"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"
"8081","KHM","Cambodia","","Sub-decree on Marketing of Products for Infant and Young Child Feeding","Legislation relevant to nutrition","","English","","2005","","","Ministry of Health","11","2005","Adopted","","2005","Ministry of Health and line ministries","Health|Information|Trade","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","
Aims to contribute to providing adequate and safe nutrition for infants and young children by protecting and promoting breastfeeding and by encouraging appropriate and timely complementary feeding, to ensure breast-milk substitutes are properly used when they are necessar and based on adequate information.
","","","","Article 1
This Sub-decree aims to contribute to providing adequate and safe nutrition for infants and young children by protecting and promoting the breast-feeding and by encouraging appropriate and timely complementary feeding, to ensure breast-milk substitutes are properly used only when they are necessary and based on adequate information.
Article 2
This Sub-decree shall govern marketing of infant and young child feeding products either domestically produced or imported for use for feeding infant up to twelve months old and young child up to twenty four months old. The Sub-decree shall apply to the quality and availability of information related to the use of the products as prescribed in Article 3 of this Sub-decree.
Article 3
The types of infant and young child feeding products shall include, but not limited, to the following:
a. Infant formula including specialized formulas;
b. All products marketed or presented for feeding infant and young children;
c. Feeding-bottles, rubber and plastic teats, and pacifiers;
d. Follow on formulas for infant over six months old; and
e. Other products as stated in the joint Prakas by the Ministry of Health with relevant ministries.
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","","Scope of the Code: 0-24 months of age","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html) / WHO (2008) Summary code survey for the report to the World Health Assembly on the implementation of the International Code of Marketing of Breast-milk Substitutes. / ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202005%20Subdecree%20on%20Marketing%20of%20Products%20for%20Infant%20and%20Young%20Child%20Feeding%20%282%29_0.pdf"
"43104","TUR","Türkiye","","Yayın Hizmeti Usul Ve Esasları Hakkında Yönetmelik [By-Law On The Procedures And Principles Of Media Services]","Legislation relevant to nutrition","","Turkish","11","2011","","","Radyo ve Televizyon Üst Kurulunu","11","2011","Adopted","11","2011","2 Kasım 2011 ÇarşambaResmî GazeteSayı : 28103","Information","","","","","","","","","","National NGOs","","","","","","","","","","","","Yayın Hizmetlerinde Ticari İletişim
Genel esaslar
MADDE 9 –
...
(7) Yağ, yağa dönüşen asitler, tuz/sodyum ve şeker gibi genel beslenme diyetlerinde aşırı tüketimi tavsiye edilmeyen gıda ve maddeleri içeren yiyecek ve içeceklerin ticarî iletişimine, çocuk programlarıyla birlikte veya bu programların içinde yer verilemez.
","Regulating marketing of unhealthy foods and beverages to children|Radio|TV|General statement not market excessive intake of food or approve unhealthy food|Mandatory marketing restrictions","","https://www.resmigazete.gov.tr/eskiler/2011/11/20111102-14.htm","By-Law On The Procedures And Principles Of Media Serviceshttps://www.rtuk.gov.tr/en/by-law-on-the-procedures-and-principles-of-media-services/5358/5175/by-law-on-the-procedures-and-principles-of-media-services.html","",""
"43103","TUR","Türkiye","","Yayın Hizmeti Usul Ve Esasları Hakkında Yönetmelik (Değişik) [By-Law On The Procedures And Principles Of Media Services (Amended)]","Legislation relevant to nutrition","","Turkish","4","2014","","","Radyo ve Televizyon Üst Kurulunu","4","2014","Adopted","4","2014","3 Nisan 2014 Perşembe. Resmî Gazete Sayı : 28961","Health|Information","","","","","","","","","","","","","","","","","","","","","","MADDE 4 –
... bendi eklenmiş, yedinci ve sekizinci fıkrası aşağıdaki şekilde değiştirilmiş
...
“(7) Genel beslenme diyetlerinde aşırı tüketimi tavsiye edilmeyen yağ, yağa dönüşen asitler, tuz/sodyum ve şeker gibi gıda ve maddeleri içeren yiyecek ve içeceklerin ticarî iletişimi;
a) Çocuk programlarının başında ve sonunda veya bu programların içinde yapılamaz.
b) Diğer programlarla birlikte veya bu programların içinde yapılması durumunda, ekranın alt kısmında izleyiciler tarafından rahatça okunabilir, akar bant şeklinde yayınlanacak ve içerisinde düzenli ve dengeli beslenmeyi teşvik eden ifadelere yer veren yazılı uyarılarla birlikte yapılır.
c) Genel beslenme diyetlerinde aşırı tüketimi tavsiye edilmeyen yiyecek ve içeceklerin tespitinde, Sağlık Bakanlığı tarafından hazırlanan liste esas alınır.
....”
","Regulating marketing of unhealthy foods and beverages to children|Radio|TV|Fat (marketing)|Nutrient profile model (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugars (marketing)|Trans fat (marketing)|Mandatory marketing restrictions|Mandatory health message on FNAB marketing","","https://www.resmigazete.gov.tr/eskiler/2014/04/20140403-1.htm ","https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Haberler/RTUK_REHBER_Son_21.07.2015.pdf Çocuklara Yönelik Aşırı Tüketimi Tavsiye Edilmeyen Gıdalar İle İlgili Reklamlar İçin Besin Profil Modeli Kullanım Rehberi [Nutrient profile model for marketing of food to children]...Bu model ve liste çocuklara yönelik gıda pazarlamasının kısıtlanması amacıyla RTÜK’ün kullanımı için tasarlanmıştır....Beslenme profilinde kullanılan terimlerin tanımlarıToplam yağ, ...Toplam şeker, ...İlave şeker, ...Şeker içermeyen tatlandırıcılar, ...Enerji, ...Endüstriyel olarak üretilmiş trans yağ asitleri, ...Tuz...Ek 1: SAĞLIK BAKANLIĞI BİLİM KURULU TARAFINDAN ONAYLANAN BESİN PROFİLİ MODELİA. REKLAMINA İZİN VERİLMEYECEK YİYECEK ve İÇECEK LİSTESİB. REKLAMINA AŞAĞIDA BELİRTİLEN KRİTERLERE UYULMASI HALİNDE İZİN VERİLECEK GIDA ve İÇECEK KATEGORİLERİC. REKLAMINA İZİN VERİLECEK GIDA ve İÇECEK KATEGORİLERİ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUR%202014%20Yayin%20hizmeti%20usul%20ve%20esaslari%20hakkinda%20y%C3%B6netmelikte.pdf"
"43088","IRL","Ireland","","BAI General Commercial Communications Code","Legislation relevant to nutrition","","English","6","2017","","","Broadcasting Authority of Ireland","3","2017","","","","","Information","Broadcasting Authority of Ireland","","","","","","","","","National NGOs","","","","","","","","","","","","16.10 A maximum of 25% of sold advertising time and only one in four advertisements for High Fat Salt Sugar (HFSS) food products and/or services products are permissible across the broadcast day. There is a range of other rules in relation to food commercial communications for children and these can be found in the BAI’s Children’s Commercial Communications Code, which is available to download from www.bai.ie.","Regulating marketing of unhealthy foods and beverages to children|Internet|Radio|Sponsorship|TV|Energy (marketing)|Nutrient profile model (marketing)|Positive nutrients (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugars (marketing)|All population groups (marketing)|Mandatory marketing restrictions","","https://www.bai.ie/en/download/131870/","General Commercial Communications Code https://www.bai.ie/en/codes-standards/#al-block-2 BAI launches revised General Commercial Communications Code https://www.bai.ie/en/bai-launches-revd-general-commercial-communications-code/","",""
"43089","IRL","Ireland","","Non-Broadcast Media Advertising and Marketing of Food and Non-Alcoholic Beverages, including Sponsorship and Retail Product Placement: Voluntary Codes of Practice","Voluntary codes or measures relevant to nutrition","","English","","2017","","","Department of Health","12","2017","","","","","Health|Information|Food and agriculture","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","The purpose of these codes is to ensure that foods high in fat, especially saturated fat, sugar and salt are marketed and advertised in a responsible way, thereby reducing the exposure of the Irish population to marketing communication concerning these foods to exert a positive influence on healthy eating patterns.
…
These Codes of Practice apply to non-broadcast media (digital, out of home, print, cinema), commercial sponsorship and retail product placement in the Republic of Ireland.
…
Non-Broadcast Media includes all forms of digital media, out of home media, print media and cinema but does not include on-demand audio-visual media services.
…
6. General Rules for all Codes of Practice
The following general rules will apply to all of the Codes of Practice in relation to nonbroadcast media (section 7), sponsorship (section 8) and retail product placement (section 9):
1. Marketing Communications coming within the scope of these Codes of Practice will comply, where relevant, with National Regulations and the rules set out in the ASAI Code of Standards for Advertising and Marketing Communications in Ireland including those related to food (see section 5).
2. Marketing Communications for HFSS food must be transparent and recognisable as such to the target audience. For example, editorial marketing communications must clearly indicate whether the content is paid for.
3. Locations primarily used by children shall be free from all forms of marketing communication for HFSS foods. Examples of such settings include registered crèches, pre-schools, nurseries, family and child clinics, paediatric services, schools, dedicated school transport, playgrounds and youth centres.
…
7. Code of Practice for Marketing Communications for HFSS Food on Non-Broadcast Media, Out of Home Media, Print Media and Cinemas
Non-broadcast media is a vehicle with increasing significance for the advertising and promotion of food. As such it plays an important part in influencing the food choices of consumers. The food and beverage industry in Ireland, together with the advertising industry that covers non-broadcast digital media, out of home media, print media and cinemas undertake to abide by the rules detailed below in addition to any relevant general rules for all codes (see section 6)
7.1. General Rules for all forms of Non-Broadcast Media
1. Marketing Communications for HFSS food and drink should not be booked on Children’s Media as defined in this Code of Practice.
In circumstances where the marketing/media platform is not self-evidently targeted at children or where adequate audience data is not available, every reasonable effort should be made to act with a sense of responsibility to both the consumer and society.
In addition, account should be taken of such factors as the channels of placement, the content and the overall impression of the marketing communication.
2. Marketing Communications carried outside of Children’s Media which are targeted at children shall not include:
a. Licensed characters and celebrities popular with children in any communication
for a HFSS food.
b. Communications for HFSS food that utilise either promotions or competitions.
7.2. Additional Rules for Non-Broadcast Digital Media
…
7.3. Additional Rules for Out of Home Media
…
7.4. Additional Rules for Print Media
…
7.5. Additional Rule for Cinema
…
8. Code of Practice for Sponsorship linked to HFSS Food
…
9. Code of Practice Relating to Retail Product Placement of HFSS Foods
","Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Regulating marketing of unhealthy foods and beverages to children|Advertising (in streets and stores)|Apps|Around schools (marketing)|Internet|Promotions|Settings where children gather such as schools, childcare and other educational establishments|Social media|Sponsorship|Use of licensed and brand equity characters|Using celebrities|Covers children up to 15 years of age|Covers children up to 18 years of age|Voluntary marketing restrictions","","https://assets.gov.ie/10071/21bb7e661a8d4e8c8a5f24be91f6186b.pdf","","WHO NCD Country Capacity Survey 2019",""
"82210","LKA","Sri Lanka","","Excise (Special Provisions) Act, No. 13 Of 1989","Legislation relevant to nutrition","","English","11","2017","","","The Gazette of the Democratic Socialist Republic of Sri Lanka","11","2017","","","","","Finance, budget and planning|Information","Minister of Finance & Mass Media","","","","","","","","","National NGOs","","","","","","","","","","","","BY virtue of the powers vested in me by Section 3 of the Excise (Special Provisions) Act, No. 13 of 1989, I, Mangala Samaraweera, Minister of Finance & Mass Media, do by this Order declare that :-
1. (a) The Excise Duty on every article specified in Column III of the Schedule I hereto shall be payable at the rate specified in the corresponding entry in Column IV of the Schedule I;
...
(c) Wherever two rates are specified in Column IV of the Schedule I and Column III of the schedule II hereto, the applicable rate for the purpose of calculating the Excise Duty payable shall be the rate which yields the higher amount payable as Excise Duty.
...
3. This Order shall come into effect from 10.11.2017.
...
SCHEDULE I
H. S. Heading I - H. S. Code II- Description III - Excise Duty IV
22.01 - Waters, including natural or artificial mineral waters and aerated waters, not containing added sugar or other sweetening matter nor flavored; ice and snow.
2201.10 - Mineral waters and aerated waters:
2201.10.90 - Other - Rs. 25/- per litre
22.02 - Waters, including mineral waters and aerated waters, containing added sugar or other sweetening matter or flavored, and other non-alcoholic beverages, not including fruit or vegetable juices of heading 20.09.
2202.10 - Waters, including mineral waters and aerated waters, containing added sugar or other sweetening matter or flavored - Rs. 12 per litre or 50 Cts per gram of sugar contained in the product
2202.99 Other:
2202.99.30 Beverages put up for retail sales as “Energy Drinks” - Rs. 12 per litre or 50 Cts per gram of sugar contained in the product
2202.99.90 Other - Rs. 12 per litre or 50 Cts per gram of sugar contained in the product
","Sugar intake|Taxation on unhealthy foods|Volume or weight based specific excise tax|Sugar content specific excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Energy drinks (taxes)|Total sugars (taxes)","","https://extranet.who.int/ncdccs/Data/LKA_NCD_LKA_Excise%20Act%202017%202044-32_E.pdf ","","",""
"66514","JAM","Jamaica","","Interim Guidelines for Beverages in Schools","Government guidance","","English","1","2019","","","Ministry of Health / Ministry of Education Youth & Information","11","2018","Adopted","12","2018","Cabinet","Health|Food and agriculture|Education and research|Trade|Information","Ministries of Health; Education, Youth and Information; and Investment, Commerce, Agriculture and Fisheries","","","","","","","","","National NGOs","","","","","","","","","","","","4. Recommendation for beverages in schools
Prohibited
Sugar-sweetened beverages- E.g. carbonated beverages (such as regular soda), fruit drinks, sports drinks, energy drinks, sweetened waters, and coffee and tea beverages that are above the maximum sugar concentration as set out in the implementation schedule below.
Permitted
Plain water
Unsweetened flavoured and infused water
Unsweetened juices
Unsweetened coconut water
Unsweetened milk or milk products
Unsweetened milk substitutes and milk substitute products
Sweetened beverages (including flavoured and infused water) at or below the maximum sugar concentration as set out in the implementation schedule below.
Cautionary notes:
It is recommended that caffeine content be less than 10mg per serving.
The use of artificial sweeteners is discouraged; their use should be guided by the Food and Drug Regulations, 1975 and its relevant amendments as well as the list of approved sweeteners published by the US Food and Drug Administration, which the Ministry of Health has adopted.
It is recommended that the package size for all beverages except water, sold or served to children (i.e. less than 18 years old), should be less than 12 ounces.
Implementation schedule
The Permanent Secretary of the MOEYI has approved the Interim Guidelines for Beverages in Schools. The directive to schools to implement these guidelines will be issued by the Ministry once approved by Cabinet.
Sweetened beverages will be deemed as being in excess of the sugar limit, and therefore prohibited from being sold or served in schools as per Section 3, if the total sugar concentration exceeds the following:
Maximum 6g/100ml - effective January 1, 2019
Maximum 5g/100ml - effective January 1, 2020
Maximum 4g/100ml - effective January 1, 2021
Maximum 2.5g/100ml - effective January 1, 2023
Monitoring will occur with the assistance of Parish Nutritionists and Dietitians. This will take the form of:
1. School Nutrition and Physical Activity Audit to be carried out at baseline (December 2018), after six (6) months and after one (1) year.
2. Activities geared towards supporting schools in implementing the Interim Guidelines for Beverages in Schools, included in the work plans of Parish Nutritionists and Dietitians.
","Overweight in adolescents|Overweight in school children|Dietary practice|Sugar intake|Regulation/guidelines on types of foods and beverages available|Mandatory standards|Any foods and beverages offered in school|Any foods and beverages sold in school|Schools (standards)|Foods high in sugars (standards)|Water (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Energy and sport drinks (standards)|Fruit and vegetable juice drinks (<100%) (standards)|Flavored water (standards)|Ready-to-drink tea or coffee (standards)|Sweetened or flavored milk drinks (standards)|Nutrient-based criteria (standards)|Total sugars (standards)","","https://www.moh.gov.jm/wp-content/uploads/2020/07/Interim-Guidelines-For-Beverages-In-Schools.pdf","Cabinet Approves Interim Guidelines for Beverages in Schools https://jis.gov.jm/cabinet-approves-interim-guidelines-for-beverages-in-schools/ https://japarliament.gov.jm/attachments/article/2091/2019%20Ministry%20Paper%2011.pdf","",""
"43110","PRT","Portugal","","Lei n.º 30/2019, restrições à publicidade dirigida a menores de 16 anos de géneros alimentícios e bebidas …, procedendo à 14.ª alteração ao Código da Publicidade [Restrictions on food and beverage advertising to children, amending the Advertising Code]","Legislation relevant to nutrition","","Portuguese","6","2019","","","Diário da República, 1.ª série — N.º 79 — 23 de abril de 2019","4","2019","Adopted","4","2019","O Presidente da Assembleia da República, O Presidente da República, O Primeiro-Ministro","Health|Cabinet/Presidency|Information","","","","","","","","","","National NGOs","","","","","","","","","","","","Artigo 1.º
Objeto
A presente lei estabelece restrições à publicidade a produtos que contenham elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados, procedendo à 14.ª alteração ao Código da Publicidade, aprovado pelo , de 23 de outubro.
Artigo 2.º
Aditamento ao Código da Publicidade
São aditados os artigos 20.º-A e 20.º-B ao Código da Publicidade, …, com a seguinte redação:
«Artigo 20.º-A
Restrições a publicidade a produtos que contenham elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados
1 - A publicidade de géneros alimentícios e bebidas que contenham elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados é sujeita às restrições constantes dos números seguintes.
2 - É proibida a publicidade a géneros alimentícios e bebidas de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados:
a) Em estabelecimentos de ensino pré-escolar, básico e secundário;
b) Em parques infantis públicos e abertos ao público;
c) Num raio circundante de 100 metros dos acessos dos locais referidos nas alíneas anteriores, com exceção dos elementos publicitários afixados em estabelecimentos comerciais, nomeadamente através da colocação de marcas em mobiliário de esplanadas, em toldos ou em letreiros integrados no estabelecimento;
d) Em atividades desportivas, culturais e recreativas organizadas pelas entidades referidas na alínea a).
3 - É ainda proibida a publicidade a géneros alimentícios e bebidas de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados:
a) Em serviços de programas televisivos e serviços de comunicação audiovisual a pedido e na rádio nos 30 minutos anteriores e posteriores a programas infantis, e a programas televisivos que tenham um mínimo de 25 % de audiência inferior a 16 anos, bem como na inserção de publicidade nas respetivas interrupções;
b) Em publicidade realizada nas salas de cinema, nos filmes com classificação etária para menores de 16 anos;
c) Em publicações destinadas a menores de 16 anos;
d) Na internet, através de sítios páginas ou redes sociais, bem como em aplicações móveis destinadas a dispositivos que utilizem a internet, quando os seus conteúdos tenham como destinatários os menores de 16 anos.
4 - A publicidade a géneros alimentícios e bebidas de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados deve ser clara e objetiva e não relacionar o consumo do produto a potenciais benefícios para a saúde, abstendo-se, designadamente, de:
a) Encorajar consumos excessivos;
b) Menosprezar os não-consumidores;
c) Criar um sentido de urgência ou necessidade premente no consumo do produto anunciado;
d) Transmitir a ideia de facilitismo na sua aquisição, minimizando os seus custos;
e) Transmitir a ideia de benefício no seu consumo exclusivo ou exagerado, comprometendo a valorização de uma dieta variada e equilibrada e um estilo de vida saudável;
f) Associar o consumo do produto à aquisição de estatuto, êxito social, especiais aptidões, popularidade, sucesso ou inteligência;
g) Utilizar em anúncios publicitários figuras, desenhos, personalidades e mascotes, entre outros, que se encontrem relacionados com programas destinados ao público infantil;
h) Comunicar características de géneros alimentícios e bebidas de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados como benéficos para a saúde, omitindo os efeitos nocivos dos referidos teores elevados.
5 - Os agentes económicos destinatários do disposto no presente artigo podem vincular-se a restrições mais exigentes do que as constantes nos números anteriores, através da celebração de acordos de autorregulação e de corregulação, de adesão e desvinculação livre.
Artigo 20.º-B
Produtos que contenham elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados
1 - Consideram-se géneros alimentícios e bebidas de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados aqueles que contenham uma quantidade dos referidos elementos que comprometa, de acordo com o conhecimento científico disponível, uma dieta variada, equilibrada e saudável.
2 - Para os efeitos previstos no número anterior, a Direção-Geral da Saúde fixa por despacho, tendo em conta as recomendações da Organização Mundial da Saúde e da União Europeia, os valores que devem ser tidos em conta na identificação de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados.»
","Regulating marketing of unhealthy foods and beverages to children|Regulation of marketing of FNAB to children|Advertising (in streets and stores)|Apps|Around schools (marketing)|Internet|Printed materials (marketing)|Radio|Settings where children gather such as schools, childcare and other educational establishments|Social media|TV|Using celebrities|Energy (marketing)|Nutrient profile model (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugars (marketing)|Trans fat (marketing)|Covers children up to 16 years of age|Mandatory marketing restrictions","","https://dre.pt/web/guest/home/-/dre/122151046/details/maximized?serie=I&day=2019-04-23&date=2019-04-01","Alimentos | Restrições à publicidade https://www.sns.gov.pt/noticias/2019/10/21/alimentos-restricoes-a-publicidade/Restrições à publicidade alimentar dirigida a criançashttps://alimentacaosaudavel.dgs.pt/pnpas/modificacao-da-procura-educacao/restricoes-a-publicidade-alimentar-dirigida-a-criancas/ Definido ohttps://www.dgs.pt/em-destaque/definido-o-perfil-dos-alimentos-e-bebidas-com-publicidade-restrita-a-menores-de-16-anos.aspx perfil dos alimentos e bebidas com publicidade restrita a menores de 16 anosDespacho n.º 7450-A/2019https://dre.pt/web/guest/home/-/dre/124097542/details/maximized?serie=II&day=2019-08-21&date=2019-08-01&dreId=124097540Sumário: Determina que os valores a ter em conta na identificação de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos trans são os que constam do anexo I ao presente despacho.A Lei n.º 30/2019, de 23 de abril, veio proceder à 14.ª alteração ao Código da Publicidade, aprovado pelo Decreto-Lei n.º 330/90, de 23 de outubro, introduzindo restrições à publicidade dirigida a menores de 16 anos de géneros alimentícios e bebidas que contenham elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos trans.De acordo com o artigo 20.º-B do Código da Publicidade, deve a Direção-Geral da Saúde (DGS) identificar os géneros alimentícios que contenham elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos trans e fixar por despacho os géneros alimentícios "que contenham uma quantidade dos referidos elementos que comprometa, de acordo com o conhecimento científico disponível, uma dieta variada, equilibrada e saudável", sendo que os valores que devem ser tidos em consideração para este efeito têm em conta as recomendações da Organização Mundial da Saúde (OMS) e da União Europeia.Em conformidade, a DGS identificou os géneros alimentícios para efeitos de aplicação da Lei n.º 30/2019, de 23 de abril, utilizando as recomendações da OMS para a definição do perfil nutricional destes géneros alimentícios, com base no WHO Regional Office for Europe Nutrient Profile Model (2015).Foram introduzidas algumas adaptações com o objetivo de alinhar os valores limite para alguns nutrientes para algumas categorias de alimentos com os valores definidos para as alegações nutricionais, de acordo com o Regulamento (CE) N.º 1924/2006, do Parlamento Europeu e do Conselho, de 20 de dezembro de 2006, relativo às alegações nutricionais e de saúde sobre os alimentos.Deste modo, o perfil nutricional tem por base as orientações técnicas da OMS e da União Europeia.Foram também efetuadas alterações que refletem os compromissos assumidos em Portugal no âmbito do processo da reformulação dos géneros alimentícios, bem como uma análise da composição nutricional dos géneros alimentícios portugueses.Outras adaptações resultam ainda do enquadramento do modelo de perfil nutricional da OMS aos limites impostos pela redação da Lei n.º 30/2019, de 23 de abril.Assim, nos termos do n.º 2 do artigo 20.º-B do Código da Publicidade, aditado pela Lei n.º 30/2019, de 23 de abril, determina-se o seguinte:1 - Os valores que devem ser tidos em conta na identificação de elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos trans, constam do anexo I ao presente despacho, do qual é parte integrante.2 - O presente despacho produz efeitos 60 dias após a sua publicação.26 de julho de 2019. - A Diretora-Geral da Saúde, Maria da Graça Gregório de Freitas.ANEXO ITabela do perfil nutricional para a identificação dos géneros alimentícios com elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos trans","",""
"126213","HTI","Haiti","","Décret Etablissant le Budget Général de la République d'Haïti, Exercice 2020-2021","Legislation relevant to nutrition","","French","","2020","","","LE MONITEUR Spécial No 30 - Lundi 5 Octobre 2020","10","2020","Adopted","9","2020","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 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","","",""
"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","","",""
"8712","MAR","Morocco","","Plan d'Action National en Faveur de la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1993","","","Ministère de la Santé Publique","9","1993","Adopted","","1995","Interministerial Commission on Food and Nutrition","Education and research|Food and agriculture|Health|Industry|Information|Sport|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","Process indicators","","Breastfeeding|Breastfeeding - Continued|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|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Growth monitoring and promotion|Fiscal policies|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Vitamin D|Food grade salt|Edible oils and margarine|HIV/AIDS and nutrition|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/MAR%201993%20Plan%20D%27Action%20National%20En%20Faveur%20De%20La%20Nutrition.pdf"
"8754","IND","India","","National Plan of Action on Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","2000","Food and Nutrition Board. Department of Women and Child Development. Ministry of Human Resource Development","","1995","Adopted","","1995","Interministerial Coordination Committee","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Information|Other","Food and Nutrition Board and others","","","","","","","","","","","","","","","","","National Nutrition Goals to be reached by 2000
1) to reduce moderate/severe malnutrition among pre-school children by half
2) to reduce chronic under nutrition and stunted growth in children
3) to reduce incidence of low birth weight to less than 10%
4) to eliminate blindness due to vitamin A deficiency
5) to reduce iron deficiency anaemia among pregnant women to 25%
6) to ensure universal iodization of salt to reduce iodine deficiency disorders (goitre prevalence) to 10%
7) to give due emphasis to Geriatric Nutrition
8) to produce 250 million tonnes of food grains
9) to improve household food security through poverty alleviation programmes
10) to promote appropriate diets and healthy lifestyles
11) to ensure national level food and security including adequate buffer stocks and national considerations in Agriculture Policy
12) to ensure food security at the household level by making the essential food available through the Public Distribution System to the people, particularly to the disadvantaged sections.
13) to provide convergent services under Education sector to enhance the nutrition and health status of the community with special emphasis on girls education and improved status of women
14) to popularize the growing of plants/trees supplying foods/ fruits with special emphasis on B-carotene(vitamin”A”) rich species in the Social Forestry Programmes with a view to create nutritional awareness and promote the consumption of nutritious foods
15)to improve the nutritional status of women and children through nutrition prophylaxis programmes, health and nutrition education and public health measures, besides achieving a small familynorm
16) to ensure Food Security in the country
17) to meet the nutritional needs of the people by giving nutrition orientation to the projects in food processing sector
18)to achieve health for all by 2000 A.D. through prevention and control of various forms of malnutrition, diseases related to inappropriate diets, creating health awareness among the people and ensuring adequate primary health care for all
19) to create a climate of awareness in the country about the importance of nutrition for the well-being of the people and ways and means of preventing various forms of malnutrition through its different units
20) to protect and promote the nutrition of various types of labor-agricultual, construction, industrial etc., with special emphasis on children and women at work, through formulation and enforcement of appropriate labor laws
21) to improve purchasing power of the people in rural areas through employment generation and poverty alleviation programmes with a view to improve food security at the household level
22) to ensure access to social services relating to Health Care, Nutrition, Women & Child Development , Pre-school and Non-Formal Education and Physical amenities like potable water supply, sanitation, sewerage, drainage etc. ; with view to improve the nutrition level of the urban poor
23) to promote nutrition of the disadvantaged sections of society by ensuring nutritional components in various welfare programmes
24) to ensure appropriate development of human resources both through direct nutrition interventions for specially vulnerable groups as well as through various development policy instruments for improved nutrition as laid down in National Nutrition Policy. To improve nutrition and health of women and children through strengthening and expansion of ICDS programme and setting up of appropriate systems for monitoring the follow-up actions under National Plan of Action for Children
General and specific objectives included in the 14 sectoral plans inside the National Plan of Action on Nutrition (i.e. Agriculture, Civil supplies, Education, Environement and Forests, Family welfare, Food, Food processing industries, Health, Information and broadcasting, Labour, Rural development, Urban development, Welfare and Women and child development).
","Sectoral plan Agriculture
Activities
1 Ensure the production of 208 million tonnes of food grains by 1997 and 250 million tonnes by 2000 through appropriate planning and improved technology
2 Establish a Nutrition Cell in the Agriculture sector to incorporate nutritional objectives as explicit objectives of Agriculture Policy and Programmes
3 Diversify crop pattern in agriculture by augmenting the production of pulses, millet/coarse grains, oilseeds, vegetables and fruits
4 Implement Livestock Policies to improve production and productivity of livestock and poultry to enhance availability of milk, fish, eggs, etc.
5 Evolve District/Block strategies for nutrition oriented horticultural interventions to promote production of β-carotene, iron and vitamin C rich foods and to identify local varieties for propagation
6 Emphasize production and distribution of quality planting materials, areas expansion, improvement in quality and increase in productivity of horticultural crops
7 Strengthen infrastructural facilities for grading, sorting, storage, packing and marketing of horticultural produce together with the propagation of post-harvest technology
8 Distribute to the households seeds, saplings and plant materials of species rich in -carotene, iron, vitamin C etc. and also dark green leafy vegetables
9 Identify local fruits and vegetables with -carotene content and promote them at regional levels through educational campaigns with a special focus on women
10 Promote production and consumption of non-conventional foods to combat vitamin A deficiency
11 Management and emphasis good quality seeds, encourage bio-fertilizers and minimize use of chemical fertilizers and pesticides to avoid micronutrient loss, to improve agricultural implements, irrigation, credit and transfer of technology, soil/water management projects
12 Adopt policy decisions to incorporate basic information concerning food, nutrition and population issues in syllabi of degree courses in agriculture as well as orientation training of extension personnel at all levels
13 Widen the scope of agricultural extension by including disciplines like horticulture, sericulture, agroforestry, etc.
14 Promote the planting of nutritionally rich plants, shrubs, trees and creepers and create awareness to improve the consumption of fruits and vegetables with specific emphasis on green leafy vegetables
15 Intensify programmes to upgrade skills and knowledge of women farmers to increase their productivity thereby increasing their economic condition and standard of living
16 Mobilize farm women to be organized into viable groups for channelling agricultural support through them
17 Besides regular training in agriculture and allied sectors, provide women farmers with appropriate training in managerial organization and enterprising skills
18 Emphasize four areas of activities namely demonstration, vocational training, in-service training and on-farm research to promote the production and consumption of micronutrient rich foods through the network of Krishi Vigyan Kendras in the country
19 Strengthen linkages between agriculture, nutrition and health to ensure effective integration of services provided to the community
Sectoral plan Civil Supplies & Public Distribution
Activities
1 Ensure effective management of essential food grain supplies and maintenance of their uninterrupted flow at affordable prices to the public in rural/urban areas in the Public Distribution System (PDS) to ensure food security at household level
2 Ensure sustained expansion of the network of Fair Price Shops with an emphasis on remote and inaccessible areas
3 Launch a special drive for speedy implementation of Revamped PDS in identified areas to bring the essential food grains to the poor and disadvantaged
4 Ensure availability of ORS packets in remote areas through PDS infrastructure
4 Give due emphasis to nutritional considerations in selecting commodities for the PDS and promote the distribution of pulses, edible oil, coarse grains, iodized salt, etc.
6 Making additional allocations to meet the demand of Revamped PDS areas during lean periods
7 Create adequate infrastructure like additional Fair Price Shops and storage capacity in the identified areas
8 Issue ration cards to families in identified areas who have not yet been issued family cards
9 Set up Vigilance Committees by States/UTs comprising local people at the Fair Price Shops and other levels to ensure effective delivery of PDS commodities
10 Ensure easy availability of essential foods to protect them from exploitation by the traders
Sectoral plan Education
Activities
1 Enlist support Village Education Committees with adequate representation of women and disadvantaged groups to ensure regular participation of children in the educational process
2 Attempt convergence between primary school system and ECCE activities in terms of timing, use of school building, training of personnel and resource sharing
3 Identify MLLs in the areas of health, sanitation and nutrition for primary and upper-primary stages
4 Identify capable and committed NGOs to provide them the necessary assistance and encouragement to take up programmes of nutritional relevance
5 Review existing curricula of formal and non-formal education programmes at elementary levels to incorporate nutrition, health and sanitation components
6 Train teachers in the areas of health and nutrition education through DIETs, allocate time for this purpose and reflect the concern in pre- and in-service training curricula
7 Sensitize District/Block and Village level officials through DIETs on the need and significance of convergence of the service under Education sector for improved nutritional status
8 Disseminate messages on health, sanitation and nutrition through Total Literacy Campaigns and other programmes of continuous education
9 Improve infrastructure at schools by providing safe drinking-water, sanitation and a hygienic environment as well as facilities for regular health and nutrition status check ups
Sectoral plan Forestry
Activities
1 Popularize raising of plans/trees supplying food/fruits with special emphasis on ¯-carotene rich species in the Social Forestry Programme
2 Coordinate with concerned departments to create facilities for processing, transportation, marketing and storage at grass root level to make the raising of such plants economically feasible
3 Develop a framework for intersectoral coordination with Integrated Child Development Services (ICDS), Food and Nutrition Board (FNB), Health, KVK, Horticulture, Urban Basic Services (UBS) and Adult Education Programmes for technical support and utilizatio
4 Organize training and demonstration programmes for farmers, extension personnel of the Forestry sector and the rural community for their information and skills development
5 Involve the use of media to promote campaigns to create an awareness within rural households and to improve consumption
6 Provide the list of forest species identified by ICFRE which are rich in different nutrients for guidance and adoption in the Social/Farm Forestry Programmes
7 Strengthen extension machinery for micro-planning and joint forestry management to assist local people in the selection of species and planting programmes
Sectoral plan Maternal & Child health
Activities
1 Strengthen MCH infrastructure and services and adopt the strategy of a holistic approach aimed at better health and nutrition for women and children with emphasis on girls
2 Ensure universal coverage through interventions like iron and folic acid supplementation for pregnant women and vitamin A administration to children from 9 months to 3 years of age
3 Improve management of diarrhoeal diseases and acute respiratory infections at home
4 Intensify Child Survival and Safe Motherhood Programme for universal coverage by 1997
5 Ensure that health care providers receive high quality training on breastfeeding and appropriate complementary feeding practices, lactation management, etc. using up-to-date training material and techniques
6 Ensure that the information disseminated on the feeding of infants and young children is consistent and in line with current scientific knowledge and provisions of the Infant Milk Substitutes Act, 1993
7 Empower all mothers to breastfeed their children exclusively for the first 4-6 months and to continue breastfeeding with complementary food well into the second year
8 Ensure effective collaboration with infrastructure of Integrated Child Development Services (ICDS), Food and Nutrition Board (FNB), Urban Basic Services (UBS) and Development of Women and Children in Rural Areas (DWCRA) to reach young children and women
9 Promote birth spacing measures as part of health intervention measures for mother and child by ensuring access by all couples to information and services on family planning
Sectoral plan Food
Activities
1 Ensure food security is the fundamental objective of the Food Policy
2 Maintain the price of food grains at a level within the reach of the vulnerable groups
3 Build up and maintain buffer stocks to ensure stability in supply and price for the entire year and provide food security to the country especially during natural and other calamities
4 Ensure nutritional considerations are important in import and export of food grains
5 Increase grain storage structures, research and extension activities
6 Accelerate measures to ensure quality and safety of food grains during storage and transportation
7 Reduce post-harvest losses through application of up-to-date technology
8 Consider utilization of surplus food grains for supplementary nutrition programmes for weaker sections
Sectoral plan Food Processing Industries
Activities
1 Give nutrition orientation to various food processing projects through effective coordination with the Nutrition Cell
2 Ensure conservation of nutrients in various rice milling, roller flour milling and pulse milling industries
3 Set up agro-industrial complexes utilizing local fruits and vegetables in remote areas and develop linkages with khadi village industries, sale counters of State Government Institutes to facilitate marketing of their products
4 Produce low cost processed nutritious food to meet the needs of supplementary feeding programmes, school children and the general public
5 Promote traditional foods with good shelf life by setting up small production units at community level
6 Produce high quality nutritious beverages containing vegetable proteins
7 Fortify usual foods with nutrients like vitamin A, iron, iodine, protein, etc.
8 Enrich various processed foods with essential nutrients
9 Produce special supplements like Amylase Rich Flour for supplementing the diets of severely malnourished children, 6-36 months old beneficiaries in supplementary feeding programme and sick and aged people
10 Provide training on nutrition concepts to the Food Processing Industry
Sectoral plan Health
Activities
1 Expand and improve the utilization of Primary Health Care Services
2 Strengthen the National IDD Control Programme and effective monitoring of salt iodization
3 Strengthen the application of the Food Adulteration Act, 1954 and Infant Milk Substitutes Act, Rules and Central and State Food Laboratories and ensure quality check on street foods
4 Accelerate programmes to control noncommunicable diseases related to unhealthy lifestyles and inappropriate diets like obesity, hypertension, cardiovascular diseases, diabetes mellitus, osteoporosis, dental caries, AIDS and some cancers, etc.
5 Trigger appropriate behavioural changes among people through health education involving communication experts and the Central Health Education Bureau
6 Provide sustainable assistance to victims of natural calamities and ensure their nutritional well-being by giving priority to the control of diseases and prevention of malnutrition
7 Ensure health and nutrition education is an important component of the job responsibilities of all medical and paramedical personnel of the Primary Health Care Services to promote appropriate diets and healthy lifestyles
Sectoral plan Information& Broadcasting
Activities
1 Involve advertising agencies and communication experts in IEC programmes
2 Use a social marketing strategy to convey nutrition and health messages
3 Create adequate software to highlight nutrition issues
4 Arrange preparation of various programmes on nutrition with special reference to prevention and control of protein-energy and micronutrient malnutrition
5 Telecast/broadcast these programmes regularly to communicate the essential messages
6 Overview the activities concerning mass media communication on nutrition through a screening committee
7 Create nutritional awareness among people with the help of different units of information broadcasting like Publication Division, Depts. of Advertising and Visual Publicity, Research and Reference Division, Photo Division, AIR, Doordarshan, Press Informat
8 Incorporate nutrition education programmes in Educational Programmes on AIR, in Special Campaigns, Rural Programmes, Educational Programmes and Social Awareness Programmes on Doordarshan
Sectoral plan Labour
Activities
1 Provide non-formal education to workers and elementary education to their children
2 Create nutritional awareness among workers and their families through interpersonal communication, distribution of printed literature and mass media communication
3 Implement ""The Child Labour (Prohibition & Regulation) Act, 1986"" with special focus on preventing child employment below the age of 14 years in hazardous conditions
4 Expand network of voluntary organizations to provide services to working children and women like non-formal education, supplementary nutrition, health care and vocational and skill training
Sectral plan Rural Development
Activities
1 Strengthen effective implementation of the restructured poverty alleviation programmes as well as employment generation schemes
2 Undertake area development programmes, etc.
3 Encourage involvement of people and local Panchayati Raj Institutions at different levels to ensure effective rural development strategy and its implementation
4 Create greater job opportunities in rural areas through infrastructural development
5 Utilize the substantial increase in the rural development outlay during the 8th Five Year Plan period to improve access of the poorest groups to a means to generate income and secure their livelihood
6 Regard land reform measures as an intrinsic part of the anti-poverty strategy
7 Improve linkages with other sectors implementing nutrition, health and welfare schemes to converge services for the beneficiaries
8 Consider the importance of safe drinking-water to ensure nutritional well-being of the people, accelerate efforts to provide universal access to potable water and make the water sources sustainable, take into account quality problems of water like guineaworm
9 Consider the importance of environmental sanitation in promoting health of the community and in accelerating rural sanitation programmes
10 Implement schemes to upgrade skills
11 Monitor women's participation in various income generation and poverty alleviation programmes
Secoral plan Urban Development
Activities
1 Strengthen the Urban Basic Services for the Poor (UBSP) systems especially at community and neighbourhood levels to achieve its objectives through data collection and analysis related to the nutritional status of urban poor, training of volunteers and programme
2 Support system of improved municipal planning in the light of 74th CAA to ensure that the urban poor are targeted in a cost effective manner through convergence of various available inputs under other sectoral programmes contributing to the nutritional goals
3 Support the efforts towards universalizing ICDS in all slum areas through appropriate linkages to the UBSP Community networks, use of community halls for the programme and other necessary adjustments required for the successful implementation of the programmme
4 Expand income generating activities and saving/credit mechanisms as essential elements towards sustainability related to NPA Goal achievement among the urban poor in convergence with NRY, Environmental Improvement of Urban Slums (EIUS) and other UPA programmes
5 Revitalize Environmental Improvement of Urban Slums (EIUS) linking it directly to UBSP community participatory systems through the city level Urban Poverty Alleviation cell to improve the environmental conditions contributing to infections and other underlying
6 Expand UBSP programme coverage by 2000 aiming at universal coverage of the target groups, i.e. urban poor to improve nutrition/health of urban poor by joint provision of social services
7 Improve access to safe drinking-water to the recommended per litre/head norms for urban poor by 2000
8 Ensure that all maternity homes under municipal and district administration are classified as ""baby friendly"" by 1995, and have complementary community-based efforts promoting breastfeeding and improved weaning practices and implement appropriate disease
9 Strengthen/expand the centrally sponsored scheme of low cost sanitation to ensure access to sanitary means of excreta disposal and liberation of scavengers
10 Organize workshops based on priority nutrition goals regarding status of city specific needs in cooperation with State Department of Women and Child Development (DWCD) and NGOs to identify specific strategies and activities in association with UBSP system
Sectoral plan Welfare
Activities
1 Review various welfare programmes for the disadvantaged and give nutrition orientation through effective coordination with the Nutrition Cell
2 Give importance to the nutritional needs and care of children in orphanages, tribal people, disabled, street children, etc.
3 Provide nutrition and health education programmes as part of various welfare programmes
4 Provide short-term educational programmes on mother and child care, home-scale preservation of fruits/vegetables, family welfare etc. for tribal girls
5 Converge nutrition and health services with welfare programmes to prevent disability due to nutritional deficiencies
6 Highlight nutritional needs of the elderly in programmes for welfare of aged
7 Give importance to the nutritional aspects of drug counselling and de-addiction services
Sectoral plan Women and Child Development
Activities
1 Set up a Nutrition Cell in the DWCD to function as a focal point for implementation of the National Nutrition Policy and the NPAN
2 Expand ICDS to cover all Community Development Blocks and 50% of urban slums by 2000
3 Strengthen nutrition and health education component of ICDS by expanding and strengthening the FNB infrastructure and involving NGOs working in the field
4 Give emphasis to young children (0-3 years) and severely malnourished children by improved referral services
5 Intensify the recent initiative of including adolescent girls in the field of ICDS to improve their status of awareness and to trigger appropriate behavioural changes
6 Ensure better coverage of pregnant and lactating women for better child survival and development by empowering women to look after themselves and their children
7 Enlist better community participation through health and nutrition education
7(1) Create community awareness of malnutrition, its causes and strategies to monitor it through health and nutrition education
7(2) Involve the community, through their Panchayati Raj Institutions and community-based monitoring system, in the management of nutrition and child-mother-care programmes with a special focus on young child (0-3 years) programmes
7(3) Provide training and education to people, especially women, on various aspects of food production and processing activities and their impact on the nutritive value, and include nutrition messages in the primary and secondary school and non-formal education curriculum
7(4) Promote schemes relating to kitchen gardens, food preservation, preparation of weaning foods and other food processing units at home and in the community through health and nutrition education
7(5) Create effective demand at community level for all services relating to nutrition through health and nutrition education
8 Improve the economic and social status of women through awareness generation, education and economic activities like thrift, credit and income generation.
9 Control micronutrient deficiencies by
9(1) creating awareness by the organization of workshops, seminars and campaigns at National/State/District/Block level, etc.
9(2) improving the dietary pattern by extensive nutrition education and use of local foods
9(3) increasing the availability of micronutrient-rich foods by promoting their production in kitchen, school and community gardens etc.
10 Intensify linkages with horticultural interventions to promote vitamin A status
11 Universalize fortification of milk with vitamin A
12 Continue research into double fortification of salt with iron and iodine
13 Accelerate efforts for the development and production of nutritious food (using local foods) for children through women's groups, NGOs, State Governments, etc.
14 Strengthen infrastructure for mass media communication and interpersonal communication
15 Establish a national nutrition surveillance system to periodically monitor the nutritional situation at all levels through the involvement of grass root level workers and communities
16 Sponsor operational research into nutrition issues of national importance
","","","","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|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|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|Monitoring of children’s growth in school|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Milk|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|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)|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"8715","SDN","Sudan","","National Plan of Action for Nutrition (NPOAN) -Sudan","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","","Government of Sudan","4","1995","Adopted","","1995","Council of Ministers","Education and research|Finance, budget and planning|Food and agriculture|Health|Information|Justice|Other|Social welfare|Sport|Trade|Labour","","Food and Agriculture Organisation (FAO)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","Research/academia","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Provision of school meals / School feeding programme|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iron|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN%201995%20National%20Plan%20of%20Action%20for%20Nutrition%28NPOAN%29Sudan.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
- Assurer la sécurité alimentaire de la population congolaise
- Améliorer la prise en charge des problèmes des populations vulnérables ( en particulier les enfants et les femmes enceintes et allaitantes ;
- Mettre en place des stratégies de prise en charge des populations à risque par des actions intégrées
- Surveiller la situation nutritionnelle
- Lutter contre les carences spécifiques
- Garantir l’innocuité des aliments consommés par les populations congolaises
- Améliorer le niveau de compétence et de connaissance en matière de nutrition au Congo
","IV. Stratégies et programmes
Surveillance nutritionnelle (detailed activities p.86)
- Stratégies
- Enquêtes nutritionnelles nationales périodiques (tous les 10 ans…)
- Postes sentinelles de collecte de données de routine
- Activités
- Adoption d’une politique nationale sur la nutrition
- Choix des indicateurs nationaux et régionaux
- Choix des postes sentinelles
- Enquête de base
- Enquête nutritionnelle nationale 1997
Promotion de l’allaitement maternel et amélioration de l’alimentation de complément (detailed activities p. 96)
- Objectifs spécifiques
- Mettre en place un cadre législatif et institutionnel de la promotion de l’allaitement maternel et de l’alimentation de complément adéquat
- Au niveau périphérique, transformer tous les hôpitaux et formations sanitaires du Congo en des « institutions amies des bébés »
- Elaborer des formules de farines de compléments au lait maternel répondant aux besoins nutritionnels de l’enfant
Amélioration du suivi et de la promotion de la croissance des enfants (detailed activities p.100)
- Objectifs spécifiques
- Elaborer le cadre conceptuel de la nutrition au Congo
- Mettre en œuvre le volet communication sociale dans le cadre de la surveillance et promotion de la bonne croissance
Traitement des malnutritions protéino-énergétiques sévères
- Objectifs spécifiques
- Former les acteurs de terrain sur les protocoles OMS de traitement des malnutritions sévères
- Contribuer à l’amélioration du traitement et du suivi des malnutritions sévères au niveau de l’hôpital et au niveau des centres e santé périphériques
- Activités
- Mise à jour des protocoles de traitement des malnutritions sévères au niveau du Congo
- Formation des agents de santé et du secteur social
- Mise en place d’un mécanisme de suivi et évaluation du traitement des malnutritions sévères
Développement d’une stratégie alimentaire dans les zones à risque de malnutrition protéino-énergétique
- Activités
- Développement et promotion de formules réplicables et à moindre coût permettant l’allègement du travail féminin, l’augmentation de la productivité des femmes et une meilleure utilisation des ressources en vue d’assurer la sécurité alimentaire des groupes vulnérables
- Mise en œuvre des ateliers de fabrication des farines de sevrage à haute densité énergétique dans les zones urbaines du programme
- Mise en œuvre du transfert de technologie pour l’amélioration des aliments de sevrage fabriqués au niveau des ménages dans les zones rurales du programme
- Disponibilité des aliments de sevrage pour tous les enfants en âge de sevrage de la zone du programme
- Complémentation alimentaire pour les ménages à risque
Lutte contre les anémies chez les femmes et les jeunes enfants
- Objectifs spécifiques
- Evaluer la prévalence des anémies dans les populations cibles
- Réduire de moitié les anémies chez la femme enceinte
- Réduire de moitié les anémies chez les jeunes enfants
- Activités
- Enquête nationale de prévalence des anémies chez les femmes enceintes et les jeunes enfants
- Mesure de l’efficacité d’un programme de supplémentation systématique par le fer et l’acide folique à Brazzaville
- Généralisation de la supplémentation pour les populations à risque
Lutte contre les troubles dus à la carence en iode
- Objectif
- Eradiquer la carence en iode dans la région de la Likouala et les autres régions intéressées
- Activités
- Enquête de base
- Elaboration et test de la méthode la plus efficace à un coût moindre
- Fourniture à toute la population cible une dose correcte d’iode
- Mise en œuvre des méthodes à plus long terme basés sur la participation communautaire
- Supervision de la stratégie
- Evaluation
Lutte contre la carence en vitamine A
- Objectifs
- Evaluer la prévalence de la carence en vitamine A
- Proposer une stratégie de lutte en cas de besoin
- Activités
- Enquête de prévalence nationale de la carence en vitamine A
- Proposition de stratégie de lutte
- Test dans deux zones cibles
- Suivi et évaluation
","- Consommation en principaux produits de base par tête d’habitants en milieu rural
- Nombre de repas par ménage et par jour
- Composition de la ration alimentaire
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|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|Complementary feeding|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%201996%20Plan%20D%27Action%20National%20Pour%20La%20Nutrition%20Du%20Congo.pdf"
"8636","KHM","Cambodia","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1997","","2000","Royal Government of Cambodia","1","1997","Adopted","1","1997","Council of Ministers","Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Women, children, families","Ministry of Rural Development, Ministry of Education, Youth and Sports, Ministry of Planning, Ministry of Agriculture Technical Extension, Ministry of Health, Ministry of Industry, Mines and Energy, Ministry of Information, Ministry of Women's Affairs","","","","","","","","","National NGOs","","","","","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Complementary feeding|Growth monitoring and promotion|School-based health and nutrition programmes|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Food grade salt|HIV/AIDS and nutrition|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|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%201997%20National%20Plan%20of%20Action%20for%20Nutrition.PDF"
"8789","KIR","Kiribati","","Nutrition Policy and Plan of Action of Kiribati","Comprehensive national nutrition policy, strategy or plan","","English","","1997","","2001","Government","","1997","Adopted","","1998","Cabinet","Development|Education and research|Environment|Finance, budget and planning|Health|Information|Other|Trade","Ministry of Home Affairs and Rural Development, Ministry of Natural Resources and Development, Ministry of Education, Training and Technology, Ministry of Environment and Social Development, Ministry of Finance and Economic Planning, Ministry of Health, Ministry of Information, Transport and Communication, Ministry of Labour, Employment and Co-operative, Ministry of Works and Energy, Ministry of Commerce, Industry and Tourism","","","","","","","","","National NGOs","","","","","","","","","","","","","Breastfeeding|Diet-related NCDs|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Vitamin A|Iron|Deworming|Household food security|Home, school or community gardens|Water and sanitation","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KIR%201997%20Nutrition%20Policy%20and%20Plan%20of%20Action%20of%20Kiribati.PDF"
"8144","VNM","Viet Nam","","National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2001","","2010","National Institute of Nutrition","2","2001","Adopted","2","2001","Government of Viet Nam","Food and agriculture|Education and research|Environment|Finance, budget and planning|Health|Information|Other|Social welfare|Sub-national|Trade|Women, children, families","Ministry of Education and Training, Ministry of Science, Technology and Environment, Ministry of Planning and Investment, Ministry of Finance, Ministry of Agriculture and Rural Development, MOH, National Institute of Nutrition, Ministry of Culture and Information, Ministry of Justice, Ministry of Labor, Invalids and Social Affairs, local authorities, Ministry of Trade, Committee for Protection and Care of Children, National Committee for Population and Family Planning","","","","","","","","","National NGOs","The Women's Union and other social agencies and mass organizations","","","","","","","THE OVERALL OBJECTIVE
By the year 2010, this strategy aims to ensure the significant improvement of nutritional status of the country’s population; it will focus on nutrition and care improvement for all families, primarily children and mothers; it will also concentrate on giving access to all ethnic minority groups in the country to adequate dietary intake (quantitatively sufficient, qualitatively balanced, hygienic and safe). It will also attempt to minimize emerging nutrition-related health problems.
SPECIFIC OBJECTIVES
- To improve the population's appropriate nutrition knowledge and practices.
- To reduce maternal and child malnutrition prevalence.
- To reduce micro-nutrient deficiencies
- To reduce proportion of household with low energy intake
- To improve food quality and food safety
","I. FOOD AND NUTRITION INTERVENTIONS TO IMPROVE NUTRITIONAL STATUS, FOOD QUALITY, HYGIENE AND SAFETY
1. Universal nutrition education
1.1 Universal nutrition training
- Training of nutrition network staff (on nutrition knowledge, planning, management and communication skills) in order to help the local health workers in setting up and implementing their local nutrition plans.
- Appropriate nutrition training for different targeted groups (female adolescents, mothers, reproductive-age women, husbands, elderly, teachers, students,...).
- Introduction of nutrition contents in school curricula in collaboration with the MOET.
- Counseling on proper nutrition for different targeted groups emphasizing in appropriate nutrition, food hygiene and food safety, clinical nutrition, maternal and child nutrition, nutrition and aging, etc. Organizing the nutrition activities (forum for exchange between nutritionist and public)
1.2 Nutrition education and communication
- Mass education: Nutrition messages are to be delivered through the mass Target groups an entire population (both for women and men). Leaders, members of mass organizations, teachers and students are additional important target groups.
- Movements to involve the participation of the whole society, such as Micro-nutrient Days, Nutrition and Development Week, Maternal Care and Malnutrition Control Days,
- Breast-feeding Promotion Week, Clubs of communes with malnutrition prevalence under 30%, Food Hygiene and Safety Month, Universal Salt Iodization Days..... are to be promoted.
- Through direct nutrition education, nutrition information is to be provided directly to families by local staff using standardized guidelines on contents and procedures.
- Organization of a proper family meal consisting of 4 dishes: staple food (rice), vegetables, protein rich foods (tofu, nuts, meat, fish and eggs...) and soup. Special attention should be paid to promotion of traditional nutritive dishes and diversified foods in the diet.
- Different targeted groups, occupation and age groups are to be given guidance on proper nutrition. More attention should be paid for those who eat in public or school canteens.
- A program so-called “School Meal” should be established and implemented in order to improve students’ physical health.
- Education materials and communication means for local (commune and hamlet) levels are to be designed and provided. The existing ""Nutrition and Development Newsletter"" and other information will also be regularly sent to communes.
1.3 Staff training and research
- There is a need for the training and re-training of nutritionists with appropriate patterns. In the coming years, the nutritionists at all levels will be trained on planning master, implementation, monitoring and evaluation of nutrition programs. The training in community nutrition for district level is also important to be considered. The national and international Masters and Ph.D. training in nutrition should be continued.
- Research on food and nutrition should be expanded, particularly on food quality and food safety during food processing, preservation and distribution; on functional foods, dietary therapy and preventive medicinal foods; on the relation between nutrition, diseases and health status; and on nutrition problems in the transition period.
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
- Control of PEM is one of the objectives of the health sector, financially supported by the Government; it needs to be implemented at a nation-wide scale.
- Access to child care at household level is also a key issue in the line of prevention of child malnutrition. Nutrition messages should be delivered teenage girls.
- Priority should be given to children from 0 to 24 months of age. The care strategy should include the following key actions: improvement of breast-feeding practices (especially exclusive breast-feeding in the first 4 months), appropriate complementary feeding practice, food processing and preparation at local and household levels, hygienic practices, increased time allocation for child care together with improvement of the nutritional status of mothers themselves during the prenatal and post natal period, as well as improvement of care practice for every household members. Child care and feeding practices plus regular growth monitoring and maternal care should be conducted effectively and consistently.
- It is critical to identify prioritized activities in different localities. As the food security status has been improved in most rural areas, activities should be focused on child care activities, feeding practices and prevention of infectious diseases. In the remote, disadvantaged areas, rehabilitation activities should be highlighted. Families will know how to rehabilitate their malnourished children, based on their own resources by developing a “nutrition square” and family VAC system. These activities should be introduced to the household members so that the people themselves can properly practice them.
- To improve nutritional status of mothers, it is necessary to have better health services, to eliminate micro-nutrient deficiencies, to transfer nutritional and feeding skills to mothers, to release heavy workload for pregnant and lactating women, to develop and implement policies for protection of mothers, promotion of breastfeeding, better prenatal care, and women empowerment within their families and in their communities
4. Control of micro-nutrient deficiencies
- Control of vitamin A deficiency: In long-term, Vitamin A deficiency should be resolved by diversifying diets to increase Vitamin A rich foods. Vitamin A capsules distribution for children from 6 to 24 months of age and for mothers right after delivery should be continued nationwide. From 2006 onward, mass vitamin A distribution will be focused in the most disadvantaged areas and to continue supplementation to the sick children. Research is to be continued in order to produce food fortified with Vitamin A, together with diet diversification (promoting production and consumption of in vitamin A rich food from the household VAC).
- Control of nutritional anemia: Supplementation of iron tablets and folic acid to prevent anemia in women aged 15 to 35, and in pregnant and lactating women should be expanded nation-wide. The aim is to produce an iron syrup for malnourished children. It is necessary to have practical guidelines and education for communities to approach different types of iron and folic acid sources in the market. More attention should be paid to iron fortification and diversification of the diet as long-term strategy. In rural areas, where the rate of hook worm infection is high, it is urgent to conduct regular deworming combined with improved environmental sanitation. Control of nutritional anemia should be implemented in the whole country.
- Control of IDD: This is an independent national program. Its implementation goes together with the solutions of mobilizing the population to consume iodized salt and of improving the monitoring/supervision activities of the salt production, distribution and consumption stage.
5. Prevention of non-communicable nutrition-related chronic diseases
- Development of a surveillance system for better assessment of the actual situation and trends of these diseases, including obesity, cardio-vascular disease, hypertension, diabetes, cancer, etc.
- Development of guidelines for proper nutrition for Vietnamese at all ages 2001-2010.
- Strengthening dietary therapy departments in the hospital system.
- Research in production and consumption of functional food.
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:
- Food legislation and regulations system should be set up and followed. Food quality and safety standards should be developed based on regulations of the Codex Alimentarius adjusted to Vietnam’s conditions. Ad-hoc Laboratories will be set up to monitor the food quality and safety at the central and provincial Preventive Health Centers. Control of quality and hygiene of exported and imported foods, as well as street foods should be carried out. Guidance in the application of Hazard Analysis of Critical Control Point (HACCP) and Good Manufacturing Practices (GMP) should be given to food producers, processors and handlers.
- Implementing safe food production, keeping sanitary environment and clean water are very important issues. Control of the trade, distribution and utilization of chemicals used in agriculture production must be carried out in cooperation with the MARD. Control of quality and hygiene of products in food shops and markets should also be strengthened.
- Giving basic knowledge on food hygiene and food safety to the consumers and food handlers, as well as training of food inspectors will also required.
8. Monitoring, evaluation and surveillance of nutrition
- The system of nutrition surveillance, monitoring of activities and evaluation of the nutritional status of the population has to be considered. A nutrition data bank needs to be set up in cooperation with the GSO. The provinces themselves will have to carry out annual surveys in order to have up-to-date data on the nutritional status of their people.
- National nutrition surveys will be carried out in 2005 and in 2010. Data in poor rural areas are needed for the proposal of specific approaches. A national food balance sheet should be set up in cooperation with MARD and the GSO.
9. Piloting of Nutrition Models
- A model of ""sustainable nutrition improvement” will be developed, with a comprehensive intervention approach called “life security”. It will be a combination of relevant security determinants, such as health, nutrition, economy, culture, family, education, society, environment and infrastructure. This model will be implemented at several pilot districts.
- Models of nutritional improvement for some special occupational groups, high-risk groups, manufacturing establishments, hospitals and disadvantaged localities will be demonstrated.
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.
- Safe water supply and environmental sanitation. They are essential determinants related to nutrition care. Making access to safe water for extended population and to good sanitation in key areas is the important issue.
- Kindergartens system. Proper and feasible solutions need to be worked out to maintain and to improve the quantity and quality of kindergarten and day care system in rural areas with the support of both the Government and the community.
- Improvement of CHC in disadvantaged communes will be the core factor for the effective integration between PHC and nutrition care in community.
III. SUPPORTIVE POLICIES TO NUTRITION
- Incorporation of nutritional objectives into socio-economic development plans
- Policies to support better nutrition outcomes
- Community participation nutrition activities
","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.
- The rate of mothers having appropriate nutrition knowledge and applying desirable practices in care of sick children to increase from 20.2% (2000) to 40% by 2005 and 60% by 2010.
- The prevalence of exclusively breast-feeding in the first 4 months to increase from 31.1% (2000) to 45% by 2005 and 60% by 2010.
- The prevalence of reproductive-age women trained on nutrition and to be mother knowledge to increase to 25% by year 2005 and to 40% by 2010.
2. To reduce maternal and child malnutrition prevalence
- The prevalence of underweight among children under five to be reduced to 25% by 2005 and 20% by 2010, with a yearly reduction rate of 1.5%.
- The prevalence of stunting at children under five to be reduced by 1.5% per year.
- The prevalence of low birth weight (<2500 gr.) to be reduced to 7% by 2005 and to 6% by 2010.
- The prevalence of chronic energy deficiency in reproductive-age women to be reduced by 1% per year nation-wide.
- The prevalence of overweight in children under 5 to be at 5% or lower.
3. To reduce micro-nutrient deficiencies
- The prevalence of active corneal lesions due to Vitamin A deficiency to be maintained below the level of public health significance.
- Reduction of sub-clinical Vitamin A deficiency prevalence: The prevalence of under five years old children with low serum vitamin A to be reduced below 8 % by 2005 and below 5 % by 2010.
- Elimination of IDD: The prevalence of goiter among children at aged 8-12 to be reduced to below 5% by 2005. Universal salt Iodization salt is stabilized with more than 90% of households using iodized salt; urinary iodine level is between 10-20 mcg/dl.
- The prevalence of IDA in pregnant women to be reduced to 30% by 2005 and to 25 % by 2010 (in areas covered by the programs).
4. To reduce proportion of household with low energy intake
- The percentage of households with low energy intake (below 1800 Kcal) to be reduced from 15% in 2000 to less than 10 % by 2005 and under 5 % by 2010.
5. To improve food quality and food safety
- Reported number of out-breaks of food poisoning (with more than 30 patients/episode) to be reduced by 25% by 2005 and by 35% by 2010 (compared to 1999’s data).
- Mortality cases due to food poison to be reduced by 10% by 2005 and by 30% by 2010 (compared to 1999’s data).
- Biological contaminants of street food and ready-to eat food to be reduced.
","Outcome indicators","","Breastfeeding|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|Complementary feeding|Overweight and obesity in school age children and adolescents|Diet-related NCDs|Growth monitoring and promotion|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron and folic acid|Food fortification|Food grade salt|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","http://www.viendinhduong.vn/FileUpload/Documents/National%20nutrition%20strategy%202001-2010.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202001%20National%20nutrition%20strategy%202001-2010.pdf"
"14909","VNM","Viet Nam","","Joint Circular No. 04/2001/TTLT/YT-TM-VHTT-UBBVCSTEVN guiding the implementation of Decree No. 74/2000/ND/CP of the Government on trading in and use of mother milk substitutes to protect and encourage breast-feeding","Legislation relevant to nutrition","","English","","2001","","","Government of Viet Nam","3","2001","Adopted","","2001","Government of Viet Nam","Health|Information|Trade","Ministry of Health, Ministry of Culture and Information, Ministry of Trade","","","","","","","","","National NGOs","Vietnam Committee for Child Protection and Care","","","","","","","","","","","This Circular was prepared jointly by the Ministries of Health, of Trade, of Culture and Information, the Prime Minister and the Vietnam Committee for Child Protection. It consists of 7 Parts: general provisions (I); Information, education, communications (II); Advertisement (III); Trading in mother milk substitutes (IV); responsibility of the Obstetric and Paediatric departments and the medical cadres and personnel of these establishments (V); State management responsibilities (VI); implementation provisions (VII). Article 2 of Part I outlines the application sphere of the Circular. Before being placed on the market, all mother milk substitutes must have their food quality, hygiene and safety characteristics registered with the Ministry of Health.
(Summary retrieved from FAOLEX)
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Food safety|Labelling: Message on superiority of breastfeeding|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS|Promotion to health workers and health facilities: Prohibition of materials/gifts|Promotion to the general public: Prohibition of advertising of BMS|Promotion to the general public: Prohibition of sale promotions","","","ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","Link to eLENA "Regulation of marketing breast-milk substitutes" : https://www.who.int/tools/elena/interventions/regulation-breast-milk-substitutes / ACKNOWLEDGEMENT: Summary and document retrieved from FAOLEX - legislative database of FAO Legal Office / http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202001%20Joint%20Circular%20guiding%20the%20implementation%20of%20Decree%20on%20trading%20in%20and%20use%20of%20mother%20milk%20substitutes%20to%20protect%20and%20encourage%20breast-feeding.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:
- Taux de mortalité, morbidité et taux de prévalence de la malnutrition
- Proportion de population ayant une autosuffisance alimentaire
- Niveau de pauvreté humaine durablement réduite au sein de la population
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:
- To increase exclusive breastfeeding rates from the current 3% at 4 – 6 months to 15% at six months by the end of 2008.
- To increase the proportion of children still breastfeeding at 18 months from 44% to 54% by end of 2008.
- To empower health workers with knowledge, facts and skills, and support to enable them to provide quality care for mothers, children and caretakers through at least one exposure to a minimum of 18 hours of training on lactation management, counselling on infant feeding and counselling on HIV/AIDS.
- To provide skilled support for adequate feeding to all HIV positive mothers, fathers and other caretakers of children born by HIV positive mothers.
- To transform all healthcare facilities in Namibia to be Baby and Mother Friendly through the implementation of the Ten Steps to Successful Breastfeeding.
- To create an enabling community support system for infant and young child feeding through implementation of household and community IMCI.
- To provide education and information on the feeding options listed in the guidelines for the implementation of this policy to every HIV positive pregnant woman and their partners or immediate companions that come in contact with the healthcare system, either private or state, at least once.
","Strategies:
- Promotion of breastfeeding and sound infant and young child feeding practices.
- Protection of breastfeeding and young child feeding through the implementation of national and international measures namely the regulations for infant and young child nutrition, relevant World Health Assembly resolutions, the ILO Maternity Protection Convention, etc.
- Support of exclusive and continued breastfeeding and appropriate complementary feeding practices for the majority of infants who can breastfeed, as well as support of mothers who are artificially feeding their infants through the establishment of support groups for mothers with infants and young children.
- Capacity building of all health care workers at all levels (national, regional, district) in skills necessary to manage, implement, monitor and evaluate infant and young child feeding.
- Foster partnerships to expand the scope of actors and to influence human, organizational and financial resources towards improving child feeding practices, nutrition and care, and prevention of HIV transmission.
- Special support will be made available to infant and young child feeding for orphans and vulnerable children i.e. infants and young children who do not have biological mothers or whose mothers are unable to breastfeed or feed them due to illnesses (including AIDS) or other incapacities and children affected by emergencies and disasters.
- Operational research and utilization of research results to improve and amend policy and guidelines on infant and young child feeding.
- Monitoring and evaluation is an ongoing process to guide the implementation of the policy and guidelines.
","- Proportion of children whose growth is monitored every month for those under the age of one year; every three months for those from 12 months to 36 months of age; and thereafter every six months up to five years of age.
- Proportion of children under five years who are stunted, low height for age.
- Proportion of children under five years who are wasted, low weight for height.
- Proportion of children under five years who are underweight low weight for age.
- Proportion of children exclusively breastfed at 6 months.
- Proportion of mothers’ breastfeeding at 18 months.
- Proportion of women counselled on effective and frequent feeding and practicing it correctly at 6 months of age.
- Proportion of HIV positive mothers and fathers counselled on breastfeeding and options for alternative feeding.
- Proportion of health care facilities with at least 80% of staff caring for mothers and babies, trained in lactation promotion and management.
- Proportion of PMTCT Programme with at least 80% of staff trained in infant feeding counselling.
- Proportion of community groups involved in infant and young child feeding.
- Proportion of health care facilities with functional BMFI Task Force to ensure the implementation of the Ten Steps to Successful Breastfeeding.
- Number of hospitals reassessed and maintaining BMFI status.
- Number of supportive supervisory visits conducted by officials from national and regional levels.
","","","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|Growth monitoring and promotion|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Food fortification|Nutrition education|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NMB%202003%20National%20Policy%20Infant%20Young%20Child%20Feeding_0.pdf"
"7943","NGA","Nigeria","","National Plan of Action on Food and Nutrition in Nigeria","Comprehensive national nutrition policy, strategy or plan","","English","","2004","","","National Planning Commission","","2004","Adopted","","2004","National Commission on food and Nutrition","Consumer affairs|Education and research|Finance, budget and planning|Food and agriculture|Health|Information|Nutrition council|Other|Sub-national|Women, children, families","Consumer Protection Agency, National Orientation Agency, Nigerian Educational Research and Development Council, National Planning Commission, National Agricultural Research System, National Committee on Food and Nutrition, National Agency for Food and Drug Administration and Control, Federal Ministry of Information and National Orientation, National Institute for Medical Research, Central Bank of Nigeria, Federal Ministry of Justice, Federal Ministry of Water Resources, Federal Office of Statistics, Ministry of Science and Technology, National Agency for Science and Engineering Infrastructure, Nigerian Agricultural Credit and Rural Development Bank, Standards Organization of Nigeria, Federal Institute for Industrial Research, Oshidi, National Association of Small Scale Industrialists, National Emergency Management Agency, National Centre for Women Development, Federal Ministry of Women Affairs and Youth Development, National Action Committee on AIDS, National AIDS/STD Control Programme","","","","","","","","","","","","","Private sector","Manufacturers Association of Nigeria, Raw Materials Research and Development Council","Other","Nutrition Society of Nigeria, National Primary Health Care Development Agency","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
- To improve food production, availability, and access to high quality foods to meet the needs of the whole population;
- To develop an effective monitoring system to enforce appropriate food laws for effective inspection and compliance;
- To protect the consumers through improved food quality and safety
3.2.3 Specific Objectives
- To promote production and utilisation of all staple foods
- To promote production and utilisation of traditional foods, especially the under-utilised and unappreciated.
- To establish a strong and effective food quality control system to protect the consumers against improperly processed and substandard foods.
- To reduce post harvest losses through improved storage, pest control, and handling
- To strengthen existing institutional capacity to enforce appropriate food laws for effective inspection and compliance.
- To create consumer awareness on recognition of registered and certified processed food products.
3.3 ENHANCING CARE GIVING CAPACITY
3.3.2 General Objectives:
- To integrate essential nutrition actions into PHC services.
- To improve the knowledge, attitudes and practices of caregivers at the community and household levels, especially as these relate to food and nutrition.
- To enhance the provision of care to vulnerable groups (under-fives, pregnant and lactating mothers, the elderly, socio economically disadvantaged, people living with HIV/AIDs etc.)
- To enhance the knowledge and skills of caregivers to reduce the risk of maternal morbidity and mortality.
3.3.3 Specific Objectives:
- To improve the adequacy, accessibility, and utilisation of health services in the community
- To promote, protect and support breastfeeding and adequate complementary feeding practices for the improved care of infants and young children in the context of key household practices.
- To improve water supply, sanitation, and hygiene at the household level.
- To promote caring capabilities in community-based child care centres.
- To promote caring capabilities within households and the community for other vulnerable groups.
- To collaborate with other stakeholders to help improve access to maternal and newborn services.
- To promote school feeding programmes using locally available foods.
3.4 ENHANCING PROVISION OF HUMAN SERVICES
3.4.2 General Objectives
- To prevent and manage nutrition-related and infectious diseases.
- To prevent and control micronutrient deficiencies.
3.4.3 Specific Objectives
- To prevent and manage nutrition-related diseases among the vulnerable groups.
- To prevent and manage infectious diseases among the vulnerable groups.
- To improve general sanitation and hygiene, including availability of safe drinking water.
- To prevent and control micronutrient deficiencies particularly IDD, . VAD, IDA, and zinc deficiency.
- To prevent and control the mother-to-child transmission of HIV infection
- To prAvent and control the spread of parasitic infections such as helmitiths, -malaria, and water-borne diseases.
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.5.2 General Objectives
- To enhance a conducive macro-economic environment for addressing food and nutrition problems
- To ensure the incorporation of food and nutrition goals in Government development plans.
- To develop an effective system for assessing, analysing and monitoring nutrition situations in the country
3.5.3 Specific Objectives
- To improve the coordinating and implementing capacity at national, state and LGA levels to address food and nutrition issues
- To ensure collaboration between various sectors responsible for nutrition issues with a view to generating information and utilizing this information for policy review/ formulation, programme planning and implementation
- To ensure that the programme content of the relevant sectors places adequate emphasis on nutrition
- To ensure the allocation of appropriate resources for addressing food and nutrition problems of the population
- To develop an effective monitoring and evaluation system for food and nutritional activities in the country.
3.6 RAISING AWARENESS AND UNDERSTANDING OF THE PROBLEMS OF MALNUTRITION IN NIGERIA
3.6.2 General Objective
- To develop and disseminate Information, Education and Communication material for behavioral change to effect reduction in malnutrition.
3.5.3 Specific Objectives
- To design, and produce nutrition advocacy materials.
- To provide advocacy skills training for food and nutrition coordinators and implementers.
- To design, and produce nutrition IEC materials.
- To disseminate nutrition IEC materials to increase level of awareness and understanding of problems of malnutrition in Nigeria.
- To develop and disseminate food-based dietary guidelines for all age groups.
"," 3.2 Food Security, Food Safety, and Consumer Protection
3.2.4 Strategies:
- Ensure National food security.
- Increase access to food.
- Improve food distribution and availability.
- Improve food harvesting, processing, and preservation.
- Improve food preparation, safety, and consumer protection.
3.3 ENHANCING CARE GIVING CAPACITY
3.3.4 Strategies
A. Providing adequate nutrition and family health services in PHC centres and other health facilities within the communities.
B. Creating awareness and mobilising communities to utilise available nutrition services within PHC services.
C. Creating an enabling environment for the practice of optimal breastfeeding, provision of adequate complementary foods, and other key household practices.
D. Promoting nutrition education and training of caregivers, including men, at household and community levels.
E. Educating and training the girl child and women as they form the bulk of the caregivers at the household level.
F. Improving key household practices including adequate sanitation, use, and storage of safe water and food for all vulnerable groups.
G. Promoting nutrition projects that are rehabilitative/curative within the communities.
H. Promote provision of adequate nutrition care by community-based support groups including agricultural extension workers and women in agriculture, among others.
I. Establishing linkages with income generating activities to enhance the resource base for caregivers.
3.4 ENHANCING PROVISION OF HUMAN SERVICES
3.4.4 Strategies
A. Increasing access to Improved quality of family health services.
B. Increasing access to improved potable water and sanitation facilities.
C. Strengthening the MNDC sub committee of the NCFN.
D. Preventing and controlling micronutrient deficiencies through fortification.
E. Preventing and controlling micronutrient deficiencies through supplementation.
F. Preventing and control micronutrient deficiencies through dietary diversification.
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.5.4 Strategies:
A. Increase community-based growth monitoring programmes to monitor child growth and development as well as detect growth faltering.
B. Establish/strengthen, coordinate and implement mechanisms at national, state and LGA levels.
C. Facilitate research and studies for policy review/formulation, programme planning and integrated implementation in food and nutrition.
D. Secure the continued support and collaboration of line ministries, private sector and the international community to lobby for and invest in nutrition.
E. Incorporate nutrition objectives into development policies, plans and programmes of government.
F. Explore ways by which social sector spending can be protected from further decline, especially with regard to the potential role of the private sector.
3.6 RAISING AWARENESS AND UNDERSTANDING OF THE PROBLEMS OF MALNUTRITION IN NIGERIA
3.6.4 Strategies
A. Utilizing communication packages on food and nutrition.
B. Incorporating nutrition education in the curricula of primary, secondary, and tertiary institutions.
C. Developing and disseminating guidelines on various aspects of food and nutrition.
D. Improving networking and information sharing among stakeholders.
","4.0 PROGRAMME CO-ORDINATION, MONITORING AND EVALUATION
4.2 Monitoring and Evaluation
The process of or need for data collection to assess progress and trends in meeting goals and targets and to measure performance as well as impact cannot be overemphasized. The process of M&E itself consists of:
- Data generation,
- Analysis of data and mapping,
- Report production (for decision-makers, donor agencies, and others).
Appropriate methodology would be employed to achieve the above process to ensure that project interventions goals are achieved on schedule and to meet the needs of the vulnerable groups, thereby improving the chances of project effectiveness and impact.
Monitoring is a continuous assessment of project implementation in relation to agreed schedules and of the use of inputs, infrastructure, and services by project beneficiaries. Essentially, it is concerned with tracking project implementation with a view to attaining project goals and objectives. Evaluation provides an assessment of how much benefit the target group received from the project.
The stakeholders would carry out M&E within the Project Implementing Agency (PIA). The key consideration would be to:
- highlight the problems militating against project implementation,
- ensure that project activities are carried out within the specified time frame and resources,
- guide project staff in programme and project implementation,
- provide a project feedback mechanism among stakeholders and policy-makers through regular reports, and (quarterly and annual) review,
- take an overall review of all projects in order to ascertain their impacts on intended beneficiaries and discover how much of the impact has leaked to unintended beneficiaries.
Two types of indicators will be used namely:
Input indicators — These are key tool in project management and for keeping track of any problems that may arise, for example the attainment or lack of attainment of project objectives. These are means by which projects are implemented. They may be quantitative, e.g., number of months, number of staff, number of beneficiaries trained or they may be qualitative indicators such as qualification for project staff, relevance of community project to the community's needs, etc.
Output indicators — These measure the extent to which the project is delivering what is intended.
Monitoring and evaluation will be carried out regularly at the Community, Local Government Areas, State and National levels on a regular basis. An efficient and effective Management Information System (MIS) as well as surveillance systems will also be set up to monitor and evaluate project performance. The system will be supported by appropriate information technology to compile and analyze data and relevant statistics on the programmes/projects. It is intended that incentives/reward system would be provided for operators/programmes successfully implemented while sanction methods will be applied against those entrusted with the management of failed programmes. For efficiency a logical framework for monitoring and evaluation will be prepared for all programme areas and activities before funds are released.
4.3 Performance Indicators and Feed back System.
To facilitate the attainment of the exercise, a set of comprehensive performance indicators will be utilised. These would include specific project evaluation indicators and more general development indicators over time. The sample indicators will include
- food security indices such as food availability, affordability, percentage of fish caught with maximum sustainable yield, land areas affected by desertification as percentage of total land mass, per capita protein and energy intake, income indices, level of unemployment, average real income, income distribution index, etc
- access to human services such as percentage of adult literacy (male and female),primary school enrolment ratios, percentage of children immunized, number of hospital beds available, population with access to safe water,
- basic policy indicators will be measured based on the following, among others level of infrastructure development and accessibility.:
-Reduction in mortality rate in infants and children under fives;
-Availability and access to good water;
-Availability and access to health facilities; and
-Availability and access to food as well as food security.
With many partners carrying out a multitude of functions and sub-projects in different places at the same time, timely detection of implementation problems and constraints is very important. Efficient record keeping and timely reporting of programme activities would be put in place. Furthermore, an effective feed back system would be set up that involves the development of strategies through which information on the impact of the projects on the intended and unintended beneficiaries flows to government and vice versa. Because, the food and nutrition answer involves the empowerment as well as greater participation of the communities, assessment of impact and feedback would be based on their assessment.
A typical sample logical framework for effective M&E is shown in Annexe 3. It will serve as a useful guide for pre and post project implementation auditing control.
","","","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"
"8346","ROU","Romania","","A National Strategy for the elimination of Iodine Deficiency Disorders","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2004","","2012","UNICEF Romania","","2005","Adopted","","","Government of Romania","Cabinet/Presidency|Health|Food and agriculture|Education and research|Trade|Industry|Information|Other","National Authority for Consumer Protection; National Agency for Veterinary and Food Safety; National Committee on Iodine Deficiency Disorders Elimination","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","Bucharest Institute of Public Health; “C.I. Parhon” Institute of Endocrinology; Institute for Food Chemistry","","","Other","National Salt Company; Romanian Association of Employers in Milling; Bakeries and Flour Products Industry; Salt Producers, retailers and importers; National Health Insurance Fund","The goal of this strategy is to ensure IDD elimination in Romania. Ensuring sustainable IDD elimination requires:
- constantly maintaining the demand to eliminate iodine deficiency induced risks;
- ensuring that iodized salt is of adequate quality, is available and affordable;
- complete and accurate information of all strata and segments of society about the importance of iodine in the diet for optimal mental development.
GENERAL OBJECTIVES
Both the general objectives and the specific objectives constitute a very important part of the implementation of the strategy on IDD elimination. Under general objectives there can be listed:
- reduce IDD incidence and ensure normal development of the human body;
- produce iodized salt in accordance with the provisions in effect, both for the use of human beings and for animals, as an essential vehicle for iodine intake;
- ensure an adequate supply of iodized salt on the market;
- develop and improve a national surveillance and monitoring system of iodized salt production and consumption;
- provide health policies and a regulatory framework capable of sectoral and multi-sectoral responses in the area of IDD elimination.
","Strategic directions for action
Taking into account all these considerations, a number of priority strategic actions have been identified to prevent and control IDD:
- Universal iodization of salt for human and animal consumption as the main long term action;
- Short-term and special situations interventions (endemic areas with severe deficit, pregnant women, pathology);
- Monitoring iodized salt quality all the way from producer to consumer;
- Monitoring iodine deficiency in the population at large;
- Develop a communication strategy to:
a. educate the public on the importance of iodized salt and its correct use;
b. raise awareness among professionals (teachers, physicians, nurses, community nurses, social workers, media and food industry professionals) to convey to the population key-messages about the importance of using iodized salt;
c. raise awareness among importers, distributors and retailers to market products made with iodized salt, according to the legislation in force.
","Expected results
Structure indicators
- Creation of National Committee on Iodine Deficit Disorders Elimination
- NCIDDE members meet quarterly, at least
- All health education curricula for 1st to 12th grades will include, in each module, a topic related to the importance of iodized salt for the body
- Set up reference laboratories to determine urinary iodine levels
- Set up a reference laboratory to monitor the quality of iodized salt
- A monitoring system of iodized salt quality coordinated by the network of Public Health Institutes
Process indicators
- Adopt a national seal for iodized salt
- Iodine level in iodized salt for direct human use according to the provisions of the legislation in force
- For the long term (by 2012), depending on the results of the assessment of iodine deficiency status in the population, iodization of salt for animal consumption
Result indicators
- Rate of transitory hypothyroid cases in newborns
- Incidence of goiter, especially among children
- Number of pregnant women with urinary iodine excretion below WHO standards
- Number of school-aged children with urinary iodine excretion below WHO standards
- Supply of iodized salt for domestic use, direct human use, animal use and food industry
- Dynamics of iodized salt consumption
- Percentage of households using only iodized salt
- Percentage of persons who recognize at least two health benefits of using iodized salt
","Outcome indicators|Process indicators","","Iodine deficiency disorders|Media campaigns on healthy diets and nutrition|Iodine|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt","","http://www.unicef.org/romania/Strat_IOD_eng.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ROU%202004%20Iodine%20Deficiency%20Disorders.pdf"
"8007","ETH","Ethiopia","","Health Sector Strategic Plan (HSDP-III)","Health sector policy, strategy or plan with nutrition components","","English","","2005","","2010","Federal Ministry of Health","","2005","","","","","Health|Information|Other|Urban planning","Federal Ministry of Health, Ministry of Information, Central Statistics Office, Ministry of Foreign Affairs, National Disaster Prevention and Preparedness Committee (NDPPC), Population Office, Ministry of Infrastructure and respective regional bureaus","","","","","","","","","National NGOs","Ethiopian Science and Technology Commission","","","Private sector","PHARMID and its branch offices","",""," 3.9.1. Goals of HSDP
The ultimate goal of HSDP-III is to improve the health status of the Ethiopian peoples through provision of adequate and optimum quality of promotive, preventive, basic curative and rehabilitative health services to all segments of the population.
The following are the general goals of HSDP-III that contribute to the achievement of the ultimate goal:
1. to improve maternal health;
2. to reduce child mortality;
3. to combat HIV/AIDS, malaria, TB and other diseases.
"," Promotion of preventive and promotive health services through the Health Service Extension Programme.
Adapt and implement the pastoralist, urban and school HSEP; and mainstream HSEP into the existing structure.
Facilitation of the proper implementation of the National Reproductive Health and the National Strategy for Child Survival.
Promotion of the implementation of the Essential Health Service Package and the Referral System.
Facilitation of the proper implementation of the MPS (through development of national strategy, implementation plan and GL), IMCI programmes and micro planning using the Reach Every District (RED).
Introduce new vaccines against Hepatitis B and Haemophilus Influenzae.
Building the capacity for effective programme implementation, monitoring and evaluation.
Enhance partnership with NGOs/CBOs/Private sectors and international organizations to scale up interventions.
Support efforts towards empowerment of women and promote maternal mental health.
"," Table 3-4 Strategic Action Plan (pg.89-90)
","Outcome indicators","","Breastfeeding|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|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Zinc|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","",""
"8363","GIN","Guinea","","Politique Nationale d'Alimentation - Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2005","","","Ministère de la Santé Publique, Section Alimentation-Nutrition","12","2005","","","","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Trade|Information","Le Ministère de l’Economie et des Finance, Le Ministère de l’Agriculture, Elevage et Eau et Forêt, Ministère de la Santé Publique, Section Alimentation-Nutrition, Structure de Coordination et de Suivi de la PNAN dénommée ""Comité de Coordination de la Nutrition"" (CCN) placé sous la tutelle du cabinet du MSP, Le Ministère de l’Information, Le Ministère du commerce Industrie et PME, Le Ministère des Affaires Sociale Promotion Féminine et Enfance","","","","","","","","","","","","","","","","","But de la Politique
Assurer le droit de la population guinéenne toute entière à une alimentation et à une nutrition adéquates, en vue d’améliorer la survie des enfants, et de leur permettre un développement maximal de leurs potentialités physiques et intellectuelles, ainsi que de promouvoir la santé et le bien-être des enfants et de leurs parents.
Objectifs Généraux de 2005 à 2015: L’objectif général est d’améliorer l’état nutritionnel des populations en général et celui des groupes vulnérables en particulier ;
Objectifs spécifiques de 2005 à 2015:
a. - Réduire de moitié la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 3 ans - de 25% à 12%;
b.- Réduire de moitié la prévalence de l’insuffisance de poids à la naissance ;
c.- Réduire de moitié la proportion de la population victime de l’insécurité alimentaire; c'est à dire n’atteignant pas le niveau moyen d’apport calorique de 2.300 kilocalories par personne par jour.
D’ici l’an 2010:
a.- Éliminer virtuellement l’avitaminose A chez les enfants de moins de 5 ans ;
b.- Réduire de moitié l’anémie chez les enfants d’âge pré-scolaire (de 79% à 39%), chez les enfants d’âge scolaire (de 52% à 26%), chez les femmes enceintes (de 63% à 31%) et chez les femmes en âge de procréer (de 50% à 25%).
D’ici l’an 2007 :
Éliminer virtuellement les troubles dus à la carence en iode chez toute la population.
","La stratégie globale vise donc à :
1. Promouvoir l’habilitation des populations cibles à améliorer leur situation nutritionnelle et de santé ;
2. Renforcer les systèmes de coordination à tous les niveaux ;
3. Promouvoir l’engagement des autorités nationales, régionales, locales et traditionnelles ;
4. Accorder la priorité aux stratégies préventives dans la lutte contre la malnutrition, notamment du nourrisson et du jeune enfant;
5. Renforcer l’accès aux services de base (surtout santé, agriculture et social) ;
6. Faciliter la convergence des programmes socio-économiques (surtout DSRP et PSSA, PNDS)
7. accélérer la mise en œuvre en assurant le financement des programmes sectoriels qui vont découler de la politique nationale
Cette stratégie globale se décompose en plusieurs sous-stratégies opérationnelles suivantes.
Stratégie N°1 : Pise en charge intégrée
1.1. Prise en charge de la malnutrition
• Promouvoir l’extension des CREN pour prévention et la prise en charge des cas de malnutrition modérés vers tout le territoire, surtout dans les zones d’insécurité alimentaire.
• Promouvoir l’extension des CNT vers tout le territoire, surtout dans les zones d’insécurité alimentaire.
• Prise en charge et suivi au niveau des sites communautaire des enfants sortis des CREN/CNT.
• Mettre en place un système de référence et de contre référence.
• Améliorer et faciliter l’utilisation des soins de santé primaires au niveau des CS et organiser des stratégies avancées (si nécessaire) au niveau des sites de nutrition communautaire.
• Mettre en œuvre l’approche PCIME, y compris la surveillance de la croissance de tous les enfants fréquentant les centres de santé.
• Focaliser la surveillance de la croissance sur les enfants de 0-3 ans, aussi bien dans les centres de santé qu’au niveau communautaire, tout en ciblant tous les enfants de 0-5 ans pour toutes les autres activités.
• Renforcer l’intégration des interventions nutritionnelles aux autres programmes de santé maternelle et infantile (déparasitage, PTPE, supplémentation en FAF, traitement présomptif intensif du paludisme des femmes enceintes, vitamine A, PEV, PF, …) en adoptant l’approche « Actions Essentielles en Nutrition ».
• Assurer la qualité de la prise en charge des enfants sévèrement malnutris (INSE, CREN des hôpitaux, CHU Donka et Ignace Deen ) et les enfants nés de mère séropositif
• Assurer la complémentarité PCIME-clinique et PCIME-communautaire
• Inclure la supplémentation en zinc dans le schéma de prise en charge de la diarrhée chez les enfants d’âge préscolaire
1.2. Maladies émergentes et réémergentes liées à l’alimentation
• Etudier l’ampleur des maladies chroniques non transmissibles liées à l’alimentation (diabète, maladies cardiovasculaires (MCV), Surpoids/obesite et cancer)
• Développer des interventions pilotes ciblées. Ces interventions seront orientées vers la prévention et la promotion des styles de vie sains à travers l’information et la sensibilisation des populations.
• Intégrer la nutrition dans la stratégie de lutte contre le VIH/SIDA - concernant l’allaitement maternel et substituts au lait maternel, l’alimentation de complément du jeune enfant, l’alimentation des personnes vivant avec le virus de sida (PVVS).
• Intégrer la sensibilisation sur le VIH/SIDA dans les activités des sites de nutrition communautaire. Pour cela des interventions pilotes vont être développées avant le passage à une plus grande échelle.
• Développer le réseau info sam dans le domaine de la sécurité sanitaire des aliments.
1. 3. Intervention nutritionnelle en base communautaire
• Consolider et étendre les interventions au niveau communautaire à tous les districts au niveau national, aussi bien en zones rurales qu'urbaines, les préfectures plus vulnérables devant être couvertes prioritairement.
• Mettre en œuvre les stratégies spécifiques de lutte conte la MPE et les carences en micronutriments en intégrant l’approche « Actions Essentielles en Nutrition ».
• Adopter l’approche de la participation communautaire à toutes les étapes de planification, mise en œuvre et suivi/évaluation des activités.
• Focaliser sur les enfants de moins de 3 ans la surveillance et la promotion de la croissance tout en ciblant tous les enfants de 0-5 ans pour toutes les autres activités.
• Assurer la convergence des programmes agricoles/élevages en vue d’améliorer la sécurité alimentaire des ménages surtout pendant la période de soudure.
• Améliorer la qualité et l’efficacité des prestations au niveau communautaire en adoptant l’approche PCIME-communautaire dans tous les sites. D’autres approches innovatrices (ex. FARN-G << Positive Déviance>>) pourront aussi être pilotées et adoptées. Les activités de développement psychosocial ont un effet positif sur l’amélioration du statut nutritionnel des jeunes enfants et vice-versa.
• Mettre l’accent sur la prévention de la malnutrition saisonnière (soudure) - due à l’insécurité alimentaire et aux maladies infectieuses (maladies diarrhéiques, infections respiratoires aiguës et paludisme).
• Limiter la distribution des suppléments alimentaires aux personnes des groupes vulnérables (enfants, femmes enceintes et allaitantes) afin de renforcer la vocation préventive des interventions communautaire et d’assurer la pérennité de ces interventions.
• Développer et mettre en œuvre un plan de communication pour le changement de comportement .
• Renforcer le lien entre les sites de nutrition communautaire et les CS, ainsi que l’utilisation des soins de santé primaires par la communauté (PEV, PCIME, CPN, etc.). Référer les enfants sévèrement malnutris à l'INSE, CHU, CNT…, et faire le suivi au retour dans la communauté. Les sites peuvent mobiliser la communauté pour les activités de santé et la supplémentation en micronutriments, participer à « l’approche district » du MSP : vente des produits sanitaires au niveau communautaire.
• Faciliter la convergence des actions entreprises dans le cadre du DSRP ou autres programmes socio-économiques. (Voir Stratégie 8).
Stratégie No.2 : Lutte contre les carences en micronutriments
2.1. Iodation du sel
• Mettre en œuvre les stratégies spécifiques de lutte conte les carences en micronutriments
• Assurer la pérennisation des structures d’iodation du sel - éventuellement la double fortification du sel en iode et Fer en vue de la prévention des TDCI et caries dentaires respectivement.
• Assurer que les 32% de la population non couverte par le sel iodé le soit avant 2010.
• Renforcer l’application de la législation sur le sel iodé et assurer que tous les sels soient correctement iodés.
2.2. Lutte contre la carence en vitamine A
• Promouvoir la diversification de la production et de la consommation alimentaire à travers le développement du jardinage et du petit élevage familial au niveau des sites de nutrition communautaire en vue d’améliorer l’apport et la bio disponibilité en fer et vitamine A.
• Augmenter la couverture adéquate de supplémentation en vitamine A des enfants et des accouchées en organisant aussi la distribution au niveau des formations sanitaires et des sites communautaires.
2.3. Lutte contre la carence en fer
• Développer des approches intégrées de lutte contre l’anémie (supplémentation en FAF, déparasitage et contrôle du paludisme) chez les femmes enceintes et les enfants d’âge préscolaire (1-5ans) dans les formations sanitaires et au niveau communautaire.
• Assurer des programmes intégrés de santé et nutrition scolaires
• Promouvoir la fortification alimentaire en fer, vitamines du groupe B et vitamine A avec HKI.
2. 4. Promotion de l’allaitement Maternel
• La formation des agents des hôpitaux et centre de santé en conseil en allaitement maternel et farine.
• La prévalence et l’évaluation des hôpitaux et centre de santé dans le cadre de la remise du Label ‘’ Hôpitaux Amis des Bébés (IHAB)’’ et communauté amis des bébés pour les hôpitaux et communautés ayant remplis les dix conditions.
Stratégie No. 3 : La conservation des récoltes des aliments
3.1. L’amélioration de la sécurité alimentaire dans les ménages
• Assurer que l’appui des services de vulgarisation agricole/élevage/pêche soit accessible à tous les sites de nutrition communautaire (surtout en zones rurales et zones d’insécurité alimentaire).
• Renforcer l’encadrement des agents communautaire par les agents de vulgarisation agricole/élevage/pêche. Vulgariser les « Guides Référentielles » en matière de petite production, transformation et stockage surtout pour assurer la soudure.
• Faciliter l’accès des populations des sites de nutrition communautaire aux programmes PSSA et SRP. Ces programmes s’adressent à l’amélioration de l’insécurité alimentaire ainsi qu’à la réduction de la pauvreté.
• Augmenter la production et la productivité vivrière dans les sites de nutrition communautaire, surtout dans les zones d’insécurité alimentaire (vivres, jardins potager et fruitier, pisciculture, petit élevage)
• Promouvoir la diversification de la petite production familiale (jardin potager/fruitier, pisciculture, petit élevage avec utilisation des Guides Référentielles.
• Diversifier et améliorer l’utilisation des aliments au niveau des ménages.
• Promouvoir les activités génératrices de revenu.
• Promouvoir les petits investissements en zones rurales et le partenariat entre groupements de producteurs et le secteur privé.
• Faciliter l’accès des producteurs aux facteurs de production (terre, intrants agricoles, crédits…)
• Promouvoir les mutuelles d’épargne et de crédit
3.2. Elaboration et application des normes et législation relatif à la nutrition et à l’alimentation
• Mettre en place et faire appliquer une législation sur la qualité et l’innocuité des produits alimentaires - produits localement ou importés - pour la protection des consommateurs (Sécurité alimentaire des aliments).
• Etablir les normes sur les produits alimentaires en se basant sur le Codex Alimentarius de la FAO et OMS.
• Renforcer l’application des législations existantes - décret sur le sel iodé, code sur les substituts au lait maternel,...
• Assurer l’accès de la population aux denrées alimentaires fortifiés en micronutriments (y compris fer et vitamine A).
• Réglementer et Encadrer le commerce informel des aliments vendus sur les voies publiques pour améliorer leur qualité hygiénique et nutritionnelle.
• Renforcer le réseau des laboratoires de contrôle alimentaire - hygiène alimentaire, altération alimentaire, sel iodé/fluoré, fortification alimentaire, …
• Faire une large information/formation des consommateurs sur les législations alimentaires et leur rôle à les respecter et à les faire respecter.
• Intégrer dans les lois du travail des textes, en vue de protéger la santé et la nutrition du nourrisson et du jeune enfant, ainsi que la nutrition et la santé des mères et des travailleurs en général, et demander aux gros employeurs de mettre en place des crèches « amis des bébés » à la disposition des travailleuses ayant des jeunes enfants.
Stratégie No.4 : Le partenariat
4.1. Communication
• Intensifier le plaidoyer à tous les niveaux afin de:
1. assurer le droit à une alimentation et à une nutrition adéquate (quantité et qualité)
2. sensibiliser les décideurs sur la notion de nutrition et de sécurité alimentaire des ménages ; les causes de la malnutrition ainsi que ses conséquences sur le développement humain et socio-économique
3. intégrer la lutte contre la malnutrition dans tous les programmes de développement
4. utiliser le taux de la malnutrition parmi les indicateurs de développement et de pauvreté.
• Faire l’information des responsables sur les politiques et programmes sur leurs rôles dans la lutte contre la malnutrition.
• Promouvoir le changement de comportement de la population en matière de nutrition et santé (IEC, éducation nutritionnelle, …) à tous les niveaux.
• Adopter une approche améliorée et uniforme en matière de communication.
• Adopter une approche multimédia avec l’implication des médias à tous les niveaux (national, radio rurale et communautaire) en formant en nutrition les communicateurs et les agents en charge de la défense des consommateurs
• Rechercher la collaboration des services de communications des ministères sectoriels et de la radio/TV nationale, radio rurale et communautaire dans l’élaboration et diffusion des messages.
• Élaborer la stratégie de communication à tous les niveaux - national, régional, préfectoral et communautaire, et tous les secteurs - public, privé, ONG et société civile.
• Intensifier le programme de communication interpersonnelle et de mass media au niveau des sites de nutrition communautaire pour l’amélioration des pratiques nutritionnelles des ménages, à travers le radio rural et communautaire.
• Valoriser le statut des femmes et promouvoir l’approche genre pour favoriser les comportements favorables à la SAM et à une meilleure nutrition.
4.2. Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
• Travailler avec le Service National d'Assistance Humanitaire (SENAH) dans le cadre de la Stratégie Nationale de Gestion des Risques et des Catastrophes (SNGRC) pour les actions de préparation et réponse aux urgences relatives aux risques nutritionnelles.
• Planifier et réaliser des enquêtes nutritionnelles rapides pour le dépistage des zones et groupes vulnérables, et la planification des secours nutritionnels en complémentarités avec les secours dans les autres domaines (santé, eau et assainissement, etc.). Les enquêtes de suivi évalueront régulièrement l’évolution de la situation nutritionnelle et détermineront l’arrêt progressif des opérations.
• Assurer l’allaitement maternel exclusif des enfants jusqu’à 6 mois et continuer jusqu’à de 2 ans en vue de prévenir la malnutrition et la mortalité chez les jeunes enfants.
• Assurer une aide alimentaire (surtout dans les zones affectés par des pénuries alimentaires) et la distribution des micronutriments en priorisant les enfants, les femmes enceintes et allaitantes.
• Assurer la mise en place des structures de prise en charge des cas de malnutrition pour la prise en charge des enfants malnutris.
• Intensifier et étendre les activités de nutrition communautaire dans les zones exposées aux catastrophes naturelles avant une catastrophe pour assurer une bonne préparation à l’urgence et aussi après la catastrophe pour assurer une réhabilitation plus rapide des communautés affectées.
• Intégrer une dimension nutritionnelle dans les activités de réhabilitation, (ex. vivre contre travail (VCT), activités agricoles, etc).
4.3. Convergence des politiques de développement
• Assurer la convergence des stratégies multisectorielles de la SRP dans les sites de nutrition communautaire, en vue de renforcer la synergie entre la PNAN et la SRP. Initier cette approche en assurant la convergence des stratégies de la SRP dans les domaines de la santé, agriculture et eau/assainissement suivs des autres stratégies.
• La stratégie « santé » qui vise l’amélioration de l’accès, plus particulièrement des pauvres, aux services de santé et comprend l’application de la PCIME et la lutte contre le paludisme et la malnutrition.
• La stratégie « développement rural » qui vise à « assurer la sécurité alimentaire et optimiser l’utilisation des ressources ».
• La stratégie « eau et assainissement » surtout l’initiative WASH qui vise à sensibiliser la population sur le changement de comportement concernant l’hygiène.
• Promouvoir la convergence de la Politique de Population au niveau des sites de nutrition communautaire, particulièrement :
- L’accès au service de planning familial ;
- La réinsertion sociale des groupes marginalisés.
• Contribuer à la scolarisation universelle des enfants, en mettant l’accent sur celle des filles. Le niveau d’instruction des mères est associé à un meilleur statut nutritionnel et de santé des mères et des enfants. Aussi un faible niveau d’instruction n’est pas favorable à l’abandon de certains mœurs et coutumes contraignants. Les sites de nutrition communautaire peuvent encourager la scolarisation de tous les enfants d’âge scolaire.
• Utiliser le taux de la malnutrition globale (insuffisance pondérale) comme indicateur clé pour le suivi et évaluation de l’impact de la mise en œuvre des stratégies de réduction de la pauvreté - ces données peuvent être disponibles au niveau des sites de nutrition communautaire.
• Intégrer la lutte contre la malnutrition comme un élément clé de tous les politiques et programmes de développement et utiliser l’indicateur de la malnutrition pour évaluer l’impact sur le développement humain. Intégrer la nutrition aussi dans les Plans Préfectoraux de Développement.
4.4. Système national d’information alimentaire et nutritionnelle
• Mettre en place une unité pour centraliser la gestion, la synthèse et l’analyse des données alimentaires et nutritionnelles [Unité Centrale de Surveillance Alimentaire et Nutritionnelle (UCSAN)] provenant des différentes sources (voir ci-dessus). L’UCSAN travaillera avec les différents services afin d’améliorer la qualité et d’harmoniser l’output de leurs données alimentaires et nutritionnelles.
• Informatiser toutes les statistiques alimentaires et nutritionnelles et les diffuser sur Internet et par des bulletins périodiques.
• Organiser les différents instruments de collecte et analyse de données alimentaires et nutritionnelles dans un Système National d’Information Alimentaire et Nutritionnelle.
• Harmoniser la méthodologie des enquêtes et la définition des indicateurs afin de rendre les données, de sources différentes, comparables et faciliter leurs l’interprétation.
• Promouvoir l’utilisation du Cadre Conceptuel de la Malnutrition dans l’analyse des causes de la malnutrition en vue d’assurer des bases de données multisectorielles.
• Mettre en place un systéme de surveillance multisectoriel dans le domaine de la sécurité sanitaire des aliments (Info Sam) préconisé par l’OMS
• Promouvoir l’utilisation des indicateurs de la malnutrition parmi d’autres indicateurs socio-économiques dans tous programmes de développement.
• Préparer (par l’UCSAN) une synthèse annuelle des statistiques alimentaires et nutritionnelles qui servira de base pour la préparation du rapport annuel du Comité de Coordination et de Suivi » de la PNAN . Cette unité qui sera rattaché à la cellule « Suivi/évaluation » « du Comité de Coordination et de Suivi » de la PNAN devra avoir les compétences d’informatiser toutes les bases de données alimentaires et nutritionnelles, faire une analyse pluridisciplinaire et rendre les informations disponibles sur Internet et par des bulletins périodiques.
4.5. Développement de la capacité nationale
• Elever la Section Alimentation/Nutrition au rang de Division et prévoire un poste de nutrition dans l’organigramme des directions régionales de la santé
• Renforcer la capacité institutionnelle et organisationnelle de tous les acteurs dans l’élaboration des politiques et plans d’action multisectoriels en matière de nutrition et leurs réalisations (programmation, budgétisation, gestion administrative et financière, communication, suivi et évaluation), y compris :
• la capacité technique, de programmation et de gestion du Service de Nutrition du Ministère de la Santé ;
• la capacité du Service de Sécurité Alimentaire du MAE à jouer un rôle plus appuyé dans la lutte contre la malnutrition, que ce soit au niveau de l’orientation des politiques agricole/pêche/élevage ou au niveau des interventions nutritionnelles communautaires.
• les compétences au sein du Ministère du plan (MP) dans l’analyse de l’impact des politiques socio-économiques sur la réduction de la malnutrition, et le renforcement de la coordination multisectorielle en vue d’une meilleure synergie dans la lutte contre la malnutrition.
• Développer la capacité de l’Université et d’autres institutions à faire de la formation en nutrition à tous niveaux - formations initiales, spécialisations, perfectionnement, remise à nouveau, etc. L’Institut National de Santé Publique peut mener les formations en nutrition communautaire et gestion de programme de nutrition. Une association doit être recherchée avec des institutions/universités etrangères en matière de collaboration académique.
• Mettre en place un Centre de Documentation sur la nutrition au niveau national ainsi qu’au niveau régional. Tous les rapports pertinents et documents multimédia produits dans le pays seront mis à la disposition du public dans ces centres. Les agences de coopérations seront invitées à contribuer à la documentation.
• Informatiser tous les « services de nutrition » tout en améliorant l’accès à l’Internet et l’utilisation des logiciels appropriés en vue de renforcer leurs capacités d’analyse, de planification et de gestion (ex. le logiciel PROFILES pour le plaidoyer, la programmation et la formation en matière de nutrition).
• Habiliter les structures décentralisées, particulièrement les préfectures, à coordonner les actions multisectorielles dans la lutte contre la malnutrition, et se servir de la malnutrition parmi les indicateurs de résultats.
• Renforcer la capacité des services techniques et des institutions en matière de recherche et développement sur la malnutrition, y compris les recherches formatives et opérationnelles en vue d’améliorer l’efficience et le coût/efficacité des interventions.
• Mobiliser les media (radio, TV, presse écrite) ainsi que les media traditionnels pour la diffusion des messages au niveau national et régional.
• Mettre en place une Unité Centrale de Surveillance Alimentaire et Nutritionnelle (UCSAN) pour faire la synthèse et l’analyse des données nutritionnelles en vue d’informer la prise des décisions des responsables et faciliter l’échange d’information entre les différents intervenants au niveau national et régional. L’UCSAN organisera aussi un système de rétro-information jusqu’au niveau communautaire tout en assurant que les données soient utilisées avant tout au niveau des villages ou quartiers et des préfectures.
","Objectifs spécifiques de 2005 à 2015:
a. - Réduire de moitié la prévalence de l’insuffisance pondérale (poids/âge<-2ET) chez les enfants de moins de 3 ans - de 25% à 12%;
b.- Réduire de moitié la prévalence de l’insuffisance de poids à la naissance ;
c.- Réduire de moitié la proportion de la population victime de l’insécurité alimentaire; c'est à dire n’atteignant pas le niveau moyen d’apport calorique de 2.300 kilocalories par personne par jour.
D’ici l’an 2010:
a.- Éliminer virtuellement l’avitaminose A chez les enfants de moins de 5 ans ;
b.- Réduire de moitié l’anémie chez les enfants d’âge pré-scolaire (de 79% à 39%), chez les enfants d’âge scolaire (de 52% à 26%), chez les femmes enceintes (de 63% à 31%) et chez les femmes en âge de procréer (de 50% à 25%).
D’ici l’an 2007 :
Éliminer virtuellement les troubles dus à la carence en iode chez toute la population.
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Overweight and obesity in adults|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Food fortification|Food grade salt|Deworming|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Family planning (including birth spacing)|Nutrition and malaria|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN%202005%20Politique%20Nationale%20d%27Alimentation%20-%20Nutrition.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
","","","","Breastfeeding|Complementary feeding|Vitamin A","","https://www.iycn.org/files/National-Policy-on-Infant-and-Young-Child-Feeding-in-Nigeria.pdf","","",""
"43109","PRT","Portugal","","Código de Boas Práticas na Comunicação Comercial a Menores [Code of Good Practices in Commercial Communication to Minors]","Voluntary codes or measures relevant to nutrition","","Portuguese","9","2005","","","APAN – Associação Portuguesa de Anunciantes","9","2005","","","","","Health|Education and research|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","Private sector","","","","","","","","20. A publicidade a alimentos e bebidas não deve conter situações que demons-trem menosprezo pela saúde ou por práticas de vida saudável, nomeadamente enco-rajando o consumo excessivo ou compulsivo;
21. Todas as mensagens nutricionais e de benefícios para a saúde relacionados com alimentos e bebidas devem ser suportados por uma base científica. Testes de preferência não podem ser utilizados de maneira a sugerirem validade estatística se não a houver;
","Regulating marketing of unhealthy foods and beverages to children|Regulation of marketing of FNAB to children|Advergames|Cinemas (marketing)|Internet|SMS, telephone, email, newsletter|TV|Using celebrities|Covers children up to 13 years of age|Covers children up to 18 years of age|Voluntary marketing restrictions","","https://extranet.who.int/ncdccs/Data/PRT_B15_Portugal_codigo_marketing_menores.pdf","","",""
"24713","SEN","Senegal","","Plan Stratégique pour la Fortification des Aliments en Micronutriments au Sénégal (PSFAMS)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2006","","2011","","6","2006","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Industry|Information","Institut de Technologie Alimentaire (ITA), Association Sénégalaise de Normalisation (ASN)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Global Alliance for Improved Nutrition (GAIN)|Helen Keller International (HKI)|Other|World Vision International","ABT ASSOCIATES","US Agency for International Development (USAID)","","","","National NGOs","OSDIL, CONGAD, UNAFA.","Research/academia","Université Cheikh Anta Diop de Dakar : Faculté de Médecine et Pharmacie etEquipe de Nutrition de la Faculté des Sciences et Techniques.","Private sector","Conseil National des Employeurs du Senegal, Syndicat Patronal des Industries Alimentaires (SPIDS), Société Nationale des Oléagineux du Sénégal (SONACOS), Grands Moulins de Dakar (GMD),Nouvelles Minoteries de l’Afrique (NMA), Nestlé Sénégal, Sosagrin, Oasis International, Mamelles Jaboot, Sonia, SelSine, Sedima, Eurogerm","Other","l’Association Nationale des Consommateurs du Sénégal (ASCOSEN), l’Union Nationale des Consommateurs du Sénégal (UNCS), SOS-consommateurs","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 :
- Réduire de 30% les prévalences de la carence en fer chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
- Eliminer la carence en vitamine A chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
- Eliminer les troubles dus à la carence en iode chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
","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"
"8145","VNM","Viet Nam","","National IYCF Action Plan","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2006","","2010","National Institute of Nutrition","","2006","Adopted","","2006","MOH","Education and research|Health|Information","National Institute of Nutrition Education and research, Health, Information: Ministry of Education and Training, National Institute of Nutrition, Ministry of Information and Culture","","","","","","","","","National NGOs","National NGOs: Women Union","","","","","","","","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies","","http://www.viendinhduong.vn/home/vi/25/Download.aspx","","WHO Global Nutrition Policy Review 2009-2010",""
"8146","VNM","Viet Nam","","National Nutrition Action Plan ","Comprehensive national nutrition policy, strategy or plan","","English","","2006","","2010","National Institute of Nutrition","","2005","Adopted","","2005","MOH","Food and agriculture|Health|Information","Ministry of Agriculture and Rural Development, MCH Department, MOH and National Institute of Nutrition, Ministry of Information and Culture","","","","","","","","","National NGOs","Women Union","","","","","","","","","","","","Breastfeeding|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Diet-related NCDs|Vitamin A|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Nutrition & infectious disease|Food security and agriculture","","http://www.viendinhduong.vn/home/vi/25/Download.aspx","","WHO Global Nutrition Policy Review 2009-2010",""
"15061","VNM","Viet Nam","","Decree on Trading In and Use of Nutritious Products for Infants (No. 21/2006/ND-CP)","Legislation relevant to nutrition","","English","","2006","","","The Prime Minister of Government","","2006","Adopted","2","2006","Government","Education and research|Health|Information|Trade","Ministry of Education and Training, Ministry of Health, Ministry of Culture and Information, Ministry of Trade","","","","","","","","","","","","","","","Other","Committee for Population, Family and Children, the Central Committee of the Vietnam Fatherland Front, the Central Committee of the Vietnam Women's Union, the Central Committee of the Ho Chi Minh Communist Youth Union, the Central Committee o f the Vietnam Peasants' Association, the Vietnam Labor Confederation","","","","","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.
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Partially implemented|Promotion to the general public: Prohibition of sale promotions - Partially implemented","","http://moj.gov.vn/vbpq/en/Lists/Vn%20bn%20php%20lut/View_Detail.aspx?ItemID=5898","Scope of the Code: 0-12 months","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)","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202006%20Decree%20on%20the%20Trading%20in%20and%20Use%20of%20Nutritious%20Products%20for%20Infants_0.pdf"
"11504","MWI","Malawi","","National Nutrition Policy and Strategic Plan","Comprehensive national nutrition policy, strategy or plan","","","","2007","","2011","Department of Nutrition, HIV and AIDS","","2009","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Information|Sub-national|Other","Department of Nutrition, HIV and AIDS","United Nations Children's Fund (UNICEF)","","","","","","European Union","","","","","","","","","","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"
"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:
- Demand-driven crop and non crop new technologies developed and disseminated; demand led and pro-poor extension service expanded
- Increased irrigation coverage; improved delivery and efficient use of safe irrigation water; reduced dependency on ground water; reduced cost of irrigation water
- Increased supply of quality crop and non-crop seeds, timely supply of fertilizers and balanced use of fertilizers; Increased efficiency and sustainability of agricultural land use; Agricultural land use for non- agricultural purposes effectively regulated; Agricultural machines and equipment available at affordable prices; strengthened Integrated Pest Management (IPM) and Integrated Crop Management (ICP)
- Increased and well-managed production of high value crops, fish and livestock products.
- Increased formal credit to agriculture, especially to small and marginal farmers; improved coverage of financial loss due to failure of crops, livestock and fish production.
- Improved private storage, market and transportation facilities, improved market connectivity at local, national and international levels
- Reduced marketing costs of agricultural products, strengthened market integration
- Updated legislation regulating food markets enacted and enforced
- Well-functioning domestic Early Warning System established and integrated/ coordinated with the global Early Warning System
- Enhanced effectiveness of the public procurement system; producer price effectively supported during post harvest seasons
- Improved public stock management, adequate public storage facilities and capacities and enhanced effectiveness of OMS
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:
- Enhanced disaster preparedness and post-disaster rehabilitation in agricultural systems.
- Improved coverage and effectiveness of emergency distribution programmes.
- Improved coverage of vulnerable and disadvantaged people and areas (esp. Monga-prone areas); improved targeting; improved cost- effectiveness; reduced leakage; enhanced adequacy to vulnerable people’s nutritional needs.
- Enhanced participation of women and disabled people in rural agricultural and other rural activities
- Increased growth of agro-based/agro-processing industries and Micro, Small and Medium sized Enterprises (MSMEs)
- Quality of technical and vocational education and training (TVET) increased to meet skill requirements of domestic and international markets
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:
- Long term targets for physical growth established; standard food and nutrient intake established for different population groups; integrated plan for attaining standard food intakes targets established
- Increased availability through local production of low-cost items; poor, distressed and vulnerable women and children effectively covered by food-based nutrition programs, including Growth Monitoring and Promotion (GMP).
- Increased percentage of women educated in nutrition and primary health care activities through formal and non-formal education; increased home gardening and poultry raising activities by poor households
- Increased coverage of vitamin A; increased coverage and compliance of ironfolate supplementation and; increased coverage of households with adequately iodized salt
- Safe water and sanitation facilities available and accessible for all by 2010.
- Enhanced access to safe and quality food, for domestic consumption and also for international trade.
- Increased primary health care (PHC) and antenatal care (ANC) coverage; increased skilled attendance at birth; improved access to health services; healthy lifestyles and behavior.
- Strengthened exclusive breastfeeding practices; expanded practice of breastfeeding; ensured safe and nutritious complementary feeding; strengthened babyfriendly hospital initiative; increased maternity leave, particularly post-partum; Breast Milk Substitutes (BMS) Codes respected by the breast milk substitute marketers.
","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)
","","","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 adolescent girls|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in schools|School gardens|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|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Food vehicles (i.e. types of fortified foods)|Staple foods|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|Nutrition sensitive actions|Food security and agriculture|Health related|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202008NationalFoodPolicyPlanofActionFINAL.pdf"
"8022","LAO","Lao People's Democratic Republic","","National Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","","","2008","","","Ministry of Health","","2008","Adopted","","2008","Prime Minister of Lao PDR","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Other|Social welfare|Trade","Ministry of Health Cabinet/Presidency, Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Industry, Information, Social welfare, Trade: National Science Council at the Prime Minister's Office, MOE an","","","","","","","","","National NGOs","","","","","","","","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"
"17857","AFG","Afghanistan","","National Child and Adolescent Health Strategy","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2009","","2013","Ministry of Public Health","7","2009","","","","","Development|Education and research|Food and agriculture|Health|Industry|Information|Justice|Women, children, families","Ministry of Rural Rehabilitation and Development (MRRD), Ministry of Education, Ministry of Higher Education, Ministry of Agriculture, Irrigation and Livestock (MAIL), Ministry of Commerce and Industry, Ministry of Communication and Information Technology, Ministry of Justice, Ministry of Women’s Affairs","","","","","European Commission (EC)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","","","","","","","","","","","","Strategy overview
Goal
To reduce newborn and under five mortality and improve child and adolescent health in order to achieve MDG4.
Objectives
- To improve access to and utilization of a package of strategic interventions for child survival,
particularly in the areas of greatest need; and
- To provide an enabling environment for child survival where political will, financial and human
resources match the burden of disease.
","Priority Strategic Interventions - an integrated package
- Skilled or improved attendance during pregnancy, delivery and immediate post-partum
- Neonatal care
- Breastfeeding and complementary feeding
- Immunization of mothers and children
- Micronutrient supplementation
- Integrated management of sick children
- Use of LLINs high risk areas
- Birth spacing
Additional interventions that strengthen the package
- Improve water, sanitation, and environment
- Prevention of accidental injuries
- Promote health at schools
- Draw attention to adolescent health considerations
- Monitor changing priorities
","Indicator:
- Proportion of births assisted by skilled health personnel
- Timely initiation of breastfeeding
- Proportion of infants less than 6 months exclusively breastfed
- Proportion of infants 6-9 months receiving breast milk complementary food
- Proportion of children 6-59 months who received vitamin A in the past 6 months
- Percentage of pregnant women getting ANC
- Underweight prevalence
- Percentage of pregnant women receiving iron folate supplement
- Percentage of families using iodized salt
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iodine|Iron|Zinc|Micronutrient supplementation|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation","","http://moph.gov.af/Content/Media/Documents/NationalChildandAdolescentHealthStrategy2009-20132992012212037379553325325.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Child%20and%20Adolescent%20Health%20Strategy.pdf"
"8588","FRA","France","","Charte pour promouvoir une alimentation et une activité physique favorables à la santé à la télévision [Charter to promote healthy diet and physical activity in TV programmes and advertisements]","Voluntary codes or measures relevant to nutrition","","French","2","2009","2","2014","Ministère de la Santé et des Sports, Ministère de la Culture et de la Communication","2","2009","Adopted","2","2009","Signataires (annonceurs ou des groupements d’annonceurs des industries agroalimentaires, chaînes de télévision et leurs régies publicitaires, producteurs audiovisuels)","Health|Education and research|Information","","","","","","","","","","","","","","","","","","","","","","Les professionnels …, s’engagent dans une démarche volontaire de soutien à la politique nationale de santé publique, dont le Programme national nutrition santé (PNNS), coordonné par le Ministère de la santé et des sports, a fixé les orientations.
Conscient du rôle qu’ils peuvent jouer pour contribuer à prévenir des comportements nutritionnels déséquilibrés, les professionnels s’engagent dans une démarche active motivée par un esprit de responsabilité.
Représentant des coûts conséquents, et des charges nouvelles, dans un environnement économique difficile et en pleine mutation, cette démarche témoigne d’une prise de conscience et d’une volonté d’agir des professionnels en faveur de la promotion d’une alimentation et d’une activité physique favorables à la santé, en particulier auprès des publics jeunes.
Dans le cadre de cet enjeu d’intérêt général, aux origines multifactorielles, la principale responsabilité qui peut incomber aux professionnels consiste à mieux promouvoir des comportements nutritionnels équilibrés : telle est l’inspiration des engagements auxquels ils souscrivent.
Ces engagements supposent, pour être performants, qu’ils soient respectés par tous les acteurs concernés. Les présents engagements sont souscrits pour une durée de cinq ans, dès lors que le cadre législatif et réglementaire est identique à celui en vigueur au moment de la signature de la présente charte.
","Overweight and obesity in school age children and adolescents|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|TV|Voluntary marketing restrictions","","http://www.culture.gouv.fr/culture/actualites/communiq/albanel/artsante09.html","","NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA-charte_nutri_APS_TV_2009.pdf"
"14915","KGZ","Kyrgyzstan","","Комплексная Программа контроля сердечно-сосудистых заболеваний в Кыргызской Республике 2009-2013 [Integrated Program on Control of Cardio-Vascular Diseases 2009-2013]","NCD policy, strategy or plan with healthy diet components","Theme Specific Health Policy, with Nutrition Component","Russian","","2009","","2013","Ministry of Health","","2009","Adopted","5","2009","Ministry of Health","Health|Information","National Statistical Center, National Therapeutic Cardiology Center under Ministry of Health, National Health Development Center, National Medical Information Center","","","","","","","","","National NGOs","family doctors association","","","","","Other","Centers for Family Health, Regional Hospitals, Health Centers, Mass Media","Целью Комплексной Программы являются разработка и внедрение в практику здравоохранения Кыргызской Республики комплекса мероприятий по первичной и вторичной профилактике наиболее распространенных заболеваний сердечно-сосудистой системы с целью снижения заболеваемости, смертности и инвалидизации населения и улучшения качества жизни больных.
Цели:
- Повышение осведомленности населения о наиболее распространенных ССЗ, их ФР развития и возможностях их предотвращения; формирование потребности в ведении здорового образа жизни (ЗОЖ)
- Создание эффективной системы первичной профилактики ССЗ на уровне ПМСП
","Цель будет достигнута через совершенствование государственной политики в области профилактики и лечения с разработкой оптимальных подходов к решению проблем ССЗ, опирающихся как на международный опыт, так и опыт, накопленный в Кыргызстане.
Мероприятия:
- Проведение образовательной кампании через СМИ и образовательные учреждения по принципам здорового образа жизни и контролю модифицируемых факторов риска ССЗ
- Разработка рекламных материалов (брошюр, буклетов, листовок, видео-аудиороликов и др.) по профилактике ССЗ
- Проведение информационной кампании среди производителей пищевых продуктов по снижению содержания в пищевых продуктах поваренной соли и насыщенных жиров
- Разработка и распространение образовательных материалов (пособий, методических рекомендаций, буклетов и других) по изменению образа жизни для лиц, имеющих факторы риска ССЗ
- Внедрение программ профилактики ССЗ и принципов здорового образа жизни на рабочих местах в государственных и частных учреждениях
","Мониторинг и оценка реализации Комплексной Программы будут осуществляться с использованием согласованных индикаторов, получаемых на основе рутинной отчетности и в результате специальных оценочных исследований.
ИНДИКАТОРЫ
- Показатель смертности от сердечно-сосудистых заболеваний среди 30-39 лет
- Показатель смертности от сердечно-сосудистых заболеваний среди 40-59 лет
- Частота повторных ОИМ и инсульта (включить в МКБ)
- % населения, имеющего ожирение (BMI>30) до 10% к 2010 году
","Outcome indicators|Process indicators","","Fat intake|Sodium/salt intake|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction","","http://www.med.kg/Articles/ViewSection.aspx?ArticleID=430","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202009%20Integrated%20Program%20on%20Control%20of%20Cardio-Vascular%20Diseases%202009-2013.pdf"
"17832","SDN","Sudan","","National Nutrition Policy and Key Strategies","Comprehensive national nutrition policy, strategy or plan","","","","2009","","","Federal Ministry of Health Republic of Sudan","","2009","Adopted","","2009","Federal Ministry of Health","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Justice|Other|Trade|Women, children, families","Federal Ministry of Health Republic of Sudan","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","","","","","","","National NGOs","National NGOs","","","Private sector","Iodized salt producers and traders, Millers, Schools, Universities","Other","Other: Religious leaders, Community leaders, Local administration","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:
- a. Support optimal use of available food and micro level resources to maximize nutritional benefit
- b. Using an integrated approach to address malnutrition and morbidity
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.
","-Prevalence of moderate and severe underweight (children 6-59 months)
-Prevalence of moderate and severe stunting (children 6-59 months)
-Prevalence of moderate and severe wasting (children 6-59 months)
-Use of iodised salt at household level
-Vitamin A supplementation(6-59 months) within the last 6 months
-Vitamin A supplementation of postpartum women
","","","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|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|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|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 gardens|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|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|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","","http://www.fmoh.gov.sd/Health-policy/nationalnutritionpolicy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SDN%202009%20National%20Nutrition%20Policy.pdf"
"39482","CIV","Côte d'Ivoire","","Politique nationale de nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","","Ministère de la santé et de l’hygiène publique","","2010","Adopted","","","Ministère de la santé et de l’hygiène publique","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Transport|Consumer affairs|Trade|Environment|Industry|Information|Other","Ministère des infrastructures économiques","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)","","Centers for Disease Control and Prevention (CDC USA)","","","","National NGOs","associations de consommateurs","","","Private sector","","","","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 :
- Promouvoir l’habilitation des populations cibles à améliorer leur situation nutritionnelle et de santé ;
- Renforcer les systèmes de coordination à tous les niveaux ;
- Promouvoir l’engagement des autorités nationales, régionales, locales et traditionnelles ;
- Accorder la priorité aux stratégies préventives dans la lutte contre la malnutrition, notamment du nourrisson et du jeune enfant ;
","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
- Promotion de l’extension des Unités Nutritionnelles (UNT, UNTA, UNS) pour la prise en charge des cas de malnutrition sévère, modérée, surtout dans les zones d’insécurité alimentaire ;
- Suivi des enfants sortis des UNTA/CNS au niveau des sites communautaires;
- Mise en place d’un système de référence et de contre référence ;
- Organisation des stratégies avancées pour le dépistage et le traitement ;
- Introduction de la supplémentation en zinc dans le schéma de prise en charge de la diarrhée chez les enfants;
- Promotion du suivi et de la croissance des enfants de 0-5 ans dans les centres de santé et centres sociaux;
- Renforcement de l’intégration des interventions nutritionnelles aux autres programmes de santé maternelle et infantile (déparasitage, Prévention de la Transmission Parents Enfant (PTPE), supplémentation en fer et acide folique, traitement présomptif intensif du paludisme des femmes enceintes, vitamine A, PEV, PF, …) en adoptant l’approche « Actions Essentielles en Nutrition » ;
- Promotion l’utilisation des aliments fortifiés localement pour la récupération des enfants modérément malnutris ;
- Mise en œuvre du protocole national de prise en charge de la malnutrition
- Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) : Promotion et protection de l’allaitement exclusif des nourrissons de la naissance jusqu’à six mois, y compris les nourrissons nés de mères séropositives qui ne peuvent pas remplir les conditions à moindre risque d’alimentation de remplacement ; Promotion de l’allaitement continu jusqu’à vingt-quatre mois ou plus, avec une alimentation de complément appropriée à l’âge de l’enfant à partir de six mois;
- Promotion de l’allaitement Maternel par la redynamisation des « Hôpitaux Amis des Bébés (IHAB) » en vu de décerner un label;
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’exercice physique ;
- Promotion de régimes et pratiques alimentaires adéquats et des modes de vie sains contre les excès alimentaires.
2. Au niveau communautaire
- Prise en charge et suivre au niveau des sites communautaires les enfants sortis des UNTA/CNS ;
- Institutionnalisation de la semaine d’intensification des activités de nutrition au niveau communautaire couplée à des campagnes de dépistage de la malnutrition en stratégie avancée dans les zones à forte prévalence ;
- Mise en oeuvre de l’approche FARN (Foyer d’Animation et de Réhabilitation nutritionnelle qui utilise la « Déviance Positive » pour l’amélioration de la qualité et de l’efficacité des prestations au niveau communautaire;
- Intensification de la prévention de la malnutrition saisonnière (soudure) due à l’insécurité alimentaire et aux maladies infectieuses (maladies diarrhéiques, infections respiratoires aiguës, rougeole et paludisme).
- Soutien des suppléments alimentaires aux groupes vulnérables (enfants, femmes enceintes et allaitantes) ;
- Renforcement du lien entre les sites de nutrition communautaire et les centres de santé, ainsi que l’utilisation des soins de santé primaires par la communauté (PEV, PCIME, CPN, etc.).
- Promotion de l’utilisation des aliments fortifiés localement pour la récupération des enfants modérément malnutris ;
- Promotion du suivi et promotion de la croissance des enfants de 0-5 ans;
- Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) ;
- Promotion de l’allaitement Maternel par la redynamisation des groupes de soutien
- Mise en place des Communautés Amis de la nutrition des bébés en vu de décerner un label;
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’exercice physique ;
- Promotion de régimes et pratiques alimentaires adéquats et des modes de vie sains contre les excès alimentaires.
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
- Promotion de l’allaitement Maternel ;
- Institutionnalisation de la supplémentation en vitamine A chez les enfants à partir du 6ème mois jusqu’à 59 mois tous les 6 mois en routine ou en campagne et des femmes dans le post partum immédiat ;
- Supplémentation en fer/ acide folique chez la femme enceinte et allaitante;
- Supplémentation en zinc dans le traitement de la diarrhée ;
- Supplémentation en Fluor dès 6 mois;
- Fluoration de l’eau de consommation publique en vue de la prévention des caries dentaires ;
- Promotion de la consommation des aliments locaux riches ou enrichis en micronutriments
- Promotion de la fortification alimentaire en micronutriments (fer/acide folique, vitamines du groupe B, vitamine A…) :
- Mise en place d’une politique pour faciliter l’accès de la population aux denrées alimentaires fortifiées en micronutriments ;
- Promotion de la consommation du sel iodé comme stratégie pour éliminer les TDCI
- Renforcement des activités des structures de contrôle du sel iodé et autres aliments fortifiés notamment les sites sentinelles ;
- Déparasitage : développement des approches intégrées de lutte contre l’anémie (supplémentation en FAF, déparasitage et distribution de moustiquaire) chez les femmes enceintes et les enfants d’âge préscolaire (1-5ans) et scolaire dans les formations sanitaires, dans les écoles et au niveau communautaire ;
- Dépistage et prise en charge des cas.
C. N°3 : Amélioration de la sécurité alimentaire des ménages
- Promotion de la diversification de la petite production familiale (jardin potager/fruitier, pisciculture, petit élevage ;
- Diversification et amélioration de l’utilisation des aliments au niveau des ménages.
D. N°4 : Promotion de la sécurité sanitaire des aliments
- Renforcement de l’application de la législation sur le sel iodé ;
- Mise en place du code réglementant la commercialisation des substituts du lait maternel ;
- Mise en place du code réglementant la commercialisation des produits alimentaires et des boissons non alcoolisées auprès des enfants ;
- Promotion des normes et standards des aliments ainsi que des mesures d’hygiène de l’eau et des aliments;
- Renforcement du code du travail en vue de protéger la santé et la nutrition du nourrisson et du jeune enfant, ainsi que la nutrition et la santé des mères et des travailleurs en général (congés de maternité payés, prolongation de congés de maternité, création d’espace d’allaitement maternel dans les lieux de travail et lieux publics (des crèches « amis des bébés »….) ;
- Elaboration et promulgation des réglementations/normes nationales sur la fortification des aliments locaux ou importées.
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
- Evaluation de l’ampleur des maladies chroniques non transmissibles liée à l’alimentation (diabète, goutte, maladies cardiovasculaires (MCV), Surpoids/obésité et cancer) ;
- Prévention et gestion des carences nutritionnelles et des maladies de surcharge
- Promotion des bonnes pratiques nutritionnelles ;
- Promotion de l’activité physique ;
- Promotion des styles de vie sains ;
- Intégration de la nutrition dans la stratégie de lutte contre le VIH/SIDA – concernant l’allaitement maternel et substituts au lait maternel, l’alimentation de complément du jeune enfant, l’alimentation des personnes vivant avec le virus de sida tant au niveau sanitaire qu’au niveau des sites de nutrition communautaire ;
- Promotion du suivi du statut nutritionnel ;
- Prise en charge des cas de malnutrition ;
- Elaboration, adoption ainsi que la diffusion d’une stratégie nationale sur l’alimentation du nourrisson et du jeune enfant dans le contexte du VIH/Sida ;
- Intégration de l’alimentation du jeune enfant dans les guides et protocoles nationaux pour le conseil et le dépistage volontaire, la prévention de la transmission du VIH de la mère à l’enfant, ainsi que la prise en charge pédiatrique du VIH/SIDA.
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
- Supplémentation en micronutriments ;
- Promotion d’une collation fortifiée ;
- Déparasitage;
- Promotion des jardins potagers ;
- Promotion des services de restauration dont les cantines scolaires ;
- Promotion de l’éducation nutritionnelle (promotion de la nutrition et de l’hygiène) ;
- Promotion des « écoles amies de la nutrition ».
G. N° 7 : Intégration de la nutrition en milieu carcéral
- Supplémentation en micronutriments ;
- Déparasitage ;
- Promotion du suivi du statut nutritionnel ;
- Promotion des jardins potagers ;
- Promotion des bonnes pratiques nutritionnelles (promotion de la nutrition et de
- l’hygiène alimentaire) ;
- Prise en charge des cas de malnutrition.
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
- Mise en place d'un système d'identification des personnes âgées (65ans et plus) ;
- Définition d'une politique de suivi et de prise en charge nutritionnelle;
- Promotion de la consommation des fruits, des légumes et autres aliments riches en micronutriments ;
- Promotion de l’exercice physique.
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
- Promotion du droit à une alimentation et à une nutrition adéquate (quantité et qualité) ;
- Promotion de la notion de nutrition et de sécurité alimentaire des ménages auprès des décideurs ;
- Intégration de la lutte contre la malnutrition dans tous les programmes de développement ;
- Intégration des indicateurs de nutrition parmi les indicateurs de développement et de pauvreté.
Sensibilisation
- Promotion du changement de comportement durable de la population en matière de nutrition et santé (IEC, éducation nutritionnelle, …) à tous les niveaux ;
- Promotion des Actions Essentielles en Nutrition (AEN) ;
- Développement d’un système de communication qui prend en compte la promotion des bonnes pratiques nutritionnelles et la lutte contre les tabous et autres interdits alimentaires.
Mobilisation sociale
- Mobilisation de la communauté pour les activités de santé /nutrition (supplémentation en micronutriments, suivi promotion de la croissance, dépistage communautaire de la malnutrition….).
J. N°10 : Promotion de la recherche en matière de nutrition
- - Recherche opérationnelle
- - Recherche fondamentale
- - Recherche appliquée
K. N°11 : Développement des compétences en matière de nutrition
- Développement des connaissances des prestataires de services en matière de nutrition
- Amélioration des conditions des prestataires à la pratique des activités de la malnutrition (locaux, matériels, intrants, médicaments, personnel qualifié) ;
- Intégration des Actions Essentielles en Nutrition (AEN) notamment la prise en charge de la malnutrition, l’alimentation du nourrisson et du jeune enfant… dans le curriculum des écoles de formation médicale et paramédicale ;
- Renforcement des capacités des établissements sanitaires dans la prise en charge nutritionnelle selon les protocoles mis en place.
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
- Promotion de l’allaitement maternel ;
- Soutien alimentaire (surtout dans les zones affectés par des pénuries alimentaires) et supplémentation en micronutriments en priorisant les enfants, les femmes enceintes et allaitantes ;
- Renforcement des capacités des structures de prise en charge des cas de malnutrition ;
- Intensification et extension des activités de nutrition communautaire dans les zones exposées aux catastrophes naturelles avant une catastrophe pour assurer une bonne préparation à l’urgence et aussi après la catastrophe pour assurer une réhabilitation plus rapide des communautés affectées ;
- Intégration d’une dimension nutritionnelle dans les activités de réhabilitation, (ex. vivre contre travail (VCT), activi
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|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 in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|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|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Infant feeding in emergencies|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition in the school curriculum|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|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|Vitamin A|Vitamin B12|Other B-vitamins|Iodine|Iron and folic acid|Zinc|Fluoride|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Food grade salt|Edible oils and margarine|Complementary foods|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|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC146623","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202010%20Politique%20Nationale%20de%20Nutrition.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
- Promote Early Initiation of Exclusive Breastfeeding and Prolonged Breastfeeding and Complementary Feeding as Part of Positive Caring Practices
- Provision of Essential Macro and Micronutrients
- Promote Supplementary Feeding, Screening and Treatment of Acute Malnutrition and Other Diet Related Disorders
- Promote Nutrition Education
SO2: Prevent and Reduce Food-, Water-, Vector-borne, and Infectious Diseases
- Promote De-worming
- Promote Malaria and Dengue Fever Prevention
- Promote Prevention and Management of Malnutrition Associated to HIV / AIDS
- Promote Immunization
- Promote IMCI Including Diarrhea Prevention and Control
Strategic Direction II: Address Underlying Causes
SO3: Increase and Diversify Domestic Food Production
- Expand and Intensify the Production of Nutritionally Enhanced Food
- Promote Ecologically Sound Natural Resources and Land Utilization and Management, and Protection
- Stabilize Food Supplies
SO4: Improve Access to Nutritious Food
- Improve Physical Access to Food
- Improve Economic Access to Food
- Improving Immediate Access to Food by Chronically Vulnerable Groups
- Improve Women’s Access to Food and Other Resources
SO5: Improve Mother and Child Care Practices
- Integrate Nutrition into Health Education
- Promote Family Planning Practices / Responsible Parenthood
SO6: Improve Environmental Health and Access to Nutrition and Health Services
- Improved Access to Safe Water and Sanitation Facilities, Hygiene Behavior and Household Water Treatment and Safe Storage
- Promote Improved Food Quality and Food Safety
- Improved Access to Nutrition and Health Services
- Promotion of Health Impact Assessment and Adaptation to Environmental Change
Strategic Direction III: Address Basic Causes
SO7: Improve Institutions and Coordination
- Implement and Strengthen Institutions for NFS and Ensure Its Coordination
SO8: Improve Human Capacity
- Build Capacity for Better Nutrition and Food Security
- Integrate Nutrition and Food Security into Academic study
SO9: Increase Quantity and Quality of Information
- Improve Nutrition Information and Surveillance System and M&E for NNS / NPAN
- Scientific Research and Dissemination
SO10: Increase Investments in Nutrition and Food Security
- Advocacy and Fundraising of 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"
"39466","MYS","Malaysia","","National Strategic Plan for Non-Communicable Disease","NCD policy, strategy or plan with healthy diet components","","English","","2010","","2014","Ministry of Health Malaysia","","2010","Adopted","","2016","Ministry of Health Malaysia","Health|Food and agriculture|Education and research|Women, children, families|Development|Sport|Transport|Trade|Information|Other","Ministry of Health Malaysia, Ministry of Education, Ministry of Women, Family and Community Development, and other related ministries and government agencies","United Nations Children's Fund (UNICEF)","UNICEF","","","","","","","National NGOs","","Research/academia","Academia","Private sector","Federation of Malaysia Manufacturers (MAFMAG)","","Paediatric Society, Civil Society, Associated of Registered Childcare Providers of Malaysia","OBJECTIVES
The general objective of the NSP-NCD is to prevent or delay the onset of CVD and diabetes and their related complications, and to improve their management, thus enhancing quality of life of our population, leading to longer and more productive lifes.
The specific objectives are:
1. To raise the priority accorded to NCDs in development work at global and national levels, and to integrate prevention and control of such diseases into policies across all government departments;
2. To establish and strengthen national policies and plans for the prevention and control of NCDs;
3. To promote interventions to reduce the main shared modifiable risk factors for NCDs: tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol;
4. To promote research for the prevention and control of NCDs;
5. To promote partnerships for the prevention and control of NCDs;
6. To monitor NCDs and their determinants, and evaluate progress at the national, regional and global levels.
","Strengthening existing content & creating new content for health promotion addressing the main diabetes (NCD) risk factors; unhealthy eating and physical inactivity (other NCD risk factors will also be included). The main messages are:
- Increase the awareness of overweight and obesity as a major public health threat
- Inculcate healthy eating habits among Malaysians
- Inculcate active living (physical activity) / exercise among Malaysians
- Increase the awareness of other NCD risk factors and importance of early and regular screenings (family history, smoking status, mental stress, alcohol abuse, dyslipidaemia, hypertension and elevated blood glucose)
- Increase the awareness of Malaysians on total cardiovascular risks
Strengthening of the School Health programmes to include a component involving the family and community, in both health education and health-promoting activities, with emphasis on:
- Increase and re-orient physical education in the curricula
- Promote extracurricular physical activity
- Improve access to healthy food at schools
- Increase barrier to unhealthy food at schools
- School-based NCD risk factor screening & intervention
Strengthening of the Workplace-based Health programmes, in both health education and health-promoting activities, with emphasis on:
- Promoting physical activity
- Improve access to healthy food & increase barrier to unhealthy food
- Workplace-based NCD risk factor screening & intervention
Strengthening of the Community-based Health programmes, in both health education and health-promoting activities, with emphasis on:
- Promoting physical activity
- Improve access to healthy food & increase barrier to unhealthy food (e.g. Kafeteria Sihat and Pasaraya Sihat, or Healthy Cafeteria and Healthy Supermarket)
- Community-based NCD risk factor screening & intervention
Identification and involvement of all relevant stakeholders in strengthening Community-based health programmes in the promotion of healthy diet and physical activity.
Continue to collaborate with the food industries (including food technologists and retailers) to increase the production and promotion of low fat, low sugar foods.
Continue to establish partnerships with the media and advertising industries to promote the messages of healthy eating and being active, together with factual information on obesity and weight reduction. This includes engaging presenters/hosts and celebrities to use the ‘celebrity status’ as ‘role models’ for healthy eating and being physically active.
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Promotion of availability of fresh local fruits and vegetables, via subsidies for farmers, and to hold more regular fairs (e.g. Malaysian Agriculture, Horticulture & Agrotourism (MAHA) show in all states).
To continue to regulate and decrease the content of salt and sugar in all processed food and drink, via regulations and self-regulation by industries
","Table 3: Key Performance Index For NSP-NCD In Malaysia
Diabetes Mellitus (≥18 years):
No. NHMS III (2006) 11.6%
Proposed Target* (2016) <13.6%
Obesity (BMI ≥27.5kg/m2) (≥18 years):
No. NHMS III (2006) 26.2%
Proposed Target* (2016) <33.7%
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|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","","http://www.moh.gov.my/images/gallery/nspncd/NSPNCD.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MYS%202010%20National%20strategic%20plan%20for%20NCD.pdf"
"25920","NGA","Nigeria","","National Policy on Infant and Young Child Feeding in Nigeria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","","Federal Ministry of Health, Department of Family Health","11","2010","","","","","Health|Food and agriculture|Women, children, families|Information","Federal Ministry of Health, Department of Family Health; Federal ministry of Women Affairs;Federal Ministry of Information and Communication;National Agency on Food and Drug Administration and Control (NPHCDA);National Primary Health Care Development Agency (NPHCDA);","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Nutrition International","","","","","","National NGOs","Nutrition Society of Nigeria","Research/academia","","","","","","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.
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.
Specific Objectives:
i. To protect, promote 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 counseling 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 support and enhance the provision of an 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.
x. To promote the prevention of mother-to-child transmission of HIV and ensure HIV-free survival through appropriate and safe measures that ensure optimal infant and young child feeding.
xi. 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.
xii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
","
","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Vitamin A|Iron|HIV/AIDS and nutrition","","http://www.health.gov.ng/index.php/resources/policy-documents/family-health","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202010%20National%20Policy%20on%20Infant%20and%20Young%20Child%20Feeding%20in%20Nigeria.pdf"
"39752","FRA","France","","Plan Obésité 2010-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","7","2011","","2013","Ministère du Travail, de l’Emploi et de la Santé","","2010","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Information|Labour|Other","Ministère de l'intérieur, de l'outre-mer, des collectivités territoriales et de l'immigration.","","","","","","","","","","","","","Private sector","","","","AXE 2 → Mobiliser les partenaires de la prévention, agir sur l’environnement et promouvoir l’activité physique
","Mesure 2.1 : Actions préventives conduites dans le cadre du PNA
Pour son volet « prévention », le Plan obésité s’appuie sur les axes suivants du Programme national pour l’alimentation (les actions du PNA intégrées dans le Plan obésité ont pour numéro 15 (15.1, 15.2…)).
Faciliter l’accès de tous à une alimentation de qualité (Axe I)
- Mieux manger en situation précaire (I.1) :
- augmenter les quantités et favoriser un régime plus équilibré (I.1.1) ;
- favoriser les initiatives alliant lutte contre le gaspillage alimentaire et aide aux personnes démunies (I.1.2).
- Prendre de bonnes habitudes alimentaires dans le cadre scolaire ou périscolaire (I.2) :
- généraliser la distribution de fruits à l’école en plus de ceux consommés à la cantine (I.2.1) ;
- donner un repas équilibré et du plaisir aux jeunes en restauration collective (I.2.2).
Améliorer l’offre alimentaire (Axe II)
- Généraliser les démarches volontaires et les partenariats publics/privés permettant d’innover pour améliorer la qualité des aliments (II.1).
- Développer des variétés végétales à haute valeur environnementale, nutritionnelle, et organoleptique (II.2).
Améliorer la connaissance et l’information sur l’alimentation (Axe III)
- Former les jeunes consommateurs de demain (III.1) :
- acquérir, durant le temps scolaire, des connaissances et sensibiliser les plus jeunes au patrimoine alimentaire et culinaire (III.1.1) ;
- acquérir, hors temps scolaire, un socle de connaissances et sensibiliser les plus jeunes au patrimoine alimentaire et culinaire (III.1.2).
- Éduquer les consommateurs (III.2) :
- créer un nouvel espace d’information sur l’alimentation (III.2.1) ;
- labelliser les maisons de l’alimentation (III.2.2) ;
- réaliser un centre de ressource des jeux éducatifs (III.2.3) ;
- développer des programmes éducatifs (III.2.4).
- Informer les consommateurs (III.3) :
- améliorer l’étiquetage et l’information sur les produits (III.3.1) ;
- renforcer l’information des consommateurs sur la composition nutritionnelle des denrées pré-emballées (III.3.3).
Mesure 2.2 : Actions préventives conduites dans le cadre du PNNS
Pour son volet « Prévention », le Plan obésité s’appuiera sur les axes suivants du PNNS (les actions du PNNS intégrées dans le Plan obésité ont pour numéro 16 (16.1, 16.2…)).
Développer l’activité physique et sportive et limiter la sédentarité (Axe 2)
- Promouvoir, développer et augmenter le niveau d’activité physique quotidienne pour tous (mesure 1).
- Promouvoir l’activité physique et sportive adaptée (APA) chez les populations défavorisées, en situation de handicap, atteintes de maladies chroniques, ou âgées (mesure 2).
Valoriser le PNNS comme référence pour les actions en nutrition ainsi que l’implication des parties prenantes (Axe 4)
- Mettre en place une stratégie de communication du PNNS (mesure 1, action 29).
- Développer les chartes d’engagements des collectivités territoriales actives du PNNS (mesure 2, actions 30, 31 et 32).
- Développer la charte « entreprises actives du PNNS » (mesure 3, action 33).
- Faire connaître et valoriser les actions et documents validés par le PNNS (mesure 4, actions 34, 35 et 36).
Réduire, par des actions spécifiques, les inégalités sociales de santé dans le champ de la nutrition au sein d’actions générales de prévention (Axe 1)
- Mettre en place des interventions spécifiques pour réduire les inégalités sociales de santé (ISS) en matière nutritionnelle (mesure 1, actions 1 à 5).
- Développer et valoriser les chartes d’engagement volontaires de progrès nutritionnel pour une offre alimentaire allant dans le sens des objectifs du PNNS (mesure 2, action 8).
- Développer des actions d’information et d’éducation nutritionnelle (mesure 4) :
- Développer une communication actualisée sur les repères nutritionnels du PNNS et des outils adaptés à des publics spécifiques ; informer sur les relations entre nutrition et pathologies (action 11) ;
- Renforcer les messages de santé publique et réduire les effets de la pression publicitaire (action 12).
- Promouvoir l’allaitement maternel (mesure 5, action 13).
Organiser le dépistage et la prise en charge des patients en nutrition (Axe 3)
- Prévenir et prendre en charge les troubles nutritionnels des populations en situation de handicap (Mesure 4, action 28).
","","","","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|Breastfeeding promotion/counselling|School-based health and nutrition programmes|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food security and agriculture|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/FRA_B11_Plan_Obesite_2010_2013-2.pdf, https://extranet.who.int/ncdccs/Data/FRA_B11_Obésity plan.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA%202010%20Plan%20Obesite.pdf"
"14866","KAZ","Kazakhstan","","National Program for Development in Health of the Republic of Kazakhstan ""Kazakhstan Salamatty 2011 - 2015"" / Государственная программа развития здравоохранения Республики Казахстан «Саламатты Қазақстан» на 2011 – 2015 годы","Health sector policy, strategy or plan with nutrition components","","Russian","","2011","","2015","Government of Kazakhstan and Kazakh Academy of Nutrition","11","2010","Adopted","11","2010","President of Kazakhstan","Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Other|Social welfare|Sub-national","Ministry of Education and Science, Ministry of Economic Development and Trade, Ministry of Agriculture, Ministry of Environment Protection, MOH, Kazakh Academy of Nutrition, Ministry of Industry and New Technologies, Ministry of Communication and Information, Ministry of Tourism and Sport, Ministry of Culture, Ministry of Justice, Ministry of Internal Affairs, Ministry of Labor and Social Protection of Population, Ministry of Defense, Ministry of Emergency Situations, Local governance authoreties","","","","","","","","","National NGOs","Undefined relevant NGOs","","","Private sector","Undefined privet organization that wish to be partners","","","Цели:
- Улучшение здоровья граждан Казахстана для обеспечения устойчивого социально-демографического развития страны.
- Здоровый образ жизни и принцип солидарной ответственности человека за свое здоровье.
- Формирование, сохранение и укрепление здоровья граждан путем координации деятельности государственных, общественных и бизнес-структур.
- Здоровый образ жизни и снижение уровня социально значимых заболеваний, обусловленных поведенческими факторами
- увеличение охвата населения спортивно-массовыми мероприятиями.
- обеспечение здорового питания населения и профилактика заболеваний, зависимых от питания.
- формирование физического и психического здоровья детей и подростков.
Задачи
- Усиление межсекторального и межведомственного взаимодействия по вопросам охраны здоровья граждан и обеспечения санитарно-эпидемиологического благополучия;
- разработка и внедрение единой национальной политики межсекторального и межведомственного взаимодействия по вопросам охраны общественного здоровья.
- улучшение питания детей, женщин репродуктивного возраста, беременных и кормящих женщин;
- обеспечение устойчивого снабжения населения безопасными и здоровыми пищевыми продуктами;
- информирование населения о здоровом питании;
- мониторинг, оценка и исследование питания населения.
- создать условия и возможности для школьников к занятиям спортом;
- развить целостную систему – службу школьной медицины (далее – СШМ), направленную на сохранение физической среды, укрепление физического и психического здоровья ученика, на формирование мотивации к ведению ЗОЖ.
Основные направления: усиление профилактических мероприятий, скрининговых исследований, совершенствование диагностики, лечения и реабилитации основных социально значимых заболеваний; совершенствование санитарно-эпидемиологической службы;
","в разработку и внедрение межсекторальных подпрограмм входит:
- пропаганда здорового образа жизни и питания, снижения уровня социально значимых заболеваний, обусловленных поведенческими факторами;
- здоровe школьников и подростков;
- разработка отраслевой программы развития физической культуры и спорта;
- разработка системы мониторинга и оценки эффективности реализации программы по вопросам улучшения общественного здоровья.
- формирование мотивации работодателей к обеспечению условий ведения здорового образа жизни работниками организаций, а также закрепление за работодателями ответственности за своевременное прохождение работниками профилактических осмотров;
Пути достижения и соответствующие меры
- Повышение информированности населения о здоровом образe жизни (ЗОЖ) будет осуществляться путем консолидации усилий медицинских, социальных работников и журналистов. Для этого планируется совершенствование медицинских программ: разработка тематик с учетом актуальности проблем, участие лидеров и знаменитых людей страны, видных деятелей здравоохранения, культуры, спорта, образования, популяризация новых технологий профилактики и лечения злоупотребления алкоголем. Кроме того, планируется выпуск медицинских теле- и радио программ, трансляция медицинских программ в наиболее удобное для просмотра время.
- Для активизации участия НПО и бизнес-сообщества планируется их активное вовлечение в формирование ЗОЖ с предоставлением государственного социального заказа. Кроме того, планируется повышение корпоративной социальной ответственности работодателей в вопросах охраны здоровья граждан, включая обеспечение работников предприятий и организаций физкультурно-оздоровительными и спортивными услугами.
- Для увеличения охвата населения спортивно-массовыми мероприятиями планируется развитие инфраструктуры для занятия физической активностью, спортом и активного отдыха: создание доступных спортивно-оздоровительных объектов; улучшение состояния парков и игровых площадок. Будет продолжена работа по повышению мотивации населения к занятию физической культурой и спортом посредством информирования населения через размещение информационно-образовательных программ в СМИ. Планируется проведение традиционных спортивных мероприятий, национальных видов спорта и народных игр в масштабах республики с вовлечением всех слоев населения и привлечением СМИ, а также создание условий для развития спорта высших достижений как фактора мотивации населения к занятиям физической культурой и спортом.
- Важным фактором, способствующим распространению физической активности, является стимулирование лиц и организаций, создающих условия для занятия спортом среди всех слоев населения. Для этого необходимо повышение корпоративной социальной ответственности работодателей в вопросах охраны здоровья граждан, включая обеспечение работников предприятий и организаций физкультурно-оздоровительными и спортивными услугами.
- Улучшение питания детей разного возраста, женщин репродуктивного возраста, беременных и кормящих женщин.
- Способствовать оптимальному питанию плода, обеспечивая адекватное питание будущих матерей до зачатия и в течение беременности.
- Обеспечивать защиту, пропаганду и поддержку грудного вскармливания, и своевременное введение адекватного прикорма для младенцев и детей младшего возраста.
- Организация производства по выпуску детских и лечебно-профилактических продуктов питания с использованием местных сырьевых источников.
- Обеспечить здоровое питание и безопасность пищевых продуктов в детских домах, дошкольных учреждениях и школах.
- Обеспечение устойчивого снабжения населения безопасными и здоровыми пищевыми продуктами.
- Расширить выпуск продукции с низким содержанием насыщенных жиров и трансжирных кислот, простых сахаров и соли, с высоким уровнем витаминов, минералов, микроэлементов и пищевых волокон.
- Обеспечить соответствующее обогащение основных продуктов питания микронутриентами и разработку продуктов для дополнительного питания.
- Улучшить питательные качества и повысить безопасность пищевых продуктов в общественных и государственных учреждениях (система общественного питания, детское и школьное питание, больницы, военные учреждения и др.) путем усиления требований и совершенствования системы контроля безопасности пищевой продукции.
- Изучить возможности использования экономических методов (налогов, субсидий) для влияния на финансовую доступность продуктов питания и напитков, соответствующих рекомендуемым величинам потребления пищевых веществ.
- Учредить межотраслевые системы обеспечения безопасности пищевых продуктов, в которых используется принцип «от фермы до стола», и механизмы анализа рисков, соответствующие Codex Alimentarius.
- Соответствие национальных стандартов на пищевые продукты и их производство, санитарных правил и норм, других нормативных документов по контролю безопасности пищевой продукции международным требованиям.
Информирование населения о здоровом питании
- Разработать рекомендации по потреблению пищевых продуктов для населения в целом и для уязвимых групп.
- Проведение многоуровневых общественных и коммуникационных кампаний, направленных на повышение уровня образования и информированности различных групп населения в области здорового питания, безопасности пищевых продуктов и прав потребителей, с привлечением всех доступных СМИ.
- Поощрять точную маркировку пищевых продуктов для лучшего понимания характеристик продукта потребителями, поддержки выбора качественных продуктов питания и содействия безопасному хранению и приготовлению пищевых продуктов
Мониторинг, оценка и исследования питания населения
- создание государственной системы мониторинга состояния питания, доступности пищевых продуктов и их потребления, а также программ профилактики дефицита микронутриентов в различных возрастных и социально-экономических группах, в том числе мониторинга грудного вскармливания и прикорма детей раннего возраста;
- совершенствование систем надзора за пищевыми токсикоинфекциями и систем мониторинга микробиологических и химических рисков в разных звеньях продовольственной цепочки. Проведение на постоянной основе исследований полного рациона питания для оценки его загрязненности чужеродными соединениями химической и биологической природы;
- корректировка региональных норм физиологических потребностей в основных пищевых веществах и энергии для отдельных групп населения, с учетом состояния их здоровья, климатогеографических, экологических и этнических особенностей региона;
- разработка, реализация, мониторинг и оценка комплексных программ и стратегий, направленных на профилактику социально значимых алиментарно-зависимых заболеваний, снижение бремени болезней, обусловленных питанием и пищевыми продуктами.
","Целевые индикаторы
- Увеличение ожидаемой продолжительности жизни населения к 2013 году до 69,5 лет, к 2015 году – до 70 лет;
- снижение материнской смертности к 2013 году до 28,1, к 2015 году – до 24,5 на 100 тыс. родившихся живыми;
- снижение младенческой смертности к 2013 году до 14,1, к 2015 году – до 12,3 на 1000 родившихся живыми;
- снижение общей смертности к 2013 году до 8,14,к 2015 году – до 7,62 на 1000 населения;
- увеличение доли лиц, ежедневно занимающихся физической культурой не менее 30 минут, до 18% к 2013 году, 24,9% к 2015 году
- снижение заболеваемости железодефицитной анемией до 2221 к 2013 году, до 2082,0 к 2015 году на 100 тыс. населения
- снижение распространенности избыточной массы тела до 33% к 2013 году, до 30% к 2015 году
","Outcome indicators","","Maternity protection|Underweight in children 0-5 years|Anaemia|Overweight and obesity in adults|Right to health|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Food labelling|Reformulation of foods and beverages high in fat, sugars, salt|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|Iron|Micronutrient supplementation|Food fortification|Food safety|Vulnerable groups","","http://ru.government.kz/resources/docs/doc19","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202010%20National%20H.Policy-Salamatty.pdf"
"17819","MAR","Morocco","","La Stratégie Nationale de la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2011","","2019","Ministère de la Santé","","2011","Adopted","","2012","Ministère de la Santé/Direction de la Population","Health|Food and agriculture|Education and research|Women, children, families|Sport|Industry|Information|Other","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","I. Composante de la Stratégie Nationale de Nutrition
A. Principes directeurs :
Les principes directeurs ci-dessous sont essentiels pour la réussite de la Stratégie Nationale de Nutrition (SNN ):
- Une approche intégrée et multidimensionnelle fondée sur la collaboration entre les différents partenaires et la coordination à tous les niveaux ;
- Un engagement et une mobilisation de la communauté ;
- Un partage de l’information entre les différents intervenants afin d’aider à une prise de décision éclairée ;
- Un renforcement du partenariat public-privé.
B. Vision:
La Stratégie Nationale de Nutrition vise à promouvoir un bon état nutritionnel pour l’ensemble de la population marocaine afin de contribuer à l'amélioration de son état de santé.
Cette stratégie fondée sur l’analyse approfondie de la situation nutritionnelle au Maroc, sur les acquis, les opportunités et prenant en considération les contraintes identifiées, constituera une plateforme pour la planification et la mise en oeuvre de toute intervention dans le domaine de la nutrition.
C. But :
La Stratégie Nationale de Nutrition (2011-2019) a pour but de contribuer à l’amélioration de l’état de santé de la population en agissant sur l’un de ses déterminants majeurs qui est la nutrition.
D. Objectifs spécifiques :
- Améliorer les indicateurs de l’état nutritionnel de la population tout au long du cycle de la vie ;
- Promouvoir un mode de vie sain afin de prévenir les troubles nutritionnels et les maladies chroniques liées à la nutrition ;
- Améliorer l’accessibilité des ménages aux produits alimentaires de qualité et en quantité suffisante ;
- Renforcer les compétences institutionnelles et professionnelles en nutrition ;
- Renforcer les mécanismes de coordination entre les différents intervenants en Nutrition ;
- Développer la recherche et l’expertise en nutrition.
","II. Fondements de la Stratégie Nationale de Nutrition
A. Axes stratégiques et domaines d’intervention :
Axe stratégique 1: Renforcement de la composante nutrition dans les programmes de santé :
Plusieurs programmes de santé intégrant la composante nutrition doivent être renforcés afin de contribuer à l’amélioration du statut nutritionnel de la population marocaine. Ainsi, trois domaines d’intervention ont été retenus.
1.Promotion de l’alimentation du nourrisson et du jeune enfant
2.Prévention et prise en charge des troubles nutritionnels durant le cycle de vie
3.Prévention et lutte contre les carences en micronutriments.
Axe stratégique 2 : Renforcement de la sécurité alimentaire et sanitaire :
La sécurité sanitaire des aliments constitue une priorité. Elle doit être accompagnée de mesures réglementaires pour assurer l’accessibilité, l’hygiène et l’innocuité des aliments.
4.Renforcement d’un approvisionnement durable en aliments surs et sains
Axe stratégique 3 : Intégration de la composante nutrition dans les programmes éducatifs et dans les actions communautaires :
Les politiques et programmes scolaires et universitaires devraient favoriser l’adoption d’une alimentation saine et une pratique de l’exercice physique. Aussi, la participation communautaire s’avère utile pour modifier les normes sociales en matière d’alimentation.
5.Promotion de la nutrition dans le milieu scolaire et universitaire.
6.Promotion de la nutrition au niveau communautaire.
Axe stratégique 4 : Développement de mesures d’appui à la Stratégie Nationale de Nutrition :
Des mesures d’accompagnement en rapport avec l’Information, Education et Sensibilisation, la surveillance nutritionnelle, le développement de la recherche et de l’expertise sont la clé du succès de la stratégie.
7.Mise en place d’un plan d’Information, Education et Sensibilisation en matière de nutrition
8.Mise en place d’un système de surveillance nutritionnelle
9.Développement de la recherche et de l’expertise en matière de nutrition
","Indicateurs : (Valeur actuelle, Valeur 2012, Valeur 2019)
Taux de pratique de la mise au sein précoce : (52%, 80%, 90%)
Prévalence de l’insuffisance pondérale chez les enfants de moins de 5 ans : (10%, 8%, 5%)
Allaitement maternel exclusif (0-6mois) : (15%, 50%, 60%)
Pourcentage des femmes qui donnent une alimentation de complément adéquate : (20% 30 % 50%)
Prévalence de la carence en vitamine A chez les enfants <5 ans : (41%, 10%, Élimination)
Incidence de l’hypothyroïdie congénitale : (1/1952, -, Élimination)
Prévalence d’anémie ferriprive
- Femmes enceintes : (37.2%, 31.5%, 18 %)
- Enfants de moins de 5 ans : (25%, 21%, 16%)
- Hommes : (20%, 18 %, 12 %)
La prévalence des malformations du tube neural : (3.3/1000 naissances vivantes, 3/1000 naissances vivantes, 1.5/1000 naissances vivantes)
Prévalence de surpoids chez les enfants < 5 ans : (14%, 9%, 7%)
Prévalence de la surcharge pondérale chez les adultes de plus de 20 ans : (44%, 40%, 30%)
Pratique de l’activité physique chez la population marocaine : (50%, 55%, 70%)
Pratique de l’activité physique chez les enfants en milieu scolaire : (50%, 55%, 80%)
","","","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 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|Overweight in school children|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|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|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 A|Micronutrient supplementation|Nutrition education|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202011%20Strategie%20Nationale%20de%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:
- Percentage of target group trained
- Percentage of facilities equipped with relevant resources (child and adult mid-upper arm circumference [MUAC] tapes , height boards, weighing scales, food scales)
- Number of relevant supplies enlisted, ordered and stocked (vitamin A, iron/folate, zinc, therapeutic vitamin and mineral complex [CMV], ready-to-use therapeutic food [RUTF], fortified blended food [FBF])
- Number of guidelines, protocols, job aids and counselling cards) developed, distributed and used
- Number of laws enacted and regulations gazetted
- Number of IEC materials (posters, leaflets, DVDs) developed, distributed and used
- Level and reach of promotional and social marketing activities
- Number and distribution of surveillance sites operational
- National nutrition surveillance system operational
- Availability of survey results in all concerned agencies
- Percentage of health facilities offering adequate treatment of acutely malnourished children
- Percentage of maternity wards meeting the Ten Steps to Successful Breastfeeding
- Level of salt monitoring and testing
- Coverage of supplementation programmes
OUTCOME INDICATORS:
- Percentage of children 0–36 months old seen for any reason whose anthropometric measurements have been taken and whose mothers have received counselling on adequate nutrition
- Percentage of children who are exclusively breastfeeding at 6 months of age
- Percentage of children under 5 years old who are stunted
- Percentage of children who are still breastfeeding with appropriate complementary food at 12–15 months old
- Percentage of households who are using salt adequately iodised to 50–80 ppm
- Percentage of population knowing about and consuming vitamin A-rich foods
- Percentage of women who have received a vitamin A capsule postpartum
- Percentage of children 9 months to 6 years old who have received a vitamin A capsule within the past 6 months
- Percentage of women who have received iron supplementation for duration of pregnancy
- Number of under-5s receiving zinc supplements
- Percentage of population knowing and consuming zinc-rich foods
- Number of HIV-positive adults treated for malnutrition in outpatient facilities
- Number of HIV-positive adults treated for malnutrition in inpatient facilities
- Percentage of adult PLHIV with BMI < 18.5 kg/m2
- Number of people living with HIV receiving adequate counselling for appropriate nutrition15
- Increased proportion of children and adults at healthy body weight by 3 percentage points within 10 years
- Increase in diabetics with normal blood sugar readings
- Decrease in diabetics with continuous poor control over their blood sugar for over a period of 6 months
- Percentage of patients with hypertension with records of blood pressure in the previous 9 months
- Percentage of patients with hypertension in whom the last blood pressure (measured in the previous 9 months) is 150/90 or less
- Reduction of the prevalence of low birth weight babies to 10 percent of all live births
- Reduction of iodine deficiency rates among women of reproductive age
- Reduced HIV incidence and AIDS mortality rates
- Reduced incidence and mortality rates for vaccine-preventable diseases
- Increased immunization coverage rates
IMPACT INDICATORS:
- Percentage of children under 5 who are underweight
- Percentage of children under 5 who are stunted
- Percentage of children under 5 who are wasted
- Percentage of women of reproductive age who are well nourished
- Percentage of women with BMI < 18.5
- Percentage of pregnant women with haemoglobin < 10g/dl
- Proportion of children 8 – 12 years with urinary iodine below 100μg/l
- Proportion of children 8 – 12 years with urinary iodine below 50μg/l
- Percentage of children 6–60 months old receiving vitamin A supplementation in the previous 6 months
- Percentage of women given vitamin A supplementation postpartum
- Population-based percentage of overweight or obese adults, adolescents and children (BMI ≥ 25)
- Prevalence of hypertension
- Prevalence of diabetes mellitus
- Percentage of HIV-positive adults exiting treatment for SAM and MAM from malnutrition
- Percentage of relapse of malnutrition in HIV-positive adults
- Percentage of PLHIV in the “Working” category of the three WHO-recommended functional status categories
","","","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"
"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.
","","","Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|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|Provision of school meals / School feeding programme|School meal standard|School milk scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Wheat flours|Condiments and seasonings|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","http://viendinhduong.vn/FileUpload/Documents/2.%20National%20Nutrition%20%20Strategy%202011-2020.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202011%202.%20National%20Nutrition%20%20Strategy%202011-2020.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
","IV.2.
PRINCIPIOS DE ORIENTACIÓN OPERATIVA DEL PLANOCC Y LINEAS DE ORIENTACIÓN ESTRATÉGICA
En el contexto del enfoque del Planocc, se plantean los siguientes principios de
orientación operativa:
a)Reconocimiento del derecho de todas y todos los ciudadanos a la seguridad
alimentaria y nutricional
b)Equidad de oportunidades y pertinencia de enfoques para el desarrollo
c)Tratamiento integral, multisectorial e intergubernamental de la problemática de
seguridad alimentaria y nutricional
d)Respeto y promoción de la diversidad cultural y buenas prácticas alimentarias
e)Transformación productiva con equidad entre hombres y mujeres y entre pueblos con
pertinencia cultural
f)Promoción del uso sostenible de los recursos
naturales, de la gestión y gobernanza del
agua, en especial los servicios de agua potable y saneamiento y el tratamiento de las
aguas residuales
","V. MONITOREO Y EVALUACIÓN
El seguimiento y monitoreo del Planocc es un esquema orientado a identificar de manera sistemática, la calidad del desempeño estratégico del Plan y a transparentar las acciones, en el marco de los programas y objetivos planteados por el Plan.
Las metas indicativas propuestas para el Planocc, para el quinquenio siguiente a su implementación son las siguientes:
1. Reducir la prevalencia de casos de desnutrición crónica en menores de 5 años, en un 25% y cerrar en 50% la brecha urbano-rural que manifiesta el problema actualmente.
2. Reducción de la deficiencia de micronutrientes, prioritariamente la anemia en niños y niñas menores de 36 meses y en gestantes; de 40% y 30%, respectivamente, en ambos grupos.
3. Aumento de la disponibilidad per cápita diaria de calorías procedente de alimentos de origen nacional en un 50%.
4. Reducción de los hogares con déficit de acceso calórico en 25%, con reducción de La brecha urbano-rural.
5. Reducción en 50% del porcentaje de niños menores de 36 meses y mujeres gestantes con prácticas inadecuadas en alimentación, nutrición, salud.
6. Incremento en un 50%, de la oferta alimentaria en la región, derivada de una ampliación de la capacidad productiva local no utilizada o subutilizada y la transformación productiva de las unidades económicas de pequeña escala.
7. Incremento en un 50% de los niños y niñas que deben asistir a los programas educativos y de atención y que corresponden a la educación inicial (de 0 a 3 años), pre-primaria (de 4 a 6 años) y primaria (de 6 a 12 años).
8. Incremento en un 50% de las familias atendidas por los programas de prevención de la desnutrición y educación en salud y nutrición, principalmente dirigido a las mujeres jefes del hogar y población en alto riesgo.
9. Incremento en un 25% del nivel de ingreso mínimo equivalente a la canasta básica rural de la región.
10. Incremento del 50% en los niveles de ocupación y empleo rural en la zona de influencia del Planocc
","","","Stunting in children 0-5 yrs|Underweight in women|Anaemia|Anaemia in pregnant women|Food fortification|Food security and agriculture|Household food security|Vulnerable groups","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Guatemala_PLANOCC_2012_2016.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GTM%202012%20PLANOCC.pdf"
"17863","KEN","Kenya","","National Nutrition Action Plan 2012-2017","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2017","Ministry of Public Health and Sanitation","","2012","Adopted","","2012","Ministry of Health","Nutrition council|Health|Food and agriculture|Women, children, families|Social welfare|Trade|Information|Other","Ministry of Public Health and Sanitation, Ministry of Fisheries, Ministry of Livestock Development, County Health Management Committee, Kenya National Bureau of Statistics, Nutrition Interagency Coordinating Committee (NICC) and technical working groups (national level), Food and Nutrition Security Secretariats (county and ward level), Ministry of Gender, Children and Social Development","","","","","","","","","","","Research/academia","Kenya Industrial Research and Development Institute, Kenya Medical Research Institute","Private sector","Kenya Private Sector Alliance","Other","Media, Kenya National Fortification Alliance","Purpose:
This Plan has been developed to operationalize the strategies outlined in the Food Security and Nutrition policy 2012. It serves as a road map for coordinated implementation of nutrition interventions by the government and nutrition stakeholders across development sectors for maximum impact.
Objectives:
- To improve the nutritional status of women of reproductive age (15-49 years)
- To improve the nutritional status of children under 5 years of age
- To reduce the prevalence of micronutrient deficiencies in the population
- To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
- To improve access to quality curative nutrition services
- To improve prevention, management and control of diet related NCDs
- To improve nutrition in schools, public and private institutions
- To improve nutrition knowledge attitudes and practices among the population
- To strengthen the nutrition surveillance, monitoring and evaluation systems
- To enhance evidence-based decision-making through research
- To strengthen coordination and partnerships among the key nutrition actors and mobilize essential resources
","Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Activity:
- Provide IFA supplements to adolescent girls and pregnant women
- Provide supplementary foods to pregnant and lactating women according to the admission criteria on integrated management of acute malnutrition guidelines
- Conduct routine weight Monitoring and appropriate counseling for the pregnant women
- Procure and distribute nutritional commodities and equipment to health facilities.
- Conduct nutrition education on healthy dietary practices to Women of reproductive age
- Review, develop, print and disseminate and distribute guidelines
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Activity:
- Scale up Baby Friendly Hospital Initiative (BFHI)
- Baby Friendly Community Initiative (BFCI)
- Sensitize women of reproductive age (WRA)
- Sensitization on the importance of exclusive breastfeeding for the first six months of baby’s life
- Support monitoring of the Code of Marketing of Breast milk Substitutes
- Advocate workplace support of breastfeeding mothers
- Train and equip health workers to promote appropriate infant and young child feeding practices
- Provision of BCC/IEC (ACSM) materials to the Health facilities and communities
- Sensitize WRA on timely introduction of optimal complementary foods with continued breastfeeding for at least two years
- Promote proper hygiene practices, and timely seeking of health care
- Train HWs, CHEWs and CHWs on new growth standards and CHANIS
- Equip Health Facilities and community units with anthropometric equipment
- Provide monitoring and reporting tools
- (CHANIS, MCH booklet and job aids)
- provide children aged 6-59 months with two doses a year of Vitamin A supplements
- Provide multiple micronutrients powder for children 6-59 months
- Review, develop, print and disseminate and distribute guidelines
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Activity:
- Review, develop and disseminate national micronutrient deficiency prevention and control strategy and guidelines
- Train service providers on micronutrients deficiency prevention and control strategies including logistic and supply chain management
- Advocate and create public awareness on food fortification, supplementation and dietary diversification
- Scale up and strengthen the existing strategies of micronutrient supplementation at all levels
- Procure and distribute micronutrient supplements (VAS, MNPs and IFA)
- Scale up fortification of widely consumed food stuffs
- Monitor the quality of fortified foods regularly at all levels
- Conduct M&E of micronutrient deficiency prevention and control interventions
- Train CHEWs and CHWs on micronutrient deficiency prevention and control strategies
- Review of policy to include use of CHWs in delivery of micronutrient supplements
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Activity:
- Build the capacity of the counties to develop nutrition response plans
- Review, develop and disseminate guidelines for disaster preparedness, response and management of nutrition emergencies
- Conduct nutrition surveillance in emergency affected areas
- Map partners, review and develop TORs
- Hold and document regular joint planning and review meetings
- Timely provision of food and non-food items
- Scale up delivery of essential nutrition services (High Impact Nutrition Interventions)
- Capacity strengthening of health workers to provide nutrition care and support at all levels
- Mobilize resources for emergency response
- Develop, disseminate and implement the national monitoring plan for nutrition commodities in emergency
- Monitor food safety of nutrition commodities for use in emergencies
- Create public awareness on importance of nutrition in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Activity:
- Review, develop and disseminate national guidelines on nutritional care in the management of common diseases
- Mobilize resources for nutritional care and treatment for common diseases
- Train health workers on clinical nutrition management
- Procure and distribute essential nutrition commodities (micronutrient supplements, therapeutic milks and feeds) and equipments (anthropometric and others)
- Develop and disseminate nutrition commodities monitoring plan
- Monitor food safety of nutrition commodities
- Conduct M&E of curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Activity:
- Review, develop and disseminate a comprehensive strategy and guidelines for prevention, management and control of dietrelated NCDs
- Train service providers on prevention, management and control of diet-related NCDs
- Create public awareness on the importance of prevention, management and control of diet-related NCDs
- Map partners, review and develop TORs
- Hold and document regular joint planning and review meetings
- Conduct M&E of diet-related NCDs
- Conduct screening for noncommunicable diseases
- Scale up community screening for BMI and waist circumference
Strategic objective 7: To improve nutrition in schools, public and private institutions
Activity:
- Conduct situation analysis on school/institutional feeding including the Early Childhood Development Education Centres(ECDE), Daycare centres
- Review, develop and disseminate nutrition guidelines for school and other institutions
- Mainstream basic nutrition training in all schools and other institutions
- Implement appropriate nutrition interventions (school meals, micronutrient supplementation, nutrition assessment, de-worming among others) in schools and other institutions
- Mobilize resources to sustain optimal institutional feeding programmes
- Integrate nutrition education in school curricula at all levels
- Conduct M&E of nutrition interventions in schools and other institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Activity:
- Conduct situation analysis on school/institutional feeding including the Early Childhood
- Development Education Centres(ECDE), Daycare centres
- Develop, print and disseminate national nutrition advocacy, communication and social mobilization (ACSM) strategy at all Levels
- Train service providers on communication and advocacy skills
- Review, develop, print, disseminate and distribute IEC materials
- Mark national/ international Nutrition Days (World Breastfeeding Week, African Food and Nutrition Security Day, Iodine Deficiency Disorders Day, Malezi Bora among others)
- Promote optimal nutrition through all channels of communication at all levels
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Activity:
- Launch and Implement M & E framework for the nutrition sector
- Define and Integrate core Nutrition indicators in HIS/KNBS/NMEF- VISION 2030
- Review, develop and disseminate guidelines and tools on surveillance, M&E
- Conduct data audits at all levels
- Develop and disseminate quarterly nutrition bulletins
- Hold feedback meetings among nutrition stakeholders at all levels
- Update and maintain national nutrition website
- Review, and disseminate Nutrition M&E tools based on new information
- Train all health managers and service providers on use of DHIS and interpretation of M&E data
- Conduct support supervision at all levels
Strategic objective 10: To enhance evidence-based decision-making through research
Activity:
- Establish nutrition research committee with clear terms of reference at county level
- Conduct need-based research to inform policy, programme design and implementation
- Mobilize resources to address critical gaps in nutrition research
- Disseminate research findings to key stakeholders at all levels
- Support relevant research institutions (equipment, laboratory supplies and technical support) to conduct nutrition research
- Procure and distribute equipment (Computers, printers, copiers, scanners and external hard discs)
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Activity:
- Map partners, review and develop TORs
- Hold and document regular joint planning and review meetings to align the annual nutrition planning process to the nutrition action plan.
- Mobilize financial and human resources for nutrition interventions at all levels
","Output Indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
- % of pregnant women who take iron and folic acid supplements for at least 90 days during pregnancy
- % of pregnant and lactating women with MUAC < 21 cm receiving supplementary food
- % of pregnant women monitored for their weight
- Proportion of health facilities with nutrition commodities and equipment for maternal nutrition interventions
- No. of maternal nutrition guidelines disseminated in use at county level
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
- % of Health facilities certified as Baby Friendly
- % of community units that are implementing Baby Friendly Community Initiative
- % of infants who are breastfed within one hour of birth
- % of children < 6 months who are breastfed exclusively
- % of companies/suppliers complying with the Code of Marketing of Breast Milk Substitutes
- % of agencies/companies which support breastfeeding in the workplace
- % of health workers trained on appropriate infant feeding practices per county
- % of health facilities per county provided with Behaviour Change Communication/Information, Education and Communication (BCC/IEC) materials
- % of children aged 6-23 months who are consuming 3+ or 4+ food groups per day (dietary diversity)
- % of children < 5 years whose growth is monitored
- % of children < 5 years screened at community level and referred for nutrition management
- Proportion of health facilities equipped with anthropometric equipment and reporting tools
- % of children aged 6-59 months receiving Vitamin A supplements twice a year
- % of children < 5 years with diarrhoea who are treated with zinc supplements
- % of children aged 6-59 months receiving multiple micronutrient powders as per recommended dose
- No. of infant and young child feeding guidelines in use at County level
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
- # of health workers at all levels trained on prevention, management and control of micronutrient deficiencies
- No. of advocacy workshops on micronutrient interventions conducted at all levels
- No. of micronutrient intervention campaigns (Radio, TV, Community etc) launched
- Proportion of U5 children who receive multiple micronutrient supplements
- % U5 children supplemented with vitamin A
- % of women of reproductive age supplemented with iron and folic acid
- % of households consuming adequately fortified foods in the country
- % of widely consumed basic commodities which are fortified with necessary micronutrients
- No. of private sector actors/industries fortifying their foods products as per the national guidelines
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
- Proportion of counties with emergency nutrition response plans
- Number of counties reporting on a timely basis on nutrition surveillance
- Number of counties holding regular coordination meetings
- Proportion of facilities experiencing no stock-outs of essential nutrition commodities
- Proportion of health facilities offering the essential nutrition services package
- Number of health workers in emergency districts trained on essential nutrition services package.
- Proportion of counties mobilizing resources for nutrition emergency response
- Number of counties meeting the SPHERE standards on IMAM and national targets on IFE
- National nutrition commodities monitoring plan developed and disseminated for use by the counties
- Proportion of counties implementing the nutrition commodities monitoring plan used during emergencies
Strategic objective 5: To improve access to quality curative nutrition services
- Number of agencies integrating nutritional care standards in their plans
- Proportion of resources committed to nutrition care services
- Number of health workers trained on curative nutrition services
- Number of community individuals and private sector players sensitized on quarterly basis
- Proportion of health facilities providing curative nutrition services
- Proportion of facilities experiencing no stock-outs of essential nutrition commodities
- Reduced inpatient length of stay
- National nutrition commodities monitoring plan developed and disseminated for use by the counties
- Proportion of counties implementing the nutrition commodities monitoring plan
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases.
- Proportion of counties implementing nutrition guidelines on NCDs
- Proportion of the population who are screened for non-communicable diseases
- Proportion of Counties conducting sensitization meetings on healthy diets and physical activity
- % no. of population whose BMI is monitored regularly
Strategic objective 7: To improve nutrition in schools, public and private institutions
- Situation analysis on school/ institutional feeding conducted, documented and disseminated
- School/institutional feeding guidelines reviewed and disseminated
- Proportion of schools and institutions mainstreaming basic nutrition in their operations
- Number of counties holding stakeholders’ meetings on sustainable institutional feeding programmes
- Proportion of counties monitoring nutrition interventions in schools and institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
- Formative and periodic assessment reports available and disseminated
- Proportion of Counties implementing ACSM strategy
- Proportion of service providers trained on nutrition communication and advocacy skills
- Number and type of nutrition communication materials developed and disseminated at all levels
- Proportion of counties marking Nutrition Days
- Proportion of media houses disseminating nutrition messages
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
- # Core nutrition indicators integrated into HIS, KNBS, NMEF for Vision 2030
- Surveillance protocol and reporting formats disseminated and implemented
- Surveillance protocol and M&E tools (reporting formats etc.) available online
- Number of nutrition bulletins disseminated annually
- # of nutrition stakeholder forum held at county level to support and strengthens feedback mechanisms
- Number of nutrition M&E tools disseminated
- Proportion of health facilities reporting quality nutrition data
- Proportion of counties conducting scheduled support supervision visits
- Proportion of county health facilities equipped with facilities for data entry and analysis
Strategic objective 10: To enhance evidence-based decision-making through research
- Nutrition Research Coordinating Committee established and executing its appropriate mandate
- Number and type of nutrition priority research studies conducted and disseminated among relevant nutrition stakeholders
- Number of agencies and institutions making decisions based on empirical evidence for nutrition intervention programming and planning
- Number and type of best-practices documented and disseminated for evidence-based programming
- Facilities equipped with facilities for data entry and analysis
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
- Number of inter- and intra-sectoral coordination meetings held at all levels
- Number of functional nutrition coordination committees in place and executing their mandates at all levels
- Number of new partners supporting nutrition activities at all levels
- Proportion of counties integrating nutrition priorities in their county plans
- % of the resource mobilized for nutrition activities from government and partners against the budget activities
Outcome indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
- % reduction of Vitamin A deficiency among women of reproductive age
- % reduction of iron deficiency among women of reproductive age
- % reduction of iodine deficiency among women of reproductive age
- % reduction of overweight and obesity among women of reproductive age
- % reduction of zinc deficiency among women of reproductive age
- % reduction underweight among women of reproductive age
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
- % reduction of children <5 years with malnutrition (stunting, wasting, underweight, obesity)
- % reduction of children< 5 years who are micronutrient deficient (iron, vitamin A, zinc, Iodine)
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
- Decreased prevalence of micronutrients deficiencies
- Decreased prevalence of Vitamin A deficiency by 5%
- Decreased prevalence of iron deficiency by 10%
- Decreased prevalence of iodine (goiter rate) deficiency by 1%
- Increase in the population knowledge on micronutrient deficiency and curative and preventive measures
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
- Improved nutritional status of populations in emergencies
- Reduced morbidity and mortality of the affected population
Strategic objective 5: To improve access to quality curative nutrition services
- Proportion of population accessing curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
- % reduction of incidences of noncommunicable diseases
- % of population screened for noncommunicable diseases
- % reduction of population prevalence rates for obesity and overweight
- % of population with normal range BMI
- % of households consuming diversified diets
Strategic objective 7: To improve nutrition in schools, public and private institutions
- % of pupils in Primary Schools with adequate nutrition status
- % population in public institutions with adequate nutrition status
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
- % of population adopting healthy diets and lifestyle
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
- % health facilities nationwide conveying accurate and complete monitoring data to central level
- # of core nutrition indicators included in HIS, NMEF, MTEF planning and budgeting framework
- Coordination and information exchange strengthened among nutrition stakeholders
Strategic objective 10: To enhance evidence-based decision-making through research
- Evidence based nutrition interventions planned and programmed
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
- Increased human, financial and material resources allocation by government and partners to support nutrition activities
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Kenya_KNN_Action-Plan_2012_2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202012%20National%20Nutrition%20Action%20Plan%202012%20-%202017.pdf"
"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)
- To reduce the level of malnutrition among infants, children and adults
- To reduce barriers to optimal infant and young child feeding practices and to improve support to women, their partners, caregivers of children, health workers and the community to comply with recommendations for IYCF.
- To reduce morbidity and mortality due to non-communicable disease in the country.
","Nutrition Policy Statements
- All women of reproductive age and their partners, spouses, and families shall have access to health education and counselling on importance of maintaining adequate overall nutritional status prior to pregnancy and its impact on reproductive ability /outcomes.
- All mothers shall receive appropriate prophylactic micronutrient supplements during antenatal care, delivery and during lactation.
- All women, their partners, spouses, and families shall receive counselling and support on breastfeeding and maternal nutrition during ANC, delivery and during post-partum period.
- All health facilities shall provide Baby-Mother Friendly Initiative services through the implementation of the Ten Steps to Successful Breastfeeding as per the national nutrition guidelines.
- All mothers will be supported to initiate breastfeeding within the first half hour of birth and continue with exclusive breastfeeding up to 6 months.
- Every health facility shall have a breast feeding support group to help support, promote and protect breastfeeding. Whether health facility-based or community-based, the support group shall meet in publicly accessible venues, and shall invite participation of family, partners, and spouses in learning and building home-based support for breastfeeding.
- Marketing of all breast milk substitutes shall not be allowed in Namibia. The MoHSS will not market, recommend, or endorse substitutes for breast milk in Namibia
- Mothers, fathers, partners, family members, and infant caregivers shall be counselled to introduce adequate and appropriate complementary feeding to their infants at the age of 6 months with continued breastfeeding for the first 2 years of life or beyond.
- All mothers known to be HIV infected shall be encouraged to breastfeed their infants exclusively for the first six months of life, introduce appropriate complementary foods thereafter as per IYCF, PMTCT and ART guidelines.
- Growth monitoring, promotion of optimal infant and young child feeding practices, and nutrition intervention for the prevention and management of micronutrient deficiencies and malnutrition shall be provided to all children under-five years of age both in the health facilities and at outreach points.
- Micronutrient deficiency shall be prevented, identified and treated through routine health facility assessment, supplementation and campaigns.
- All infants should receive micronutrient supplements such as Vitamin A as per national nutrition guidelines.
- All children over the age of one through school years or up to 15 years of age shall receive deworming treatment twice a year through MOHSS and through the school system as appropriate.
- All cereal staple flours and products thereof shall be fortified with micronutrient/s.
- All salt for human and animal consumption will be fortified with iodine.
","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"
"43355","RUS","Russian Federation","","Национальная стратегия действий в интересах детей на 2012 - 2017 годы / National Strategic Action Plan for Child Protection 2012-2017","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","Russian","","2012","","2017","Ministry of Labor","6","2012","Adopted","6","2012","President of the Russian Federation","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sport|Information|Justice","","","","","","","","","","National NGOs","","","","","","","Institutions for child education, healthcare and child sanatoriums. Social child centers.","Сбережение здоровья каждого ребенка. В Российской Федерации должны приниматься меры, направленные на формирование у семьи и детей потребности в здоровом образе жизни, всеобщую раннюю профилактику заболеваемости, внедрение здоровьесберегающих технологий во все сферы жизни ребенка, предоставление квалифицированной медицинской помощи в любых ситуациях.
Особое внимание уязвимым категориям детей. В Российской Федерации во всех случаях особое и достаточное внимание должно быть уделено детям, относящимся к уязвимым категориям. Необходимо разрабатывать и внедрять формы работы с такими детьми, позволяющие преодолевать их социальную исключенность и способствующие реабилитации и полноценной интеграции в общество.
","Формирование потребности у детей и подростков в здоровом питании и совершенствование системы обеспечения качественным питанием детей в образовательных учреждениях, лечебных и лечебно-профилактических, санаторно-курортных и реабилитационных учреждениях.
4. Меры по развитию политики формирования здорового образа жизни детей и подростков
- Обеспечение реализации комплекса мероприятий социальной рекламы, направленных на формирование здорового образа жизни, профилактику суицидального поведения среди несовершеннолетних, информирование о деятельности служб поддержки и экстренной психологической и социально-правовой помощи, в том числе через сеть ""Интернет"", телефоны службы анонимного консультирования.
- Привлечение институтов гражданского общества, развитие волонтерского движения в целях решения проблем, связанных с формированием у детей и подростков потребности в здоровом образе жизни и получением поддержки и помощи в ситуациях, связанных с риском причинения вреда здоровью.
- Распространение здоровьесберегающих технологий обучения, технологий ""школа здоровья"" на все образовательные учреждения, включая организации для детей-сирот и детей, оставшихся без попечения родителей.
- Обеспечение доступности занятий физической культурой, туризмом и спортом для всех категорий детей в соответствии с их потребностями и возможностями с ориентацией на формирование ценностей здорового образа жизни.
- Внедрение инновационных оздоровительных и физкультурно-спортивных технологий в работу образовательных учреждений и организаций.
- Активизация деятельности центров здоровья для детей в сфере проведения обследования детей, обучения их гигиеническим навыкам и мотивирования к отказу от вредных привычек.
6. Меры по формированию культуры здорового питания детей и подростков, обеспечению качества и режима питания как залога здоровья ребенка
Организация просветительской работы с использованием специальных обучающих программ, средств массовой коммуникации, включая интернет-технологии, социальную рекламу, по формированию культуры здорового питания.
- Осуществление мер по совершенствованию системы обеспечения качественным горячим питанием воспитанников дошкольных учреждений и обучающихся в общеобразовательных учреждениях и учреждениях начального профессионального образования.
- Обеспечение регулярных проверок качества питания в образовательных, лечебных и лечебно-профилактических, санаторно-курортных и реабилитационных учреждениях.
- Организация особого контроля за обеспечением качественным питанием больных детей, страдающих социально значимыми заболеваниями.
- Реализация программ гигиенического воспитания в целях предоставления детям возможности осуществлять информированный выбор в вопросах здорового образа жизни.
Расширение профилактики вертикальной передачи ВИЧ-инфекции и СПИДа, включая обязательное дородовое обследование беременных женщин независимо от наличия у них регистрации по месту жительства и гражданства, бесплатное обеспечение кормящих ВИЧ-инфицированных матерей молочными смесями для кормления ребенка, с привлечением средств, предусмотренных для реализации приоритетного национального проекта ""Здоровье"".
","- Доступность физкультурно-спортивной, туристической инфраструктуры для всех категорий детей с учетом их индивидуальных потребностей.
- Увеличение доли детей и подростков, систематически занимающихся физической культурой и спортом.
- Обеспечение детей качественным и здоровым питанием как в семье, так и в образовательных, медицинских и оздоровительных учреждениях
- Искоренение вертикальной передачи ВИЧ-инфекции, появление поколений, родившихся без ВИЧ-инфекции.
","","","Maternity protection|Right to health|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Creation of healthy food environment|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|HIV/AIDS and nutrition|Household food security|Improved hygiene / handwashing|Conditional cash transfer programmes|Vulnerable groups","","https://mintrud.gov.ru/docs/16","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202012%20National%20Child%20Protection%20Strategy%202012-2017.pdf"
"14829","ZWE","Zimbabwe","","Food and Nutrition Security for Zimbabwe in the context of Economic Growth and Development","Comprehensive national nutrition policy, strategy or plan","","","","2012","","","Food and Nutrition Council","","2012","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Sport|Trade|Transport|Women, children, families","Food and Nutrition Council Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Sport, Trade, Transport, Women, children, families: Labour and Social Services, Energy,","","","","","","","","","","","","","","","","","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):
- Performance and capacity of integrated food and nutrition security team
- Resources for food and nutrition security mobilised
- Trainings for food and nutrition security held
- Food and nutrition security interventions in place
- Learning and scale-up achieved
Outcome (Annually):
- Socioeconomic policies in place that promote equity in food and nutrition security
- Food security
- Social assistance
- Food safety and Standards
- Nutrition security
- Information: Assessment, analysis and early warning
- National capacity for food and nutrition security
- Sector-specific policies and strategies in place
Impact (Every 3-4 years):
- Prevalence of stunting (<-2 Z scores height for age)
- Prevalence of underweight (<-2 Z scores weight for age)
- Prevalence of wasting (<-2 Z scores weight for height)
- Prevalence of thinness among women aged 15- 49 (BMI<18.5) l Prevalence of obesity among women aged 15- 49 (BMI >25)
- Prevalence of micronutrient deficiencies
- Percentage of households living below poverty line
- Percentage food insecure households
- Food diversity/ consumption score
- Child mortality, access to clean water, adequate sanitation
","","","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|Underweight in women|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Maternal, infant and young child nutrition|Breastfeeding in difficult circumstances|Nutrition in schools|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Food labelling|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|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|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"22970","IRL","Ireland","","BAI Children’s Commercial Communications Code","Legislation relevant to nutrition","","English","9","2013","","","Broadcasting Authority of Ireland","6","2013","","","","","Information","Broadcasting Authority of Ireland","","","","","","","","","","","","","","","","","","","","","Scope
The Code shall apply specifically to commercial communications that promote products, services, or activities that are deemed to be of particular interest to children and/or broadcast during and between children’s programmes i.e. children’s commercial communications.
Objectives
The objectives of the Code are:
• To offer protection for children from inappropriate and/or harmful commercial communications;
• To acknowledge the special susceptibilities of children and ensure that commercial communications do not exploit these susceptibilities;
• To ensure that commercial communications are fair and present the product or service promoted in a way that is easily interpreted by children and does not raise unrealistic expectations of the capabilities or characteristics of the product or service being promoted, and;
• To provide unambiguous guidelines to broadcasters, advertisers, parents, guardians and children on the standards they can expect from commercial communications on Irish broadcasting services.
2. Definitions
(g) HFSS foods are those that are assessed as high in fat, salt or sugar in accordance with the Nutrient Profiling Model developed by the UK Food Standards Agency as adopted by the BAI.
11. Diet and Nutrition1. Children’s commercial communications shall be responsible in the manner in which food is portrayed. They should not encourage an unhealthy lifestyle or unhealthy eating or drinking habits such as immoderate consumption, excessive or compulsive eating. U/18
2. Children’s commercial communications representing mealtimes should clearly and adequately depict the role of the product or service within the framework of a balanced diet. U/18
3. Children’s commercial communications must not contain any misleading or incorrect information about the nutritional value of a product. They must not make misleading or incorrect comparisons between foods. They must not imply that particular foods are a substitute or replacement for fruit and/or vegetables. U/18
Children’s commercial communications for HFSS food products and/or ServicesThe following rules shall apply to children’s commercial communications for HFSS food products and/or services.
4. Commercial communications for HFSS food products and/or services shall not be permitted in children’s programmes as defined by this Code. U/18
5. Children’s commercial communications for HFSS food products and/or services shall not include licensed characters. U/18
6. Children’s commercial communications for HFSS food products and/or services shall not include health and nutrition claims. U/13
7. Children’s commercial communications for HFSS food products and/or services shall not include promotional offers. U/13
Fast Food and Confectionery
8. All children’s commercial communications for fast food products, outlets and/or brands must display an acoustic or visual message stating ‘should be eaten in moderation and as part of a balanced diet’. ‘Fast food’ is defined as ‘food coming under the recognised character of fast food and/or inexpensive cooked food which is prepared and served quickly and is readily accessible for purchase by children’. It is not the intention of the definition to include prepared and convenience foods or food which is purchased for preparation and cooking in the home. Fast food in this instance does not refer to the actual amount of time required to cook the food but rather the speed and ease with which the food can be procured and consumed. U/18
9. Children’s commercial communications for confectionery products must display an acoustic or visual message stating that ‘snacking on sugary foods and drinks can damage teeth.’ ‘Confectionery’ in this instance includes sugar, honey, preserves, chocolate covered bars (excluding biscuits), non-chocolate confectionery – e.g. cereal bars – and artificial sweeteners.
3. Carbonated drinks are included with the exception of water. U/18
Celebrities
10. Children’s commercial communications shall not portray or refer to celebrities or sports stars to promote food or drink products (including HFSS food products and/or services), unless the commercial communication is part of a public health or education campaign. Celebrities in this instance are defined as persons who are widely acclaimed, or honoured and/or known to children. It does not include those persons or characters that become known to children solely as a result of their participation in commercial communications. U/15
11. Broadcasters shall comply with directions, issued from time-to-time by the Authority, in respect of this section of the Code. U/18
13. Programme Characters
Characters and personalities from children’s programmes which are currently broadcast on indigenous services shall not be used to promote products or services (including HFSS food products and/or services) in children’s commercial communications. In this instance ‘currently’ means regular programming that is due for return in the next broadcast season. This provision does not apply to children’s commercial communications for products, events or services, directly associated with programmes in which the characters or personalities normally appear. In the case of children’s commercial communications for
products, events or services directly associated with the children’s programme, these must not be broadcast for two hours prior to the beginning and following the end of the programme in question. U/18
","Overweight and obesity in school age children and adolescents|Fat intake|Saturated fat intake|Sodium/salt intake|Sugar intake|Regulating marketing of unhealthy foods and beverages to children|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Advertising (in streets and stores)|Internet|Radio|Sponsorship|TV|Using celebrities|Energy (marketing)|Nutrient profile model (marketing)|Positive nutrients (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Sugars (marketing)|Covers children up to 13 years of age|Covers children up to 18 years of age|Mandatory marketing restrictions|Mandatory health message on FNAB marketing","","https://www.bai.ie/en/download/130364/","Department of Health. Nutrient Profiling Technical Guidance. January 2011. https://www.bai.ie/en/download/128558/ Children's Commercial Communications Code https://www.bai.ie/en/codes-standards/#al-block-5","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IRL%202013%20BAI%20Children%E2%80%99s%20Commercial%20Communications%20Code.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
- Уменьшение содержания соли в продуктах и снижение уровня заболеваемости артериальными гипертензиями
- Рациональное и сбалансированное питание и привитие навыков здорового поведения детям
- Информирование населения о содержании в продуктах сахаров, соли, жиров и др.
- Раннее выявление и лечение артериальных гипертензий
- Наличие информации о зарегистрированных больных сахарным диабетом и раком
- Раннее выявление больных артериальной гипертензией, сахарным диабетом, хроническими обструктивными заболеваниями легких и раком
- Бесперебойное обеспечение противодиабетическими препаратами больных сахарным диабетом
- Улучшение обучения школьников, студентов по вопросам НИЗ
- Улучшение здоровья населения путем информированности о НИЗ
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"
"25905","BGR","Bulgaria","","Национална Програма За Превенция На Хроничните Незаразни Болести [National NCD Prevention Programme]","NCD policy, strategy or plan with healthy diet components","","Bulgarian","","2014","","2020","","","2014","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Information|Labour","Министерство на здравеопазването, Министерство на образованието и науката, Министерство на младежта и спорта, Министерство на вътрешните работи, Министерство на земеделието и храните, Министерство на финансите, Министерство на икономиката и енергетиката, Министерство на труда и социалната политика, Министерство на транспорта, информационните технологии и съобщенията","","","","","","","","","National NGOs","","Research/academia","","Private sector","","","","2. ЦЕЛИ НА ПРОГРАМАТА
2.1. Стратегическа цел
Да се подобри здравето на населението и да се повиши качеството на живота чрез намаляване на преждевременната смъртност, заболеваемост и последствията за здравето (инвалидизация) от основните ХНБ (сърдечно-съдови заболявания, злокачествени новообразувания, хронични белодробни болести, диабет), свързани с рисковите фактори - ютюнопушене, злоупотреба
с алкохол, нездравословен модел на хранене и ниска физическа активност.
2.2. Основна цел
Осъществяване на системна национална политика за:
a) редуциране на нивото на общите за ХНБ, най-често срещани рискови фактори: поведенчески, биологични, психосоциални, чрез намаляване на разпространението на тютюнопушенето, злоупотребата с алкохол, подобряване на храненето и увеличаване на физическата активност и за
б) ранна диагностика на основните ХНБ.
2.3. Основни подцели
… в) Затвърждаване на постигнатите положителни промени в националния хранителен модел и постигане на нови за намаляване риска от хранителни дефицити и хронични заболявания, свързани с храненето, и подобряване осигуряването на храни, допринасящи за здравословен модел на хранене, както и осигуряването на широк достъп до тях от цялото население. …
","РЕАЛИЗИРАНЕ НА ДЕЙНОСТИ, НАСОЧЕНИ КЪМ НАМАЛЯВАНЕ НА ФАКТОРИТЕ НА РИСКА, ВОДЕЩИ ДО ХНБ
1. Повишаване на нивото на информираност, обучение и включване на населението в дейности по програмата
1.3. Хранене
1.3.1. Разработване на образователни програми за здравословно хранене за ученици и прилагането им в рамките на извънкласни и извънучилищни дейности.
1.3.2. Провеждане на здравно-образователни мероприятия (радио и телевизионни програми, публикации, пресконференции, срещи, форуми, конкурси, фестивали, изложби и други) насочени към повишаване информираността по въпросите на рискове за здравето при хранителни дефицити, ползите от здравословно хранене, диетично хранене при различни популационни целеви групи (жени в детеродна възраст, бременни и кърмещи жени, родители, лица с ХНБ и др.).
1.3.3. Ежегодно организиране и провеждане на обществени кампании за информиране на населението по въпросите на здравословното хранене: за подкрепа на кърменето, за борба със затлъстяването, при ХНБ и др.
1.3.4. Разработване на информационни материали относно здравословното хранене на населението предназначени за рискови популационни групи (бременни жени, кърмачета и деца до 3-год. възраст, лица над 65-год. възраст и др.)
1.3.5. Отпечатване, разпространение и промоция на информационни материали относно здравословното хранене на населението в различни популационни и възрастови групи.
2. Изграждане на капацитет и умения за консултиране и подкрепа у медицинските и немедицински специалисти
2.3 Хранене
2.3.1. Провеждане на обучения за медицински и немедицински специалисти за въвеждане на образователни програми по здравословно хранене на децата в детските градини и училищата.
2.3.2. Препоръки за висшите училища за създаване на специално насочено университетско обучение по храни, хранене и диететика – бакалавърска и магистърска програми, утвърждаване на свободно избираеми модули по здравословно хранене за студенти и др.
2.3.3. бучение на медицински и немедицински специалисти, имащи отношение към храните и храненето чрез организиране на курсове, семинари, конференции и др. за повишаване нивото на знания и умения по въпросите на здравословно хранене, рискове за здравето при нездравословен модел на хранене, диетично хранене и др.
2.3.4. Разработване на нови и и актуализиране на наличните Сборници и Ръководства за хранене на различни популационни групи (деца, стари хора), както и за хранене при хронични незаразни болести. 2.3.5. Поддържане и развиване на дейността на консултативни центрове по кърмене, на „Болници – приятели на бебето”.
2.3.6. Включване на храненето като приоритет в дейността на здравния сектор - разкриване на консултативни кабинети за здравословно хранене във всяка РЗИ, провеждане на консултации по здравословно и диетично хранене.
2.3.7. Унифициране и осъвременяване на национално ниво на индикатори и стандарти за честота и продължителност на кърменето, хранене на кърмачетата, оценка на антропометричния статус на децата от 0 до 18-годишна възраст – разработване и разпространение на методически указания .
3. Включване на обществените структури и общности
3.3 Хранене
3.3.1. Прилагане на училищни политики за здравословно хранене - инициативата на СЗО „Училища - приятели на здравословното хранене”, програма „Училищен плод” и др.
3.3.2. Повишаване информираността за здравословните храни и хранене на производителите на храни, търговците на хранителни продукти и професионалистите, заети в общественото хранене, чрез провеждане на срещи, дискусии, обучителни семинари и др. форуми.
3.3.3. Промоция реформулирането на храните с цел намаляване съдържанието на сол, мазнини, наситени мастни киселини, транс-мастни киселини, добавена захар и повишаване наличността им на пазара, както и адекватно етикетиране на храните относно хранителна информация, здравни претенции и др. чрез провеждане на срещи, дискусии, обучителни семинарии др. форуми. Участие на България в Европейската мрежа за намаляване на консумацията на сол.
3.3.4. Осигуряване на подходящи практики за маркетинг и реклама на храните, въвеждане препоръки на СЗО, поддържане участие в Европейска мрежа на СЗО за намаляване натиска на маркетинга на храни и напитки при деца чрез провеждане на срещи, дискусии, обучителни семинарии др. форуми. 3.3.5. Насочени дейности за подкрепа на раненето на уязвими групи и лица с нисък социално-икономически статус, поддържане участие в Европейската мрежа на
4. Законодателство
4.3 Хранене Актуализиране на нормативната уредба за изисквания за здравословно хранене на различни възрастови групи от населението в съотвествие със съвременните научни данни и развитието на науката по хранене и диететика. Въвеждане на европейско законодателство и изисквания.
","5. ЦЕЛИ В ОБЛАСТТА НА ПРЕВЕНЦИЯТА НА ХНБ ДО 2020 Г.
В средносрочен план целите са свързани със задържане на нивата за показателите (в
сравнение с базовите данни от 2012 г.) за заболеваемост, инвалидизация, смъртност, честота
на разпространение на рисковите фактори.
5.1. Сърдечносъдови заболявания:
… в) Намаляване честотата на артериалната хипертонията във възрастовата група 25-64 г. с 10%.
5.4. Диабет
а) Относително намаляване на болестността/разпространението на диабет (определен като
повишена глюкоза в кръвта ≥ 7.0 mmol/L или лица на лечение за диабет) сред лицата на възраст над 25 години с 10%
6. ЦЕЛИ В ОБЛАСТТА НА ОСНОВНИТЕ ФАКТОРИ НА РИСКА ЗА ХНБ ДО 2020 Г.
6.4. Хранене
а) Преустановяване на тенденцията за увеличаване честотата на затлъстяването при възрастното население
б) Запазване без увеличение на относителния дял на децата със затлъстяване;
в) Намаляване използването на индустриално произведените транс-мастни киселини (хидрогенирани растителни масла) при осигуряване с храни; г) Намаляване на консумацията на готварска сол с дългосрочна цел достигане до 5 г среднодневно на лице;
","","","Baby-friendly Hospital Initiative (BFHI)|Trans fat intake|Sodium/salt intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Dietary guidelines|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition","","","","WHO Noncommunicable Disease Document Repository https://extranet.who.int/ncdccs/Data/BGR_B3_Program_chronic%20disease.pdf ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGR%202014%20Program_chronic%20disease.pdf"
"23654","CHN","China","","中国食物与营养发展纲要(2014—2020年)(China Food and Nutrition Development Program (2014- 2020))","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2020","General Office of the State Council of the People's Republic of China","","2014","","","","","Education and research|Food and agriculture|Health|Industry|Information","General Office of the State Council of the People's Republic of China Education and research, Food and agriculture, Health, Industry, Information,","","","","","","","","","","","","","","","","","营养素摄入量目标。保障充足的能量和蛋白质摄入量,控制脂肪摄入量,保持适量的维生素和矿物质摄入量。到2020年,全国人均每日摄入能量2200—2300千卡,其中,谷类食物供能比不低于50%,脂肪供能比不高于30%;人均每日蛋白质摄入量78克,其中,优质蛋白质比例占45%以上;维生素和矿物质等微量营养素摄入量基本达到居民健康需求。
营养性疾病控制目标。基本消除营养不良现象,控制营养性疾病增长。到2020年,全国5岁以下儿童生长迟缓率控制在7%以下;全人群贫血率控制在10%以下,其中,孕产妇贫血率控制在17%以下,老年人贫血率控制在15%以下,5岁以下儿童贫血率控制在12%以下;居民超重、肥胖和血脂异常率的增长速度明显下降。
","","","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Overweight, obesity and diet-related NCDs|Dietary practice|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in schools|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|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Nutrition sensitive actions|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CHN%202014%20%20National%20Program%20for%20Food%20and%20Nutrition.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:
- Améliorer le leadership et la gouvernance contre la sous-alimentation et la malnutrition
- Réduire de moitié l’insécurité alimentaire
- Atteindre la couverture géographique universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité.
- Atteindre la couverture géographique universelle de la prise en charge holistique des cas de malnutrition
","3.4.2 Approche stratégique 2 : La sécurité nutritionnelle des groupes vulnérables
7. Promotion de l’alimentation de la mère et de l’enfant
- Mise en place d’un système de Surveillance de la croissance de l’enfant
- Promotion de l’AME
- Promotion de l’alimentation de complément
- Promotion de l’alimentation de la femme enceinte et allaitante
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
- Intégration de l’évaluation de la vulnérabilité alimentaire dans le diagnostic communautaire
- Appui alimentaire
- Conseil nutritionnel
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
","- Proportion des femmes enceintes et allaitantes ayant reçus des conseils nutritionnels
- Proportion des CDD et CLB disposant de cantines scolaires
- Proportion de groupes de personnes vulnérables recevant une supplémentation alimentaire
- Proportion des centres de sante pratiquant la directive opérationnelle des 1000 jours
- Couverture en micronutriments des populations cibles
- Proportion de populations cibles qui consomment les aliments fortifiés
- Proportion de préfectures offrant une PEC nutritionnelle aux malades
- Niveau de connaissances en nutrition des éducateurs et intervenants sociaux
- Proportion des agents communautaires formés en nutrition
- Proportion de communes qui mettent en oeuvre les activités de nutrition
- Taux d’allaitement exclusif au sein au cours des six premiers mois de la vie
- Prévalence des enfants de moins de cinq ans présentant un retard de croissance
- Taux d’anémie chez les femmes en âge de procréer
- Proportion de l’insuffisance pondérale à la naissance
- Pourcentage d’enfants en surcharge pondérale
- Pourcentage d'enfants 6-59 mois ayant reçu une forte dose de vitamine A au cours des 6 derniers mois
- Pourcentage d'enfants 12-59 mois ayant reçu une capsule de mébendazole au cours des 6 derniers mois
- Proportion de ménages qui consomment du sel adéquatement iodé
- Pourcentage d'individus ayant un taux d'iode urinaire (iodurie) faible
","Outcome indicators|Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|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|Raised blood glucose/diabetes|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Vitamin A|Calcium|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Maize flours|Food grade salt|Edible oils and margarine|Complementary foods|Milk|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN%202014%20Plan%20Multisectoriel%20Nutrition_0.pdf"
"23526","GIN","Guinea","","Politique nationale d’Alimentation","Comprehensive national nutrition policy, strategy or plan","","French","4","2014","","","Ministère de la Santé","4","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Transport|Trade|Environment|Industry|Information|Labour","","","","","","","","","","","","","","","","","","
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.
","- Le taux d’allaitement exclusif au sein au cours des six premiers mois de la vie,
- Le taux d’émaciation chez l’enfant de moins de cinq ans,
- le nombre d’enfants de moins de cinq ans présentant un retard de croissance,
- Le taux d’anémie chez les femmes en âge de procréer,
- La prévalence de l’insuffisance pondérale à la naissance,
- Le pourcentage d’enfants en surcharge pondérale,
- La prévalence des carences en micro nutriments chez l’enfant (vitamine À, fer, iode et zinc).
","Outcome indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Physical activity and healthy lifestyle|Vitamin A|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food safety|Food security and agriculture|Household food security|Water and sanitation|Conditional cash transfer programmes","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GIN%202014%20Politique%20Nationale%20Nutrition.pdf"
"25742","LVA","Latvia","","Sabiedrības veselības pamatnostādnes 2014.–2020. gadam [Basic principles of public health 2014-2020]","Health sector policy, strategy or plan with nutrition components","","Latvian","","2014","","2020","Ministry of Health","10","2014","Adopted","10","2014","Cabinet of Ministers","Cabinet/Presidency|Health|Food and agriculture|Education and research|Information|Sub-national","","","","","","","","","","National NGOs","","Research/academia","","Private sector","Catering Providers","Other","Mass Media; Education Institutions; Medical Institutions","Samazināt priekšlaicīgu mirstību no neinfekciju slimībām, mazinot riska faktoru negatīvo ietekmi uz veselību.
- Politikas definētais apakšmērķis: Novērst nevienlīdzību veselības jomā, veicot pasākumus, lai nodrošinātu Latvijas iedzīvotājiem vienādas iespējas veselības veicināšanā un veselības aprūpē.
- Politikas definētais apakšmērķis: Samazināt priekšlaicīgu mirstību no neinfekciju slimībām, mazinot riska faktoru negatīvo ietekmi uz veselību.
- Politikas definētais apakšmērķis: Uzlabot mātes, tēva un bērna veselību, samazināt zīdaiņu mirstību
","6. Turpmākā rīcība
- 1.1 Sadarboties ar sabiedrības viedokļa veidotājiem, masu mediju žurnālistiem un redaktoriem tai skaitā reģionālajiem sabiedrības viedokļa veidotājiem un masu medijiem, lai plašāk un regulāri informētu iedzīvotājus par sabiedrības veselības jautājumiem, tai skaitā par pārtikas drošības, nekaitīguma un pārtikas produktu marķējuma jautājumiem. Pastāvīgi no 2014.gada
- 1.2. Īstenot mērķa grupu izglītošanai veltītus veselības informēšanas pasākumus, tai skaitā, ņemot vērā dzimumu atšķirības un izstrādājot vīriešu un sieviešu mērķauditorijai paredzētus informatīvos materiālus.
- 1.4 Izglītot pašvaldību deleģētās kontaktpersonas veselības veicināšanas jautājumos (veselības veicināšanas koordinatorus) un atbildīgās amatpersonas veselības veicināšanas un sabiedrības veselības jautājumos
- 1.8. Nodrošināt “Veselību veicinošo skolu” kustības attīstību un koordinēšanu
- 2.1 Popularizēt veselīga uztura jautājumus sabiedrībā (t.sk. darbspējīgajiem iedzīvotājiem, īpaši, sociālās atstumtības un nabadzības riskam pakļauto iedzīvotāju grupām -interaktīvas informatīvi izglītojošas nodarbības;
− līdzaudžu izglītošanas programmas, apmācot vienaudžu izglītotājus;
− interešu grupas iedzīvotājiem;
− īsās motivējošās intervences;
− izglītojoši pasākumi par veselīga uztura veicināšanu darba vietās;
− izglītojoši pasākumi par zīdīšanas jautājumiem;
− izglītojošas īsfilmas izglītības iestādēs
− tematiskās lekcijas, seminārus; speciālistiem (pašvaldību un izglītības iestāžu pārstāvjiem, veselības aprūpes speciālistiem u.c.);
− konkrētu rīcību vai iespējas; popularizējoši pasākumi pašvaldībās (veselības dienu organizēšana u.c.);
− veselīga uztura veicināšanas programma izglītības iestādēs;
− vasaras nometnes pusaudžiem un jauniešiem;
− sabiedrības informēšanas pasākumu komplekss;
− informatīvie materiāli un uzskates līdzekļi (plakāti, žurnāli, grāmatas, bukleti utt.)
− izglītības iestāžu un sociālo iestāžu ēdināšanas uzņēmumos strādājošo pavāru, pārtikas tehnologu u.c. speciālistu izglītošana par veselīga uztura jautājumiem);
− izglītot sociālās aprūpes un sociālās rehabilitācijas institūcijās (jauniešu mājās, SOS ciematos) esošos darbiniekus un klientus (bāreņus un bez vecāku apgādības palikušos bērnus, kuri apgūst patstāvīgas dzīves iemaņas) par veselīga uztura jautājumiem.
- 2.2 Veicināt augļu un dārzeņu patēriņu uzturā, popularizējot programmas “5dienā” (jeb 5 augļu un dārzeņu porcijas dienā) īstenošanu Latvijā
- 2.3 Turpināt īstenot “Skolas piena” programmu, paredzot pirmsskolas un vispārējās izglītības iestāžu skolēniem saņemt piena produktus ES atbalsta programmu ietvaros
- 2.4. Turpināt īstenot programmu skolu apgādei ar augļiem un dārzeņiem, paredzot iespēju vispārējās izglītības iestāžu skolēniem saņemt svaigus, integrēti un bioloģiski audzētus augļus un dārzeņus ES atbalsta programmu ietvaros.
- 2.5. Sagatavot grozījumus normatīvajos aktos 272, lai precizētu pārtikas produktu klāstu atbilstoši spēkā esošajam regulējumam, ko atļauts izplatīt izglītības iestādēs
- 2.6. Sagatavot grozījumus normatīvajos aktos 273, lai noteiktu prasības veselīga un sabalansēta uztura nodrošināšanai bērnu uzraudzības pakalpojuma sniedzējiem, atkarībā no uzraudzības pakalpojuma veida.
- 2.7. Pilnveidot „Ieteicamās enerģijas un uzturvielu devas Latvijas iedzīvotājiem” atbilstoši jaunākajiem pētījumiem un uztura zinātnes rezultātiem, ņemot vērā Ziemeļvalstu uztura rekomendācijas e.g. (follow up).
- 2.8. Izvērtēt iespēju ierobežot pārtikas produktu ar augstu sāls, pievienotā cukura un tauku saturu reklāmas izglītības iestādēs un sporta infrastruktūras objektos (sporta zālēs, sporta hallēs, sporta klubos)
- 2.9 Izvērtēt iespēju ierobežot rotaļlietu izmantošanu pārtikas produktu ar augstu sāls, pievienotā cukura un tauku saturu tirdzniecībā
- 2.10 Izvērtēt iespēju, noteikt samazināta iepakojuma (tilpumu, masu) prasības pārtikas produktiem ar augstu sāls, pievienotā cukura un tauku saturu.
- 2.11 Sagatavot grozījumus normatīvajos aktos, nosakot mērķdotācijas piešķiršanas un izlietošanas kārtību pašvaldībām izglītojamo ar apstiprinātu ārsta diagnozi celiakija ēdināšanas nodrošināšanai pamatizglītības iestādēs.
- 2.12 Valsts apmaksātu brīvpusdienu nodrošināšana skolēniem līdz 6.klasei vispārējās izglītības iestādēs
- 2.13 Pilnveidot publisko iepirkumu veikšanas kārtību, veicinot saimnieciski izdevīgākā piedāvājuma izvēli izglītības iestāžu, sociālās aprūpes un sociālās rehabilitācijas institūciju, ārstniecības iestāžu ēdināšanas pakalpojumu iepirkumos, vienlaicīgi veicinot vietējās produkcijas iepirkšanu.
","Politikas rezultāts
B1: Samazinājusies mirstība no neinfekciju slimībām vecumā līdz 64 gadiem
B2: Iedzīvotāji vairāk nodarbojas ar fiziskām aktivitātēm un samazinās iedzīvotāju īpatsvars ar lieko ķermeņa masu vai aptaukošanos
- Rezultatīvais rādītājs: Pieaugušo (15-64 g.v.) īpatsvars ar lieko ķermeņa masu vai aptaukošanos (ĶMI virs 25), (%) (avots: Latvijas iedzīvotāju veselību ietekmējošo paradumu pētījums, SPKC)
- Rezultatīvais rādītājs: Skolēnu (15 g.v.) īpatsvars, kuriem ir lieka ķermeņa masa vai aptaukošanās (%) (avots: HBSC)
- Rezultatīvais rādītājs: Liekā svara un aptaukošanās īpatsvars bērniem 7 gadu vecumā (%) (avots: SPKC, Bērnu antropometrisko parametru un skolu vides pētījums)
C1: Nodrošināta vecāku informēšana par atkarību izraisošo vielu ietekmi uz grūtnieces un augļa veselību un mātes piena nozīmi bērna veselības nodrošināšanā
- Rezultatīvais rādītājs: Zīdaiņu īpatsvars, kuri saņēmuši krūts barošanu līdz 6 mēn. vecumam (%) (avots: Valsts statistikas pārskats „Pārskats par bērnu veselības stāvokli”, SPKC)
","Outcome indicators","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School fruit and vegetable scheme|School milk scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|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|Food sovereignty|Vulnerable groups","","http://www.vm.gov.lv/lv/aktualitates/preses_relizes/4576_apstiprina_sabiedribas_veselibas_pamatnostadnes_20142020gada/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LVA%202014%20National%20Health%20Policy%202014-2020.pdf"
"25740","LTU","Lithuania","","Nutarimas dėl Lietuvos Sveikatos 2014–2025 Metų Strategijos [National Health Strategy 2014-2025]","Health sector policy, strategy or plan with nutrition components","","Lithuanian","","2014","","2025","Ministry of Health","5","2016","Adopted","6","2014","Government of Lituania","Health|Information|Sub-national|Other","Statistics Lithuania; Institute of Hygiene","","","","","","","","","","","","","","","","","1 paveikslas. Pagrindinis tikslas, pagrindinis rodiklis, tikslai ir uždaviniai
Lietuvos sveikatos 2014–2025 metų strategijos pagrindinis tikslas – pasiekti, kad 2025 m. šalies gyventojai būtų sveikesni ir pailgėtų jų gyvenimo trukmė, pagerėtų gyventojų sveikata ir sumažėtų sveikatos netolygumai
3. Formuoti sveiką gyvenseną ir jos kultūrą
3.2. Skatinti sveikos mitybos įpročius
3.3. Ugdyti optimalaus fizinio aktyvumo įpročius
4.3. Gerinti motinos ir vaiko sveikatą
4.4. Stiprinti lėtinių neinfekcinių ligų prevenciją ir kontrolę
","68.2. skatinti sveikos mitybos įpročius;
68.3. ugdyti optimalaus fizinio aktyvumo įpročius;
87. Siekiant ugdyti sveikos mitybos įpročius, būtina:
87.1. siekti, kad Lietuvos gyventojų maisto sudėtis atitiktų PSO rekomendacijas;
87.2. didinti Lietuvos gyventojų informuotumą apie sveiką, subalansuotą mitybą,
įtraukiant sveikos, subalansuotos mitybos temas į mokymo programas, didinant socialinės reklamos sveikatos tema mastą, ir užtikrinti gyventojams prieigą prie sveikos mitybos
pagrindus formuojančios informacijos šaltinių;
87.3. skatinti Lietuvos įmones gaminti ir tiekti vidaus rinkai sveikatai palankų maistą, ypač atsižvelgiant į vaikų ir jaunimo sveikatinimo reikmes. Mažinti druskos,
cukraus ir riebalų kiekį maisto produktuose, kur tai įmanoma, informaciją apie maisto produktų sudėtį pateikti aiškiai, suprantamai ir matomoje vietoje;
87.4. palaikyti organizacijas ir projektus, kurie skatina sveikatai palankaus maisto vartojimą, remti savivaldybių dalyvavimą gerinant mitybos kokybę bendruomenėse;
87.5. vykdyti gyventojų mitybos įpročių stebėseną ir reguliariai vertinti antsvorio ir su juo susijusių ligų riziką sveikatai, gyventojų mitybos ir su ja susijusių sveikatos problemų pokyčius;
87.6. integruoti sveikos gyvensenos ugdymą į neformaliojo suaugusiųjų švietimo programas.
88. Trečiasis uždavinys – ugdyti optimalaus fizinio aktyvumo įpročius.
","4. Nutukusių vyrų dalis tarp Lietuvos 20–64 metų amžiaus vyrų, procentais, Tyrimas
- Vertinimo rodiklio reikšmė 2025 m: Stabilizuotiaugimą
5. Nutukusių moterų dalis tarp Lietuvos 20–64 metų amžiaus moterų, procentais, Tyrimas
- Vertinimo rodiklio reikšmė 2025 m: Stabilizuotiaugimą
","Outcome indicators","","Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Food safety|Vulnerable groups","","https://www.e-tar.lt/portal/lt/legalAct/85dc93d000df11e4bfca9cc6968de163","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LTU%202014%20National%20Health%20Strategy%202014-2025.pdf"
"36183","MDV","Maldives","","Multi-sectoral Action Plan For The Prevention And Control of Noncommunicable Diseases in Maldives (2014-2020)","NCD policy, strategy or plan with healthy diet components","","English","","2014","","2020","Health Protection Agency","","2014","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Information","","","","","","","","","","National NGOs","","","","","","","","Targets For 2025
(i) A 25% relative reduction in overall mortality from cardiovascular diseases, cancers, diabetes, or chronic respiratory diseases ...
(v) A 30% relative reduction in mean population intake of salt/sodium
(vi) A 25% relative reduction in prevalence of raised blood pressure
(vii) Halt the rise in obesity and diabetes
...
","Strategic action area 2: Health promotion and risk reduction.
Actions under this area aim to promote the development of population-wide interventions to reduce exposure to key risk factors. Effective implementation of these actions will lead to reduction in tobacco use; increased intake of fruits and vegetables; reduced consumption of saturated fat, salt and sugar; reduction in harmful use of alcohol; increase in physical activity; and reduction in second hand exposure to tobacco smoke.
Key milestones:
…
- · Implement BCC and mass media national campaigns on healthy lifestyle promotion using national recommendations of physical activity and diet
- · Develop progressive policy measures to minimize consumption of saturated fatty acids and banning of hydrogenated vegetable oils
- · Implement healthy lifestyle promotion for school children of all age groups in school settings
…
","Table 4 : Indicators for promotion of healthy diet and means of verification (Mov)
Process:
Adoption of national dietary recommendation for all age groups and for different conditions and information integrated into national BCC & mass media campaign (Mov: Published mass media and BCC strategy)
Adoption of policies to reduce of food products high in saturated fatty acids and eliminate hydrogenated vegetables oils in food supply(Mov: Published policy documents)
Introduce policies to reduce food marketing to children for nonalcoholic beverages and food high in saturated fatty acids , transfat, high sugar or salt (Mov: Published policy documents of HPA)
Short term:
Increase airtime for healthy lifestyle events on mass media channels such as in social media,( facebook, tweeter), TV, radio and print media (Mov: Air time contract award document and activity reports of the media organizations)
Increase public educational programs on risk of transfat and hydrogenated vegetables oils in integrated BCC campaign (Mov: Activity reports, Contract award documents for mass media of HPA)
Increase monitoring of food contents of salt and saturated fatty acids and transfat levels( (Mov:Annual published market inspection reports of MFDA/HPA)
Decrease in advertisement of non-alcoholic beverages and food high in saturated fatty acids, transfat, high sugar or salt decreased (Mov: Annual media assessment reports by HPA/NGOs)
Medium term:
Increase awareness of dietary recommendations in population (Mov: STEPS and GSHS and midterm and end line evaluation reports)
Decrease market availability of food products with high content of transfat and hydrogenated oils (Mov: Annual published market inspection reports of HPA/MFDA)
Decreased accessibility and availability of non-alcoholic beverages and food high in saturated fatty acids , transfat, high sugar or salt in the market (Mov: Annual market assessment reports by HPA/NGOs)
Long term:
Age standardized mean population intake of salt (sodium chloride) per day in grams in persons aged 18+ year Population achieving recommended level of servings of fruits and vegetables
Reduction in consumption of food containing transfat and hydrogenated vegetable oil
Assumptions: Legal measures in place for banning food with high contents of hydrogenated vegetable oils and transfat and funds are available to advocate healthy diet
","","","Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Dietary guidelines|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition","","http://www.health.gov.mv/Uploads/Downloads//Informations/Informations(48).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDV%202014%20Multisectoral%20plan%20for%20NCDs_0.pdf"
"39460","MAR","Morocco","","Plan d’action multisectoriel de promotion du mode de vie sain 2014-2020","NCD policy, strategy or plan with healthy diet components","","French","","2014","","2020","Ministry of Health","","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Transport|Urban planning|Trade|Environment|Industry|Information|Other","Ministère des Habous et des Affaires Islamiques","","","","","","","","","","o Fondation LALLA SALMA de Prévention et de Traitement des Cancers,o Association Marocaine de la Prévention et de l’Education pour la Santé,o Association ANFAS,o Association de lutte contre le tabagisme et les drogues.","","","","","","","Objectif général
La promotion d’un mode de vie sain vise à améliorer la qualité de vie de la
population marocaine en réduisant les facteurs de risque qui contribuent aux
maladies chroniques et à diminuer à long terme la prévalence de ces maladies.
Objectifs spécifiques
- Réduire l’usage du tabac et protéger les non-fumeurs ;
- Améliorer les habitudes alimentaires ;
- Réduire la sédentarité ;
- Enrichir la capacité de promotion de la santé ;
- Ralentir la progression des maladies chroniques.
","Domaine d’intervention 1 : Prestation de prévention primaire
Action1 : Promotion du mode de vie sain (lutte anti-tabac, alimentation saine et équilibrée, activité physique)
Mesure 1 : Elaboration d’une stratégie de communication sur le mode de vie sain (méfaits du tabagisme, alimentation saine et équilibrée, activité physique
Mesure 2 : Sensibilisation de la population sur le mode de vie sain VS
Mesure 3 : Sensibilisation du milieu préscolaire, scolaire et universitaire et des jeunes non scolarisé sur le MVS
Mesure 4 : Sensibilisation dans les lieux de travail sur le MVS
Mesure 5 : Elargissement de l’initiative « milieu de travail sans Tabac » à d’autres secteurs
Mesure 6 : Célébration de la journée mondiale sans tabac, de l’alimentation saine, équilibrée et de l’activité physique.
Mesure 7 : Sensibilisation des laboratoires pharmaceutiques pour introduire les substituts nicotiniques dans la liste des médicaments remboursable
Mesure 8 : Organisation de manifestations événementielles pour la promotion du mode de vie sain
Mesure 9 : Elaborer un plan d’action de réduction du sel, gras trans et sucre
Mesure 10 : Sensibilisation des industriels de l’agroalimentaire, sur l’intérêt de promouvoir une alimentation saine et équilibrée
Mesure11 : Renforcement des espaces propices à l’activité physique
Domaine d’intervention 2 : Développement des compétences et des ressources humaines
Action 2 : Développement des compétences en matière de mode de vie sain
Mesure 12: Formation des professionnels de la santé, de l’éducation nationale et les cadres du ministère des affaires islamiques sur le MVS
Mesure 13 : Développement de la composante mode vie sain dans la formation de base scolaire universitaire et des instituts de formations des professionnels de santé et programme d’analphabétisme
Domaine d’intervention 3: Gouvernance générale et coordination
Action 3: Renforcement du rôle de la région pour une bonne gouvernance dans le mode de vie sain
Mesure 14 : Déclinaison du plan d’action multisectoriel pour la promotion du mode de vie sain au niveau des régions
Action 4 : Institutionnalisation du comité interministériel de promotion du mode de vie sain
Mesure 15 : Officialisation du comité interministériel de promotion du mode de vie sain
Action 5: Développement du partenariat en matière du mode de vie sain
Mesure 16 : Développement des partenariats internationaux pour la promotion du MVS
Mesure 17 : Développement des Partenariat public-ONG pour la promotion du MVS
Action 6 : Mise en Place une réglementation relative à la promotion du mode de vie sain
Mesure 18 : Mettre en Place une réglementation anti-Tabac
Mesure 19 : Renforcer le cadre réglementaire et législatif concernant la production et la consommation d’aliments sains et équilibré
Mesure 20 : Renforcement de la disponibilité et de l’accessibilité aux aliments sûrs et sains
Domaine d’intervention 4 : Marketing et communication
Action 7 : Diffusion du plan d’action multisectoriel de promotion de mode vie sain
Mesure 21 : Organisation d’une journée de diffusion du PA multisectoriel
Domaine d’intervention 5 : Surveillance épidémiologique
Action 8 : Surveillance épidémiologiques des facteurs de risques des maladies non transmissibles
Mesure 22 : Réalisation des études sur les facteurs de risques des MNT
Domaine d’intervention 6 : Monitoring, évaluation
Action 9 : Assurer le suivi, évaluation des actions multisectorielles de promotion du mode de vie sain
Mesure 23 : Mettre en place un système de monitoring et d’évaluation du PA multisectoriel au niveau national et régional
","- Nombre de secteurs pour lesquels la stratégie a été diffusée.
- Nombre de plans d’actions élaborés
- Nombre de supports didactiques élaborés
- Nombre de messages produits et diffusés
- Nombre d’établissements préscolaire et scolaire sensibilisés
- Nombre de journalistes ayant adhéré au réseau de communication autour du mode de vie sain auprès des jeunes
- Nombre d’espaces omnisport crées
- Nombre d’espaces cyclables crées
- Nombre de piétonnes crées
- Nombre d’Espaces de jeux et aires de jeux aménagés et sécurisés
- Nombre d’heures consacrées au MVS dans les programmes scolaires, universitaires et instituts de formation des PS
- Nombre de conventions de partenariat élaborées dans le domaine de prévention des FR des MNT
","Outcome indicators|Process indicators","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/MAR_B11_MAR_B12_PAM MVS.pdf","More details on activities and indicators pages 15-39","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202014%20Plan%20d%E2%80%99action%20mode%20de%20vie%20sain.pdf"
"41552","MMR","Myanmar","","Myanmar Policy for Early Childhood Care and Development","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2014","","","Ministry of Social Welfare, Relief and Resettlement","","2014","","","","","Cabinet/Presidency|Health|Education and research|Social welfare|Finance, budget and planning|Information|Labour","","United Nations Children's Fund (UNICEF)","","Other|Save the Children|World Vision International","The Leprosy Mission International;","","","","","National NGOs","Yinthway Foundation; Pyinnya Tazaung Association; Myanmar Baptist Convention; Karen Baptist Convention; Kachin Baptist Convention; Metta Development Foundation; Phoenix Association; Ratana Metta Organization; Myanmar Red Cross Society","","","","","","","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"
"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"
"40743","PER","Peru","","Plan Nacional para la reduccion de anemia y desnutricion 2014-2016","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2014","","2016","Ministerio de Salud","","2014","","","","","Nutrition council|Health|Environment|Information","","","","","","","","","","National NGOs","","","","","","",""," OBJETIVOS
Objetivo general
Contribuir con la reducción de la desnutrición crónica infantil al 10% y la anemia en menores de 3 años al 20%, al año 2016, a través del fortalecimiento de intervenciones efectivas en el ámbito intrasectorial e intersectorial. Objetivos específi cos:
1. Incrementar la proporción de niños menores de 3 años con control de crecimiento y desarrollo (CRED) oportuno, de acuerdo a edad, y suplementados con hierro (multimicronutrientes).
2. Incrementar la proporción de niños menores de 6 meses con lactancia materna exclusiva.
3. Incrementar la proporción de niños menores de 3 años con vacunas completas de acuerdo a la edad.
4. Disminuir la prevalencia de niños con bajo peso al nacer.
5. Disminuir las enfermedades prevalentes de la infancia: infecciones respiratorias agudas, enfermedades diarreicas agudas y parasitosis.
6. Incrementar la calidad de la atención prenatal y el parto institucional.
7. Incrementar el número de hogares con agua tratada.
","ESTRATEGIAS
1. IMPULSAR LAS INTERVENCIONES EFECTIVAS PARA LA REDUCCIÓN DE LA DCI Y ANEMIA EN BASE A LA EVIDENCIA CIENTÍFICA E IMPLEMENTARLAS DE MANERA INTEGRAL
- Suplementación con hierro y ácido fólico a las gestantes
- Corte tardío del cordón umbilical
- Lactancia materna exclusiva
- Alimentación complementaria
- Suplementación con multimicronutrientes a niñas y niños de 06 a 35 meses (MMN)
- Lavado de manos con agua y jabón
2. INTENSIFICAR LAS INTERVENCIONES EN LOS DISTRITOS DE ALTA PREVALENCIA DE DCI Y ANEMIA EN NIÑAS Y NIÑOS DE 06 A 35 MESES Y EN LAS ZONAS DE ALTA CONCENTRACIÓN DE NIÑAS Y NIÑOS MENORES DE 3 AÑOS
3. UNIVERSALIZAR LA SUPLEMENTACIÓN CON MULTIMICRONUTRIENTES PARA LA PREVENCIÓN DE ANEMIA EN NIÑAS Y NIÑOS DE 06 A 35 MESES
4. SEGUIMIENTO NOMINAL DE NIÑAS Y NIÑOS MENORES DE 3 AÑOS A PARTIR DE LA IDENTIFICACIÓN EN LÍNEA DEL RECIÉN NACIDO
5. ENFOQUE TRANSVERSAL DE INTERCULTURALIDAD Y GENERO
6. CONVENIOS DE GESTIÓN CON GOBIERNOS REGIONALES
","MONITOREO Y EVALUACION
El monitoreo y evaluación del Plan Nacional para la Reducción de la Desnutrición Crónica Infantil y la Prevención de la Anemia en el País, estará a cargo de la Dirección General de Salud de las Personas y el Centro Nacional de Alimentación y Nutrición del Instituto Nacional de Salud considerando el modelo lógico establecido y detallado previamente (en la sección V), que incluye los productos y procesos necesarios para el logro de los resultados relacionados con la disminución de la DCI y la anemia en niñas y niños menores de tres años. Las fuentes de información de donde procederán los indicadores son encuestas nacionales (ENDES, ENAHO), además de aquellas basadas en registros administrativos y emitidas como reportes a nivel de las direcciones regionales de salud (SIEN, HIS, SIS, SIP, SISMED) en relación a la prestación de los servicios de salud dirigidos a las madres gestantes y a las niñas y niños menores de 5 años, con énfasis en los menores de 3 años, en el marco de la atención integral en salud.
Indicadores de resultado Para efectos de medir el alcance del Plan Nacional para la Reducción de la Desnutrición Crónica Infantil y la Prevención de la Anemia en el País, se han establecido los siguientes indicadores:
IR1 Prevalencia de desnutrición crónica en niñas y niños menores de 5 años de edad.
IR2 Prevalencia de anemia en niñas y niños de 6 a 35 meses de edad.
IR3 Porcentaje de recién nacidos con bajo peso al nacer.
IR4 Porcentaje de recién nacidos con prematuridad.
IR5 Prevalencia de infecciones respiratorias agudas en niñas y niños menores de 3 años de edad.
IR6 Prevalencia de enfermedad diarreica aguda en niñas y niños menores de 36 meses de edad.
IR7 Porcentaje de niñas y niños menores de 6 meses con lactancia materna exclusiva.
IR8 Porcentaje de madres de niña y niños menores de 36 meses que practican lavado de manos en momentos clave.
IR9 Porcentaje de niñas y niños menores de 36 meses con CRED completo de acuerdo a su edad.
IR10 Porcentaje de niñas y niños menores de 36 meses con vacunas básicas completas para su edad.
IR11 Porcentaje de recién nacido con corte oportuno del cordón umbilical. Indicadores de productos y procesos
Los indicadores de productos y procesos están orientados a medir la implementación de las intervenciones dirigidas a las madres gestantes, niñas y niños menores de 5 años, con énfasis en los menores de 3 años, además de los productos obtenidos luego de su ejecución.
Los indicadores de productos identificados se detallan a continuación:
IP1 Porcentaje de gestantes con control prenatal en el primer trimestre de gestación.
IP2 Porcentaje de gestantes con seis o más controles prenatales.
IP3 Porcentaje de gestantes con suplementación completa.
IP4 Porcentaje de gestantes con parto institucional.
IP5 Porcentaje de niñas y niños de 6 a 35 meses con suplemento de hierro (MMN).
IP6 Porcentaje de niñas y niños menores de 24 meses con vacuna contra rotavirus y neumococo de acuerdo a la edad.
IP7 Porcentaje de hogares con acceso a agua segura.
","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Nutrition education","","http://www.minsa.gob.pe/portada/especiales/2015/nutriwawa/directivas/005_Plan_Reduccion.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PER%202014%20Plan%20Nacional%20para%20la%20reduccion%20de%20anemia%20y%20desnutricion%202014-2016.pdf"
"24494","AFG","Afghanistan","","United Nations Development Assistance Framework for Afghanistan 2015-2019","Non-national nutrition policy document","","English","","2015","","2019","UN country team of Afghanistan","","2015","","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Transport|Urban planning|Information|Justice|Labour|Other","Economy, foreign affairs, interior, public works, refugees, rural development","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|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 Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNEP, UN Habitat, UNMAS, UNODC, UN Women","","","","","","","","","","","Private sector","","","","Output 2: Strengthened mechanisms to increase equitable access to agricultural production and productivity, licit economic opportunities, productive assets and lands for food and livelihood security for vulnerable and marginalized population.
Output 1. Improved capacity of government and nongovernment organizations to increase accessibility to and demand for delivery of quality and cost effective health care, including maternal reproductive health, ASRH, family planning, nutrition and WASH services for the most marginalized and vulnerable populations.
","In the areas of health care, nutrition, WASH, education and prevention and protection services, UN agencies will support a range of interlinked and mutually supportive interventions at three levels: policy reform and implementation; data and knowledge management and community action.
At the policy and institutional level the UNCT will assist the development and implementation of health, nutrition, education drugs, child protection and WASH policies, strategies, and sectoral plans. It will support the strengthening of health systems, including Human Resources for Health (HRH), hospital management and reforms, improving access to essential medicines and health technology, and support establishing quality assurance and improvement mechanisms including drug & food regulation. At the implementation level, it will help expand health facilities to the areas not currently covered by BPHS and or cut off due to climatic or geographical barriers. It will assist the Government and CSOs (includes NGOs, CBOs and other civil society actors), and the private sector, under public-private partnership arrangements, in the implementation of the BPHS & EPHS, with a focus on strengthened capacity to deliver quality health and nutrition services, especially to women and children, psychosocial services to victims of Gender Based Violence, and services for persons with disabilities, including at the community level. The prevention and control of diseases, access to quality drugs, including contraceptives and HIV/AIDS prevention, treatment, care and rehabilitation services, will be other areas of support. It will support the Government in completing the Polio Eradication Initiative agenda and strengthening emergency preparedness and response. It will also provide support to increased coverage of quality safe and drinking water and sanitation and increased access to and utilization of quality preventive and curative nutrition services, provided at community level and through health facilities.
","Output Indicator 2.2: % of targeted populations, farming families and households which have access to agricultural production and productivity, economic opportunities and productive assets for food and agri-based livelihood security
Outcome Indicator 2.4: Prevalence of global acute malnutrition of children 6-59 months by sex
Outcome Indicator 2.5: Proportion of population using an improved drinking water source
Outcome Indicator 2.6: Proportion of population using an improved sanitation facility
Output Indicator 2.1.3: % of communities which have access to health facilities within one hour walking distance by residence
Output Indicator 2.1.6: # of pregnant and lactating women received infant and young child feeding counselling
","Outcome indicators|Process indicators","","Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf"
"36190","BRB","Barbados","","National Plan of Action for Childhood Obesity Prevention and Control","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2015","","2018","","","2015","Adopted","","2014","MoH","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Sport|Urban planning|Trade|Information|Other","Ministries: Health, Education, Agriculture, Trade, National NCD Comission, National Nutrition Center (NNC), Inter Ministerial Committee, Cabinet, Government Information Services","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","WHO, PAHO, FAO, Unicef, UN Women, WTO, UNDP, UNFPA","","","Japan International Co-operation Agency (JICA)","","European Union","","National NGOs","SCOs, Faith based organizations (FBOs), Parent-Teacher Association","Research/academia","","Private sector","Food producers, distributors, restaurants, marketing agents, media, service operators, food vendors","Other","Inter-American Institute for Cooperation on Agriculture (IICA), Barbados National Standards Institute, Healthy Caribbean Coalition (HCC), education facilitators, health professionals working in primary care and tertiary health institutions","Goal:
The ultimate goal is to reverse the upward trends in obesity by 5% by 2019
Objectives:
- To improve increase exclusive breastfeeding at 6 months by 20% by 2019;
- To reduce prevalence of low physical activity in adolescents by 30%;
- To develop and implement policies and regulations to reduce the impact on children of marketing of foods and non- alcoholic beverages high in saturated fats, trans fatty acids, free sugars or salt; and
- To have at least 70 schools designated Health Promoting Schools by 2019 (Appendix 2).
","The broad strategies discussed and agreed in line with the PAHO Regional Plan of Action for the Prevention of Obesity in Children and Adolescents and the Barbados NCD Strategic Plan are as follows:
1. Strengthening Coordination and Management of Obesity Prevention
2. Strengthening Breastfeeding Practices
3. Promoting Physical Activity
4. Developing and Implementing Dietary Regulatory and Fiscal Policies
5. Implementing Health Promoting School Initiatives
","- To reverse the upward trends in obesity by 5% by 2019
- 20% increase in rate of exclusive breastfeeding for 6 months
Full list of indicators/targets found in Results Framework on p. 16
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Overweight in children 0-5 yrs|Overweight in school children|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Menu labelling|Taxation on unhealthy foods|Subsidies on healthy foods|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","","http://gisbarbados.gov.bb/download/national-plan-of-action-for-childhood-obesity/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRB%202015%20National%20Plan%20of%20Action%20for%20Childhood%20Obesity.pdf"
"25908","CIV","Côte d'Ivoire","","Plan stratégique intégré de prévention et de prise en charge des maladies non transmissibles en Côte d’Ivoire 2015-2019","NCD policy, strategy or plan with healthy diet components","","French","","2015","","2019","République de Côte d’Ivoire, Ministère de la Santé et de la Lutte contre le Sida","","2014","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Transport|Urban planning|Environment|Information|Justice|Labour","La prévention et le contrôle efficaces des maladies non transmissibles exigent un leadership, l'engagement multipartite coordonné pour la santé, tant au niveau du gouvernement qu’au niveau d'un large éventail d'acteurs avec de tels engagement et action incluant, le cas échéant, les approches de « la santé dans toutes les politiques » et de « l'ensemble du Gouvernement » à travers des secteurs tels que la santé, l'agriculture, la communication, l'éducation, l'emploi, l'énergie, l'environnement, la finance, l’alimentation, des affaires étrangères, du logement, de la justice et de la sécurité, de la législature, la protection sociale, développement social et économique, les sports, recettes fiscales, le commerce et l'industrie, les transports, l'urbanisme, les affaires de la jeunesse et le partenariat avec la société civile et les entités du secteur privé.","","","","","","","","","","","","","","","","","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%
","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
ACTIONS PRIORITAIRES
Remplacer les acides gras trans par des matières grasses polyinsaturées
Faire la promotion de la consommation d’au moins 5 portions de fruits et légumes combinés par jour
Promouvoir l'éducation Nutritionnelle
Promouvoir la production locale de fruits et legumes
Améliorer l’accessibilité des fruits et légumes
","","","","Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|Promotion of fruit and vegetable intake|Trans fat|Salt/sodium|Ban or virtual elimination of industrial trans fatty acids|Media campaigns on healthy diets and nutrition","","","","WHO Noncommunicable Disease Document Repositoryhttps://extranet.who.int/ncdccs/Data/CIV_B3_PLAN-STRATEGIQUE-Int%C3%A9gr%C3%A9-2015-2019-MNT-CIV-final.pdf","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CIV%202014%20PLAN-STRATEGIQUE-Int%C3%A9gr%C3%A9-2015-2019-MNT-CIV-final.pdf"
"23614","NLD","Netherlands","","De Nederlandse Reclame Code [The Dutch Advertising Code]","Voluntary codes or measures relevant to nutrition","","Dutch","7","2015","","","Stichting Reclame Code","","2017","Adopted","1","2015","Stichting Reclame Code","Information","","","","","","","","","","National NGOs","Bond van Adverteerders (BvA); Data Driven Marketing Association (DDMA); Federatie Nederlandse Levensmiddelen Industrie (FNLI); Interactive Advertising Bureau Nederland (IAB Nederland); Thuiswinkel.org; NDP Nieuwsmedia; Magazine Media Associate (MMA);Stichting Ether Reclame (Ster); Stichting Regionale Publieke Omroep (RPO); Organisatie van Lokale Omroepen in Nederland (OLON); Screenforce; Vereniging van Communicatieadviesbureaus (VEA); De Klantenservice Federatie (KSF); Consumentenbond (CB); Stichting Bewoording Gezondheidsclaims","","","Private sector","","","","","","","","Kinderen
8. lid 1.
Reclame voor voedingsmiddelen gericht op kinderen tot en met 12 jaar is niet toegestaan. Dit betekent dat a. Er geen reclame voor voedingsmiddelen wordt geuit in/op mediadragers welke zich volgens het algemeen in de markt geaccepteerde bereiksonderzoek specifiek richten op kinderen tot en met 12 jaar. b. Op/in mediadragers die zich niet specifiek richten op kinderen tot en met 12 jaar reclame voor voedingsmiddelen alleen kan worden geuit wanneer zich volgens het algemeen in de markt geaccepteerde bereiksonderzoek het publiek waarvoor de reclame is bestemd voor minder dan 25% bestaat uit kinderen tot en met 12 jaar.
lid 2. Uitgezonderd van lid 1. worden:
a. Reclame voor voedingsmiddelen die tot stand gekomen is in samenwerking met de overheid en/of een andere erkende autoriteit op het terrein van voeding, gezondheid en/of beweging gericht op kinderen tot en met 12 jaar
Toelichting
Met een erkende autoriteit worden enerzijds nationale erkende autoriteiten bedoeld zoals bijvoorbeeld de rijksoverheid zelf (bijv. VWS, EZ, SZW), het Voedingscentrum, het Nationaal Instituut voor Sport en Bewegen, NOCNSF, erkende patiëntenorganisaties zoals o.a. de Nederlandse Hartstichting, de Diabetes Vereniging Nederland en/ of de Nederlandse Obesitas Vereniging en beroepsverenigingen in zorg en beweging zoals o.a. de Nederlandse Vereniging voor Diëtisten en het Nederlands Huisartsengenootschap, en anderzijds internationale en Europese autoriteiten zoals o.a. de Wereld Gezondheidsorganisatie en de Europese Commissie.
b. Verpakkingen en point-of-sale materiaal.
c. Reclame voor voedingsmiddelen gericht op kinderen van 7 tot en met 12 jaar die voldoet aan de voedingskundige criteria zoals opgenomen in de tabel met bijbehorende portiegrootte lijst die geraadpleegd kunnen worden via de digitale versie van deze code op www.reclamecode.nl/nrc . De artikelen 9 tot en met 11 van deze code zijn van toepassing op deze uitzondering. Op verzoek van de Stichting Reclame Code legt een adverteerder het volledige etiket over van het product waarop een klacht betrekking heeft.
9. Een reclame voor een voedingsmiddel dat geassocieerd wordt met een bepaald specifiek voor Kinderen bestemd televisie en/of radioprogramma mag niet getoond worden in reclameblokken tijdens en direct aansluitend op de uitzending van dat programma.
10. In reclame specifiek gericht op Kinderen, zal een kinderidool niet actief een voedingsmiddel en/of daaraan gerelateerde premiums en diensten aanprijzen.
11. In een reclame-uiting specifiek gericht op Kinderen mag bij de aanprijzing van een voedingsmiddel niet de indruk worden gewekt dat de consumptie van het aangeprezen voedingsmiddel hen meer status of populariteit onder leeftijdgenoten biedt dan de consumptie van een ander voedingsmiddel.
Enkele specifieke vormen van reclame-uitingen op scholen
12. Het is verboden op verblijven en opvang (peuterspeelzalen, kinderdagverblijven, naschoolse opvang) voor Kinderen en op scholen voor primair onderwijs reclame te maken voor een voedingsmiddel. Hiervan wordt uitgezonderd een voorlichtende reclamecampagne die plaats vindt met instemming van de overheid en/of een andere erkende autoriteit op het terrein van voeding, gezondheid en/of beweging.
Toelichting
Ter verduidelijking: sampling wordt als het maken van reclame beschouwd.
13. Op scholen voor voortgezet onderwijs worden geen promotionele acties gehouden die uitsluitend tot doel hebben de leerlingen op dat moment aan te zetten tot overmatig gebruik van het aangeprezen voedingsmiddel.
14. Op scholen voor voortgezet onderwijs worden uitsluitend reguliere verpakkingseenheden van een voedingsmiddel aangeprezen en te koop aangeboden, en niet de maximum, king size, etc. varianten.
15. Ten aanzien van sponsoring is de laatste versie van het convenant Scholen voor primair en voortgezet onderwijs en sponsoring van toepassing.
Toelichting:
Het Convenant is te vinden op https://www.rijksoverheid.nl/documenten/convenanten/2009/02/24/convenant-scholen-voor-primair-en-voortgezet-onderwijsen-sponsoring
Inwerkingtreding en evaluatie
Deze Code is in werking getreden op 2 juni 2005, gewijzigd per 1 februari 2010 en opnieuw gewijzigd per 1 januari 2015. Ten aanzien van lopende reclame-uitingen met betrekking tot artikel 8 zal een overgangstermijn gelden van maximaal 6 maanden en/ of totdat bestaande mediajaarcontracten zijn verlopen. De code zal na 2 jaar worden geëvalueerd en waar nodig worden bijgesteld.
","Regulating marketing of unhealthy foods and beverages to children|Radio|Settings where children gather such as schools, childcare and other educational establishments|Shops (marketing)|TV|Using celebrities|Energy (marketing)|Fat (marketing)|Nutrient profile model (marketing)|Portion size (marketing)|Positive nutrients (marketing)|Salt/sodium (marketing)|Saturated fat (marketing)|Trans fat (marketing)|Covers children up to 13 years of age|Voluntary marketing restrictions|Monitoring mechanism established|Sanctions exist","","https://www.reclamecode.nl/nrc/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202015%20Criteria%20for%20Marketing%20of%20foods%20to%20children.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202015%20Criteria%20for%20Marketing%20of%20foods%20to%20children.pdf"
"25724","UZB","Uzbekistan","","КОНЦЕПЦИЯ и Комплекс мер по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы / Concept and Strategies on Healthy Nutrition for the Population of Uzbekistan 2015-2020","Comprehensive national nutrition policy, strategy or plan","","Russian","8","2015","","2020","Ministry of Health","9","2015","Adopted","8","2015","Cabinet of Ministers","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Information|Sub-national","","","","","","","","","","National NGOs","Association for Food Producers; 'Mahalla' Foundation","Research/academia","","","","Other","Education and Health Care Institutions","Приложение № 1 КОНЦЕПЦИЯ по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
II. ЦЕЛЬ И ЗАДАЧИ КОНЦЕПЦИИ
3. Основными задачами по обеспечению здорового питания населения Республики Узбекистан являются:
- сокращение заболеваемости и преждевременной смертности путем создания условий, обеспечивающих удовлетворение потребностей различных групп населения в здоровом питании, физической активности и сокращении употребления алкогольной и табачной продукции:
- организация широкой разъяснительной работы и усиление пропаганды здорового питания, как основы здорового образа жизни населения, в том числе с активным использованием средств массовой информации;
- разработка образовательных программ для различных групп населения по вопросам здорового питания, направленных на снижение распространенности заболеваний, связанных с питанием, приоритетное развитие фундаментальных исследований в области здорового питания;
- совершенствование системы организации питания в организованных коллективах, обеспечения полноценным питанием беременных и кормящих женщин, а также детей в возрасте до 3 лет, улучшение диетического (лечебного и профилактического) питания в лечебно-профилактических учреждениях, как неотъемлемой части лечебного процесса;
- расширение отечественного производства основных видов продовольственного сырья в соответствии с современными требованиями к качеству и безопасности, а так же развитие производства пищевых продуктов, обогащенных незаменимыми компонентами, специализированных продуктов для детского питания, диетических (лечебных и профилактических) пищевых продуктов и биологически активных добавок к пище;
- разработка и принятие технических регламентов и государственных стандартов, касающихся пищевых продуктов и продовольственного сырья; совершенствование механизмов контроля за качеством производимых на территории Республики Узбекистан и поставляемых из-за рубежа пищевых продуктов и продовольственного сырья;
- разработка и внедрение программ мониторинга в области питания на основе анализа показателей здоровья населения и динамики развития распространенных алиментарно-зависимых состояний.
","Приложение № 1 КОНЦЕПЦИЯ по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
III. ОСНОВНЫЕ НАПРАВЛЕНИЯ ДЕЯТЕЛЬНОСТИ ПО ОБЕСПЕЧЕНИЮ ЗДОРОВОГО ПИТАНИЯ И ОБРАЗА ЖИЗНИ
4. В рамках реализации настоящей Концепции предусматривается:
а) совершенствование нормативно-правовой базы, регулирующей отношения в области обеспечения населения здоровым питанием и формирования здорового образа жизни, в том числе:
- внесение изменений и дополнений в законодательство, направленных на расширение ассортимента отечественных качественных и безопасных продуктов питания;
- упорядочение организации здорового питания в государственных образовательных и медицинских учреждениях:
- улучшение механизмов бесперебойной поставки йодата калия и йодита калия предприятиям, производящим пищевую соль, с обеспечением постоянного мониторинга производства йодированной соли:
- дальнейшее упорядочение реализации алкогольной продукции;
- установление действенного контроля за качеством и безопасностью продуктов питания, употребляемых в образовательных учреждениях:
- улучшение суточного рациона питания детских организованных коллективов за счет увеличения ассортимента обогащенных витаминами и микронутриентами продуктов питания:
б) реализация мер, направленных на совершенствование механизмов обеспечения населения здоровым питанием и формирование культуры здорового образа жизни:
- расширение ассортимента диетической кисломолочной продукции, производимой отечественными предприятиями пищевой промышленности:
- расширение ассортимента продуктов питания с низким содержанием соли на основе растительных клетчаток:
- увеличение производства и промышленной переработки лекарственного растения стевии - заменителя сахара;
- продолжение реализации государственных программ по обеспечению населения важнейшими микронутриентами;
- создание условий, способствующих здоровому питанию и ведению здорового образа жизни в образовательных учреждениях и других организациях;
- реализация пилотного проекта, направленного на формирование культуры здорового питания и образа жизни среди населения Кашкадарьинской и Ферганской областей, с последующим распространением полученного положительного опыта на все регионы республики;
- разработка рекомендуемых среднесуточных норм питания для различных половозрастных и профессиональных групп населения с учетом лечебно профилактических свойств продуктов питания:
- совершенствование схем логистики доставки сельскохозяйственной плодоовощной и животноводческой продукции «от поля, до производителя», «от производителя до потребителя»:
- совершенствование существующих экономических механизмов стимулирования хозяйствующих субъектов, занятых производством продуктов питания, в том числе детского и диетического, а также переработкой сельскохозяйственной плодоовощной и мясомолочной продукции:
в) проведение научных исследований в области здорового питания и диетологии:
- проведение научных исследований по освоению производства йода на базе местного сырья - вод нефтяных месторождений;
- изучение рациона питания среди различных групп населения и причин развития распространенных заболеваний, связанных с нерациональным питанием;
- разработка научно обоснованных рецептур диетических блюд и напитков на основе местных продуктов питания для детей и взрослых; изучение распространенности железодефицитной анемии и йододефицитных состояний среди населения;
г) организация широкой разъяснительной работы в области здорового питания и формирования культуры здорового образа жизни:
- расширение спектра и количества социальных теле-, радиопередач, публикаций в печатных и электронных средствах массовой информации; вовлечение известных деятелей политики, науки, искусства, спорта и общественных деятелей в процесс популяризации здорового питания и формирования культуры здорового образа жизни среди населения;
- мониторинг и оценка результатов проводимых информационно просветительских мероприятий; расширение разъяснительной работы среди населения, прежде всего молодежи, по вопросам здорового питания, физической активности, вредных последствий для здоровья от употребления алкогольной и табачной продукции;
д) дальнейшее повышение качества подготовки медицинских кадров: внедрение учебных программ в области здорового питания для среднего специального, профессионального, высшего и послевузовского образования:
- внедрение учебных программ по вопросам здорового питания и диетологии для студентов медицинских высших образовательных учреждений и профессиональных колледжей;
- подготовка магистров и клинических ординаторов по специальности «Диетология»;
- ежегодное повышение квалификации специалистов по вопросам здорового питания, диетологии, физической активности и вредных последствий употребления алкогольной и табачной продукции.
Приложение № 2: Комплекс мер по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
- Государственные стандарты на пищ евые продукты (O ’zDst). Размещ ение на потребительской упаковке пищевой продукции информации о количественном содержании свободных сахаров, насыщ енных и трансжирных кислот
- Продолжение реализации государственных программ по предоставлению дополнительных микронутриентов населению, особенно матерям, детям и подросткам, путем: обеспечения беременных женщин специальными комплексами общеукрепляющ их поливитаминов, содержащих, в том числе фолиевую кислоту; обеспечения рационального питания младенцев и детей раннего возраста, с максимальным охватом детей в возрасте до 6 месяцев исклю чительно грудным вскармливанием: сапплементации витамином «А» около 95% детей в возрасте от 6 месяцев до 5 лет;
- Производство фортифицированной муки, йодированной соли.
- О беспечение физического и интеллектуального развития детей и подростков.
- Предупреждение микронутриентиой недостаточности у женщин, детей и подростков.
- Создание условий в образовательных учреждениях для здорового питания, физической активности, отказа от употребления алкогольной и табачной продукции.
- Повыш ение грамотности и формирование культуры здорового питания, физической активности, отказа от употребления табака среди работодателей и работников.
","Приложение № 1 КОНЦЕПЦИЯ по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
V. ОЖИДАЕМЫЕ РЕЗУЛЬТАТЫ РЕАЛИЗАЦИИ КОНЦЕПЦИИ
9. Реализация Концепции позволит к 2020 году:
- увеличить потребление населением овощей и фруктов на 15 %:
- сократить потребление пищевых продуктов с повышенным содержанием соли на 15 %;
- увеличить долю беременных, младенцев и детей до пяти лет, рацион питания которых будет соответствовать принципам здорового питания, на 10 %:
- сократить потребление табака и вредное потребление алкоголя на 10%;
- расширить отечественное производство здоровой, безопасной и качественной сельскохозяйственной плодоовощной и мясомолочной продукции:
- увеличить объем производства, обработки и реализации продуктов с пониженным содержанием свободных сахаров, соли, насыщенных и гранежирных кислот;
- увеличить долю производства продуктов, обогащенных витаминами и необходимыми минералами.
- сапплементации витамином «А» около 95% детей в возрасте от 6 месяцев до 5 лет;
","","","Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Free sugars|Fruit and vegetable intake|Minimum dietary diversity of women|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|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Subsidies on healthy foods|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin A|Micronutrient supplementation|Nutrition education|Wheat flours|Food safety|Food security and agriculture","","https://www.minzdrav.uz/documentation/detail.php?ID=50976","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202015%20Concept%20for%20Healthy%20Nutrition.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202015%20Concept%20for%20Healthy%20Nutrition.pdf"
"36088","BLR","Belarus","","ГОСУДАРСТВЕННАЯ ПРОГРАММА ”Здоровье народа и демографическая безопасность Республики Беларусь“ на 2016 – 2020 годы [National Programme 'Health of People and Demographic Safety of Belarus 2016-2020]","Health sector policy, strategy or plan with nutrition components","","Russian","","2016","","2020","National Legal Internet Portal of Belarus Republic","3","2016","Adopted","3","2016","Совет Министров Республики Беларусь (Ministerial Council)","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Industry|Information|Labour|Sub-national|Other","Other: Ministry of Internal Affairs; Ministry of Culture; National Committee for Standards; National food production concern 'Belgospicheprom'; National TV company.","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","National NGOs","","Research/academia","National Academy of Science of Belarus","Private sector","Food Producers","Other","Concern 'Belaruspicheprom'(Food production)/Концрн Белгоспищепром","Задачами подпрограммы 2 ”Профилактика и контроль неинфекционных заболеваний“ являются:
- снижение влияния факторов риска неинфекционных заболеваний за счет создания единой профилактической среды;
- обеспечение профилактики неинфекционных заболеваний на протяжении всего жизненного цикла посредством всеобщего и доступного охвата населения услугами первичной медицинской помощи;
- обеспечение проведения мониторинга состояния здоровья населения посредством создания единого информационного пространства здравоохранения Республики Беларусь.
Данные задачи будут решены посредством реализации мероприятий подпрограммы 2 ”Профилактика и контроль неинфекционных заболеваний“ согласно приложению 2.
","- Разработка и внедрение национальной модели службы планирования семьи
- Развитие сети центров, дружественных подросткам (далее – ЦДП), совершенствование работы по вопросам формирования навыков здорового образа жизни с подростками и молодежью, включая подростков групп риска
- проведение информационнообразовательных кампаний по вопросам профилактики курения, алкоголизма и пропаганды рационального питания, физической активности и здорового образа жизни среди подростков и молодежи, а также их родителей
- подготовка информации к изданию и разработка макета серии книг для детей и подростков «Мы – за здоровый образ жизни: «Твое здоровье и успех»
- Осуществление денежной выплаты многодетным матерям, награждаемым орденом Матери
- Осуществление единовременной выплаты семьям при рождении двоих и более детей на приобретение детских вещей первой необходимости
- популяризация семейных ценностей, здорового образа жизни в рамках телевизионного проекта «Большой завтрак»
- Популяризация здорового образа жизни и профилактика неинфекционных заболеваний, вызванных основными факторами риска (курение, злоупотребление алкоголем, нездоровое питание и недостаточная физическая активность), разработка и внедрение информационной стратегии здорового образа жизни.
- Развитие механизмов продвижения здорового образа жизни на местном уровне.
- Разработка и внедрение рекомендаций по здоровому питанию для различных групп населения.
- Разработка предложений по ограничению рекламы пищевой продукции с высоким содержанием соли, сахара и жира, ориентированной на детей.
- Актуализация и реализация требований к организации питания отдельных категорий населения (детское население, лица, находящиеся в организациях здравоохранения, в учреждениях социального обслуживания, на оздоровлении) с учетом снижения содержания соли, сахара, увеличения количества свежих овощей и фруктов.
- Реализация комплекса мер, направленных на разработку и внесение в законодательство изменений в части ужесточения гигиенических нормативов содержания трансизомеров жирных кислот в отдельных видах масложировой продукции, снижение содержания сахара в рецептурах кисломолочной продукции, другой продукции для детей дошкольного и школьного возраста, снижение содержания соли в колбасных изделиях, плодоовощных консервах, расширение ассортимента хлебобулочных изделий со сниженным содержанием соли.
- Проведение мониторинга организации лечебного (диетического) питания в организованных коллективах (учреждений дошкольного, общего среднего образования идругих).
- Разработка и реализация нормативных правовых актов по вопросам диспансерного наблюдения беременных женщин и женщин, имеющих детей до 18 месяцев, из групп высокого риска инфицирования ВИЧ
- Предоставление для детей, рожденных ВИЧ-инфицированными женщинами, заместительного вскармливания на первом году жизни
","Сводным целевым показателем Государственной программы и целевыми показателями подпрограмм согласно приложению 8 предусматривается обеспечить к 2020 году:
- увеличение физической активности взрослого населения (средняя физическая активность не менее 30 минут в день) до 40 процентов;
- уменьшение потребления поваренной соли в сутки до 5 граммов;
- снижение содержания трансизомеров жирных кислот в продуктах переработки растительных масел до 2 и менее процентов;
- Риск передачи ВИЧ от ВИЧ-инфицированной матери ребенку: 1
","Outcome indicators","","Counselling on infant feeding in the context HIV|Maternity protection|Fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Fruit and vegetable intake|Fruits|Vegetables|Complementary food provision|School-based health and nutrition programmes|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|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|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|HIV/AIDS and nutrition|Family planning (including birth spacing)|Conditional cash transfer programmes|Vulnerable groups|Limit on 2 g / 100 g fat in all foods|Fat (marketing)|Salt/sodium (marketing)|Sugars (marketing)|Trans fat (marketing)|Covers children up to 18 years of age|Caring homes (standards)|Government canteens (standards)|Hospitals (standards)|Schools (standards)|Universities (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fats (standards)|Sodium (standards)|Sugars (standards)","","http://www.pravo.by/document/?guid=12551&p0=C21600200&p1=1","Programme 2 of this National Health Policy specifically focuses on NCDs including nutrition actions and goals.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BLR%202016%20National%20Programme%20%27Health%20of%20people%20and%20demographic%20saftely%20of%20Belarus%202016-2020%27_0.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
- Mettre à la disposition des prestataires socio sanitaires des directives simples et claires sur la surveillance de la croissance et du développement de l’enfant de moins 9 mois à 18 ans ;
- Amener les prestataires socio sanitaires à utiliser les courbes de croissance de l’OMS ;
- Définir les conditions de mise en œuvre de ces directives ;
- Définir les modalités de Supervision/Suivi et Evaluation.
","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
","- Proportion d’enfants de 6-59 mois dépistés par le RC dans son aire de responsabilité ;
- Proportion d’enfants de 6-59 mois pesés et toisés par mois ;
- Proportion de mères d’enfants de 6-59 mois ayant bénéficié de conseils nutritionnels ;
- Proportion d’enfants de 6-59 mois référés pour problème de croissance ;
- Proportion d’enfants de moins de cinq (05) ans atteints de malnutrition aiguë modérée ;
- Proportion d’enfants de moins de cinq (05) ans atteints de malnutrition aiguë sévère ;
- Proportion d’enfants de moins de cinq (05) ans ayant un déficit pondéral ;
- Proportion d’enfants de moins de cinq (05) ans présentant un retard de croissance ;
- Proportion d’enfants de moins de cinq (05) ans ayant un surpoids ;
- Proportion d’enfants ayant une obésité ;
- Proportion de nouveau-né de faible poids (<2500g) ;
- Prévalence de la malnutrition aiguë modérée chez les enfants de moins de 5 ans ;
- Prévalence de la malnutrition aiguë sévère chez les enfants de moins de 5 ans ;
- Prévalence de la malnutrition chronique chez les enfants de moins de 5 ans ;
- Prévalence de l’insuffisance pondérale ;
- Prévalence de l’obésité chez les enfants de moins de cinq (05) ans.
","Outcome indicators|Process indicators","","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|Overweight in children 0-5 yrs|Overweight in adolescents|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Vaccination","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Directives%20nationales%20surveillnace%20croisssance%20enfant.pdf"
"24693","BEN","Benin","","Plan de Renforcement de L'Allaitement Maternel au Benin 2016-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2020","Direction de la Sante de la Mere et de L’Enfant","8","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Trade|Information","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","Catholic Relief Services|International Baby Food Action Network (IBFAN)|Other|Plan International|Terre des Hommes","URC, MCDI, PSI, , BORNEFONden, AFRICARE, COREGROUP","Other, please specify under further details|Swedish International Development Cooperation Agency (SIDA)|The World Bank|US Agency for International Development (USAID)","Coopération Technique Belge, Coopération Française, Coopération des pays Bas","","","","","","","","","","","
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 :
- Renforcement du cadre institutionnel politique et législatif ;
- Promotion de l'initiative ""Hôpitaux Amis des Bébés"" (IHAB) ;
- Renforcement des capacités des agents socio-sanitaires ;
- Organisation communautaire et ""capacitation’’ des femmes pour la prise de décision en faveur de l’allaitement maternel ;
- Renforcement de la communication pour l’allaitement maternel ;
- Renforcement de la coordination intra et inter sectorielle et partenariat ;
- Supervision et Motivation des acteurs, et Suivi-Evaluation ;
- Recherche et développement.
","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"
"40061","BDI","Burundi","","Politique nationale de santé 2016 – 2025","Health sector policy, strategy or plan with nutrition components","","French","","2016","","2025","Ministère de la Santé Publique et de Lutte contre le Sida","1","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Environment|Information|Other","Défense et SécuritéÉnergie et Mines","World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","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:
- la promotion de l’alimentation et la nutrition des femmes enceintes et des filles, la promotion de l’éducation des enfants (filles et garçons)
(2) Période gestationnelle:
- utilisation des soins prénatals comme une plate-forme pour l’intégration des interventions propices à améliorer la santé maternelle et néonatale (alimentation/nutrition et immunisation maternelle, lutte contre les verminoses, l’anémie, le paludisme et le VIH/SIDA chez la femme enceinte, le suivi et soins d’autres maladies sous-jacentes);
(3) Période de travail et de l’accouchement :
- promotion de l'allaitement précoce dans les 30 minutes suivant l'accouchement
(5) Période postnatale (nouveau-né):
- promotion de l'allaitement maternel exclusif jusqu'à 6 mois
(6) Période de la petite enfance ( jusqu’à 11 mois):
- nutrition du nourrisson (allaitement maternel exclusif jusqu’à 6 mois, supplémentation en micronutriments, alimentation de complément adéquat, approprié et de qualité à partir du 6e mois)
(7) Période de l’enfance (12-59 mois)
- surveillance de la croissance et du développement psychomoteur et intellectuel de l’enfant;
- nutrition du jeune enfant (allaitement jusqu'à 2 ans et alimentation équilibrée et diversifiée y compris la supplémentation en Vitamine A et autres micronutriments)
(8) Période scolaire (6 à 10 ans): (
- prévention et prise en charge de la malnutrition
(9) Période de l’adolescence (10- 20 ans)
- éducation nutritionnelle des adolescent(e)s et des jeunes
(10) Période de la jeunesse (20- 24 ans) :
- éducation nutritionnelle des jeunes
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
- la supplémentation en micronutriments (principalement le fer)
- l’offre permanente à la consommation de sel adéquatement iodé dans tous les ménages,
- la promotion de l'alimentation riche, diversifiée et adéquate pour la femme en âge de procréer en général et pour l'adolescente, la femme enceinte et la femme allaitante en particulier
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
- la prévention de l’obésité chez les enfants dès leur plus jeune âge,
- la promotion de mode de vie et d’alimentation rationnelle, saine et équilibrée,
- la promotion de l’activité physique régulière.
","% 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"
"36099","GRC","Greece","","Στρατηγική Μείωσης Αλατιού 2016-2020 [Salt Reduction Strategy 2016-2020]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Greek","","2016","","2020","Hellenic Food Authority (EFET)","3","2016","Adopted","","2016","Hellenic Food Authority","Nutrition council|Health|Food and agriculture|Education and research|Development|Information|Other","Hellenic Food Authority (EFET); General Laboratory of the State","","","","","","","","","National NGOs","Consumer Associations; Nutrition and Dietetic Associations; Medical Associations","Research/academia","Research Institutions; Higher Education Institutions","Private sector","Food Business; Hellenic Cardiology Company; Greek Antihypertensive Company","Other","Federation of Hellenic Food Industries; Federations of other food and catering sectors; Journalists; Media","4. Σχέδιο ∆ράσης για µείωση πρόσληψης αλατιού στην Ελλάδα 2016-2020
Σε συνέχεια των ενεργειών που έχουν γίνει στην Ελλάδα από το 2010 βάσει της Ευρωπαϊκής Στρατηγικής για τη µείωση αλατιού, το σχέδιο δράσης για µείωση της πρόσληψης αλατιού στην Ελλάδα 2016-2020 θα βασίζεται στους παρακάτω πυλώνες:
- Αξιολόγηση της πρόσληψης αλατιού από το γενικό πληθυσµό και των κυριότερων πηγών πρόσληψης αλατιού στη διατροφή του Έλληνα.
- Ενηµέρωση και ευαισθητοποίηση του γενικού πληθυσµού ως προς τη µείωση αλατιού, µε έµφαση στις πιο ευπαθείς κοινωνικά οµάδες του πληθυσµού.
- Προσδιορισµός ρεαλιστικών στόχων ως προς τα επίπεδα ανώτερης περιεκτικότητας αλατιού σε διάφορες οµάδες τροφίµων και ανασχεδιασµός τροφίµων και γευµάτων µε λιγότερο αλάτι.
- Παρακολούθηση και αξιολόγηση των δράσεων.
","3. ∆ράσεις του ΕΦΕΤ ως προς τη µείωση αλατιού µεταξύ 2010-2015
Έχοντας ως βάση τους πυλώνες του κοινού ευρωπαϊκού πλαισίου µείωσης αλατιού της ΕΕ, η ∆/νση ∆ιατροφικής Πολιτικής και Ερευνών του ΕΦΕΤ προέβη στις παρακάτω δράσεις:
3.1 Συλλογή δεδοµένων
Έχουν αναζητηθεί διαθέσιµα δεδοµένα και στοιχεία από µελέτες που έχουν εκπονηθεί από Ερευνητικά Ιδρύµατα, Ανώτατα Εκπαιδευτικά Ιδρύµατα και εθνικούς φορείς (π.χ. Υπουργείο Υγείας, Γενικό Χηµείο του Κράτους κτλ) καθώς και από επιχειρήσεις τροφίµων. Το διάστηµα 2010-2015 είχε διερευνηθεί η διαθεσιµότητα των παρακάτω στοιχείων:
- ∆ιαιτητική πρόσληψη αλατιού από το γενικό πληθυσµό ή/και πληθυσµιακές οµάδες (από Ερευνητικά Ιδρύµατα, Ανώτατα Εκπαιδευτικά Ιδρύµατα και εθνικούς φορείς). Περιεκτικότητα αλατιού στο ψωµί (από Ανώτατα Εκπαιδευτικά Ιδρύµατα και ενώσεις αρτοποιών).
- Περιεκτικότητα νατρίου στο αλάτι Ιµαλάϊων και µελέτες αξιολόγησης επικινδυνότητας σχετικά µε το αλάτι Ιµαλάϊων (από Ευρωπαϊκούς φορείς, µέσω του εστιακού σηµείου της EFSA στην Ελλάδα).
- Στοιχεία διαιτητικής επάρκειας ιωδίου από το γενικό πληθυσµό και ειδικές πληθυσµιακές οµάδες (δεδοµένου ότι οι δράσεις µείωσης αλατιού συστήνεται από τον ΠΟΥ να συνοδεύονται και από δράσεις διαιτητικής επάρκειας ιωδίου) (από Ανώτατα Εκπαιδευτικά Ιδρύµατα και εθνικούς φορείς).
- ∆ράσεις µείωσης αλατιού στα επεξεργασµένα συσκευασµένα τρόφιµα από επιχειρήσεις τροφίµων (µέσω του ΣΕΒΤ).
3.2 Εκπόνηση µελετών και ερευνητικών προγραµµάτων
Κάθε δράση που αφορά σε θέµατα ασφάλειας τροφίµων και δηµόσιας υγείας οφείλει να βασίζεται σε επιστηµονικά δεδοµένα όπως αυτά προκύπτουν από άρτια σχεδιασµένες και ορθά εκπονηµένες µελέτες. Σε αυτό το πλαίσιο υλοποιήθηκαν δύο µελέτες:
- Μελέτη αξιολόγησης γνώσεων, στάσης και συµπεριφοράς των Ελλήνων απέναντι στο αλάτι σε εθνικά αντιπροσωπευτικό δείγµα 3609 ενηλίκων.
- ∆ιερευνητικό πρόγραµµα εκτίµησης της περιεκτικότητας νατρίου/αλατιού σε 220 δείγµατα ψωµιού από φούρνους Αττικής και Ηπείρου.
3.3 ∆ράσεις ενηµέρωσης και ευαισθητοποίησης∆εδοµένου ότι η αγορά είναι ελεύθερη και ότι οι δράσεις µείωσης αλατιού είναι σε εθελοντική βάση, η ενηµέρωση και η ευαισθητοποίηση του γενικού πληθυσµού είναι απολύτως αναγκαία για να δώσει ώθηση στις επιχειρήσεις των τροφίµων (βιοµηχανία αλλά και µικροµεσαίες επιχειρήσεις) και στις επιχειρήσεις µαζικής εστίασης να αναλάβουν ή να εντατικοποιήσουν δράσεις µείωσης αλατιού. Οι µέχρι στιγµής δράσεις ενηµέρωσης και ευαισθητοποίησης του πληθυσµού αλλά και των εταίρων περιλαµβάνουν:
- Ενηµερωτικό φυλλάδιο για τους καταναλωτές αναφορικά µε την αναγκαιότητα µείωσης αλατιού, διατροφικές συστάσεις, την κατανόηση ετικετών τροφίµων και πρακτικούς τρόπους µείωσης κατανάλωσης αλατιού.
- Σχεδιασµός λογότυπου καµπάνιας της εκστρατείας του ΕΦΕΤ για τη µείωση αλατιού.
- Σχεδιασµός και προβολή σποτ ευαισθητοποίησης ως προς τη µείωση αλατιού (και ειδικότερα τις κρυφές πηγές αλατιού και την αναγκαιότητα µείωσης αλατιού από την παιδική ηλικία) στις οθόνες του ΑΤΤΙΚΟ ΜΕΤΡΟ και ΗΣΑΠ.
- Συνοπτικός οδηγός αντικατάστασης αλατιού µε µυρωδικά βότανα σε συνήθη φαγητά της Ελληνικής κουζίνας σε συνεργασία µε τη Λέσχη Αρχιµαγείρων Ελλάδας.
- Ενηµέρωση µαθητών και εκπαιδευτικών σε σχολεία.
- Ευαισθητοποίηση εταίρων Ελλήνων και ξένων (από ευρωπαϊκά έργα και προγράµµατα π.χ. QBAKE, KNOWIN TARGET, NUAGE) ως προς τη µείωση αλατιού.
3.4 Συνεργασίες µε τον ιδιωτικό τοµέα 2010-2015- Υπογραφή Μνηµονίου Συνεργασίας µε τη Λέσχη Αρχιµαγείρων Ελλάδας για κοινές δράσεις µείωσης αλατιού στα τρόφιµα και γεύµατα που παρέχονται από µέλη της Λέσχης Αρχιµαγείρων.
","","","","Sodium/salt intake|Nutrition in the school curriculum|Food labelling|Reformulation of foods and beverages|Salt/sodium|Media campaigns on healthy diets and nutrition|Salt reduction|Food safety|Vulnerable groups","","http://www.efet.gr/images/efet_res/docs/nutrition/stratigiki_meiosis_alatiou.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GRC%202016%20Salt%20Reduction%20Strategy.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"
"25734","MDA","Republic of Moldova","","Национальный план действий на период 2016-2020 годов по реализации Национальной стратегии по профилактикe и контролю неинфекционных заболеваний на 2012-2020 годы [National Action Plan 2016-2020 for implementation of the NCD Strategy 2012-2020]","NCD policy, strategy or plan with healthy diet components","","Russian","","2016","","2020","Monitorul Oficial Nr. 100-105","4","2016","Adopted","4","2016","Government of the Republic of Moldova","Health|Food and agriculture|Social welfare|Information","","","","","","","","","","","","","","","","Other","National Insurance Company; Mass Media; National Public Health Center","2.1. Конкретная цель: Снижение уровня подверженности населения общим модифицируемым факторам риска развития основных неинфекционных заболеваний
2.2. Конкретная цель: Снижение не менее, чем на 5% уровня недостаточной физической активности и сидячего образа жизни среди населения
3.1. Конкретная цель: Увеличение на 20% к 2020 году мероприятий, организованных системой здравоохранения, направленных на профилактику и контроль неинфекционных заболеваний
4.1. Конкретная цель: Повышение к 2020 году доли общей численности населения, обладающего знаниями и позитивным отношением к здоровым навыкам для предупреждения неинфекционных заболеваний на 10% у взрослых и на 25% у детей и молодежи, и до 5% населения, применяющих эти навыки
4.2. Конкретная цель: Создание и развитие инициатив «здоровая среда»
","2.1.4 Реализация мероприятий по снижению неинфекционных заболеваний, связанных с питанием, недоеданием и дефицитом питательных веществ, в соответствии с Национальной программой в области питания и рациона питания на 2014-2020 годы и Плана действий на 2014-2016 годы по внедрению Национальной программы, утвержденных Постановлением Правительства № 730 от 8 сентября 2014 г., в пределах выделенных финансовых средств
15. Стандартизированная по возрасту средняя доля общего потребления калорий за счет насыщенных жирных кислот у лиц в возрасте 18 yearsлет и старше
16. Стандартизированная по возрасту распространенность лиц в возрасте 18years) consuming less than five total servings (400 лет и старше, потребляющих менее пяти суммарных порций (400 граммов) фруктов и овощейв день
17. Стандартизированная по возрасту распространенность повышенного уровня общего cholesterol among persons aged 18+ years (defined as холестерина у лиц в возрасте 18 лет и старше (определяется как total cholesterol ≥5.0 mmol/l or 190 mg/dl); and mean уровень общего холестерина ≥ 5,0 ммоль / л) и средний уровеньtotal cholesterol concentration общего холестерина
21. Принятие национальной политики по ограничению содержания насыщенных жирных кислот и фактическое исключение из употребления частично гидрогенизированных растительных масел в пищевых продуктах
Источник возможен в перспективе: национальная государственная политика/нормативные акты, ограничивающие использование насыщенных жирных кислот и постепенно запрещающие использование гидрогенизированных растительных масел в производстве и приготовлении пищевых продуктов, принятые и внедренные
23. Политика по сокращению воздействия на детей marketing of foods and non-alcoholic beverages high in маркетинга пищевых продуктов и безалкогольных напитков с высоким содержанием насыщенных жиров, трансжирных кислот, свободных сахаров или соли
","1. Снижение к 2020 году общей смертности от сердечно-сосудистых заболеваний на 10%, от рака на 7%, от заболеваний органов пищеварения, хронических респираторных заболеваний и от диабета на 10%
4. Снижение на 30% среднего потребления соли/натрия населением
Источник: периодические исследования потребления продуктов питания, выделения натрия с мочой, с внешней поддержкой (Всемирной организации здравоохранения)
6. Снижение на 10% распространенности повышенного кровяного давления
Источник: периодические исследования (Поэтапный подход Всемирной организации здравоохра-нения к эпиднадзору факторов риска развития неинфекционных заболеваний или другие подобные исследования)
7. Снижение на 5% среднего уровня глюкозы в крови у взрослого населения и на 15% распространенности повышенного уровня глюкозы в крови у взрослого населения
Источник: периодические исследования (Поэтапный подход Всемирной организации здравоохранения к эпиднадзору факторов риска развития неинфекционных заболеваний или другие подобные исследования) для возрастных групп от 18 до 69 лет
7.1. Обеспечение остановки роста ожирения (рост на уровне 0%)
Источник: периодические исследования (Ожирение у детей школьного возраста) для учащихся начальных классов; статистические данные, полученные в результате ежегодного медицинского обследования учащихся, с их последующим обновлением; данные истории болезни пациента (в электронном виде), в соответствии с законодательством о защите персональных данных; данные oб использовании для измерений стандартизированного оборудования
Источник: периодические исследования (Поэтапный подход Всемирной организации здравоохранения к эпиднадзору факторов риска развития неинфекционных заболеваний или другие подобные исследования) для возрастных групп от 18 до 69 лет
","Outcome indicators|Process indicators","","Overweight in adolescents|Overweight in school children|Saturated fat intake|Trans fat intake|Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Fats|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction","","http://lex.justice.md/viewdoc.php?action=view&view=doc&id=364230&lang=2","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202016%20NCD%20Action%20Plan.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDA%202016%20NCD%20Action%20Plan.pdf"
"36188","SYC","Seychelles","","Seychelles Strategy for the Prevention and Control of Noncommunicable Diseases, 2016-2025 ","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2025","Ministry of Health","","2016","Adopted","6","2016","The Strategy was presented at Cabinet and approved on the 30th of June 2016 (C16/D/MEM/154). The Strategy was subsequently presented by the Minister of Health at the National Assembly with no objection (Nation 28 July 2016).","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Urban planning|Trade|Environment|Industry|Information|Labour","Health, agriculture, communication, education, employment, energy, environment, finance, food, foreign affairs,housing, justice and security, legislature, social welfare, social and economic development, sports,tax and revenue, trade and industry, transport, urban planning and youth affairs and partnershipwith relevant civil society and private sector entities","","","","","","","","","National NGOs","","","","","","","","Targets
The Seychelles NCD Strategy adopts the 9 national voluntary targets agreed by WHO Member States:
1) 25% reduction of NCD
2) 10% reduction in alcohol use
3) 10% reduction in prevalence of insufficient physical activity
4) 30% reduction in mean population salt intake
5) 30% reduction in the prevalence of tobacco use
6) 25% reduction in the prevalence of raised blood pressure
7) 0% increase in obesity and diabetes
8) At least 50% of eligible people receiving drug therapy and counselling to prevent heart attack and stroke
9) At least 80% availability of the affordable technologies and essential medicines, including generics, required to treat major NCDs on both public and private facilities
","1) Develop or strengthen national food and nutrition related legislation policies and action plans, including:
a) Restrict or ban the advertising and marketing of unhealthy foods and beverages through regulations, especially when targeting children, including mechanisms for monitoring.
b) Promotion of exclusive breastfeeding for the first six months of life.
c) Continued breastfeeding until two years old and beyond, adequate and timely complementary feeding.
2) Develop guidelines, recommendations or policy measures that engage the relevant sectors, such as food producers and processors, and other relevant commercial operators, as well as consumers, to:
a) Reduce the level of salt/sodium added to food (prepared or processed).
b) Replace trans-fats with unsaturated fats in foods.
c) Increase the availability, accessibility and consumption of fruit and vegetables.
d) Reduce saturated fatty acids in food and replace them with unsaturated fatty acids.
e) Reduce the content of free and added sugars in food and non-alcoholic beverages.
f) Limit excess calorie intake, reduce portion size and energy density of foods.
3) Conduct evidence-informed public campaigns and social marketing initiatives to inform and encourage consumers about healthy dietary practices. Campaigns should be multisectoral in approach and should be linked to supporting actions across the community and within specific settings for maximum benefit and impact.
4) Promote the sustained availability and accessibility of healthy food in all public institutions, such as educational institutions and the workplace. This includes, inter alia, implementing nutrition standards for public sector catering establishments, using government contracts for food purchasing providing, and providing free drinking water through water fountains in selected public settings, such as schools or workplaces.
5) Improve the accessibility and encourage the consumption of healthier food products and discourage the consumption of less healthy options by implementing economic tools, such as taxes and subsidies that create incentives for behaviours associated with improved health outcomes (e.g. excise tax on sugar-sweetened beverages and reduction of taxes on selected fruit and vegetables).
6) Create health- and nutrition-promoting environments, including through nutrition education, in schools, child care centres and other educational institutions, workplaces, health centres and hospitals, and other public and private institutions.
7) Develop policy measures that engage food retailers and caterers to improve the availability, accessibility and acceptability of healthy food products (plant foods, including fruit and vegetables, and products with reduced content of salt, saturated fatty acids, trans-fatty acids and free sugars).
8) Develop policy measures in cooperation/partnership with the agricultural sector to reinforce actions directed at food producers, processors, retailers, caterers and public institutions, in order to provide greater opportunities for utilization of healthy agricultural products and foods, including those locally made.
9) Promote nutrition labelling, according to but not limited to, international standards, in particular the Codex Alimentarius (e.g. providing at least contents in energy, carbohydrates, sugar, saturated and unsaturated fats, proteins, salt, in a well and easily readable format and possibly using traffic light warnings), for all pre-packaged foods, particularly for those for which nutrition or health claims are made and those targeting youths.
10) Actively seek to mobilize the required financial and non-financial resources through budgetary allocation and other means as required for implementation of activities 1-9 above.
","","","","Overweight in adolescents|Sodium/salt intake|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Regulation/guidelines on types of foods and beverages available|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition","","http://www.health.gov.sc/wp-content/uploads/Seychelles-Strategy-for-the-Prevention-and-Control-of-Non-communicable-Diseases-2016-2025-.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SYC_2016_Seychelles-NCD-strategy%2830may16-sep16%29-final.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","","","","","","","","Sri Lanka aims to achieve the following targets by 2025
1. A 25% relative reduction in premature mortality from cardiovascular disease, cancer, diabetes, or chronic respiratory diseases
...
4. A 30% relative reduction in mean population intake of salt/sodium
...
6. A 25% relative reduction in prevalence of raised blood pressure and or contain the prevalence of raised blood pressure
7. Halt the rise in obesity and diabetes
8. A 50% of eligible people receive drug therapy and counseling (including glycaemic control) to prevent heart attacks and strokes
...
","2.3 Promote healthy diet high in fruit and vegetables and low in saturated fat/trans fat, free sugar and salt
2.3. 1.a Accelerate the implementation of the diet component of the Global Strategy on Diet, Physical Activity and Health
• create a mechanism for monitoring of food and beverages advertisements and complains
• develop national policies on marketing of food and non alcoholic beverages to children
• develop policies to promote availability of healthy food
• develop policies to increase the affordability of healthy food
• set up a committee to review food advertisement before airing
• conduct programme to increase the acceptability of healthy food
• establish policies on taxes and subsidies to promote consumption of fruits and vegetables
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost
2.3. 1.b Increase availability of fruits and vegetables
• home gardening promotion programme
• provide plants and seeds free / low cost
• conduct home gardening competitions
• establish a mechanism to provide seasonal fruits and vegetables for low cost strengthen the laboratory facilities at MRI and to check salt, fat content in the diet and urinary sodium concentration
• develop the lab at MRI and in a selected hospital
• strengthen of MLT schools at MRI
2.3. 2.e.Increase the availability of healthy foods low in salt, sugar and fats
• advocacy meeting with food producers, processors, retailers to lobby to change the composition of food
• lobby food industry to manufacture healthy food options
• motivate food industry to reformulate processed food
• conduct award programme for companies who prepare healthy food
• establish a mechanism to ensure voluntary reduction of salt, sugar and fat
• establish a mechanism to ensure mandatory reduction of salt, sugar and fat
• evaluate the effects of major interventions for reducing salt
2.3. 2f Take measures to reduce trans fat in processed foods
• conduct a survey to identify sources of trans fat and base line levels
• develop a national strategy to address trans fat
• develop a policy to limit use of trans fat and use of PHVO (partially hydrogenated vegetable oil) in all processed food and restaurants
2.3. 2.g Introduce food labeling to indicate unhealthy foods
• introduce traffic light system for salt, sugar and saturated fat, trans fat, energy content
• indicate the nutrition composition of the food in the labels
• strengthen laboratory network in the country to certify the contents in the food labels (one per
2.3. 2.h Increase tax for unhealthy food
• establish policies on taxes to discourage consumption of unhealthy food high in fat, sugar and salt
• impose taxes on un healthy food and beverages
2.3. 2.i Establish a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
2.3. 3.a Improve awareness of the public on cardio metabolic risk of consuming unhealthy foods through a mass media campaign
• develop IEC materials on salt, sugar, fat
• telecast commercials on sugar , salt, fat reduction
• develop IEC materials on BMI, obesity, overweight prevention
• telecast commercials on fruits and vegetables consumption
• publish newspaper advertisement on healthy foods and unhealthy food habits
• conduct healthy dish competitions
2.3. 3.b Promote maternal and child nutrition
• promote exclusive breast feeding
• implement breast feeding code
• promote complementary feeding
• ensure good maternal nutrition
• improve nutrition in malnourished girl children
2.3. 3.c Improve availability of healthy foods
• implement healthy canteen policy in schools
• establish healthy canteens in work places according to the guidelines
2.3. 3.d Increase availability of food based dietary guidelines
• revise the Sri Lankan food based dietary guidelines
• disseminate the food based dietary guidelines
2.3. 3.e Conduct awareness programmes on healthy foods and food based dietary guidelines
• conduct programmes for pre school teachers, school children, teachers, parents, youth, university students, community groups on food based dietary guidelines
2.3. 3.f capacity building of health workers on food based dietary guidelines
• training programmes on healthy diet for healthcare workers based on food based dietary guidelines
2.3. 3.g Improve obesity management
• develop a teaching module on obesity management guidelines
• establish obesity management clinics
","Availability of policies and mechanisms to increase intake of healthy foods
Prevalence of persons (aged +18 years ) consuming less than five total servings (400 g) of fruit and vegetables per day
Availability of fruits and Vegetables
Availability of fruits and Vegetables Availability of fruits and Vegetables
Availability of food low in food low in salt, sugar and fats
Availability of processed foods with no trans fats
Availability of food labeling with nutrition composition and traffic light system
No. of food items certified by / given the certification on the contents of the food label
Availability of policies on taxing unhealthy diet
Availability of a mechanism to monitor compliance of the private sector with reduction of salt, sugar and fat in processed food
Knowledge of the public on daily requirement of salt, sugar, fats and cardio metabolic risk of consuming unhealthy foods
% of infants receive complementary feeding after 6 months
% of mothers who exclusively breast feed for 6 months and appropriate complementary feeding
No. of schools practicing healthy canteen policy
No. of workplaces practicing healthy canteen policy
Availability of locally relevant food based dietary guidelines
Knowledge of the public on healthy foods
No. of staff trained on food based dietary guidelines
Availability of obesity management guidelines and obesity management clinics
","","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Complementary feeding|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Removal of subsidies on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|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|Food security and agriculture","","http://www.searo.who.int/srilanka/documents/national_ncd_action_plan_sri_lanka.pdf?ua=1","","WHO 2nd Global Nutrition Policy Review 2016-2017",""
"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
- Fora, meetings, seminars and workshops on HIV/AIDS conducted and attended by June, 2017;
- TFNC HIV/AIDS Action Plan and care programmes established and implemented by June, 2017;
- People living with HIV/AIDS identified and food supplements supplied by June, 2017
Objective: Coordination of nutrition and nutrition related activities strengthened;
Targets
- Out-dated policies, guidelines, strategies, protocols, standards and regulations reviewed by June, 2017;
- New guidelines, strategies, protocols and standards and regulations developed by June, 2018;
- Seven zonal offices at Eastern (Morogoro), Lake (Mwanza), Northern (Arusha), Central (Dodoma), Southern Highlands (Mbeya), South (Mtwara), Western (Tabora); and
- Four monitoring and evaluation exercises on food and nutrition and nutrition related activities within LGAs and other key players conducted by June, 2020.
Objective: Research and training on subjects related to food and nutrition improved
Targets
- Research plan on food and nutrition developed and operationalised by June, 2017;
- Ten Staff to conduct research on food and nutrition trained and equipped with necessary tools by June, 2017;
- Three researches on issues affecting nutrition conducted by June, 2017;
- Content for incorporation of food and nutrition issues into xxxx curricula developed and disseminated to relevant institutions by June, 2017; and
- Four trainings on matters related to food and nutrition conducted by June, 2017.
Objective: Food and nutrition programme for the benefit of the public strengthened
Targets
- Plan to conduct food and nutrition programmes reviewed and/or developed by June, 2017;
- Capacity (skills of one third of technical staff improved, tools and equipment increased two fold and funds increased by 20 percept) to implement programmes at different levels enhanced annually by June, 2021; and
- Four monitoring and evaluation to all programmes conducted by June, 2021.
Objective: National nutrition information and data improved
Targets
- National food and nutrition Information system developed and operationalised by June, 2018; and
- Basic data on food and nutrition collected, analysed, stored and disseminated to stakeholders by June, 2021..
Objective: Planning, budgeting, financial controls and soliciting of funds strengthened
Targets
- 44 Zonal orientation sessions on plan and budget for regional and council management teams conducted by June, 2021;
- Institution’s plan and budget prepared by February annually;
- Risk register developed and operationalised by June, 2017;
- Existing and new financial systems installed and operationalised by June, 2018;
- Funds from new sources acquired by June, 2018; and
- Partnership with potential investors signed on construction of office building including renovation and equipping food and nutrition laboratory by June, 2020
Objective: Staff welfare and capacity enhanced
Targets
- Comprehensive TFNC staff training plan developed and operationalised by June, 2017;
- Motivational and reward mechanism developed and operationalised by June, 2017;
- TFNC Scheme of Service and Staff Regulations reviewed and operationalised by June, 2017; and
- Performance management system installed and operationalised by June, 2017.
","- Provide HIV/AIDS supportive services to ensure reduction of infection.
- Review out-dated policies, guidelines, strategies, protocols, standards and regulations;
- Develop new guidelines, strategies, protocols and standards and regulations;
- Establish zonal offices; and
- Conduct monitoring and evaluation on nutrition and nutrition related activities.
- Capacity building on research on matters relating to food and nutrition; and
- Provide facilities for training in subjects relating to food and nutrition and prescribed conditions before any award
- Review and develop plan to conduct food and nutrition programme;
- Enhance capacity to implement programmes at different levels; and
- Conduct monitoring and evaluation.
- Establish a national food and nutrition information system; and
- Collect, analyse, store and disseminate food and nutrition information and data to relevant stakeholders
- Provide technical guidance to the focal nutrition persons at national and council levels;
- Prepare plan and budget for the TFNC and councils;
- Improve financial controls;
- Solicit funds from new sources; and
- Engage partnership in investment.
- Conduct training needs assessment and develop a comprehensive training plan;
- Develop motivational and reward mechanism;
- Install performance management system.
","Objective: Service improved and HIV/AIDS infections and non-communicable diseases reduce reduced
Indicators
- Number of Fora, meetings, seminars and workshops on HIV and AIDS including non-communicable diseases conducted;
- Percentage of people living with HIV and AIDS including non-communicable diseases identified; and
- Number of people living with HIV and AIDS including non-communicable diseases receiving help from the Institution.
Objective: Coordination of nutrition and nutrition related activities strengthened;
Indicators
- Number of out-dated policies, guidelines, strategies, protocols and standards reviewed and operationalised;
- Number of guidelines, strategies, protocols and standards developed and operationalised;
- Number of M and E exercises conducted on food and nutrition related activities; and
- Number of zonal offices established.
Objective: Research and training on subjects related to food and nutrition improved
Indicators
- Number of trained staff on nutrition issues; and
- Percentage of citizen aware of issues affecting nutrition.
Objective: Food and nutrition programme for the benefit of the public strengthened
Indicators
- Number of plans developed and/or reviewed;
- Percentage of technical staff trained to implement programmes;
- Percentage of newly acquired tools and equipment;
- Percentage of funds received; and
- Number of monitoring and evaluation conducted.
Objective: National nutrition information and data improved
Indicators
- Types and number of data collected, analysed, stored and disseminated to stakeholders.
Objective: Planning, budgeting, financial controls and soliciting of funds strengthened
Indicators
- Number of regional and council staff oriented;
- Prepared MTEF;
- Developed risk register;
- Operational financial systems; and
- Amount of funds; and
Objective: Staff welfare and capacity enhanced
Indicators
- Number of contracts and agreements.
- Number of trained staff;
- Number of PMS pillars installed and operationalised;
- Percentage of satisfied staff.
","Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202016%20TFNC%20Strategic%20Plan.pdf"
"36034","TZA","United Republic of Tanzania","","National Multi-sectoral Nutrition Action Plan (NMNAP)","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","Prime Ministers Office: United Republic of Tanzania","10","2016","Adopted","10","2016","Prime Ministers Office: United Republic of Tanzania. High Level Steering Committee on Nutrition (HLSCN)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Information|Labour|Sub-national","Prime Ministers Office: United Republic of TanzaniaTNFC","","UNICEF, WHO, UN-REACH, WFP, FAO","Helen Keller International (HKI)","PANITA, HKI, COUNSENUT","","Fhi360, Irish Aid, DFID, USAID","","","National NGOs","","","academia (SUA, MUHAS); institutions (Ifakara Health Institute), Tanzania Public Health Association - TPHA, Tanzania Diabetic Association – TDA, Tanzania NCD Alliance)","","unspecified","","","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
- Reduction in the prevalence of stunting among children under five years from 34 percent in 2015 (TDHS 2015/16) to 28 percent in 2021 (WHA indicator target 1);
- Reduction in the prevalence of anaemia in women of reproductive age (15-49 years) from 45 percent in 2015 (TDHS 2015/16) to 33 percent in 2021 (WHA indicator target 2);
- Reduction in the prevalence of low birthweight from 7 percent in 2010 (TDHS 2010) to 5 percent in 2021 (WHA indicator target 3);
- Increase in the rate of exclusive breast feeding (0-<6 months) from 43 percent (TNNS 2014) to 50 percent(WHA indicator target 4)
- Maintain prevalence of overweight among children under five years under 5 percent (TDHS 2015/16) (WHA indicator target 5);
- Maintain prevalence of Global Acute Malnutrition (wasting) among children under five at 5 percent (TDHS 2015/16) (WHA indicator target 6);
- Reduction in the prevalence of sub-clinical vitamin A deficiency (VAD) among children aged 6-59 months from 33 percent in 2010 to 26 percent in 2021;
- Maintain median urinary iodine concentration of women of reproductive age (15-49 years) between 100-299 u μg/L by 2021;
- Reduction in the prevalence of underweight in children underfive years from 14 percent in 2015/16 to 12 percent in 2020/21;
- Reduction in the prevalence of anaemia in children aged 6-59 months from 57 percent in 2015/16 (TDHS 2015/16) to 50 percent in 2020/21
- Maintain the prevalence of diabetes among adults under 10 percent by 2021 (Global NCD target);
- Maintain the prevalence of obesity among adults under 30 percent by 2021 (Global NCD target).
","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"
"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
- Accroitre les interventions spécifiques à la nutrition qui favorisent la nutrition optimale tout au long de leur cycle de vie en particulier en ce qui concerne la santé maternelle et la survie de l’enfant;
- Accroitre les interventions sensibles à la nutrition pour remédier aux causes sous-jacente de la malnutrition;
","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
- Élaborer des Recommandations Alimentaires Nationales (RAN) et des Guides Alimentaires (GA);
- Promouvoir la consommation des produits locaux et particulièrement de ceux à haute valeur nutritive;
- Encourager la domestication ou la production des produits alimentaires entrant dans la composition alimentaire des menus du terroir;
- Établir les programmes d’éducation sanitaire incluant les principes d’hygiène alimentaire à la vente des aliments sur la voie publique.
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
- Promouvoir la nutrition des adolescentes et des femmes en âge de procréer à travers des interventions alimentaires et la supplémentation en micronutriments;
- Surveiller et soutenir la conformité aux suppléments de fer/acide folique ou aux multi micronutriments pour maintenir une alimentation optimale pendant la grossesse et la lactation;
- Favoriser l’intégration des interventions nutritionnelles dans les services existants de santé maternelle et infantile.
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
- Promouvoir l'initiation précoce et l'allaitement maternel exclusif pour les femmes dans l'emploi formel et informel;
- Promouvoir le changement de comportement et assurer un accès équitable aux pratiques optimales d'alimentation et d'hygiène chez les nourrissons et les jeunes enfants;
- Promouvoir, protéger et soutenir l'allaitement maternel exclusif et créer un environnement favorable qui comprendra l'application de la loi sur la commercialisation des substituts du lait maternel et des mesures de soutien sur le congé de maternité;
- Améliorer l'apport de micronutriments chez les nourrissons et les jeunes enfants grâce à la consommation de régimes diversifiés, de la fortification alimentaire, de la fortification à domicile et de la supplémentation en micronutriments;
- Déparasiter chaque semestre des enfants à partir de 12 mois y compris au niveau des écoles;
- Faciliter un environnement familial, professionnel et social favorable qui permet de fournir une alimentation optimale aux nourrissons et aux jeunes enfants;
- Promouvoir et créer l'accès à une alimentation de compléments adéquate pour les enfants de 6 à 24 mois;
- Améliorer et promouvoir le suivi régulier de la croissance des enfants de 0 à 5 ans.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
- Promouvoir la nutrition pour une croissance et un développement optimal de tous les enfants et adolescents en âge scolaire;
- Sensibiliser les adolescents aux connaissances et aux compétences en nutrition;
- Assurer une composition nutritionnelle optimale de tous les repas scolaires qui relèvent des programmes d'alimentation scolaire parrainés par le gouvernement et les partenaires;
- Intégrer dans les rations des cantines les produits et les recettes culinaires locales;
- Promouvoir la fortification alimentaire, la supplémentation en micronutriments et le déparasitage.
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
- Faciliter la prévention et le contrôle des carences en micronutriments en assurant la supplémentation en micronutriments, des méthodes appropriées d'iodation du sel, de la fortification alimentaire (à grande et petite échelles) et diverses approches alimentaires et de lutte contre les maladies;
- Promouvoir une alimentation optimale et un mode de vie sain parmi tous les groupes d'âge, en particulier les personnes âgées;
- Promouvoir l'équité dans toutes les actions pour s'assurer que les femmes et les hommes sont également habilités à prendre les mesures nécessaires pour améliorer la nutrition.
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
- soutenir les efforts visant à prévenir les maladies non transmissibles grâce à une communication sur le changement de comportement sur la consommation d'aliments sains et promouvoir des modes de vie et une activité physique sains;
- Promouvoir les interventions sur la prévention et la gestion des MNT liées au régime alimentaire.
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
- Prévenir l'apparition d'une malnutrition aiguë sous toutes ses formes (modérée et sévère) chez les enfants de moins de 5 ans grâce à la prestation de qualité des services de santé et de nutrition;
- Améliorer la capacité de gestion de la malnutrition aiguë (modérée et sévère) dans toutes les installations et les communautés;
- S'assurer que le traitement de la malnutrition aiguë sévère est acceptable et accessible au bénéficiaire.
","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|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|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|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|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Food sovereignty|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://scalingupnutrition.org/wp-content/uploads/2017/05/Version-finale-de-la-PNSAN-Gabon-Mai-2017.pdf","","",""
"40056","LBR","Liberia","","National Non-Communicable Disease Policy and Strategic Plan","NCD policy, strategy or plan with healthy diet components","","English","","2017","","2021","Ministry of Health","","2016","","","","","Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Industry|Information|Justice|Other","Ministry of Internal Affairs, Ministry of Gender and Development","","","","","","","","","National NGOs","Faith, Community Based, Non-Governmental Organizations and Other Collaborating Health Partners","","","","","Other","Civil societies","","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.
","","","","Overweight in children 0-5 yrs|Fruits|Vegetables|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202017%20NCD%20Policy.pdf"
"40320","MDG","Madagascar","","Plan stratégique national de lutte intégrée contre les maladies non transmissibles et la prévention du handicap","NCD policy, strategy or plan with healthy diet components","","French","","2017","","2021","Ministère de la santé publique","2","2017","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Transport|Trade|Information|Justice","Ministère de l’énergie et des minesMinistère de la population","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","","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
- 2.2.1 Développer les activités de communication pour un impact comportemental en vue de la prévention des FdR modifiables et l'adoption de mode de vie sain dans la communauté, les écoles et le milieu de travail
","- Prévalence de la consommation quotidienne d’au moins 5 portions de fruits et légumes
","Outcome indicators","","Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Creation of healthy food environment|Healthy food environment in workplaces|Physical activity and healthy lifestyle|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/MDG_B3_B DOC PSNLIMNT- PH ce 02072018_.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MDG%202017%20Plan%20strat%C3%A9gique%20MNT.pdf"
"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","","","","","","","","3.6 Targets
Namibia aims to achieve the following targets by 2022 and 2025 in line with the global NCD targets.
…
4. A 15% relative reduction in mean population intake of salt/sodium by 2022; and a 30% relative reduction by 2025
…
6. A 15% relative reduction in prevalence of raised blood pressure and/or contain the prevalence of raised blood pressure by 2022; and a 25% relative reduction by 2025
7. Halt the rise in obesity and Diabetes Mellitus by 2022
","6.3 Strategic Objective 3: To reduce modifiable risk factors for Non-Communicable Diseases and underlying social determinants through the creation of health promoting environments
3.1 Promote Healthy Diet high in fruits and vegetables and low in saturated fat/trans-fat, free sugar and salt
3.1.1 Increased intake of healthy foods including adequate levels of fruits and vegetables
INDICATORS
- Availability/number of policies, standards and plans on food security and healthy diet reviewed and implemented
- Number of periodic implementation reports on food security programs
- Availability of updated national Food Based Dietary Guidelines (FBDGs)
- Number of health workers trained on FBDG and nutrition counseling skills
- Number of healthy diet programs implemented at all levels
ACTIVITIES
3.1.1.1- Promote availability and affordability (food security) of healthy foods to all segments of the population
3.1.1.2- Establish policies on taxes and subsidies to ensure availability and consumption of healthy diet, particularly fruits and vegetables
3.1.1.3- Increase availability of fruits and vegetables through home gardening promotion programme
3.1.3.4- Update and disseminate national Food Based Dietary Guidelines (FBDGs) and nutrient profiling of common foods
3.1.3.5- capacity building of health workers on FBDGs and counseling skills
3.1.1.6- Implement mass media campaign on healthy diets, social marketing of foods and promote the intake of fruits and vegetables
3.1.2 Reduced intake of salt in the diet
INDICATORS
- Availability of national salt reduction targets and action plan
- Number of front packing labels enforced
- Number of engagement sessions held with stakeholders on salt reduction measures
- Number of mass media campaigns and meetings on salt reduction
ACTIVITIES
3.1.2.1- Develop and implement a national salt reduction action plan focusing on foods that contribute most to population salt intake
3.1.2.2- Set target levels for the amount of salt in foods and meals and enforce reformulation of food products and meals to contain less salt/sodium
3.1.2.3- Enforce front-of-pack labelling
3.1.2.4- Establish policies for food procurement that encourage the purchase of products with lower salt /sodium content
3.1.2.5- Conduct behavior change communication and mass media campaigns on salt reduction
3.1.2.6- Engage food producers, processors, retailers, restaurants and catering services to progressively reduce salt in their products
3.1.2.7- Assess the population’s baseline salt intake and at regular intervals
3.1.3 Reduced consumption of saturated fats/trans fats and sugars
INDICATORS
- Acts and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods available
- Policy on taxation of sugar-sweetened beverages and foods
- Number of WHO recommendations on the marketing of foods and nonalcoholic beverages to children enacted
- Reports of monitoring of implementation of diet related policies and regulations
ACTIVITIES
3.1.3.1- Develop legislation and regulations on saturated and trans fatty acids, salt and refined sugar content of processed foods and the packaging, labeling and marketing of food products and beverages
3.1.3.2- Replace trans-fats and saturated fats with unsaturated fats through reformulation, labelling and appropriate fiscal policies
3.1.3.3- Reduce sugar consumption through effective taxation on sugar-sweetened beverages
3.1.3.4- Implement the WHO recommendations on the marketing of foods and non-alcoholic beverages to children
3.1.4 Reduced risk of overweight, obesity and metabolic syndrome
INDICATORS
- WHO recommended infant and young child feeding practices endorsed and implemented
- Number of schools with nutrition in the curriculum
- Proportion of schools implementing the nutrition component of the school health policy
- Nutrition and physical activity programs incorporated into the school health policy
ACTIVITIES
3.1.4.1- Promote and support recommended infant and young child feeding practices
3.1.4.2- Implement nutrition labelling to reduce total energy intake (kcal), sugars, sodium and fats
3.1.4.3 -Limit portion and package size to reduce energy intake and the risk of overweight and obesity
3.1.4.4- Implement nutrition education and counselling in different settings including preschools, schools, workplaces and hospitals
3.1.4.5- Ensure the inclusion of nutrition and physical activity in the school health policy/strategy and curriculum
3.1.4.6- Introduce obesity management guidelines and services
","Comprehensive National Monitoring Framework for the prevention and control of NCDs
Framework element; Indicator Name; Baseline (year); 2025 Target
• Diabetes and obesity; Age-standardized prevalence of obesity and overweight among adults aged 18+ years; 32% women (35-64yrs) 12% men (35-64yrs); 0% increase
• Additional indicator - unhealthy diet; Age-standardized prevalence of adult (aged 18+ years) population consuming less than five total servings (400 grams) of fruit and vegetables per day.; No data; 30% relative increase
• Diabetes and obesity; Age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years (defined as fasting plasma glucose value ≥7.0 mmol/L (126 mg/dl) or on medication for raised blood glucose).; 7% men (35-64yrs) 6% women (35-64yrs); 0% increase
• Age-standardized prevalence of raised blood pressure among adults aged 18+ years (defined as systolic blood pressure _140 mmHg and/or diastolic blood pressure _90 mmHg.; 44% women (35-64yrs) 45% men (35-64yrs); 25% relative reduction
","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Fruit and vegetable intake|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Household food security|Home, school or community gardens","","https://extranet.who.int/ncdccs/Data/NAM_B3_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202017_NAMIBIA%20NATIONAL%20MULTISECTORAL%20STRATEGIC%20PLAN%20FOR%20PREVENTION%20AND%20CONTROL%20OF%20NCDs_1.pdf"
"24706","RUS","Russian Federation","","Приоритетный проект ""Формирование здорового образа жизни"" [Priority Project ''Development of Healthy Lifestyle'']","Health sector policy, strategy or plan with nutrition components","","Russian","7","2017","12","2025","Government of Russian Federation","","2017","Adopted","7","2017","Government of Russian Federation","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Information|Labour|Sub-national","","","","","","","","","","National NGOs","","","","","","Other","Food Producers; Mass Media","2. Содержание приоритетного проекта
Цель проекта
- Увеличение доли граждан, приверженных здоровому образу жизни, до 50% к 2020 году и до 60 % к 2025 году путем формирования у граждан ответственного отношения к своему здоровью
Результаты проекта
2. Разработана и реализована программа предоставления грантов за счет средств федерального бюджета и внебюджетных источников некоммерческим и другим общественным организациям, реализующим проекты в сфере пропаганды здорового образа жизни, правильного питания и сбережения здоровья.
3. Разработана и реализована кампания с участием производителей продуктов питания по информированию граждан о здоровом питании через добровольное размещение дополнительных знаков отличия и информации на упаковках продуктовых товаров.
4. Разработана и проведена масштабная информационно-коммуникационная кампания по формированию здоровьесберегающего поведения, включая сохранение репродуктивного здоровья и повышение приверженности вакцинации. Кампания проведена в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга.
5. Определены и внедрены наиболее эффективные механизмы, направленные на повышение ответственности работодателей за здоровье работников организации, а также ответственности граждан за свое здоровье.
","Проведение коммуникационной кампании по здоровому питанию с участием компаний-производителей
15. Разработана концепция коммуникационной кампании по размещению на продукции отличительных знаков и информационных сообщений, связанных с правилами здорового питания. Утверждены категории продукции и правила участия.
16. Отобрано не менее 30 компаний-производителей продуктов питания, на продукции которых будут размещены информационные сообщения кампании по здоровому питанию
17. Разработаны и утверждены нормативные правовые акты по йодированию пищевой поваренной соли
18. Разработаны и утверждены визуальные и коммуникационные элементы кампании по здоровому питанию. Проведено согласование форматов и правил размещения с производителями-участниками
19. Начата коммуникационная кампания по здоровому питанию с участием производителей
20. Разработана методика оценки формирования культуры здорового образа жизни у населения с учетом особенностей целевых групп граждан. Определены правила осуществления регулярного мониторинга ситуации
21. На основе разработанной методики проведено обследование. Актуализирован основной показатель ""доля граждан, приверженных здоровому образу жизни""
22. Разработана концепция информационно-коммуникационной кампании по формированию здоровьесберегающего поведения, включая сохранение репродуктивного здоровья. Концепцией предусмотрено проведение кампании в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга
23. Запущена информационно-коммуникационная кампания в традиционных СМИ и в социальных сетях на основе принципов микротаргетинга
24. Разработаны и проведены открытые уроки по мотивированию школьников, родителей и учителей к ведению здорового образа жизни
","Показатели проекта и их значения по годам
- Доля граждан, приверженных здоровому образу жизни (%) основной - 60% (2025)
- Доля граждан, систематически занимающихся физической культурой и спортом основной 45% (2025)
- Доля граждан с артериальной гипертензией, контролирующих свое артериальное давление второго уровня 55% (2025)
","Outcome indicators","","School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle","","http://static.government.ru/media/files/Soj3PKR09Ta9BAuW30bsAQpD2qTAI8vG.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RUS%202017%20Priority%20Project%20-%20Development%20of%20Healthy%20Lifestyle.pdf"
"39767","KHM","Cambodia","","National multisectoral action plan for the prevention and control of noncommunicable diseases","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2027","Royal Government of Cambodia, Ministry of Health","6","2018","Adopted","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Industry|Information|Labour","","","","","","","","","","National NGOs","","","","","","","","","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
","- Mean salt/sodium intake among population aged over 18
- Prevalence of overweigh/obesity among adults aged over 18
- Prevalence of high blood glucose among adults aged over 18
- Prevalence of high blood pressure among adults aged over 18
- Consumers received options for quality, safe and appropriate products that cause NCDs
- Prevalence of adults aged over 18 consuming <5 servings of fruit and vegetables per day
- Proportion of adult population aged over 18 with lack of physical activity
- Number of schools implementing the health promoting school program
","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Fruit and vegetable intake|School-based health and nutrition programmes|Fats|Trans fat|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition","","http://moh.gov.kh/content/uploads/2017/05/NMAP-NCD_-13-06-2018-Signed_En.pdf","","WHO NCD Country Capacity Survey 2019",""
"74266","CAF","Central African Republic","","Plan stratégique MNT","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2022","Minstére de la Sante Publique","","2018","","","","","Health|Development|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","5.5. Cibles volontaires
...
4°) Réduction relative de 30 % de l’apport moyen en sel/sodium dans la population
...
6°) Baisse relative de 25 % de la prévalence de l’hypertension artérielle ou limitation de la prévalence de l’hypertension artérielle, selon la situation nationale
7°) Arrêt de la recrudescence du diabète et de l’obésité
...
6.1. Processus de mise en œuvre
Activités
...
Domaine d’intervention 2 : Promotion d’une alimentation saine
3.61.Prendre des textes législatifs pour définir les normes en matière de la teneur en sel, en acide gras trans des aliments préemballés importés
3.62.Organiser deux ateliers de formation pour renforcer les capacités de 20 Experts du Comité sur le contrôle biologique et chimique des aliments
3.63.Doter les Experts du Comité en outils et kits de contrôle biologique et chimique des aliments
3.64.Prendre des textes législatifs pour appliquer les contraventions aux normes des produits alimentaires préemballés
3.65.Informer les commerçants sur les normes en sel et acides gras trans des produits alimentaires conditionnés et les mesures conservatoires
3.66.Elaborer, valider, multiplier et diffuser 10000 exemplaires d’un guide illustré sur les normes en sel, sucre, l’utilisation des acides gras trans dans les aliments, ainsi que la consommation de fruits et légumes
3.67.Organisation de 152 Emissions radio pour sensibiliser les ménages sur la nécessité de la réduction de la teneur en sel/sodium, sucre et l’utilisation des acides gras trans dans les préparations alimentaires à domicile
3.68. Sensibiliser 500 vendeuses (et vendeurs) de repas sur le guide de réduction de la teneur en sel/ sodium et l’utilisation des acides gras trans
3.69.Vulgariser 5000 directives sur la commercialisation des aliments et des boissons non alcoolisées destinés aux enfants auprès de 800 membres groupements, des ONGs , des Enseignements, des médias et d’Association de Commerçants
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Promotion of fruit and vegetable intake|Trans fat|Salt/sodium|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Food safety","","https://extranet.who.int/ncdccs/Data/CAF_B3_Plan%20strat%20MNT%202018%202022%20RCA.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CAF%202018%20Plan%20strat%20MNT%202018%202022%20RCA.pdf"
"40048","DJI","Djibouti","","Stratégie Nationale de prévention des différentes formes de la malnutrition à Djibouti","Comprehensive national nutrition policy, strategy or plan","","French","","2018","","2022","Ministère de la santé","","2018","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Trade|Environment|Information","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","GAVI","The World Bank|US Agency for International Development (USAID)","Agence Française de DéveloppementBanque Islamique Fonds Saoudien Fondation Roi Salmane","European Commission|European Union","","","","","","","","","","7. Objectifs
Contribuer à la réduction de toutes les formes de la malnutrition chez les couches le plus vulnérables et assurer particulièrement aux enfants de Djibouti d’atteindre leur potentiel de croissance et de développement harmonieux.
De manière spécifique, il vise à :
- Augmenter les connaissances de la population sur les déterminants et la prévention de la malnutrition ;
- Réduire les prévalences de la malnutrition aigüe, l’insuffisance pondérale et surtout le retard de croissance ;
- Réduire les prévalences du surpoids et de l’obésité ;
- Réduire les carences en micronutriments ;
- Réduire les prévalences des maladies chroniques.
","11. Paquets d’interventions
11.2. Intervention pour les adolescentes
Elles doivent à cet effet être sensibilisées à une meilleure utilisation des aliments disponibles localement. Des aliments diversifiés avec les différents groupes d’aliments : constructeurs, énergétiques et protecteurs. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés et dans les écoles (collège et lycée).
Les micronutriments, notamment le Fer et l’Acide Folique sont très importants pour les adolescentes à cause des menstruations. A ce titre, elles doivent avoir accès aux aliments enrichis incluant l’iodation du sel. La supplémentation en micronutriments et le déparasitage sont fortement recommandés.
Le programme scolaire doit être renforcé en module de nutrition
Les cantines scolaires en zone rurale et périurbaine qui intègrent la supplémentation en poudre de micronutriment sont également importantes
11.3. Intervention pour les femmes enceintes
Il est impératif pour les femmes enceintes, d’assurer le suivi de la grossesse lors des consultations prénatales et prendre (…) le Fer et l’Acide Folique. La supplémentation en micronutriments, le déparasitage et les aliments enrichis incluant l’iodation du sel sont fortement recommandés. Elles doivent aussi être sensibilisées particulièrement sur l’utilisation des aliments disponibles
Localement. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés avec les différents aliments disponibles sur le marché.
11.4. Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE)
- Allaitement Maternel 0-6 mois : intervention pour couple mère enfant
- Alimentation de complément 6-23 mois : intervention pour couple mère enfant
11.5. Le suivi de la croissance
11.6. Réduction des carences en micronutriment
11.9. Promotion de pratiques familiales essentielles/actions essentielles de Nutrition
- Promotion de la nutrition adéquate des femmes ;
- Promotion de la prise de Fer‐Acide Folique et prévention de l’anémie chez les femmes et les enfants ;
- Promotion de la consommation de sel iodé par tous les membres de la famille en cas de prévalence élevé du trouble dû à la carence en iode.
- Promotion des pratiques optimales de l’allaitement maternel jusqu’à 6 mois ;
- Promotion de l’alimentation de complément et l’allaitement maternel continu pour les enfants de 6 à 24 mois ;
- Promotion des soins nutritionnels pour les enfants malades et malnutris ;
- Prévention de l’avitaminose A chez les femmes et les enfants
11.10. Prévention contre le surpoids et les maladies métaboliques
","- Taux d’anémie chez les filles adolescentes ;
- Proportion des filles qui adoptent au moins 3 pratiques familiales essentielles et 3 actions essentielles de nutrition
- Taux d’anémie chez les femmes enceintes ;
- Taux de la malnutrition chez les femmes enceintes ;
- % des femmes qui connaissent une bonne alimentation pour elle et pour leur futur bébé ;
- Score de diversification alimentaire chez les femmes en âge de procréer
- Proportion des nouveaux nés mis aux seins dans l’heure qui suit la naissance ;
- Proportion des nourrissons de 0 à 6 mois allaités exclusivement ;
- Proportion des mères qui introduisent des aliments de compléments à partir de 6 mois ;
- Proportion des enfants de 6 à 23 mois ayant une alimentation adéquate ;
- Taux d’anémie des enfants de 6-23 mois à travers la supplémentation en multi micronutriments
- Taux d’anémie chez les couches vulnérables ;
- Taux de couverture en vitamine A ;
- Taux de couverture de déparasitage
- Taux d’avitaminose A chez les couches vulnérables ;
- Taux des Troubles du au Carences en Iode (TDCI) chez les couches;
- Taux de la malnutrition ;
- Proportion des ménages qui adoptent au moins 3 pratiques familiales essentielles et 3 actions essentielles de nutrition par les communautés
- Prévalence des personnes en surpoids et obèses ;
- Prévalence du diabète (taux de glycémie élevé) dans la population ;
- Prévalence d’hypertension (pression artérielle élevée) dans la population ;
- Taux de cholestérol élevé dans la population.
","Process 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|Minimum acceptable diet|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|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|Infant feeding in emergencies|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|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin A|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food grade salt|Edible oils and margarine|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DJI%202018%20National%20Strategy%20Malnutrition.pdf"
"39753","PYF","French Polynesia","","Schéma de prévention et de promotion de la sante de la Polynésie française 2018-2022","Health sector policy, strategy or plan with nutrition components","","French","","2018","","2022","Ministre des solidarités et de la santé, en charge de la réforme de la protection sociale généralisée, de la prévention et de la famille - Direction de la santé","","2018","","","","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Sport|Consumer affairs|Industry|Information|Labour","Comité Interministériel pour la Prévention et la Promotion de la Santé (CIPPS)","World Health Organization (WHO)","","","","","","Other","Communauté du Pacifique","National NGOs","Associations","","","Private sector","","","","L’objectif est de créer un environnement favorable à la santé afin que les choix bénéfiques à la santé soient facilités et les choix moins propices à la santé soient plus difficiles à faire.
","AXE 1 : FAVORISER DES ENVIRONNEMENTS PROPICES A LA SANTE DES POLYNESIENS
OBJECTIF 1 : UN ENVIRONNEMENT FAVORABLE A UNE ALIMENTATION SAINE
Priorité 1: Mettre en place le processus d’engagements et des mesures pour inciter le progrès nutritionnel
Action 1 : Instaurer des chartes d’engagement de progrès nutritionnel pour les entreprises et commerces alimentaires locaux
Action 2 : Collecter et développer les connaissances et les expériences allant dans le sens du progrès nutritionnel et de l’innovation alimentaire
Action 3 : Développer et accompagner le réseau des entreprises et des commerces alimentaires engagés dans une démarche de progrès nutritionnel
Action 4 : Valoriser les expériences et les résultats obtenus
Action 5 : Développer les cadres réglementaires nécessaires pour soutenir les objectifs du progrès nutritionnel en faveur de la santé des Polynésiens (bonus/malus pour les entreprises)
Priorité 2 : Collaborer avec les structures concernées sur des techniques de transformation des produits locaux
Action 1 : Labéliser les produits locaux transformés qui respectent les recommandations nutritionnelles
Action 2 : Intégrer l’éducation au goût aux programmes d’éducation nutritionnelle
Priorité 3 : Adopter une règlementation pour un environnement sain
Action 1 : Réviser la liste des produits de première nécessité
Action 2 : Imposer l’étiquetage nutritionnel des produits commercialisés
Action 3 : Inciter les entreprises locales à s’engager dans une démarche de progrès nutritionnel
Action 4 : Encadrer la commercialisation et la distribution de produits jugés néfastes pour la santé dans les lieux publics
Action 5 : Encadrer la promotion et les parrainages des produits nocifs à la santé et favoriser celles des produits sains
Action 6 : Réglementer l’installation des distributeurs et établissements d’alimentation autour des écoles, crèches, garderies et centres d’accueil
Priorité 4 : Concevoir et mettre en oeuvre la fiscalité comportementale
Action 1 : Mettre en place une taxation nutritionnelle progressive sur l’ensemble des produits sucre, sels, et graisses
Action 2 : Mettre en place les bonus/malus pour la taxation nutritionnelle
Action 3 : Valoriser les produits en fonction de leur qualité nutritive avec un indicateur visuel.
Action 4 : Mettre en place une taxe sur les publicités pour les produits sucrés, salés et riche en graisse
AXE 2 : SANTE TOUT AU LONG DE LA VIE
OBJECTIF 1 : LA PERINATALITE
Priorité 1 : Mener un projet commun autour de la périnatalité et la petite enfance
Action 5 : Poursuivre le programme allaitement et alimentation saine
","","","","Breastfeeding|Breastfeeding - Continued|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B11_Schéma-Prévention-2018-2022.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PYF%202018%20Sch%C3%A9ma%20Pr%C3%A9vention%20Sant%C3%A9.pdf"
"36058","NLD","Netherlands","","Nationaal Preventieakkoord [National Prevention Agreement]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Dutch","11","2018","12","","Ministry of Health","11","2018","Adopted","","","","Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Sport|Trade|Industry|Information","Sanitary Authority (GGD)","","","","","","","European Union|Research/Academia","National Institute for Public Health (RIVM)","National NGOs","Koninklijke Horeca Nederland (KHN); Dutch cuisine; Voedingscentrum; Vereniging Nederlandse Cateringorganisaties (Veneca) and other related unions","Research/academia","Trimbos Institute","Private sector","Supermarkets; Catering; Public food providers; Food producers; Hospitals; education Institutions","","","In het Nationaal Preventieakkoord staan maatregelen tegen overgewicht en obesitas. Enkele maatregelen die in het preventieakkoord staan:
- Vanaf 2020 bieden minimaal 2.500 sportclubs hun leden en bezoekers gezondere voeding aan in de kantine.
- Vanaf 2020 bieden minimaal 950 scholen hun leerlingen en personeel gezonde voeding aan in de kantine.
- Vanaf 2025 biedt de helft van de ziekenhuizen gezondere voeding aan patiënten, personeel en bezoekers.
- Fabrikanten gaan suikerhoudende frisdranken, snoep en melkproducten gezonder maken. Bijvoorbeeld door er minder suiker in te doen.
- Vanaf 2019 gaan de Rijksoverheid, supermarkten en horeca-bedrijven de Schijf van Vijf bekender maken in Nederland. Zodat mensen zelf nog beter voor gezonde voeding kunnen kiezen.
- De Rijksoverheid wil een nieuw voedselkeuzelogo invoeren. Zodat mensen zelf nog beter voor gezonde voeding kunnen kiezen.
- Mensen en gezinnen met overgewichtsproblemen krijgen zorg en ondersteuning op maat. Vanaf 1 januari 2019 komt de vergoeding voor deze Gecombineerde Leefstijlinterventie in de basisverzekering.
- Sportclubs en sportscholen willen hun aanbod nog beter toegankelijk maken voor mensen die niet genoeg sporten of bewegen.
","Schijf van Vijf en de gezonde keuze Het eten van producten uit de Schijf van Vijf is de basis van een gezond voedingspatroon. Het eten van groenten, fruit, volkoren producten en het drinken van water maakt hier in belangrijke mate onderdeel van uit.
- Supermarkten, horeca en catering streven naar een jaarlijkse consumptiegroei van producten uit de Schijf van Vijf. De horeca wordt door Koninklijke Horeca Nederland (KHN) gestimuleerd om meer groenten en minder vlees aan te bieden. Dit gebeurt in samenwerking met Dutch Cuisine.
- Supermarkten verleiden consumenten meer producten te kopen die in de Schijf van Vijf horen onder andere door te communiceren welke producten in de Schijf van Vijf passen.Samen met het ministerie van VWS wordt gekeken naar de uitbreiding van de huidige mogelijkheden hiervoor.
- Met een specifieke trainingsmodule zullen jaarlijks 750 medewerkers van de versafdelingen in de supermarkten worden geschoold op gezonde voeding: Gezonde samenstelling, Gezonde producten, Gezond gewicht en Duurzaamheid. Dit is ruim tweemaal zoveel als voorheen. Er wordt een vernieuwde module opgezet in samenwerking met het Voedingscentrum. Versmedewerkers kunnen hiermee consumenten helpen bij vragen over onder andere etiket lezen, Schijf van Vijf, vet/ zout/suiker/vezels in producten, voedselverspilling, dierenwelzijn en de invloed van voedsel op het milieu.
- Om kinderen en volwassenen te informeren over de vele mogelijkheden om gezonder en lekker te eten en drinken, wordt vanaf 2019 de Schijf van Vijf extra onder de aandacht gebracht door de rijksoverheid, via het Voedingscentrum. Met de integrale aanpak ‘Goed eten met de Schijf van Vijf’ worden consumenten via een crossmediale aanpak geïnformeerd over en gestimuleerd om stappen te zetten naar goed eten volgens de Schijf van Vijf. Door het grootschalig en langdurig aanbieden van kennis en voedselvaardigheden (kiezen, kopen, koken en bewaren) worden consumenten geholpen om stappen te zetten. De doelgroep kinderen wordt nadrukkelijk meegenomen in deze integrale aanpak. Deze aanpak richt zich stapsgewijs op de diverse doelgroepen (variërend in leefstijl, geslacht en sociaaleconomische positie).
- Het ministerie van VWS en CBL zullen in 2019 onderzoeken op welke wijze er een verschuiving kan plaatsvinden naar meer marketing en informatie op de winkelvloer voor en over producten uit de Schijf van Vijf, aansluitend bij de behoefte van kinderen en volwassenen.
- Binnen het Nationaal Actieplan Groente en Fruit worden versnellingen afgesproken tussen CBL, Veneca en GFH om samen met de overheid te komen tot een structurele jaarlijkse toename van de consumptie van groente en fruit via de diverse afzetkanalen. Dit samenwerkingsverband staat open voor andere partijen van het Nationaal Preventiekakkoord.
- Er komt een onderzoek hoe excessieve consumptie voorkomen kan worden onder specifieke doelgroepen, die door andere maatregelen slecht bereikt worden. Het onderzoek vormt bij voldoende perspectief de basis voor een initiatief om deze doelgroepen effectiever te bereiken.
- Ook het aanbod van producten in de catering kan gezonder worden. De Vereniging Nederlandse Cateringorganisaties (Veneca) zal er daarom naar streven dat uiterlijk in 2022 op al haar locaties op een makkelijke en aantrekkelijke wijze volgens de Schijf van Vijf gegeten kan worden. Dit uit zich in de uitvoering van een aantal strategieën die bijdragen aan het makkelijker maken van een gezonde keuze, zoals nudging, prijsbeleid of het kosteloos beschikbaar stellen van water30.
- Daarnaast zal gestimuleerd gaan worden dat in de omgeving van mensen drinkwater makkelijker beschikbaar komt, via onder meer watertappunten op publieke plekken en in scholen. KHN moedigt haar leden aan om het drinken van water en suikervrije dranken te stimuleren ten opzichte van reguliere frisdranken.
- Zoals door de sector eerder is toegezegd, wordt het gebruik van licensed media characters gericht op kinderen onder de 13 jaar op productverpakkingen en point-of-sale materiaal ingeperkt op basis van voedingskundige criteria. Dit wordt in 2019 opgenomen in de Reclamecode voor Voedingsmiddelen. De afspraken uit de Reclamecode voor Voedingsmiddelen op het gebied van kindermarketing worden jaarlijks gemonitord door de rijksoverheid.
- Supermarkten zullen daarnaast het gebruik van branded characters op verpakkingen van kinderproducten van hun huismerken inperken op basis van de criteria van de WHO.
- De rijksoverheid evalueert in 2019 met betrokken partijen het Convenant Sponsoring op Scholen. Hier maken afspraken om een gezonde leefstijl in het onderwijs te faciliteren onderdeel van uit. Op basis van de evaluatie worden zo nodig en in goed onderling overleg de convenantafspraken aangescherpt.
- In het Akkoord Verbetering Productsamenstelling zullen voor productgroepen die een relatief grote bijdrage leveren aan de energie-inname – te weten de suikerhoudende frisdranken, koek en snoep en suikerhoudende zuivelproducten - tot 2020 aanvullende afspraken worden gemaakt om de calorie-inhoud van deze producten te verlagen
- (...)
- (...)
- In 2020 zullen er 2500 sportverenigingen aan de slag zijn met een gezonder aanbod in sportkantines. Veertig procent daarvan zal minimaal op niveau Brons zijn volgens de criteria van het Voedingscentrum. Daar waar mogelijk worden de thema’s roken en alcoholgebruik meegenomen bij de sportverenigingen. Er wordt tevens een landelijke richtlijn ontwikkeld voor de gezonde modelvereniging, waarin beleid op gezonde voeding, roken en problematisch alcoholgebruik tot uiting komt evenals beleid voor het inzetten van de mogelijkheden van de vereniging om gezond gedrag bij leden en buurtbewoners te stimuleren. De inzet op een gezonder voedingsaanbod wordt ook verbreed naar het voedingsaanbod in zwembaden en fitnesscentra.
- Er komt extra aandacht voor een gezonde sportomgeving. Onderdeel daarvan is een gezonder aanbod van eten en drinken en een gezondere sportsponsoring. In de integrale aanpak voor gezonde sportkantines wordt het stimuleren van gezonde voeding meegenomen naast de thema’s roken en problematisch alcoholgebruik. De Federatie Nederlandse Levensmiddelen Industrie (FNLI) en NOC*NSF zullen zich landelijk inzetten voor gezondere sportsponsoring door middel van communicatie over de Reclamecode voor Voedingsmiddelen en het enthousiasmeren van beide achterbannen om in lijn met deze code te handelen.
- Er wordt een convenant gezonde sportevenementen gesloten, geïnitieerd door de gemeenten Amsterdam, Rotterdam, Utrecht, Den Haag, Eindhoven, sportmarketingbureaus en Jongeren Op Gezond Gewicht (JOGG) in samenwerking met NOC*NSF, met als doel een beweging in gang te zetten om de sport te associëren met een gezonde leefstijl. Het convenant zal hieraan een bijdrage gaan leveren door in te zetten op de beschikbaarheid van gezonde voedingskeuzes bij sportevenementen en geen reclame die gericht is op kinderen onder de 13 jaar voor producten die niet in de Schijf van Vijf vallen.
- In 2020 zijn er 950 gezonde schoolkantines. Daarmee is 50% van alle schoolkantines gezond. Aanvullend is er voor kinderen in het onderwijs en de kinderopvang extra aandacht voor gezonde voeding via respectievelijk de Gezonde School- en de Gezonde Kinderopvang aanpak. Binnen de Gezonde School wordt het onderwijs laagdrempelig de kans geboden om in te zetten op bijvoorbeeld kooklessen, moestuinen of het bezoeken van lokale boerderijen. In het verlengde hiervan zal op korte termijn worden bezien hoe dergelijke lokale initiatieven of pilots, in het bijzonder gericht op arme wijken, expliciet een plek kunnen krijgen. Dit moet bijdragen aan een gezonder eetpatroon (en meer sporten en bewegen) bij kinderen in het onderwijs. De Nederlandse frisdrankproducenten stoppen met de verkoop van de traditionele, suikerhoudende frisdranken aan middelbare scholen en adviseren cateraars van middelbare scholen om vanaf 1 januari 2019 alleen nog water en laagcalorische en calorievrije frisdranken te verkopen.
- Uiterlijk in 2021 zijn de bedrijfsrestaurants bij de rijksoverheid gezond (minimaal niveau zilver volgens de criteria van het Voedingscentrum). Bij de aanbesteding worden de criteria van het Voedingscentrum als uitgangspunt genomen. De eventuele criteria van een mogelijk nieuw, breed gedragen voedselkeuzelogo zullen uiteraard ook meegenomen worden bij het gezonder maken van het aanbod in de bedrijfsrestaurants. De VNG stimuleert gemeenten om het voedingsaanbod in gemeentehuizen gezond(er) te krijgen.
- KHN stimuleert het gebruik van kleinere porties bij haar leden om mensen gezonder te laten eten.
- De Nederlandse Attractieparken zullen inzetten op een gezonder en bewuster voedingsaanbod in 2020 en verder. Om hieraan bij te dragen wordt door de attractieparken via JOGG en de Club van Elf in samenwerking met het Voedingscentrum onderzocht hoe dit stapsgewijs gerealiseerd kan worden.
- Om gezonder eten ook onderweg makkelijker te maken, wordt samen met relevante partijen gewerkt aan een gezonder voedingsaanbod in en rond snelwegen en openbaar vervoer.
- In 2025 is voor patiënten, personeel en bezoekers in 50% van de ziekenhuizen het voedingsaanbod gezond, uiterlijk in 2030 is het voedingsaanbod in alle ziekenhuizen gezond. Daarnaast wordt ingezet op een gezonder voedingsaanbod in andere typen zorginstellingen.
- Projecten gericht op ontwikkeling van gezonde voedingsproducten (minder zout, suiker, vet, meer vezels) en onderzoek naar interventies gericht op het maken van gezonde keuzes (persoonlijke voedingsadviezen, aantrekkelijk aanbod van gezonde producten, incl. groenten en fruit) en een gezonde groene leefomgeving krijgen prioriteit. De topsectoren Agri&Food en Tuinbouw & Uitgangsmaterialen zetten in 2019 minimaal €10 miljoen aan publieke middelen in, vanuit de beschikbaar gestelde middelen (ministeries van LNV, VWS en EZK). Bedrijven uit de land- en tuinbouw, levensmiddelenindustrie, retail, catering, horeca, ICT- en technologie investeren een zelfde bedrag.
","We spreken gezamenlijk de volgende ambities uit:
- Een daling van het percentage jeugdigen met overgewicht van 13,5% naar 9,1% of lager en een daling van het percentage jeugdigen met obesitas van 2,8% naar 2,3% of lager in 2040.
- Een daling van het percentage volwassenen met overgewicht van 48,7% naar 38% of lager en een daling van het percentage volwassenen met obesitas 14,5% naar 7,1% of lager in 2040.
- Een evenredige daling van 40% t.o.v. 2017 van het aantal Nederlanders dat lijdt aan obesitas gerelateerde ziekten (zoals diabetes mellitus type II, hart-, vaat-, en leverziekten) in 2040.
Om bovenstaande ambities te bereiken dragen we allen bij aan het behalen van de volgende doelen in 2040:
- Alle inwoners van Nederland eten en drinken op een wijze die bijdraagt aan een gezond gewicht en een gezond voedingspatroon, door: • de Schijf van Vijf als leidraad te nemen en • een consumptie van de hoeveelheid kilocalorieën naar een niveau passend bij lengte, leeftijd, geslacht en gezonde leefstijl.
- 75% van de inwoners van Nederland beweegt (inclusief intensief bewegen) volgens de Nederlandse Beweegrichtlijn (t.o.v. 47% in 2017).
- Inwoners van Nederland hebben een gezonde sociale, economische en fysieke omgeving, die gezond leven stimuleert. Dit uit zich expliciet in (groene) buurten, zorg- en welzijnsinstellingen, sportaccommodaties, onderwijs, bedrijven, horeca en catering, overheidsgebouwen, supermarkten en op centrale plekken rond het (openbaar) vervoer.
- Voor mensen met overgewicht of obesitas is een passend sport- en beweegaanbod en passende ondersteuning, begeleiding en zorg toegankelijk.
","Outcome indicators|Process indicators","","Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Fibre|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|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|School fruit and vegetable scheme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Portion size control|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|Vulnerable groups","","https://www.rijksoverheid.nl/onderwerpen/gezondheid-en-preventie/nationaal-preventieakkoord","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NLD%202018%20National%20Prevention%20Agreement.pdf"
"39424","TUN","Tunisia","","Stratégie Nationale Multisectorielle de Prévention et Contrôle des Maladies Non Transmissibles (MNT)","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Environment|Industry|Information","","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Health Organization (WHO)","","","","","","","","National NGOs","ONGs, associations, société civile","","","","","","","2.1.2. Principes directeurs et résultats attendus (impact) de la stratégie MNT
- Intégrer réellement la lutte contre les MNT dans le projet de développement de la Tunisie soit « la santé dans toutes les politiques », déjà inclus dans le plan de développement et économique social du pays 2016-2020.
- Adopter une approche intra-sectorielle pour de meilleures efficacité, efficience et coordination entre les différents départements du secteur santé et un mécanisme de gouvernance intersectorielle afin d’inciter les différentes institutions gouvernementales (publiques et semi-publiques), les organisations non gouvernementales et la société civile à concevoir et mettre en oeuvre des programmes de prévention et de contrôle des maladies non transmissibles à l’échelle centrale, régionale et locale
- Renforcer les capacités de la population pour la prévention des facteurs de risque dans leur quotidien et contre les facteurs de risque dans certains groupes dans le domaine des MNT.
- Renforcer le système de soins de base (public et privé) pour l’habiliter à la prévention et la prise en charge des principales maladies non transmissibles tout en garantissant l’équité et l’accessibilité aux soins.
Cibles tunisiennes chez les 15 ans et plus 2018-2025, adaptées des cibles OMS
- Baisse de 25% du risque de décès prématuré lié aux MNT
- Baisse relative d’au moins 10 % de l’usage nocif de l’alcoolisme chronique
- Baisse de 10% de l’activité physique insuffisante
- Réduction de 30% de l’apport moyen en sel
- Stabilisation de la prévalence de l’HTA
- Stabilisation de la prévalence du -Diabète-Obésité
- Prise en Charge des sujets à risque de MNT (IDM/AVC et autres) dans les CSB et chez les MG
","2.2. Axes Stratégiques de la Prévention et Contrôle des MNT
AXE 1 : LA GOUVERNANCE NATIONALE DE LA PREVENTION ET CONTROLE DES MNT, BASEE SUR LA MISE EN PLACE DE MECANISMES DE COORDINATION INTRA ET INTER SECTORIELS EST ASSUREE
- Créer (ou identifier) une structure au sein du ministère de la santé (comité, unité,…), qui sera chargée de la coordination, ainsi que du suivi et évaluation des activités du plan.
- Mettre en place au sein du gouvernement, un comité multisectoriel de pilotage, qui aura la mission de coordonner l’élaboration des plans d’action des différents secteurs, de faciliter l’octroi des ressources nécessaires, d’assurer le suivi et évaluation de la mise en oeuvre du plan. Ce comité qui devrait s’intégrer dans le cadre de l’Objectif 3 des ODD, devra avoir un rôle décisionnel, et le ministère de la santé assurera le rôle de leadership de ce comité.
- Mettre en place des comités multisectoriels régionaux pour faciliter la mise en oeuvre de la mise en oeuvre des activités dans chaque région et en assurer le suivi
- Proposer au sein de ce comité les aspects concernant les financements innovants (taxation sur les produits néfastes à la santé) qui pourraient servir à financer en partie les investissements dans la prévention des MNT
- Développer au sein de ce comité la revue des aspects législatifs concernant le renforcement des mesures de prévention et de contrôle des MNT en Tunisie
AXE 2 : LES FACTEURS DE RISQUE (FR) MODIFIABLES DES MNT SONT REDUITS EN TENANT COMPTE DES CIBLES NATIONALES PAR RAPPORT AUX CIBLES VOLONTAIRES DE L’OMS
- Axe 2.1. Promotion d’une alimentation saine
- Axe 2.2. : promotion de l’activité physique
- Axe 2.4. : réduction des autres facteurs de risque
Axe 2.4.1 : réduction de la consommation de l’alcool
AXE 4: UN PLAN DE COMMUNICATION POUR LA PREVENTION ET LE CONTÔLE DES MNT EST ELABORE ET MIS EN ŒUVRE
AXE 5 : UN SYSTEME DE SUIVI ET EVALUATION (S&E) DES MNT ET DE LEURS FACTEURS DE RISQUE EST MIS EN PLACE ET EST FONCTIONNEL ET EFFICACE
","Dans le domaine de la Gouvernance
1) Stratégie nationale multisectorielle MNT élaborée
2) Mécanisme de coordination intra et intersectoriel mis en place
Dans le domaine de la Prévention et de la réduction des Facteurs de Risque
2) Campagnes de sensibilisation sur les facteurs de risque des MNT réalisées
3) La réduction du sel dans le pain est adoptée par d’autres boulangeries dans les autres gouvernorats
4) Au moins un nouveau produit agroalimentaire favorable à la santé est fabriqué et mis sur le marché
5) Plaidoyer sur l’étiquetage des produits agroalimentaires réalisé
Dans le domaine de la surveillance et du Suivi & Evaluation
1) Enquête STEPS réalisée et résultats publiés
2) Des réunions de coordination entre les registres du cancer du nord, centre et sud sont organisées
3) Des réunions avec les responsables du système national d’information sanitaire (SNIS) sont organisées sur les MNT et leurs facteurs de risque
","Process indicators","","Overweight in adolescents|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/TUN_B11_Stratégie Nationale MNT 18-25_Finale (dernière version juin 2018).pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202018%20Strat%C3%A9gie%20Nationale%20MNT.pdf"
"39773","UKR","Ukraine","","Національний План Заходів щодо неінфекційних захворювань для досягнення глобальних цілей сталого розвитку [National Action Plan for Non-communicable Diseases for the Attainment of the Global Sustainable Development Goals]","NCD policy, strategy or plan with healthy diet components","","Ukrainian","","2018","","","","","2018","Adopted","7","2018","Кабінету Міністрів України","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","","…
2. Формування інформаційної політики та забезпечення громадської підтримки у напрямі профілактики неінфекційних захворювань
…
2) забезпечення підвищення рівня обізнаності різних груп населення щодо важливості здорового харчування для підтримання належної маси тіла та профілактики неінфекційних захворювань
3) забезпечення надання необхідної інформації про харчування для певних категорій населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями), а також переконливої і аргументованої інформації про значення грудного вигодовування дітей протягом щонайменше шести місяців від народження як основи профілактики виникнення неінфекційних захворювань у дорослому віці; попередження про загрозу для здоров’я дефіциту макро- і мікронутрієнтів
…
3. Формування освітніх матеріалів з питань пропагування здорового способу життя та профілактики неінфекційних захворювань в навчальних програмах
1) упровадження сучасних навчальних та освітніх матеріалів в навчальний процес для дітей дошкільного та шкільного віку, студентів і слухачів післядипломної освіти з включенням до навчальних програм тем щодо формування здорового способу життя, попередження розвитку неінфекційних захворювань
2) розроблення та поширення навчальних матеріалів для різних груп населення (дітей, вагітних жінок і жінок, які годують груддю, осіб похилого віку, пацієнтів з неінфекційними захворюваннями) щодо шкідливого впливу тютюну, надмірного вживання алкоголю, нездорового харчування та низької фізичної активності
3) розроблення та поширення рекомендації щодо здорового та профілактичного харчування для різних груп населення з метою запобігання виникненню аліментарних та аліментарно зумовлених захворювань
4) забезпечення розроблення, затвердження та впровадження в навчальному процесі у вищих закладах педагогічної освіти у системі підготовки фахівців педагогічного профілю та соціальних працівників освітніх матеріалів з питань, що стосуються основних засад здорового способу життя, наслідків нездорового способу життя, необхідності відмови від куріння, надмірного вживання алкоголю, а також здорового харчування та достатнього рівня фізичної активності
…
4. Вдосконалення законодавства з питань охорони здоров’я
…
2) вдосконалення законодавства з використанням найкращих міжнародних практик щодо повної заборони реклами та інших видів стимулювання продажу тютюнових виробів, алкогольних напоїв, слабоалкогольних та енергетичних напоїв, продуктів харчування, що містять надмірну кількість солі, жирів, цукру та трансжирів
…
7. Підтримка та пропагування здорового харчування
1) розроблення нормативно-правових актів щодо регламентації вмісту трансізомерних жирів у харчових продуктах, їх вилучення з харчових продуктів і заміни на ненасичені жири
2) вдосконалення законодавства щодо інформування споживачів про точну кількість солі, цукру, насичених жирів із зазначенням їх співвідношення з рекомендованими нормами споживання під час маркування харчових продуктів
3) вдосконалення законодавчих актів щодо обмеження реклами харчових продуктів з надмірним вмістом солі, цукру та насичених жирів
4) розроблення і подання в установленому порядку на розгляд Кабінету Міністрів України законопроекту щодо оподаткування харчової продукції з надмірним вмістом солі, цукру, насичених жирів
5) розроблення та затвердження основних вимог до харчових продуктів і напоїв, які можуть розповсюджуватися в закладах освіти; унеможливлення доступності і продажу висококалорійних харчових продуктів та напоїв з підвищеним вмістом насичених жирів, солі та цукру тощо в закладах освіти, на прилеглих до них територіях
6) надання підтримки програмам, спрямованим на забезпечення здорового харчування в закладах освіти
7) проведення спільних заходів з виробниками харчових продуктів з метою усвідомлення ними відповідальності, пов’язаної з виробництвом та обігом харчових продуктів з надмірним вмістом солі, цукру, насичених і трансізомерних жирів; надання рекомендацій стосовно зміни технології, рецептур з метою зменшення вмісту солі, цукру, насичених жирів, вилучення трансізомерних жирів і їх заміни на ненасичені жири
8) здійснення ефективних заходів, спрямованих на вивчення питання поширення та зменшення дефіциту певних нутрієнтів (кальцію, йоду, заліза тощо), вітамінів (фолієвої кислоти, вітаміну D тощо) серед різних груп населення
…
19. Проведення моніторингу стану харчування населення
1) проведення репрезентативних досліджень стану фактичного харчування населення залежно від віку і статі, а також оцінки залежності якості харчування від рівня освіти, доходів, місця проживання та професії; забезпечення проведення досліджень щодо поширеності дитячого ожиріння
2) проведення досліджень щодо поширеності метаболічних факторів ризику неінфекційних захворювань (підвищеного рівня холестерину, глюкози тощо)
3) проведення досліджень щодо виконання рекомендацій ВООЗ стосовно грудного вигодовування немовлят
4) забезпечення участі в Європейській мережі дій щодо споживання солі
…
","","","","Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Regulation/guidelines on types of foods and beverages available|School meal standard|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Nutrition education","","https://extranet.who.int/ncdccs/Data/UKR_B3_NATIONAL ACTION PLAN.docx","https://www.kmu.gov.ua/npas/pro-zatverdzhennya-nacionalnogo-planu-zahodiv-shchodo-neinfekcijnih-zahvoryuvan-dlya-dosyagnennya-globalnih-cilej-stalogo-rozvitku","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/UKR%202018%20%D0%9D%D0%B0%D1%86%D1%96%D0%BE%D0%BD%D0%B0%D0%BB%D1%8C%D0%BD%D0%BE%D0%B3%D0%BE%20%D0%BF%D0%BB%D0%B0%D0%BD%D1%83%20%D0%B7%D0%B0%D1%85%D0%BE%D0%B4%D1%96%D0%B2%20%D1%89%D0%BE%D0%B4%D0%BE%20%D0%BD%D0%B5%D1%96%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D1%96%D0%B9%D0%BD%D0%B8%D1%85.pdf"
"36187","BIH","Bosnia and Herzegovina","","Акциони план за превенцију и контролу незаразних болести у Републици Српској за период од 2019. до 2026. године [Action Plan for the Prevention and Control of NCDs]","NCD policy, strategy or plan with healthy diet components","","Serbian","","2019","","2026","Министарство здравља и социјалне заштите","12","2018","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Trade|Information","","","","","","","","","","","","","","","","","","","7.Активности у Републици Српској
Активности које би се у Републици Српској требале спроводити у периоду од 2019. до 2026. године дате су табели 6.
Табела 6: Активности које би се у Републици Српској требале спроводити у периоду од 2019. до 2026. године
...
Активности
3. Припремити и спроводити свеобухватну кампању социјалног маркетинга за:
-промовисање здраве конзумације преко фискалних и маркетиншких политика (дуван, алкохол, намирнице);
-преформулацију и унапређење производа (со, масти и шећери);
-смањење соли;
...
6. Пратити преухрањеност код дјеце у Републици Српској кроз COSI (Childhood Obesity Surveillance Initiative - Иницијатива за праћење преухрањености код дјеце - дио за надзор) давати редовне препоруке
7. Осигурати равномјерно високе стандарде промоције, заштите и подршке дојењу у Републици Српској (акредитација болница пријатеља беба)
8. Програм ""Предшколске установе и школе пријатељи здраве исхране у Републици Српској"" проширити у програм „Здрави живот у предшколским установама и школама"" (физичка активност, здравље уста и зуба, мишићно-коштаног система, контрола употребе дувана, алкохола и сл.)
9. Анализирати постојеће мјере политика у свијету које смањују дневни унос соли и дати препоруке за дјеловање у тој области у Републици Српској (5 грама соли, 2 грама натријума дневно)
...
16. Стварати окружење за омогућавање и промовисање здравог живота и смањења дискриминације против особа са хроничним болестима на радном мјесту у Републици Српској кроз: стимулисање развоја свеобухватних здравствених програма на радном мјесту, смањење психолошког стреса и стреса повезаног са радним мјестом, промовисање здраве хране на радном мјесту и политика за контролу употребе алкохола на радном мјесту, увођење адекватних мјера да би се омогућила физичка активност током радног времена и активан превоз на посао и са посла, заштиту, промоцију и подршку дојењу на радном мјесту
...
22. Процијенити одрживост имплементације низа препорука СЗО о оглашавању хране и пића и дати препоруке за дјеловање у тој области у Републици Српској
...
25. Анализирати постојеће мјере свеобухватних фискалних политика у Европи које укључују доступност и прихватање здравих прехрамбених производа, те смањење употребе дувана и алкохола и размотрити одрживост увођења тих мјера у Републици Српској
...
27. Анализирати постојеће мјере политика у свијету које смањују транс-масти и засићене масти у храни и дати препоруке за дјеловање у тој области у Републици Српској
(код избацивања трансмасти избјећи повећање засићених масти у производима, а код смањивања засићених масти избјећи њихову замјену прерађеним угљикохидратима у производима)
...
29. Анализирати постојеће мјере политика у свијету које смањују дневни унос шећера и дати препоруке за дјеловање у тој области у Републици Српској
(унос слободног шећера испод 10% или 5% укупног енергетског уноса)
30. Анализирати унапређење интерпретативног декларисања производа на предњој страни паковања и дати препоруке за дјеловање у тој области у Републици Српској
","","","","Baby-friendly Hospital Initiative (BFHI)|Maternity protection|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|School-based health and nutrition programmes|Monitoring of children’s growth in school|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces","","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Documents/Akcioni plan 2019 2026 10.12.2018. za Vladu Republike Srpske.doc","http://www.vladars.net/sr-SP-Cyrl/Vlada/Ministarstva/MZSZ/dokumenti/Pages/Javno_zdravstvo.aspx","",""
"39760","PYF","French Polynesia","","Programme d’actions Polynésien sur l’alimentation équilibrée et la pratique d’activité physique 2019-2023","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2019","","2023","Ministère de la santé et de la prévention en charge de la protection sociale généralisée-Direction de la santé","","2019","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Trade|Industry|Information|Labour|Other","Communes","","","","","","","","","National NGOs","Associations","","","Private sector","","","","Objectif général :
- Lutter contre le développement des MNT sur l’ensemble de la population en Polynésie française
Objectifs spécifiques :
- Développer des modes alimentaires sains pour la santé
Objectifs opérationnels :
- Agir sur la réglementation pour développer un environnement alimentaire sain
- Promouvoir la qualité nutritionnelle des produits locaux
- Réglementer la distribution et commercialisation des produits dont la surconsommation est néfaste pour la santé
- Poursuivre les campagnes d’informations concernant l’alimentation équilibrée
","II.2. AXE 2 : Actions spécifiques sur l’alimentation équilibrée
- Le progrès nutritionnel
- Fiche Action 15 : Instaurer des chartes d’engagement au progrès nutritionnel des entreprises et commerces alimentaires locaux
- Fiche Action 16 : Collecter et développer les connaissances et les expériences allant dans le progrès nutritionnel et l’innovation alimentaire
- Fiche Action 17 : Développer et accompagner le réseau des entreprises et des commerces alimentaires engagés dans une démarche de progrès nutritionnel
- Fiche Action 18 : Valoriser les expériences et les résultats obtenus
- Fiche Action 19 : Inciter les entreprises locales à s’engager dans une démarche de progrès nutritionnel en développant les cadres réglementaires nécessaires (bonus pour les entreprises)
- L’alimentation de base
- Fiche Action 20 : Labéliser les produits locaux transformés qui respectent les recommandations nutritionnelles
- Fiche Action 21 : Intégrer l’éducation au goût aux programmes d’éducation nutritionnelle
- Fiche Action 22 : Poursuivre le programme allaitement et alimentation saine
- Fiche Action 23 : Accompagner les restaurants scolaires pour améliorer les repas servis aux enfants et aux jeunes scolarisés dans les établissements publics du 1e et 2nd degré
- Fiche Action 24 : Promouvoir la mise en place de fa’a’apu
- La réglementation
- Fiche Action 25 : Réviser la liste des produits de première nécessité
- Fiche Action 26 : Imposer l’étiquetage nutritionnel des produits commercialisés
- Fiche Action 27 : Réflexion sur l’encadrement de la commercialisation et la distribution de produits jugés néfastes pour la santé dans les lieux publics
- Fiche Action 28 : Encadrer la promotion et les parrainages des produits nocifs à la santé et favoriser celles des produits sains
- Fiche Action 29 : Réglementer l’installation des distributeurs et établissements d’alimentation autour des écoles, crèches, garderies et centres d’accueil
- Fiche Action 30 : Mettre en place une taxation nutritionnelle progressive sur l’ensemble des produits riches en sucres, sel et graisses
- Fiche Action 31 : Valoriser les produits en fonction de leur qualité nutritive avec un indicateur visuel
- Fiche Action 32 : Mettre en place une taxe sur les publicités pour les produits sucrés, salés et riches en graisse
","Detailed indicators by action area can be found in tables p61-97
","Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Household food security|Home, school or community gardens|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B23_2019-02-12-Programme AEAP.pdf","","WHO 2019 NCD Country Capacity Survey",""
"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
- Proposer un projet de textes pour rendre obligatoire le respect des règles nutritionnelles dans les cantines scolaires
- Participer à la mise en œuvre de la stratégie mondiale pour l'alimentation
","","","","Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Creation of healthy food environment|Nutrition counselling on healthy diets|Salt reduction|Nutrition education|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/NER_B3_PSNMLMNT NIGER.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202019%20PLan%20strat%C3%A9gique%20national%20MNT.pdf"
"74262","NER","Niger","","Plan stratégique national multisectoriel de lutte contre les maladies non transmissibles","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2021","Ministère de la Sante Publique","","2019","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Urban planning|Environment|Industry|Information|Labour","Ministère en charge de la Jeunesse et des Sports, Ministère en charge de l’Agriculture et de l’Elevage, Ministère en charge de l’Environnement et du Développement Durable, Ministère en charge de l’Urbanisme, Ministère en charge des Transports, Ministère en charge des Finances, Ministère en charge du Commerce et de la Promotion du Secteur Privé, Ministère en charge de la Renaissance Culturelle, Ministère en charge de l’Industrie, Ministère en charge de l’Education, Ministère en charge de la Communication, Ministère en charge du Transport, Ministère en charge de l’Emploi, du Travail et de la Protection Sociale …) ;","World Health Organization (WHO)","","","","","Partenaires Techniques et Financiers; Société Civile (ONG, Associations et Fondations)","","","National NGOs","","","","Private sector","Secteur Privé","","","E- CIBLES
...
• Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population.
• Baisse relative de 3.46% de la prévalence de l’hypertension artérielle ou limitation de la prévalence de l’hypertension artérielle ;
• Baisse relative de 3.46% de la prévalence du diabète et de l’obésité ou limitation de la prévalence du diabète et de l’obésité ;
...
G- CADRE OPERATIONNEL POUR LA MISE EN OEUVRE DU PLAN
...
OBJECTIF 2 : 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
...
AXES D’INTERVENTION PRIORITAIRES
Promotion d’une alimentation saine et équilibrée
STRATEGIES
Adoption de mesures favorisant une alimentation saine et équilibrée
ACTIVITES
1. Proposer un projet de textes pour rendre obligatoire le respect des règles nutritionnelles dans les cantines scolaires
2. Participer à la mise en oeuvre de la stratégie mondiale pour l’alimentation
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)","","https://extranet.who.int/ncdccs/Data/NER_B3_s21_EXE - Doucument complet Validé PNLCMNT.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202019%20Plan%20strat%C3%A9gique%20national%20multisectoriel%20de%20lutte%20contre%20les%20MNT_0.pdf"
"96697","NGA","Nigeria","","National Multi-Sectoral Action Plan for the Prevention and Control of Non-Communicable Diseases (2019-2025)","NCD policy, strategy or plan with healthy diet components","","English","","2019","","","Federal Ministry of Health","8","2019","","","","","Health|Food and agriculture|Development|Information|Justice","Federal Ministry of Health; Department of Public Health; Federal Ministry of Agriculture and Rural Development; Federal Ministry of Information and Culture; Federal Ministry of Justice; National Agency for Food and Drug Administration and Control","","","","","","","","","","","","","","","","","…
5. NATIONAL STRATEGIC AGENDA FOR NCDS
5.1. Vision
A healthy Nigerian population with reduced burden of non-communicable diseases and enhanced quality of life for socio-economic development.
5.2. Mission
To provide a framework for strengthening multi-sectoral response to NCDs
Goal
To significantly reduce the burden of non-communicable diseases in Nigeria in line with global non-communicable diseases prevention and control targets.
5.3. Specific National Targets
5.3.1. Target Statements
The implementation of the MSAP aims to achieve these specific national targets as adapted from global NCD goals and SDGs are to achieve;
- At least 25% relative reduction in unconditional probability of dying prematurely from cardiovascular diseases, cancer, diabetes, chronic respiratory disease, sickle cell disease, injuries, mental, neurological and substance abuse disorders.
- At least 10% relative reduction in the harmful use of alcohol.
- At least 10% relative reduction in prevalence of insufficient physical activity.
- At least 30% relative reduction in mean population intake of salt/sodium(>5gm/2gm/day).
…
- At least 25% relative reduction in the prevalence of raised blood pressure.
- At least 25% relative reduction in the prevalence of diabetes.
- At least 25% relative reduction in the prevalence of obesity.
…
- At least 50% of eligible people receive drug therapy and counselling (including glycaemic control) to prevent heart attacks.
- An 80% availability of the affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities.
…
- At least 80% of eligible population screened for early detection and management of NCDs.
- At least 80% of persons with NCDs have access to quality treatment facilities.
…
6. STRATEGIC FRAMEWORK FOR NMSAP
6.1 Strategic Areas and Priority Interventions
...
6.1.2 Objective Two: To Promote Healthy Lifestyle and Implement Interventions to Reduce Modiable Risk Factors for NCDs
...
Promote healthy diets
...
Priority Actions:
1. Develop a regulation on reformulation of industrially produced foods to reduce salt content and replace trans-fats and saturated fats with unsaturated fats.
2. Implement mass media campaigns to promote healthy diets.
3. Strengthen nutritional education in primary and secondary school curriculum.
4. Develop and implement a policy on marketing sweetened foods and non-alcoholic beverages to children.
","","","","","Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Saturated fat intake|Trans fat intake|Sodium/salt intake|School-based health and nutrition programmes|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle","","https://www.health.gov.ng/doc/NCDs_Multisectoral_Action_Plan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202019%20NCDs%20Multisectoral%20Action%20Plan.pdf"
"40399","DZA","Algeria","","Plan National d’Action pour les enfants","Other, please specify","Child or adolescent plan with nutrition components","French","","2008","","2015","Ministère Délégué Chargé de la Famille et de la Condition Féminine ","","2008","Not adopted","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Sport|Urban planning|Environment|Information|Justice|Labour|Other","Ministère des Affaires Religieuses et des Wakfs","United Nations Children's Fund (UNICEF)","","","","","","","","National NGOs","list of NGOs Page 61","","","","","","","- D’ici à 2015, le taux d’allaitement maternel exclusif (-3 mois) qui est de 10,40% en 2006, pour les moins de 6 mois qui est de 6,90% en 2006, le taux d’allaitement maternel des 12-15 mois qui est de 46,5% en 2006, le taux d’allaitement maternel des 20-23 mois qui est de 22,20% en 2006 et le taux de première mise au sein qui est de 49,50% en 2006, sont triplés.
- Le taux de malnutrition des enfants est réduit de 3,7% en 2006 à 1,02 % en 2015 et prioritairement des moins de 2 ans et les taux d’insuffisance pondérale à la naissance sont réduits d’au moins un tiers d’ici à 2015.
- Les troubles liés aux carences en iode sont éliminés durablement, d’ici à 2015.
","Promotion de l’allaitement exclusif puis complété.
- Elaborer un programme de communication sociale sur l’allaitement maternel, à la première heure et l’alimentation saine des nourrissons, intégrant l’étude des déterminants de son recul
- Elaborer un plan de communication institutionnel pour promouvoir l’allaitement maternel
Promouvoir une alimentation saine et équilibrée.
- Renforcer les capacités des professionnels de santé pour, l’éducation sur l’alimentation saine adaptée, en tenant compte des habitudes alimentaires locales.
Promouvoir la consommation du sel suffisamment iodé.
- Redynamiser et renforcer les structures chargées du contrôle, de la fabrication et de la commercialisation du sel iodé et renforcer la stratégie de contrôle de qualité du sel de table
- Mettre en place un plan de communication institutionnel, informant les populations sur les bénéfices de la consommation de sel suffisamment iodé
- Impliquer les associations de consommateurs, les collectivités locales et cellules de proximité
- Accroître les capacités de communication des professionnels sur les avantages du sel suffisamment iodé.
","","","","Low birth weight|Wasting in children 0-5 years|Iodine deficiency disorders|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on infant feeding in the context HIV|Maternity protection|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Iodine|Food fortification|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Household food security|Diarrhoea or ORS|Vaccination|Water and sanitation|Vulnerable groups","","","","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/DZA%202008%20Plan%20national%20action%20pour%20les%20enfants.pdf"
"40398","FRA","France","","Plan national de santé publique - priorité prévention - rester en bonne santé tout au long de sa vie","Health sector policy, strategy or plan with nutrition components","","French","","2018","","2022","","","2018","Adopted","","2018","Premier ministre, Ministre des solidarités de la santé","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Sport|Transport|Urban planning|Consumer affairs|Trade|Environment|Industry|Information|Labour","","","","","","","","","","","","","","","","","","","- Généraliser les pratiques de supplémentation en folates pour les femmes enceintes et en désir de maternité à travers des campagnes de sensibilisation des femmes et des professionnels de santé concernés.
- Faciliter la mise en œuvre de l’allaitement maternel et le « peau à peau » dès l’accouchement par la mise au sein en salle de naissance et au bloc opératoire.
- Prévenir l’obésité chez les enfants, par une promotion renforcée de l’activité physique dans le cadre de l’expérimentation de prévention de l’obésité chez les enfants de 3 à 8 ans, associant Assurance maladie et ministère en charge de la santé, qui sera poursuivie pendant 3 ans et renforcée en complétant le forfait avec la proposition de séances d’activité physique et visant à permettre déjà au médecin traitant de l'enfant de prescrire des consultations diététiques, des bilans d'activité physique ou des consultations psychologiques, en fonction des besoins et de la situation de l'enfant et de sa famille.
- Actualiser en cohérence avec les états généraux de l’alimentation, les règles qui encadrent la composition des menus en restauration scolaire en tenant compte des nouveaux repères nutritionnels et mettre en place un choix dirigé de plats et de menus.
- Soutenir le parcours éducatif de santé dans son volet éducation à l’alimentation (portail dédié et vade-mecum pour les intervenants), à l’activité physique et sportive pendant et en dehors des temps scolaires (par exemple : programme ICAPS « Intervention auprès des collégiens centrée sur l’activité physique et la sédentarité »
- Permettre à tous les enfants de Mayotte et de Guyane d’avoir un repas équilibré par jour pour éviter la malnutrition et la dénutrition : projet de l’institut de recherche pour le développement (IRD) de mise au point d’une farine de sevrage riche en protéine distribuée aux femmes et soutien au développement de la restauration scolaire.
- Promouvoir dans les médias audiovisuels une alimentation favorable pour la santé, fondée sur les repères nutritionnels du PNNS actualisés, par une évolution de la « charte alimentaire » du Conseil supérieur de l’audiovisuel.
- Promouvoir la mise sur le marché d’une offre d’aliments transformés de qualité nutritionnelle améliorée (moins de sel, de gras, de sucre…) à travers un nouvel engagement volontaire des acteurs économiques. Réduire dans ce cadre de 20% la consommation de sel de la population.
- Mieux informer les consommateurs sur la qualité nutritionnelle des aliments transformés vendus en vrac et non préemballés ne disposant pas d’étiquetage nutritionnel et en restauration collective et commerciale par l’adaptation du Nutri-Score.
- Promouvoir l’accès à une alimentation suffisante, saine et durable pour les personnes en situation de précarité et mettre à disposition des acteurs de l’aide alimentaire des messages et des outils adaptés à leurs conditions de vie.
- Déployer la charte nationale pour une alimentation responsable et durable dans les Etablissement d’hébergement pour personnes âgées dépendantes (EHPAD) pour améliorer l’alimentation des personnes accueillies, lutter contre le gaspillage alimentaire, garantir un approvisionnement local et de qualité.
- Sensibiliser les séniors aux bienfaits de l’activité physique et de l’alimentation favorable à la santé (ateliers dédiés, parcours sportifs,…) ainsi que sur les mesures préventives des chutes et de la dénutrition, à domicile comme en établissements sociaux et médico-sociaux.
","","","","Anaemia in pregnant women|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Sodium/salt intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Complementary food provision|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Front of pack labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Folic acid|Micronutrient supplementation|Nutrition education|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/FRA_B3_plan_national_de_sante_publique__psnp.pdf","","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA%202018%20Plan%20national%20de%20sante%20publique.pdf"
"43358","UZB","Uzbekistan","","ПРОГРАММА МЕР по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности населения на 2019 — 2022 годы [Program for prevention of NCDs, support of healthy lifestyle an promotion of PA]","NCD policy, strategy or plan with healthy diet components","","Russian","","2019","","2022","Government of Uzbekistan ","12","2018","Adopted","12","2018","President of Uzbekistan","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Transport|Urban planning|Industry|Information|Sub-national","National Standards Agency ","","","","ASPHER — The Association of Schools of Public Health in the European Region","","","","","","","Research/academia","Tashkent Medical Academy; National Public Health Schools ","Private sector","","","","Целью Концепции является формирование здорового образа жизни у населения страны путем реализации комплексных мер по предупреждению, лечению и контролю неинфекционных заболеваний и факторов их риска, снижению преждевременной смертности и тяжести болезней для общества.
Стратегические приоритеты Концепции:
а) борьба с такими факторами риска неинфекционных заболеваний, как:
- нездоровое питание;
- недостаточная физическая активность;
- избыточная масса тела;
- повышенное артериальное давление, повышенный уровень глюкозы и холестерина в крови;
б) борьба со следующими группами заболеваний:
- сердечно-сосудистые заболевания (артериальная гипертония, инфаркт миокарда, инсульт);
- сахарный диабет;
","Глава 4. Основные направления деятельности по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности населения на 2019 — 2022 годы
1. Совершенствование законодательства в сфере профилактики неинфекционных заболеваний, поддержки здорового образа жизни и повышения уровня физической активности населения:
- Дальнейшее совершенствование законодательства в сфере ограничения пропаганды и рекламы употребления продуктов питания с повышенным содержанием жиров, соли и сахара.
- Совершенствование правовых механизмов, направленных на установление дополнительных мер по ограничению распространения и употребления алкогольной и табачной продукции.
- Разработка предложений по ограничению ввоза (импорта) в республику необогащенной микронутриентами пшеничной муки первого сорта.
- Пересмотр рецептуры и стандартов продуктов питания массового потребления с целью снижения их калорийности и установления целевых уровней содержания в них жиров, соли и сахара, а также определение рекомендуемых размеров порций.
- Пересмотр стандартов профилактического питания для промышленных предприятий с вредными условиями труда.
2. Реализация мер по обеспечению здорового питания населения
- Внедрение рыночных механизмов по стимулированию производства и продажи здоровых продуктов питания и ограничению ввоза, производства (изготовления) и продажи продуктов с повышенным содержанием жиров, соли и сахара.
- Проведение научно-практических исследований по изучению состава и качества сельскохозяйственной пищевой продукции, выращиваемой в различных условиях земледелия, а также фармакодинамических свойств национальных блюд.
- Пересмотр рациональных норм питания для различных половозрастных и профессиональных групп населения на основе современных достижений в области нутрициологии.
- Усиление контроля применения пищевых добавок (красители, ароматизаторы, консерванты и другие).
- Стимулирование включения в меню предприятий общественного питания овощей, фруктов и других полезных для здоровья продуктов питания.
5. Совершенствование системы мониторинга и оценки мер по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности населения
- Осуществление полномасштабного мониторинга, включающего анализ фактического потребления населением пищевой продукции, а также оценку отношения потребителей к данным продуктам.
- ...
6. Совершенствование системы подготовки, переподготовки и повышения квалификации кадров
- Повышение квалификации преподавателей кафедр медико-профилактического направления высших медицинских образовательных учреждений по вопросам общественного здоровья и формирования здорового образа жизни, здорового питания, диетологии совместно с ведущими зарубежными учреждениями общественного здравоохранения.
- ...
ПРОГРАММА МЕР
- Разработка и утверждение порядка и критериев отнесения продуктов питания к категории с повышенным содержанием жиров, соли и сахара.
- Пересмотр рецептуры и стандартов продуктов питания массового потребления с целью снижения их калорийности и установления рекомендуемых уровней содержания в них жиров, соли и сахара, а также определение рекомендуемых размеров порций.
- Пересмотр стандартов профилактического питания для работников промышленных предприятий с вредными условиями труда.
- Разработка предложений по ограничению ввоза (импорта) в республику необогащенной микронутриентами пшеничной муки первого сорта.
- Внедрение рыночных механизмов по: а) стимулированию производства (изготовления) и реализации здоровых продуктов питания; б) ограничению ввоза, производства (изготовления) и реализации продуктов питания с повышенным содержанием жиров, соли и сахара путем: ограничения размеров порций и упаковок с целью сокращения потребления лишних калорий и риска избыточного веса (ожирения); разработки стратегии ориентирования потребителей по приобретению здоровых продуктов питания (раскладка в объектах торговли здоровых продуктов питания в привлекательном окружении и в легкодоступных местах).
- Проведение научно-практических исследований по изучению состава и качества сельскохозяйственной пищевой продукции, выращиваемой в различных условиях земледелия, а также фармакодинамических свойств национальных блюд.
- Составление на основе изучения электронного справочника состава местных продуктов питания по содержанию микроэлементов и витаминов.
- Размещение электронного справочника в сети Интернет.
- Пересмотр рациональных норм питания для различных половозрастных и профессиональных групп населения на основе современных достижений в области нутрициологии.
- Усиление контроля применения пищевых добавок (красителей, ароматизаторов, консервантов и других) путем: модернизации и оснащения испытательных лабораторий современным высокотехнологичным оборудованием; изучения состава применяемых в промышленности пищевых добавок; определения предельно допустимых концентраций пищевых добавок.
- Создание в образовательных и медицинских учреждениях условий, способствующих ведению здорового образа жизни, включая: недопущение рекламы потребления, приготовления и реализации на территории данных учреждений продуктов питания с повышенным содержанием жиров, соли и сахара; внедрение в учебные программы образовательных учреждений мероприятий по ведению здорового образа жизни и обеспечению физической активности учащихся; разработку нормативов здорового питания и внедрение их в практику образовательных учреждений;
- Создание в поселках, кишлаках и аулах, а также в махаллях городов, поселков, кишлаков и аулов условий, способствующих ведению здорового образа жизни, включая: ограничение изготовления и продажи продуктов питания с повышенным содержанием жиров, соли и сахара; стимулирование включения в меню предприятий общественного питания овощей, фруктов и других полезных для здоровья продуктов питания;
- Пересмотр квалификационных требований специалистов по нутрициологии, диетологии и общественному здравоохранению с учетом международных требований.
- Разработка и распространение в средствах массовой информации, в том числе в сети Интернет и социальных сетях, рекомендаций по здоровому питанию, повышению физической активности, ведению здорового образа жизни и отказу от употребления табачной и алкогольной продукции.
- Разработка и распространение баннеров, плакатов, буклетов и других информационно-образовательных материалов по профилактике неинфекционных заболеваний, поддержке здорового образа жизни и повышению уровня физической активности, в том числе путем их размещения на объектах торговли, предприятиях общественного питания, в медицинских и образовательных учреждениях, на центральных улицах городов и районов, в местах массового скопления людей, общественном транспорте.
- Проведение в органах самоуправления граждан, образовательных учреждениях, объектах торговли, предприятиях общественного питания и других организациях «круглых столов», семинаров и иных мероприятий по вопросам обеспечения здорового питания, повышения физической активности и ведения здорового образа жизни.
","В результате реализации Концепции ожидается:
- увеличение потребления населением овощей и фруктов на 15 процентов;
- сокращение потребления поваренной соли на 15 процентов;
- увеличение доли производства продуктов, обогащенных витаминами и необходимыми минералами;
- увеличение физической активности населения на 10 процентов;
- сокращение потребления алкогольной и табачной продукции на 10 процентов;
- сдерживание роста числа пациентов с повышенным артериальным давлением;
- сдерживание роста числа пациентов с ожирением и сахарным диабетом;
- достижение 50 процентного уровня обеспечения медицинских учреждений базовыми диагностическими тестами, оборудованием и основными лекарственными средствами, необходимыми для лечения приоритетных неинфекционных заболеваний;
- обеспечение не менее 50 процентов пациентов с высоким риском и больных неинфекционными заболеваниями надлежащей лекарственной терапией и консультированием для предотвращения инсультов и инфарктов;
- сокращение на 10 процентов преждевременной смертности от сердечно-сосудистых заболеваний, злокачественных новообразований, сахарного диабета и хронических заболеваний органов дыхания.
","","","Overweight and obesity in adults|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Fats|Salt/sodium|Sugars|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in hospitals|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food fortification|Nutrition education|Wheat flours","","http://lex.uz/docs/4111360","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202018%20NCD%20Prevention%20Policy.pdf"
"43356","MKD","North Macedonia","","АКЦИСКИ ПЛАН ЗА СЕКСУАЛНО И РЕПРОДУКТИВНО ЗДРАВЈЕ НА РЕПУБЛИКА МАКЕДОНИЈА 2018 - 2020 ГОДИНА [Action plan for sexual and reproductive health of the Republic of Macedonia, 2018 - 2020]","Health sector policy, strategy or plan with nutrition components","","Macedonian","","2018","","2020","Ministry of Health","","2018","Adopted","","2018","Government of Macedonia ","Cabinet/Presidency|Health|Education and research|Women, children, families|Finance, budget and planning|Information","","","","","","","","","","National NGOs","Macedonian Medical Association","","Macedonian Medical University","","","","Professional Organizations and Unions; Centers for Family Health and Reproduction ","- Координација и интер-секторска соработка
- Планирање на семејството
- Сексуално и репродуктивно здравје на адолесценти и млади
- Матернално и неонатално здравје
- Одржување на ниска преваленција на ХИВ инфекција
","- Изработка на Програма за планирање на семејството
- Креирање и одржување на веб страна за планирање на семејство
- Изработка на едукативни брошури за семејно планирање
- Организирање на едукации за методите за планирање на семејството на воспитувачи и стручни соработници во училишни домови во Македонија
- Организирање на едукации за планирање на семејството
- Теренски едукации за семејно планирање во региони каде живеат ранливи групи, пред се Ромки, корисници на социјална помош и жени од рурални средини
- Одржување на трибини за планирање на семејство на соодветен јазик во региони каде живеат ранливи групи
- Редовно ажурирање на информации за семејно планирање на Фејсбук страницата Здрава бременост
- Бесплатно доставување на фолна киселина за бремени жени во прв триместар
- Ревизија на составот на КППЗД и дефинирање на работните задачи на членовите на КППЗД
","","","","Breastfeeding promotion/counselling|Maternity protection|Folic acid|Micronutrient supplementation|Family planning (including birth spacing)|Vulnerable groups","","http://zdravstvo.gov.mk/wp-content/uploads/2012/12/akcionen-bezbedno-majcinstvo.pdf","","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/MKD%202018%20Action%20Plan%20for%20Sexual%20and%20reproductive%20Health%202018-2020.pdf"
"66476","UZB","Uzbekistan","","ПОСТАНОВЛЕНИЕ ПРЕЗИДЕНТА РЕСПУБЛИКИ УЗБЕКИСТАН О ДОПОЛНИТЕЛЬНЫХ МЕРАХ ПО ОБЕСПЕЧЕНИЮ ЗДОРОВОГО ПИТАНИЯ НАСЕЛЕНИЯ / [Presidential decree on additional measures for healthy nutrition for the population]","Comprehensive national nutrition policy, strategy or plan","","Russian","","2020","","","National Legal Database","11","2020","Adopted","11","2020","Постановление Президента Республики Узбекистан, от 10.11.2020 г. № ПП-4887","Cabinet/Presidency|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Information|Sub-national","Ministry of Culture; Antimonopoly Committee; National Sanitary Inspection; National Agency for Standards ","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","1. Установить такой порядок обеспечения здоровья населения, в соответствии с которым:
а) начиная с 1 июня 2021 года обеспечиваются бесплатно:
- микронутриентными порошками — дети в возрасте 6 — 23 месяцев в целях обогащения пищи, приготовленной для них в домашних условиях;
- витамином «А» — дети в возрасте от 6 месяцев до 5 лет;
- специальными препаратами для профилактики гельминтоза — дети в возрасте 2 — 10 лет;
б) начиная с 1 июля 2022 года обеспечиваются бесплатно:
- препаратами йода — беременные женщины и кормящие матери, а также дети в возрасте 3 — 15 лет;
- препаратами железа и фолиевой кислоты — женщины фертильного возраста до 35 лет;
в) начиная с 1 апреля 2021 года, наряду с пшеничной мукой первого сорта, реализация на территории республики пшеничной муки высшего сорта разрешается, при условии ее обогащения микронутриентами.
2. Принять к сведению, что Министерством физической культуры и спорта и Министерством по развитию информационных технологий и коммуникаций разрабатывается платформа «Здоровый образ жизни», мотивирующая население к здоровому образу жизни.
Министерству по развитию информационных технологий и коммуникаций при разработке данной платформы совместно с Министерством здравоохранения создать раздел о правильном питании, предоставляющий возможность расчета индекса массы тела и рекомендации дневной нормы питания с учетом образа жизни человека, а также расчета калорий в употребляемых блюдах, пищевых продуктах и напитках
3. В целях обеспечения оптимального развития и роста детей в период до 5 лет поэтапно внедрить в срок до 1 января 2022 года универсально-прогрессивную модель патронажа, предусматривающую: (...)
4. Создать с 1 января 2021 года в районных (городских) центральных многопрофильных поликлиниках Сырдарьинской области в порядке эксперимента «Кабинеты правильного питания и здорового образа жизни», укомплектованные врачами и средними медицинскими работниками, прошедшими специальную подготовку по правильному питанию и ведению здорового образа жизни.
5. Уполномочить Центр, Республиканский центр повышения квалификации и специализации средних медицинских и фармацевтических работников, а также медицинские высшие образовательные учреждения организовывать курсы переподготовки по диетологии для медицинских работников учреждений первичной медико-санитарной помощи, а также курсы подготовки консультантов по питанию для населения.
6. Возложить на Научно-исследовательский институт санитарии, гигиены и профессиональных заболеваний дополнительные задачи по подготовке санитарных правил и норм, разработке учебных программ и проведению научных исследований о расширении основных видов сырья здоровых и безопасных пищевых продуктов, обогащению пищевых продуктов микронутриентами, здоровому и диетическому питанию исходя из возраста, пола, физиологического состояния, профессии и заболеваемости населения, а также по вопросам медицинской профилактики.
- Научно-исследовательскому институту (У.Х. Адилов): на основе рекомендаций Всемирной организации здравоохранения в срок до 1 февраля 2021 года разработать учебные программы по подготовке специалистов-диетологов и консультантов по питанию;
- совместно с Научно-исследовательским институтом физической культуры и спорта при Узбекском государственном университете физической культуры и спорта в срок до 1 мая 2021 года разработать рекомендуемую среднюю ежедневную норму питания и комплекс физических упражнений для групп населения по возрасту, полу, физиологическому состоянию и профессиям.
7. Центру (Б.Т. Одилова) наладить практику ведения пропагандистской работы путем размещения видеороликов в средствах массовой информации и социальных сетях, а также распространения раздаточных материалов в форме инфографики среди населения с привлечением известных представителей культуры и спортсменов. При этом уделить особое внимание освещению тем о негативном влиянии неправильного питания и малоподвижного образа жизни на здоровье человека, а также полезных свойствах фруктов и овощей в профилактике и лечении возникающих в результате этого заболеваний и их осложнений, пользе, которую приносят здоровью человека регулярные занятия физической культурой и массовым спортом.
9. Установить, что начиная с 2021/2022 учебного года:
- в дошкольных образовательных организациях проводятся занятия «Основы личной гигиены и физического воспитания»;
- в средних общеобразовательных учреждениях республики в программы предметов «Воспитание» и «Окружающий нас мир» для учащихся 1 — 4-х классов, а также предмета «Биология» для старших классов включаются темы «Уроки здоровья» по формированию навыков правильного питания и здорового образа жизни с пересмотром учебных занятий;
- в академических лицеях, профессиональных и высших образовательных учреждениях в рамках предмета «Физическое воспитание» проводятся занятия по формированию здорового образа жизни;
- налаживается подготовка в медицинских техникумах по специальностям валеолог, диетолог и нутрициолог, а также подготовка по специальностям магистратуры (интернатуры, клинической ординатуры) нутрициолог и диетолог на основе годичной учебной программы;
11. Определить, что внедрение маркирования пищевых продуктов знаками, указывающими безопасность или вред для здоровья человека количество соли, сахара и жиров, содержащихся в их составе, осуществляется в два этапа в следующем порядке:
а) начиная с 1 июля 2021 года:
- маркировка пищевых продуктов проводится в добровольном порядке;
- реклама пищевых продуктов, маркированных знаком безопасности, распространяется (размещается) по льготным тарифам;
- не допускается реализация в образовательных, спортивных и медицинских учреждениях пищевых продуктов, не маркированных знаком безопасности, реализация данных продуктов расценивается как нарушение правил торговли;
б) начиная с 1 января 2025 года пищевые продукты, ввозимые на территорию республики, а также производимые в республике для реализации, в обязательном порядке маркируются знаками, указывающими их безопасность или вред для здоровья человека. При этом определение безопасности или вреда пищевых продуктов для здоровья человека осуществляется государственными органами санитарного надзора с учетом содержания в их составе соли, сахара и жиров.
","1. Изменение рецептуры готовой продовольственной продукции и полуфабрикатов, а также уменьшение потребления соли населением путем приготовления в лечебных и образовательных учреждениях, на рабочих местах пищи с малым количеством натрия
2. Координация действующих санитарных правил и норм качества и безопасности продовольственной продукции, а также государственных стандартов и технических регламентов к рекомендациям Продовольственной и сельскохозяйственной организации ООН и Всемирной организации здравоохранения (далее — ВОЗ), а также нормам Кодекса Алиментариус.
3. Разработка порядка осуществления контрольной закупки товаров народного потребления в пунктах розничной торговли и проведения экспертизы (лабораторных испытаний) товаров (работ, услуг).
4. Внесение проекта Закона «О рекламе» в новой редакции в Законодательную палату Олий Мажлиса.
5. Утверждение государственного стандарта и технического регламента по обогащению пшеничной муки высшего сорта витаминами и микронутриентами и внесение изменений в государственную программу по обогащению муки. Также установление порядка разрешения на импорт муки при условии обогащения ее микронутриентами.
6. Совершенствование деятельности Научно-исследовательского института санитарии, гигиены и профессиональных заболеваний, включая привлечение высококвалифицированных кадров с научным потенциалом, создание научно-исследовательских лабораторий, вивариев и новой клиникипо здоровому питанию
7. Пересмотр государственных и ведомственных форм статистических отчетов, предоставляющих возможность наблюдения индикаторов неинфекционных заболеваний и проблем при питании женщин репродуктивного возраста, беременных и детей
8. Разработка на основе рекомендаций ВОЗ норм, определяющих безопасное или вредное для здоровья человека количество соли, сахара и жиров в составе продовольственной продукции.
9. Внесение изменений и дополнений в «Общий технический регламент о безопасности пищевой продукции в части ее маркировки» по маркировке с учетом полезности или вредности для здоровья человека количества соли, сахара и жиров в составе продовольственной продукции отечественного производства и ввозимой для реализации на территории республики.
10. Совершенствование внедренных государственных стандартов и технических регламентов по обогащению продовольственной продукции йодом в целях проведения массовой профилактики йододефицита среди населения.
11. Регулирование на основе рекомендаций ВОЗ маркетинга продовольственной продукции и напитков, предназначенных для детей.
12. Совершенствование системы производства и регистрации биологически активных добавок.
13. Регулирование маркетинга в области цифровой и розничной торговли продовольственной продукцией с превышающим установленные нормы содержанием соли, сахара и жиров, а также сильно газированных, подкрашенных, сладких и энергетических напитков для детей и подростков.
14. Разработка программы поддержки производителей здоровой продукции с содержанием соли, сахара и жиров в рамках безопасных для здоровья человека норм
II. Повышение эффективности профилактических мероприятий по снижению факторов, способствующих возникновению болезней, связанных с неправильным питанием
15. Пропаганда «программы пяти ключей» по обеспечению безопасного питания ВОЗ.
16. Подготовка и передача в эфир на системной основе цикла передач «Соглом овкатланайлик» («Правильно питаемся») по формированию здорового образа жизни интерактивным методом для родителей и детей.
17. Разработка оптимальных норм питания для разных по возрасту, полу, физиологическому состоянию и профессиям групп населения.
18. Принятие государственной программы по бесплатному обеспечению населения витаминами и минералами, предусмотренными в пункте 1 постановления.
19. Бесплатное обеспечение:
- микронутриентым порошком — детей в возрасте 6 — 23 месяцев с целью обогащения пищи, приготовленной в домашних условиях;
- витамином «А» — детей в возрасте от 6 месяцев до 5 лет;
- специальными препаратами по профилактике гельминтоза – детей в возрасте 2 — 10 лет;
- препаратами йода – беременных женщин, кормящих женщин, а также детей в возрасте 3 — 15 лет;
- препаратами железа и фолиевой кислотой – женщин фертильного возраста до 35 лет. При этом обеспечение беременных женщин и кормящих матерей до 35 лет — на основе
20. Разработка норм профилактического питания для работающих в неблагоприятных условиях труд
21. Пересмотр нормы питания и меню, предназначенных для больных в медицинских учреждениях, в том числе диетической пищи.
22. Совершенствование системы здорового и безопасного питания учащихся средних общеобразовательных школ. В частности, приведение школьных столовых в соответствие с санитарными правилами, нормативными требованиями гигиены, налаживание качества и контроля безопасности пищи.
23. Разработка рекомендаций по организации здорового питания для специалистов, занятых в области общего питания, производства и переработки продовольственной продукции.
24. Пересмотр стандартов лабораторных тестовых испытаний по раннему выявлению болезней, связанных с неправильным питанием. Обеспечение лабораторий многопрофильных центральных поликлиник Республики Каракалпакстан, областей, районов (городов) необходимым оборудованием, расходными материалами и реактивами на основе стандартов лабораторных тестовых испытаний.
25. Переутверждение стандартов диагностики и лечения неинфекционных заболеваний, а также клинических пособий и протоколов на основе рекомендаций ВОЗ по здоровому питанию и ведению здорового образа жизни.
26. Создание системы консультации беременных женщин и родителей детей в возрасте до 5 лет по вопросам питания путем разработки универсальной прогрессивной модели патронажа по республике.
27. Разработка научно обоснованной рецептуры продуктов питания и напитков для населения, в частности детей, на основе отечественной плодоовощной продукции и другого сырья.
III. Подготовка, повышение квалификации кадров по направлениям гигиены питания, нутрициологии, диетологии, поддержка научных исследований в сфере формирования здорового питания
28. Обучение медицинских работников учреждений первичной медико-санитарной помощи по рекомендациям ВОЗ по самоуходу и контролю за своим здоровьем больных с неинфекционными заболеваниями.
29. Повышение квалификации врачей и медицинских сестер по программе «Первые 1 000 дней» ВОЗ по здоровому питанию беременных, кормящих матерей и детей в возрасте до 2 лет.
30-38.... (Measures on nutriton in various curriculums
39. Реализация один раз в 5 лет Программы европейской инициативы по эпидемиологическому контролю ожирения у детей (COSI).
40. Проведение каждые 5 лет среди населения Узбекистана на основе рекомендаций и методик ВОЗ и ЮНИСЕФ исследований, предусматривающих: изучение анемии, йододефицита, дефицита фолиевой кислоты и витамина А; изучение уровня правильного и здорового питания среди беременных и детей в возрасте до 5 лет; изучение уровня потребления населением соли; изучение уровня и причин распространения факторов риска неинфекционных заболеваний.
IV. Обеспечение безопасности продовольственной продукции, производимой и ввозимой на территорию республики в целях ее реализации
41. Принятие мер по снижению количества насыщенных жировых кислот и их обмену на ненасыщенные жировые кислоты, трансжиров — на ненасыщенные жиры в составе продовольственной продукции, а также снижению содержания свободного сахара в продуктах питания и напитках
42-44...
45. Осуществление контроля за отсутствием промышленных трансжиров, в том числе технического пальмового масла в составе импортной и отечественной продовольственной продукции
49. Ограничение использования трансжиров, в том числе пальмового и кокосового масла, при производстве продуктов питания, в соответствии с рекомендациями ВОЗ.
V. Внедрение информационно-коммуникационных технологий в сферу организации здорового питания
52. Усиление пропагандистских работ по разъяснению преимущества грудного вскармливания в соответствии с требованиями Закона Республики Узбекистан «О поддержке грудного вскармливания и требованиях к продуктам питания для младенцев и детей раннего возраста».
53. Создание специальных каналов в социальных сетях по кратким консультациям по профилактике заболеваний, в том числе по здоровому питанию, физической активности, отказу от употребления табачной и алкогольной продукции.
54. Создание на платформе «Соглом хаёт» раздела правильного питания, предоставляющего населению возможность подсчета индекса массы тела человека, рекомендации нормы дневного питания с учетом образа жизни, подсчета калорий потребляемой пищи, продуктов питания и напитков
","ИНДИКАТОРЫ определения эффективности реализации Программы мер по формированию у населения образа жизни здорового питания в 2020 — 2025 годах
- Заболеваемость анемией (на 100 тысяч человек) - 2019: 5278.8 -> 2025: 4587.8
- Заболеваемость, обусловленная дефицитом йода (на 100 тысяччеловек) - 2019: 902.2 -> 2025: 760.5
- Заболеваемость кишечными инфекциями (на 100 тысяч человек) - 2019: 140.8 -> 2025: 80.0
- Суточное содержание соли, потребляемой населением (г) - 2017: 15.1 -> 10,5
- Доля детей в возрасте до 5 лет с задержкой роста (%) - 2017: 8.7 -> 2025: 6.1
- Доля детей в возрасте до 5 лет с недостаточным весом (%) - 2017: 2.6 -> 2025: 1.5
- Доля детей в возрасте до 5 лет с избыточным весом (%) - 2017: 4.6 -> 2025: 4.0
- Доля населения старшего возраста, имеющего избыточный вес (БВИ≥25 кг/м²) (%) - 2019: 56.4 -> 2025: 56.4
- Доля населения с ожирением (БВИ≥30 кг/м²) (%) - 2019: 23.5 -> 2025: 23.5
- Доля населения в возрасте 40 лет и старше с высоким фактором риска сердечно-сосудистых заболеваний (%) - 2019: 20.2 -> 2025: 20.2
- Доля сахарного диабета в причинах смерти населения в возрасте 30 — 69 лет (%) - 2019: 5.7 -> 2025: 5.0
","","","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|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|Hygienic cooking facilities and clean eating environment|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Sugars|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|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|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Vitamin A|Folic acid|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Multiple micronutrients supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food safety|Food security and agriculture|Vulnerable groups","","https://www.lex.uz/docs/5090384","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UZB%202020%20%D0%9F%D0%9E%D0%A1%D0%A2%D0%90%D0%9D%D0%9E%D0%92%D0%9B%D0%95%D0%9D%D0%98%D0%95%20%D0%9F%D0%A0%D0%95%D0%97%D0%98%D0%94%D0%95%D0%9D%D0%A2%D0%90%20%D0%A0%D0%95%D0%A1%D0%9F%D0%A3%D0%91%D0%9B%D0%98%D0%9A%D0%98%20%D0%A3%D0%97%D0%91%D0%95%D0%9A%D0%98%D0%A1%D0%A2%D0%90%D0%9D%20%D0%9E%20%D0%94%D0%9E%D0%9F%D0%9E%D0%9B%D0%9D%D0%98%D0%A2%D0%95%D0%9B%D0%AC%D0%9D%D0%AB%D0%A5%20%D0%9C%D0%95%D0%A0%D0%90%D0%A5%20%D0%9F%D0%9E%20%D0%9E%D0%91%D0%95%D0%A1%D0%9F%D0%95%D0%A7%D0%95%D0%9D%D0%98%D0%AE%20%D0%97%D0%94%D0%9E%D0%A0%D0%9E%D0%92%D0%9E%D0%93%D0%9E%20%D0%9F%D0%98%D0%A2%D0%90%D0%9D%D0%98%D0%AF%20%D0%9D%D0%90%D0%A1%D0%95%D0%9B%D0%95%D0%9D%D0%98%D0%AF.pdf"
"130068","TZA","United Republic of Tanzania","","National Multisectoral Nutrition Action Plan 2021/22-2025/26","Comprehensive national nutrition policy, strategy or plan","","English","","2021","","2026","Prime Minister’s Offce","","2021","Adopted","","2021","Prime Minister’s Offce","Health|Food and agriculture|Education and research|Finance, budget and planning|Trade|Industry|Information","","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Global Alliance for Improved Nutrition (GAIN)|Other","Irish AID and ASPIRES","US Agency for International Development (USAID)","","","","","","","","","","","","3.3 Objective of the NMNAP II
The objective of the NMNAP II is to address the triple burden of malnutrition in Tanzania with emphasis on nutrition-specific and nutrition-sensitive interventions from various sectors, including health, social protection, education, food, water, community development, finance, industry, and trade. The plan is expected to address the shortfalls of the previous plan, identify and propose high- impact low-cost interventions, and engage all sectors, while harnessing the benefits of the existing frameworks to ensure sustainability. The expected result or desired change for the NMNAP II is that all Tanzanians are better-nourished and leading healthier and more productive lives which contribute to the economic growth and sustainable development of the countr
","In order to achieve the expected result, a total of four (4) KRAs and five (5) strategic outcomes have been defined as follows.
KRAs:
Reducing undernutrition
Reducing micronutrient deficiencies
Reducing overweight and obesity
Strengthening the enabling environments
Strategic outcomes are:
Strategic Outcome 1. Increased coverage of adequate, equitable and quality nutrition services at the community and facility levels.
Strategic Outcome 2. Women, men, children and adolescents practice appropriate nutrition behaviours
Strategic Outcome 3. Sustainable and resilient food systems that are responsive to nutritional needs
Strategic Outcome 4. Strengthened multisectoral and private sector engagement for nutrition Strategic Outcome 5. Enabling environments (adequate policies and frameworks) that are supportiveof adequate human and financial resources for nutrition
","Planned Results
IMPACT RESULTS
Reduced prevalence of stunting among children 0-59 months
Maintain prevalence of global acute malnutrition among children 0-59 months
Reduced prevalence of low birthweight
Reduced proportion of non-pregnant women 15-49 years with anaemia
Reduced prevalence of Vitamin A deficiency among children aged 6-59
Maintain median urinary iodine of women of reproductive age between 100- 299 μg/L by 2026
Maintain prevalence of overweight among children under five
Maintain prevalence of overweight/obesity among women aged 15-49 years
Maintain prevalence of overweight among adults
OUTCOME RESULTS
Increased proportion of children aged 0-5 months who are exclusively breastfed
Increased proportion of children aged 6-23 months who receive a minimum acceptable diet
Increased proportion of children aged 6-59 months who received Vitamin A Supplement during the last 6 months
Increased proportion of households consuming adequately iodized salt
Increased proportion of pregnant women taking iron and folic acid (IFA) for 90+ days during pregnancy
Increased proportion of children under five in need of SAM treatment who are admitted in the program annually
Increased proportion of children under five in need of MAM treatment who are admitted in the program annually
Reduced percentage of people who eat less than 5 servings of fruit and/or vegetables on average per day
Increased production of horticultural crops
Increased milk production
Increased per capital consumption of milk in Tanzanian population
Increased number of primary schools implementing school milk feeding program
Increased Meat production
Increased per capital consumption of meat in Tanzanian population
Increased fish production
Increased per capital consumption of fish in Tanzanian population
Number of adolescents trained on health and wellbeing.
Increased percentage of schools implementing school feeding program
Percentage of rural population with access to piped or protected water as their main source.
Proportional of the households in Rural areas with improved sanitation facilities
Percentage of Regional Centre’s population with access to piped or protected water as their main source.
","","","Low birth weight|Stunting in children 0-5 yrs|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Breastfeeding - Exclusive 6 months|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Provision of school meals / School feeding programme|School milk scheme|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Biofortifcation|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Home, school or community gardens|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/tan212099.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202021%20National%20Multisectoral%20Nutrition%20Action%20Plan.pdf"
"43081","DNK","Denmark","","BEK nr 801 af 21/06/2013 Bekendtgørelse om reklamer og sponsorering m.v. af programmer i radio, fjernsyn og on demand-audiovisuelle medietjenester samt indgåelse af partnerskaber [Executive Order No 801 of 21 June 2013 on Radio and Television Advertising]","Legislation relevant to nutrition","","Danish","7","2013","","","Kulturministeriet","6","2013","Adopted","6","2013","Lovtidende A2013 Udgivet den 29. juni 2013","Information","","","","","","","","","","National NGOs","","","","","","","","","","","","Beskyttelse af mindreårige i reklamer i radio og fjernsyn
§ 16. Reklamer, der henvender sig til mindreårige, må ikke udformes på en sådan måde, at de vil kunne skade dem fysisk eller moralsk. De må ikke udformes på en sådan måde, at de udnytter mindreåriges naturlige godtroenhed og loyalitet samt deres særlige tillid til forældre, lærere eller andre. De må ikke underminere disses autoritet og ansvar.
§ 17. Reklamer må ikke uden grund vise mindreårige i farlige situationer eller opfordre eller tilskynde mindreårige til at opholde sig eller bevæge sig ind på farlige steder, bruge farlige produkter eller i det hele taget bringe sig i farlige situationer.
§ 18. Reklamer må ikke indeholde nogen direkte appel til mindreårige om at overtale andre til at købe det produkt, der reklameres for. Der må ikke reklameres med præmier til mindreårige som belønning for at skaffe nye købere.
§ 19. Reklamer må ikke underminere sociale værdier, f.eks. ved at bibringe den opfattelse, at besiddelse, brug eller indtagelse af et produkt i sig selv vil give mindreårige fysiske, sociale eller andre psykologiske fordele frem for andre mindreårige, eller at det ikke at eje, bruge eller indtage et sådant produkt kan have den modsatte virkning. Det er ligeledes ikke tilladt at reklamere således, at mindreårige får den opfattelse, at de på nogen måde bliver ringere stillet end andre mindreårige, eller at de vil blive udsat for foragt eller latterliggørelse, hvis de ikke ejer, bruger eller indtager det pågældende produkt.
§ 20. Figurer, dukker og lignende, som er væsentlige og gennemgående elementer i programmer rettet mod børn under 14 år på det pågældende programforetagende, må ikke anvendes i reklamer udsendt af dette for produkter af særlig interesse for børn.
Stk. 2. Personer, der har tilknytning til programmer rettet til børn under 14 år på det pågældende programforetagende, må ikke medvirke i reklamer udsendt af dette for produkter af særlig interesse for børn under 14 år.
§ 21. Reklamer for chokolade, slik, læskedrikke, snacks og lignende må ikke angive, at produktet kan træde i stedet for almindelige måltider.
§ 22. Børn under 14 år må kun medvirke i fjernsynsreklamer, når en sådan medvirken enten fremtræder som en naturlig bestanddel af det afbildede miljø eller er nødvendig for at forklare eller demonstrere anvendelsen af produkter, der har med børn at gøre.
Stk. 2. Børn under 14 år må ikke afgive anbefalinger eller bevidnelser for produkter eller tjenesteydelser af nogen art.
","Regulating marketing of unhealthy foods and beverages to children|Radio|Sponsorship|TV|Use of licensed and brand equity characters|General statement not market excessive intake of food or approve unhealthy food|Covers children up to 14 years of age|Mandatory marketing restrictions","","https://www.retsinformation.dk/eli/lta/2013/801","","",""
"43101","SVN","Slovenia","","3715. Zakon o avdiovizualnih medijskih storitvah (ZAvMS), stran 11279 [Law on Audiovisual Media Services]","Legislation relevant to nutrition","","Slovenian","11","2011","","","Uradni list RS, Št. 87/2011 z dne 2.11.2011","11","2011","Adopted","10","2011","Državni zbor Republike Slovenije, Predsednik Republike Slovenije","Cabinet/Presidency|Health|Information"," Agencija za pošto in elektronske komunikacije, minister pristojen za zdravje","","","","","","","","","National NGOs","","","","","","","","","","","","2. člen
(področje uporabe)
(1) Določbe tega zakona se uporabljajo za vse avdiovizualne medijske storitve, to je televizijske programe in druge linearne avdiovizualne medijske storitve ter avdiovizualne medijske storitve na zahtevo oziroma nelinearne avdiovizualne medijske storitve.
(2) V primeru, da je programska vsebina istega ponudnika oziroma ponudnice (v nadaljnjem besedilu: ponudnik) avdiovizualne medijske storitve ponujena tako linearno kot nelinearno, mora taka programska vsebina izpolnjevati zahteve, predpisane za programske vsebine, ponujene na linearen način.
(3) Če so hkrati ponujene različne vrste programov ali storitev, to je linearne in nelinearne, ki so med seboj jasno ločene, se uporabljajo določbe tega zakona za vsako posamezno storitev glede na njeno naravo.
3. člen
(pomen izrazov)
Posamezni izrazi, uporabljeni v tem zakonu, imajo naslednji pomen:
1. Avdiovizualna medijska storitev pomeni:
…
12. Za televizijsko oglaševanje po tem zakonu se ne štejejo neodplačne objave v zvezi z izvajanjem javnih služb, kulturnih prireditev, promocijo zdravja, dobrodelnih akcij in akcij, ki so splošnega pomena za varnost prebivalcev Republike Slovenije, ter druge objave v širšem javnem interesu, neodplačne objave v zvezi z opozarjanjem na zdravju škodljivo hrano in pijačo ter neodplačno predstavljanje umetniških del, neodplačno navajanje producentov, organizatorjev ali sponzorjev oziroma donatorjev umetniških del ter kulturno-umetniških prireditev in dobrodelnih akcij, v okviru medijske predstavitve teh del, prireditev oziroma akcij.
…
23. člen
(avdiovizualna komercialna sporočila za živila v programskih vsebinah, namenjena otrokom)
(1) Ponudniki morajo oblikovati pravila ravnanja v zvezi z neprimernimi avdiovizualnimi komercialnimi sporočili, ki spremljajo programske vsebine, namenjene otrokom ali so njihov del, o živilih, ki vsebujejo hranila in snovi s hranilnim ali fiziološkim učinkom, kot so zlasti maščobe, transmaščobne kisline, sol ali natrij in sladkorji, katerih prekomerno uživanje v celotni prehrani ni priporočljivo (v nadaljnjem besedilu: pravila ravnanja), in jih javno objaviti.
(2) Pravila ravnanja morajo biti oblikovana na način, da je otrokom omogočen razvoj zdravih prehranskih navad v skladu s prehranskimi smernicami, ki jih objavi minister, pristojen za zdravje.
(3) Ponudniki morajo kopijo pravil ravnanja poslati ministrstvu, pristojnemu za medije, in agenciji v 15 dneh od njihovega sprejetja in jih v enakem roku obvestiti o vsaki njihovi spremembi.
","Regulating marketing of unhealthy foods and beverages to children|TV|General statement not market excessive intake of food or approve unhealthy food|Mandatory marketing restrictions","","https://www.uradni-list.si/glasilo-uradni-list-rs/vsebina/2011-01-3715/#2.%C2%A0%C4%8Dlen","","WHO Regional Office for Europe. Evaluating implementation of the WHO set of recommendations on the marketing of foods and non-alcoholic beverages to children. Progress, challenges and guidance for next steps in the WHO European Region (2018) https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/publications/2018/evaluating-implementation-of-the-who-set-of-recommendations-on-the-marketing-of-foods-and-non-alcoholic-beverages-to-children.-progress,-challenges-and-guidance-for-next-steps-in-the-who-european-region",""
"130084","NOR","Norway","","Lov om kringkasting [Broadcasting Act]","Legislation relevant to nutrition","","Norwegian","11","1993","","","Lovdata Avd I 1992 Nr. 24","12","1992","Adopted","10","1993","Kongelig resolusjon 29 oktober 1993","Information|Other","Kultur, likestilling","","","","","","","","","National NGOs","","","","","","","","","","","","Kap. 3. Reklame, sponsing
§ 3-1.Varighet, innhold
Reklameinnslagene skal samlet ikke overstige 10 pst. av kringkastingsselskapets daglige sendetid. Kongen kan gjøre unntak fra denne bestemmelse for sending av tekstplakater i lokalfjernsyn.
Det kan ikke sendes reklameinnslag i tilknytning til barneprogram eller reklameinnslag som særlig er rettet mot barn.
Kongen kan gi nærmere regler om utsending av, innholdet i, omfanget av og tilsynet med reklamesendinger.
","Radio|TV|Any product, including foods and beverages|Mandatory marketing restrictions","","https://lovdata.no/dokument/LTI/lov/1992-12-04-127/kap3#kap3","Delvis ikrafttredelse av lov av 4. desember 1992 nr. 127 om kringkasting https://lovdata.no/dokument/LTI/forskrift/1993-10-29-954Lov om kringkasting og audiovisuelle bestillingstjenester (kringkastingsloven) https://lovdata.no/dokument/NL/lov/1992-12-04-127Act relating to broadcasting and audiovisual on-demand services (Broadcasting Act) https://lovdata.no/dokument/NLE/lov/1992-12-04-127","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NOR%201992%20Lov%20om%20kringkasting.pdf"
"130085","NOR","Norway","","Forskrift om kringkasting [Regulation relating to broadcasting]","Legislation relevant to nutrition","","Norwegian","2","1997","","","Lovdata Avd I 1997 Nr. 6","2","1997","Adopted","2","1997","Kongelig resolusjon 28. februar 1997","Information|Other","Kultur","","","","","","","","","National NGOs","","","","","","","","","","","","§ 3-6.Reklame og forholdet til barn og unge under 18 år
Det må tas hensyn til at all reklame kan bli sett eller hørt av barn, og det må vises særlig aktsomhet overfor barn og unges påvirkelighet og manglende erfaring.
Det kan ikke sendes reklameinnslag for produkt eller tjenester som er av særlig interesse for barn og unge der det deltar personer eller figurer som i løpet av de siste 12 måneder regelmessig eller over en lengre periode har fremstått som viktige element i barne- eller ungdomsprogram i en radio- eller fjernsynskanal som mottas i Norge.
Det kan ikke sendes reklameinnslag som særlig er rettet mot barn, jf. lovens § 3-1. Ved vurderingen av om reklame er særlig rettet mot barn skal det bl.a. legges vekt på følgende elementer:
- om reklamen gjelder et produkt eller en tjeneste av særlig interesse for barn,
- sendetidspunkt for reklamen,
- om det medvirker barn under 13 år,
- om det benyttes animasjon eller annen presentasjonsform som særlig appellerer til barn.
Det kan ikke sendes reklameinnslag 10 minutter umiddelbart før og etter barneprogram.
Et program er å anse som et barneprogram når barn anses å være den primære målgruppe for programmet. Ved vurdering av om et program er å anse som et barneprogram skal det bl.a. legges vekt på følgende elementer:
- programmets innhold og form,
- hvorvidt barn under 13 år deltar,
- når programmet sendes,
- hvem som er potensielle seere i forhold til sendetidspunktet,
- faktiske seere,
- språkbruken i programmet.
...
§ 3-11.Forbud mot sponsing av kringkastingsprogram
Barne- og ungdomsprogram kan ikke sponses av fysiske eller juridiske personer som har til formål å drive næringsvirksomhet.
Ved identifikasjon av sponsor kan det ikke benyttes varemerke, logo, reklamefigurer o.l. som benyttes i markedsføring av produkt eller tjenester det etter norsk regelverk er forbudt å reklamere for.
Politiske partiorganisasjoner kan ikke sponse kringkastingsprogram.
§ 3-12.Premier i kringkastingsprogram
I program der det forekommer premier, må premiepresentasjonen ikke være mer omfattende enn den informasjon som med rimelighet vil være påkrevet for å orientere publikum om premien. Presentasjonen må ikke omfatte opplysninger om sponsor eller om andre av sponsors produkter eller tjenester.
Det skal vises særlig varsomhet ved presentasjon av premier i barneprogram.
","Radio|Sponsorship|TV|Any product, including foods and beverages|Covers children up to 18 years of age|Mandatory marketing restrictions","","","Policy in Norway: Lov om kringkasting [Broadcasting Act] https://extranet.who.int/nutrition/gina/en/node/130084Forskrift om kringkasting og audiovisuelle bestillingstjenester https://lovdata.no/dokument/SF/forskrift/1997-02-28-153Regulation relating to broadcasting and audiovisual on-demand services https://lovdata.no/dokument/SFE/forskrift/1997-02-28-153","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NOR%201997%20Forskrift%20om%20kringkasting.pdf"
"23763","EST","Estonia","","National Health Plan 2009-2020","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2020","Ministry of Health","","2012","Adopted","","2012","Government of Estonia","Health|Food and agriculture|Social welfare|Information|Sub-national","","","","","","","","","","","","","","","","Other","Media","SO 2. Decreasing mortality and primary morbidity in mental and behavioural disorders among children and young people, and an increasingly more positive assessment given by children and young people to their health.
SO 4-2 Eating habits of the population have improved.
SO 4. Physical activity of the population has increased, nutrition is more balanced and the level of risk behaviour has decreased.
","SO 2-1 Measures
...
• Promote health and health behaviour of pregnant women, breast feeding of infants.
...
SO 4-2 Measures
• Increase the awareness of people of balanced and nutritious eating patterns, and integrate the topics related to eating and food into the basic and in-service training of teachers and state curricula; ensure the availability of relevant materials and trainings for target groups and related groups.
• Ensure an environment supporting healthy eating choices of people and observation of the principles of balanced eating in institutional catering.
• Develop counselling service on nutrition and ensure the availability thereof to risk groups.
• Regularly monitor and assess the eating habits of the population, trends of overweight (including the monitoring of anthropometric figures) and relevant interventions and carry out a risk-usefulness evaluation analysis on nutrition (eating, food safety, etc.).
Recommended activities to be applied at the level of local governments
Local government organises the application of activities within its scope of competence (including the creation of necessary legal grounds). Ensures sufficient information for people enabling them to make informed choices in order to reduce health risks.
• Integrate the topic of balanced eating and catering into the development plans of local governments.
• Support institutional catering and organise the following of legislation on food and nutrition and inspection thereof within the field of competence.
• Develop and implement a conception of supporting services to ensure nutritious eating for vulnerable groups.
• Support organisations and projects with a objective of facilitating healthy eating
Recommended activities to be applied at the level of organisations
• To facilitate the achievement of the sub-objective of the field by creating a health supporting physical and social environment.
• Decrease the content of salt, sugar and fat in products, where possible, make nutritional information of products easily accessible for a consumer.
• Create positive role models in the media; ensure that advertising does not mislead the consumer or use the gullibility of vulnerable groups; broadcast media-based study programmes aimed at healthy eating.
• Promote healthy eating in an organisation.
Recommended activities to be applied at the individual level
Every person can reduce risks to health by making informed choices in organisation of daily life.
• Increase knowledge of balanced and nutritious eating and labelling on food; use the possibilities and services aimed at healthy eating.
• Support the people close to oneself in shaping eating habits, offering positive example and actively engaging others.
","- The share of infants aged 6 months partly or fully on breast feeding Target level 2020: 75%
- Percentage of overweight persons in the age group 16–64. Target level 2020: 25%
- Percentage of obese persons in the age group 16–-64. Target level 2020: 12%
- Percentage of overweight school students. Target level 2020: 6%
","Outcome indicators","","Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Breastfeeding promotion/counselling|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|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Fats|Salt/sodium|Sugars|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Vaccination|Vulnerable groups","","https://www.sm.ee/sites/default/files/content-editors/eesmargid_ja_tegevused/Tervis/Aruanded/rta_2009-2020_2012_eng.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/EST_2008_NHP.pdf"
"128150","VNM","Viet Nam","","National Strategy on Nutrition for 2021-2030 and Vision to 2045","Comprehensive national nutrition policy, strategy or plan","","English","","2021","","2030","Socialist Republic of Vietnam","1","2022","Adopted","1","2022","Prime Minster, Decision No. 02/QD-TTg","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Sport|Trade|Industry|Information|Labour","","","","","","","","","","","","","","","","","","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.
","","","","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.
","Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|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|Physical activity and healthy lifestyle|Salt reduction|Iodine|Micronutrient supplementation|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 security and agriculture|Household food security|Improved hygiene / handwashing|Water and sanitation","","https://faolex.fao.org/docs/pdf/vie213441.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202022%20Decision%20Approving%20the%20National%20Nutrition%20Strategy%20for%20The%202021%20-%202030%20Period%20with%20a%20Vision%20Toward%202045.pdf"
"8359","BFA","Burkina Faso","","Plan stratégique nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","2015","Ministere de la Sante","","2010","Adopted","","2010","conseil des ministres","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","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
Pour atteindre les objectifs fixés, les stratégies suivantes ont été identifiées par objectif spécifique.
6.1. Objectif spécifique 1 : Réduire la prévalence de l’insuffisance pondérale de 38% à 25% chez les enfants de moins de 5 ans d’ici 2015
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 :
- le suivi de la femme enceinte et de la femme allaitante ;
- le suivi/promotion de la croissance des enfants ;
- la dynamisation et une meilleure organisation des CREN ;
- le renforcement du dépistage de la malnutrition ;
- le renforcement de la prise en charge de la malnutrition dans les formations sanitaire
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 :
- la production de guides et directives sur l’alimentation du nourrisson et du jeune enfant intégrant le contexte de l’infection à VIH.
- la promotion de la production d’aliments de compléments de qualité à base de produits locaux ;
- la promotion de la consommation d’aliments de complément appropriés à base de produits locaux ;
- la vulgarisation du code de commercialisation des substituts du lait maternel ;
- la promotion de l’allaitement exclusif au cours des 6 premiers mois ;
- les initiatives hôpitaux et communautés amis des bébés ;
Stratégie 3 : Renforcement des capacités
Cette stratégie sera mise en oeuvre à travers :
- le développement (au moyen des formations à la tâche et suivi/supervision) des compétences des acteurs à tous les niveaux (système de santé, communautaire) en matière de prévention et de prise en charge de la malnutrition ;
- l’approvisionnement régulier des formations sanitaires et des structures communautaires en matériel, intrants et supports techniques nécessaires pour la réalisation des activités.
6.2. Objectif spécifique 2 : Renforcer la lutte contre les carences en micronutriments d’ici 2015
Stratégie 1 : Supplémentation en micronutriments
La supplémentation en micronutriments est une intervention essentielle pour la survie et le développement de l’enfant mais aussi pour les autres groupes à risque. En plus des activités de routine, elle sera intensifiée et organisée sous forme d’évènements biannuels du genre « Journées survie de l’enfant, journées vitamine A plus, …» au cours desquelles un paquet des prestations (supplémentation en vitamine A, déparasitage, vaccination, distribution de moustiquaires imprégnées d’insecticide) sera offert aux bénéficiaires.
Stratégie 2 : Enrichissement des aliments en micronutriments
La production d’aliments fortifiés en micronutriments sera favorisée. Dans ce cadre, une étude de faisabilité de mise en place d’ateliers d’iodation du sel sera aussi menée. Les textes relatifs à la qualité des aliments seront revus pour prendre en compte tous les aliments fortifiés en micronutriments. La
coordination et la concertation seront renforcées de manière à impliquer tous les secteurs concernés. Le système de contrôle sera renforcé pour assurer la qualité des aliments fortifiés.
Stratégie 3 : Renforcement des capacités des acteurs et des structures
Il s’articulera autour des actions suivantes :
- l’équipement en matériel technique pour le contrôle de qualité ;
- la formation des agents des structures de contrôle et des agents de santé en technique de contrôle de la qualité des aliments ;
- l’approvisionnement des formations sanitaires en micronutriments et en supports techniques.
6.3. Objectif spécifique 3 : Renforcer la lutte contre les maladies chroniques non transmissibles liées à la nutrition d’ici 2015
Stratégie 1 : Dépistage et prise en charge des maladies chroniques non transmissibles liées à la nutrition.
Il s’agira essentiellement de :
- de la dotation des formations sanitaires en supports techniques et éducatifs ;
- du renforcement du dépistage précoce de ces maladies ;
- du renforcement de la prise en charge nutritionnelle.
Stratégie 2 : Promotion de bonnes habitudes alimentaires et de modes de vie sains
La promotion des modes de vie sains consistera à :
- l’élaboration et la mise en oeuvre d’un plan de communication à l’endroit du grand public en vue de promouvoir des habitudes alimentaires et des modes de vie sains ;
- l’édition et la vulgarisation d’une table de composition des principaux aliments consommés au Burkina Faso ;
- l’élaboration d’un projet de prévention et de contrôle des maladies chroniques non transmissibles liés à la nutrition au Burkina Faso ;
- l’élaboration d’un guide pour la prise en charge diététique des maladies chroniques non transmissibles basée sur l’utilisation d’aliments locaux et de techniques culinaires adaptées ;
- la mise au point d’un système d’équivalence entre le poids des aliments et leur volume afin de faciliter la prescription et la pratique diététique.
6.4. Objectif spécifique 4 : Renforcer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
Stratégie 1 : Mise en oeuvre du PMA nutrition dans les structures d’offre de soins.
Pour cette stratégie il s’agira de veiller à l’intégration effective des actions essentielles de nutrition dans le PMA des formations sanitaires ; ce qui nécessitera la formation des agents de santé sur le PMA ainsi que le monitorage et la supervision des activités des formations dans la mise en oeuvre de ce PMA.
Stratégie 2 : Renforcement des capacités opérationnelles des différents niveaux de la pyramide sanitaire.
Il s’agira du :
- Renforcement des ressources humaines, financières, techniques et matérielles ainsi que la réhabilitation des CREN sont nécessaires pour améliorer l’offre de soins en nutrition ;
- Renforcement des compétences aux différents niveaux de la pyramide sanitaire.
6.5. Objectif spécifique 5 : Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015.
Stratégie 1 : Développement et mise en place de service à base communautaire
La mise en oeuvre reposera sur :
- l’utilisation d’agents communautaires compétents et bien outillés ;
- la supervision des agents communautaires par les services de santé.
Stratégie 2 : Renforcement des capacités opérationnelles des communautés y compris les collectivités locales.
Il s’agira de :
- sensibiliser les conseillers municipaux sur l’importance de la prise en compte des questions de nutrition dans les plans communaux de développement et de faire le plaidoyer pour l’allocation des ressources ;
- de sensibiliser les leaders communautaires et de renforcer les compétences et capacités opérationnelles des OBC afin de leur permettre d’exécuter au mieux les activités de nutrition ;
- la formation des communautés à la mise en oeuvre des activités de nutrition ;
- la dotation des communautés en matériels, supports techniques et intrants.
6.6. Objectif spécifique 6 : Renforcer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
Stratégie 1 : Renforcement du fonctionnement des cadres de concertation en matière de nutrition.
L’amélioration de la collaboration intersectorielle se fera par :
- le renforcement, la dynamisation du CNCN mis en place par le Ministère de la santé autour des questions de nutrition ;
- la mise en place des cadres de concertation régionaux de nutrition ;
- la mise à disposition de ressources adéquates pour le fonctionnement des cadres de concertation.
Stratégie 2 : Suivi des activités des ONG et associationsCette stratégie va se faire par :
- le suivi des activités des ONG/associations intervenant en nutrition par le niveau central à travers les structures déconcentrées ;
- l’élaboration d’un cahier de charge à l’intention des intervenants dans le domaine de la nutrition pour mieux organiser et renforcer la coordination ;
- la réalisation de la cartographie des ONG intervenant en nutrition ;
- l’appui à la mise en oeuvre de la contractualisation.
","8.3. Suivi
- Le suivi se fera par les structures suivantes :
- Le comité de suivi du PNDS ;
- Le CNCN ;
- La DN ;
- Les DRS et les DS.
La collecte, le traitement et la diffusion des données nutritionnelles se feront à travers le système national d’information sanitaire. Ces données seront complétées par des enquêtes nutritionnelles annuelles.
8.4. Evaluation
Dans le cadre de l’évaluation du plan stratégique de nutrition il est prévu des évaluations externes à mi-parcours et finale qui seront précédées chacune d’une évaluation interne.
Dans cette perspective, il sera défini des indicateurs de suivi et d’évaluation.
8.5. Indicateurs de suivi et d’évaluation
En vue de mieux apprécier les effets imputables à la mise en oeuvre du plan stratégique de nutrition à tous les niveaux de la pyramide sanitaire sur l’état nutritionnel des populations, des indicateurs seront définis dans les plans qui découleront du présent plan. Il s’agira essentiellement d’indicateurs de :
- processus en rapport avec les activités programmées ;
- résultats en rapport avec des activités à haut impact comme la supplémentation en vitamine A ; l’alimentation du nourrisson et du jeune enfant, la prise en charge de la malnutrition aiguë, etc. ;
- impact en rapport avec la morbidité et la mortalité dues à la malnutrition.
L’évaluation permettra de mesurer le progrès réalisé vers l’atteinte des OMD 1, 4,5 et 6.
","","","Underweight in children 0-5 years|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|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|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Wheat flours|Food grade salt|Edible oils and margarine|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202010%20Plan%20Strat%C3%A9gique%20Nutrition%20%282010-2015%29.pdf"