites/default/files/acuerdos/circular_dm-0021-07-12.pdf http://www.pgrweb.go.cr/scij/Busqueda/Normativa/Normas/nrm_texto_completo.aspx?param1=NRTC&nValor1=1&nValor2=71782&nValor3=93563&strTipM=TC","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CRI%202012%20Decree%20N%C2%B0%2036910-MEP-S.pdf" "130363","LBR","Liberia","","National Non-Communicable Diseases Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health Republic of Liberia","12","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Justice","","","","","","","","","","","","","","","","","","3.4 Policy Strategic Objectives
The strategic objectives of the National NCD Policy include:
1. To strengthen service delivery systems for the prevention, control and management of NCDs.
2. To build the capacity of service providers at all levels of care (primary, secondary, tertiary) on NCDs prevention, control and management.
3. To increase access to essential drugs, medical & Diagnostic Supplies for NCDs that will be of quality, efficient, & affordable for the demand side.
4. To strengthen the data management of all NCDs to inform policy makers for decision making.
5. To create an environment that strengthens coordination, collaboration, and partnership among stakeholders.
6. To mobilize adequate funding for the implementation of NCD activities at all levels of the health system.
","4.1.2
Ministry of Education
...
2. Promote a healthy diet in the School Feeding Program.
4.1.4
Ministry of Agriculture
1. Encourage communities to grow and consume fruits and vegetables.
2. Initiate setting of appropriate standards for vegetables, fruits and other foods imported.
3. Promote healthy eating and balance diet.
4.1.5
Ministry of Commerce and Industry
1. Strengthen regulations, monitoring, supervision and enforcement of importation and prohibition of the sale of unhealthy food, drugs and other substances on the Liberian market.
2. Enforce food labeling on all foods being sold to the public.
...
4.4.3.1 To integrate relevant NCDs into existing national IDSR
...
5. Conduct community outreach screening on hypertension, Diabetes and BMI
...
4.5.1.3: Increase Coordination and collaboration
...
6. Monitor implementation of actions to enforce the Code for marketing of breast milk substitutes
...
8.Develop regulations for marketing of foods and non-alcoholic beverages to children
..
Annex 1 NCD Results Framework
Article 1. The approval of the national nutrition strategy for the 2021 - 2030 period with a vision toward 2045 (hereinafter referred to as ""Strategy"") includes the following contents:
I. VIEWPOINTS
1. All people have the right to equally access nutrition and food in order to obtain the maximum nutritional state, improving their health.
2. Proper nutritional implementation needs to be maintained throughout each person's life so as to improve personal health and family health; thus, contributing to the improvement of protection and healthcare of the community.
3. The state is responsible for developing mechanisms and policies to promote proper nutritional implementation; arrange and allocate intervention resources to improve the nutrition for mothers and children in regions with difficulties, remote areas, ethnic minority areas, mountainous areas, and islands.
II. TARGETS
1. General targets: Implement proper nutrition to improve the nutritional state suitable for each person, locality, region, and ethnicity, contributing to the decrease of disease and increase of stature, stamina, and intelligence of Vietnamese.
2. Specific targets
a) Implementation of a varied, appropriate, and food-security diet for all ages and subjects according to the life cycle
- The percentage of children from 6 to 23-month-old that have correct and sufficient diet will reach 65% by 2025 and 80% by 2030.
- The percentage of adults who consume adequate amounts of fruit and vegetables daily will reach 55% by 2025 and 70% by 2030.
- The percentage of households that suffer from severe and moderate food insecurity will be reduced to below 8% (below 25% for households in mountainous areas) by 2025 and below 5% (below 20% for households in mountainous areas) by 2030.
- The percentage of schools that develop diets that satisfy the recommendation of the Ministry of Health on proper nutrition assurance according to the age and food diversity will reach 60% for urban areas and 40% for rural areas by 2025; strive to reach 90% for urban areas and 80% for rural areas by 2030.
-The percentage of hospitals that provide examinations, advice, and treatments via diet suitable for nutritional status and disease for patients will reach 90% for the central or provincial level; 75% for district level by 2025; 100% for central, provincial level and 80% for district level by 2030.
- The percentage of communes that provide nutritional counseling for pregnant mothers, mothers with children under 2 years old in the basic healthcare service package for primary health care, prevention, and improvement conducted by health stations of communes, wards, or commune-level towns will reach 50% by 2025 and 75% by 2030.
b) Improvement of nutritional status for mothers, children, and teenagers
- The percentage of stunted children below 5 years old will be reduced to below 17% (below 28% for stunted children in mountainous areas) by 2025 and below 15% (below 23% for mountainous areas) by 2030.
- The percentage of underweight children below 5 years old will be reduced to below 5% by 2025 and below 3% by 2030.
- The average height of 18-year-old teenagers will increase by 2 - 2,5cm for males and by 1,5 to 2 cm for females by 2030 compared to those in 2020.
- The percentage of children who are breastfed soon after birth will reach 75% by 2025 and 80% by 2030.
- The percentage of children below 6 months old who are exclusively breastfed will reach 50% by 2025 and 60% by 2030.
c) Control of overweight, prevention of non-infectious chronic diseases, related risk factors in children, teenagers, and adults
- The percentage of overweight will be controlled: below 10% for children below 5 years old (below 11% for urban areas and below 7% for rural areas); below 19% for children from 5 to 18 years old (below 27% for urban areas and below 13% for rural areas); below 20% for adults from 19 to 64 years old (below 23% for urban areas and below 17% for rural areas) by 2025 and maintain such percentages until 2030.
- The average salt consumption of the population (from 15 to 49 years old) will be reduced to below 8 grams/day by 2030.
d) Reduction of micronutrient deficiency in children, teenagers, and women of childbearing age
- The percentage of anemia in pregnant women will be reduced to below 23% (below 30% for mountainous areas) by 2025 and below 22% (below 25% for mountainous areas) by 2030.
- The percentage of anemia in female children from 10 to 14 years old in mountainous areas will be reduced to below 10% by 2025 and below 9% by 2030.
- The percentage of preclinical vitamin A deficiency in children from 6 to 59 months old will be reduced to below 8% (below 13% for mountainous areas) by 2025 and below 7% (below 12% for mountainous areas) by 2030.
- The percentage of children from 6 to 59 months old with low serum zinc levels will be reduced to below 50% (below 60% for mountainous areas) by 2025 and below 40% (below 50% for mountainous areas) by 2030.
- The percentage of households using iodized salt qualified for preventing diseases or iodized salty seasoning daily will increase to above 80% by 2025 and above 90% by 2030.
dd) Improvement of the nutritional reaction in emergency situations and enhancement of strategy implementation resource
- By 2025, 100% of provinces and cities that are potentially affected by climate change, natural disasters, or epidemics will have their response plans; evaluate and implement special nutritional intervention in emergency situations and maintain such percentage until 2030.
- By 2025, 100% of provinces, cities that are allocated the annual local budget will ensure the nutritional activities according to approved plans and maintain such percentage until 2030.
3. Vision toward 2045: All people will achieve their maximum nutritional status; non- infectious diseases related to nutrition will be controlled, thus contributing to the improvement of health and living quality.
III. MAJOR DUTIES AND SOLUTIONS
1. Complete mechanisms and policies on nutrition
a) Review, develop, amend, and complete regulations of the law on proper nutritional implementation; especially nutritional intervention in regions with difficulties, rural and remote areas, ethnic minority areas, mountainous areas, and islands. Complete the national technical nutritional standard system for food; develop financial mechanisms or policies including the payment of health insurance for nutritional activities in healthcare facilities and schools; develop regulations on nutrition labeling on the front of prepackaged products; limit advertisements for unhealthy foods, especially for children; impose excise tax for on sugary drinks.
b) Include the target to reduce stunted, underweight, or overweight children below 5 years old in the socio-economic development targets of the whole country and each administrative division.
2. Improve the inter-sectorial cooperation and social mobilization
a) Develop and conduct mechanisms of the inter-sectorial cooperation on nutrition work from the centrality to locality; focus on integrating, cooperating with programs or projects related to nutrition.
b) Mobilize organizations, individuals, and communities to participate in implementing the Strategy. Encourage social organizations, industrial communities to participate in implementing the Strategy via sponsorship for nutritional activities; ensure nutrition at workplaces; produce healthy nutritional products, and comply with regulations on production and trading of nutritional products, food.
3. Strengthen communication and education on nutrition
a) Strengthen the communication and mobilization to policy-making groups in order to incorporate nutrition work into strategies, programs, projects, or plans implemented in localities.
b) Organize the implementation of communication activities with types, methods, contents suitable for each region, group of subjects in order to improve knowledge; practice proper nutrition especially in preventing stunting malnutrition, micronutrient deficiency; controlling overweight - obesity and other non-infectious chronic diseases related to nutrition for all people.
c) Improve the efficiency of communication, education, or provision of advice on the practice of proper nutrition according to the life cycle. Focus on providing soft skill education; strengthen the cooperation between schools, families, and society to form a healthy lifestyle and habits of proper nutrition.
d) Increase the amount of time for communication and guidance on proper nutrition in the mass media especially on the Vietnam Television, Voice of Vietnam, Television and Broadcasting Station of provinces, online broadcasting system, social media, and other digital communication platforms.
4. Strengthen and improve the quality of human resources
a) Consolidate and develop nutrition staff; ensure the sustainability, especially of the network of specialized nutritionists and medical staff in rural areas; standardize clinical nutritionists.
b) Develop the curriculum; standardize training documents about nutrition in the medical school system; improve nutritional teaching or training capability for the teaching staff of schools; improve the quality of training and advanced training contents on nutrition work in schools, hospitals, and communities.
c) Improve the capability of officers of ministries, divisions, central authorities, unions, social organizations, non-governmental organizations, religious organizations in terms of integrating nutritional activities into programs or projects.
5. Enhance technical expertise for the implementation of nutritional intervention a) Improve meal quality; ensure food security and nutrition security
- Develop and disseminate dietary reference intakes, food pyramid, proper nutrition advice, menu, proportion, diet, and physical activities suitable for every subject.
- Develop regulations and provide guidelines for food labeling, nutrition labeling; enhance education and provision of advice for the people in order to create the needs of using varied, healthy, and nutritious food.
- Develop plans, nutritional agriculture models, and guidelines for food security and meal quality at households.
b) Increase the coverage and enhance the quality of essential nutritional interventions
- Develop and effectively implement programs, projects, and models of essential nutritional intervention such as: nutrition care in the first 1000 days of life (nutrition care for pregnant and breastfeeding women; exclusively breastfeeding for the first 6 months; proper additional meal and continuation of breastfeeding for children from 6 to 23 months old); monitor the children’s growth and development; manage and treat children with acute malnutrition; prevent micronutrient deficiency in mothers and children; ensure clean water, personal and environmental hygiene.
- Provide services of counseling, nutrition recovery, intervention models against obesity, prevention of non-infectious chronic diseases, and related risk factors at all levels. Strengthen the implementation of nutritional intervention for elderly people and occupational nutrition
- Promote the fortification of domestic or imported food products. Encourage people to use fortified foods. Supervise the implementation of regulations on mandatory food fortification.
- Strengthen the in-place food systems that are safe, diverse, nutritious, and sustainable in order to meet the needs of every subject in every region, especially areas affected by natural disasters and epidemics.
- Improve the service provision quality by constructing, standardizing technical procedures, guidelines for groups of nutritional intervention. Incorporate the evaluation of the quality of nutritional intervention into the annual evaluation target of healthcare facilities.
- Integrate nutritional services into other programs in terms of healthcare, education, social-economic development of mountainous areas and ethnic minority areas, new rural areas, poverty reduction, social protection in order to increase investment resources for every subject that needs interventions.
c) Implement nutritional activities at schools
- Promote and improve the quality of school nutrition education, physical education, and sports; integrate them into regular school hours, extracurricular activities; develop appropriate communication models.
- Develop communication documents and organize communication activities for parents of students about proper nutrition, healthy and safe food, prevention of non-infectious diseases, and enhancement of physical activities for children, students. Pay special attention to proper nutrition for children in pre-puberty or puberty.
- Develop guidelines and organize school meals in a manner of nutrition assurance according to age, region, and food diversity assurance (for schools that provide meals for students). Promulgate regulations in order to prevent students from approaching unhealthy food.
- Develop mechanisms for cooperation and connection between the school and families in nutrition care for children, students; inform parents about the nutritional status of children, students in the school.
- Maintain regular deworming in areas with high prevalence of worms and helminths. c) Implement nutritional activities at hospitals
- Develop and implement specialized guidelines for nutritional treatment, clinical nutrition, and dietetics at facilities that provide examination and treatment.
- Organize communication activities and provide nutritional counseling for patients, their families at healthcare facilities.
- Implement regulations on nutrition in hospitals such as nutrition targets and breastfeeding in the criteria for hospital quality.
dd) Strengthen the implementation of emergency nutritional activities
- Develop and incorporate nutrition assurance content into the response plan for natural disasters, epidemics of the central and provinces, cities.
- Improve the nutritional response capability in emergency situations of officers of all levels and related divisions, central authorities.
- Efficiently implement emergency nutritional activities both in the community and hospitals at localities affected by climate change, natural disasters, and epidemics.
6. Promote basic research and technology application research on nutrition and food suitable for Vietnamese. Enhance technical development; research high technology application model serving nutrition purposes.
7. Promote the application of information technology in management, operation, supervision, counseling, statistic, and report of nutrition work nationwide.
8. Actively integrate and strengthen international cooperation on nutrition; resolve regional and global nutrition problems.
a) Actively participate in the nutrition network or movements regional or global.
b) Promote international cooperation to utilize the support for finance, technique, training, and management skills in terms of nutrition work with other countries, international organizations.
V- OBJECTIFS
5.1. Objectif général
Contribuer à l’amélioration de l’état nutritionnel des populations du Burkina Faso d’ici 2015.
5.2. Objectifs spécifiques
1. Réduire la prévalence de l’insuffisance pondérale de 38% à 25% chez les enfants de moins de 5 ans d’ici 2015 ;
2. Renforcer la lutte contre les carences en micronutriments (iode, fer, vitamine A) d’ici 2015 ;
3. Renforcer la lutte contre les maladies chroniques non transmissibles liées à la nutrition d’ici 2015 ;
4. Améliorer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
5. Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015 ;
6. Améliorer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
","VI. ORIENTATIONS STRATEGIQUES
Stratégie 1 : Surveillance et prise en charge nutritionnelle
Il s’agira de renforcer les mécanismes de surveillance de l’état nutritionnel des groupes vulnérables (nourrissons, jeunes enfants, femmes enceintes et femmes allaitantes y compris PVVIH) et la prise en charge de la malnutrition à travers :
Stratégie 2 : Promotion de l’alimentation optimale du nourrisson et du jeune enfant
La mise en oeuvre de cette stratégie se fera par le soutien aux approches et initiatives suivantes :
6.4. Objectif spécifique 4 : Renforcer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
6.5. Objectif spécifique 5 : Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015.
6.6. Objectif spécifique 6 : Renforcer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
Goals:
To contribute to improving the quality of the human resource base of the country and to reducing child and maternal mortality.
Objectives
Directions
1. Contribute to the reduction of disparities related to nutrition through a focus on population groups and areas highly affected or at-risk to malnutrition, specifically:
a. Pregnant women, infants, and children 1-2 years old
b. Families with pregnant women, children 0-2 years old, and underweight children 0-5 years old
c. Local government units (LGUs) with high levels of child undernutrition or at risk to increased levels of undernutrition
2. Increase investments and go to scale in effective interventions that could impact more significantly on undernutrition among under-fives
a. Promotion of optimum infant feeding and young child feeding practices anchored on exclusive breastfeeding in the first six months of life, the introduction and use of complementary foods that are calorie- and nutrient-dense and safe from 6th month of life onward with continued breastfeeding up to 2 years of age and beyond.
b. Promotion of sanitary practices including personal hygiene and handwashing
c. Supplementation with vitamin A, zinc in the management of diarrhea, iron-folic acid for pregnant women and infants and young children and iodine for pregnant women in areas with levels of iodine deficiency disorders and low access to adequately-iodized salt.
d. Deworming
e. Appropriate medical and dietary management of acute malnutrition as well as of other forms of nutrition-related infections
f. Iron fortification of rice and flour, vitamin A fortification of other staples, and iodization of salt
3. Revive, identify, document, and adopt good practices and models for nutrition improvement
4. Strengthen food-based approaches to address malnutrition
5. Strengthen the nutrition component of the healthy lifestyle package
6. Philippine Plan of Action for Nutrition 2011-2016
7. Strengthen the linkage of nutrition with other sectors of development and converge with existing sectoral efforts, e.g. conditional cash transfer, universal health care coverage, agriculture development, labor and employment, among others.
8. Strengthen and nurture interagency structures for integrated and coordinated implementation of nutrition and related services at national and local levels
9. Strengthen system for planning, monitoring and evaluation of nutrition plan implementation at national and local levels
10. Formulate and implement a nutrition research agenda
","Indicator, Baseline (2008), Target (2016)
Prevalence (%) of underweight under-five children, 20.6, 12.7
Prevalence (%) of stunted under-five children, 32.3, 20.9
Prevalence (%) of wasted under-five children,6.9, <5.0
Prevalence (%) of underweight children 6-10 years old (IRS), 25.6, 21.8
Prevalence (%) of thin children 6-10 years old, 8.1, <5.0
Percent of pregnant women who are nutritionally-at-risk, 26.3, 22.3
Percent of low birthweight, 19.6, <19.6
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Preschool children, 6-60 months old), 15.2. <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Pregnant Women), 9.5, <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Lactating Women), 6.4, <15
Anemia (% with hemoglobin level below recommended level)(Infants), 55.7,<40
Anemia (% with hemoglobin level below recommended level)(one-year old children), 41.0, <40
Anemia (% with hemoglobin level below recommended level)(Pregnant women), 42.5, <40
Anemia (% with hemoglobin level below recommended level)(Lactating women), 31.4, <40
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, median UIE), 132, >100
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, moderate and severe %), 19.7, <20
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Pregnant women, median UIE), 105, >150
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Lactating women, median UIE), 81, >100
Overweight and obesity (%, Children 0-5), 3.3, ≤3.3
Overweight and obesity (%, Children 6-10), 6.5, ≤6.5
Overweight and obesity (%, Adults 20+), 26.6, ≤26.6
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of fruit and vegetable intake|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Rice|Staple foods|Food grade salt|Refined sugar|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Vaccination|Water and sanitation|Conditional cash transfer programmes","","http://www.nnc.gov.ph/plans-and-programs/ppan/itemlist/tag/PPAN","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20PPAN.pdf"