"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" "11531","NPL","Nepal","","Multi-sectoral Nutrition Plan For Accelerating the Reduction of Maternal and Child Under-nutrition in Nepal","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","GOVERNMENT OF NEPAL National Planning Commission","4","2012","","","","","Development|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Sub-national|Urban planning|Women, children, families","Secretary Ministry of Local Development, Secretary Ministry of Education, Ministry of Environment, Secretary Ministry of Finance, Secretary Ministry of Agriculture and Cooperatives, Secretary Ministry of Health and Population, Secretary Ministry of Commerce and Supplies, Nutrition and Food Security Steering Committee - District Level, VDC Level and Municipal Level, Secretary Ministry of Physical Planning and Works, Secretary Ministry of Women Children and Social Welfare","","","","","","","","","","","","","","","","","

Goal:

 

The longer-term vision of the multi-sectoral nutrition plan, over the next ten years, is to embark the country towards significantly reducing chronic malnutrition to ensure that it no longer becomes an impeding factor to enhance human capital and for overall socio-economic development. The goal over the next five years is to improve maternal and child nutrition, which will result in the reduction of MIYC under-nutrition, in terms of maternal Body Mass Index (BMI) and child stunting, by one third.

 

Outcomes:

 

Outcome 1: Policies, plans and multi-sectoral coordination improved at national and local levels.
Outcome 2: Practices that promote optimal use of nutrition ‘specific’ and nutrition ‘sensitive’ services improved, leading to enhanced maternal and child nutritional status.
Outcome 3: Strengthened capacity of central and local governments on nutrition to provide basic services in an inclusive and equitable manner.

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Activities:

 

1.1. Raise nutrition profile among ministries
1.2 Advocate with Ministries for prioritizing nutrition in their plans, and for including core nutrition specific and sensitive indicators
1.3 Incorporate nutrition in the national and sectoral plans, and include nutrition specific and sensitive monitoring and evaluation framework
1.4 Update National Nutrition Policy and Strategy, including M&E framework in line with the MSNP
1.5 Incorporate nutrition aspects in local plans and planning process, including nutrition specific and sensitive M&E framework

 

2.1 Establish/ strengthen secretariat for supporting the nutrition and food security initiatives within the NPC
2.2 Establish effective communication to improve coordination
2.3 Form multi-sectoral steering committees at local level

 

3.1 Implement/scale up maternal infant and young child feeding through a comprehensive approach
3.2 Maintain/expand programmes to improve maternal infant and young child micronutrient status
3.3 Scale up and manage infant and child severe acute malnutrition
3.4 Update health sector nutrition related acts, regulations, policies, strategies, standards, guidelines and nutrition training packages (including establishment of National Nutrition Centre)
3.5 Institutional strengthening of the health sector

 

4.1 Nutrition integration with life-skills education to adolescent girls, with a focus on improving maternal and child nutrition and on reducing chronic malnutrition (create an enabling environment)
4.2 Raise adolescent girls’ knowledge and skills on reduction of chronic malnutrition
4.3 Prepare/update resource materials on parenting education for improved child care and feeding practices
4.4 Organize programmes to enhance parental knowledge on maternal and child care and feeding practices
4.5 Develop mid-day meal to adolescent girls (grades 5 to 8) to enhance their school performance and participation
4.6 Provide nutritional support to adolescent girls (IFA with deworming to all and schools meals in the targeted areas) to increase their educational participation and performance (grades 5-8)

 

5.1 Organise promotional campaigns to increase practices on hand washing with soap at critical times, especially among adolescents, mothers with infants and young children
5.2 Conduct Open Defecation Free campaigns, with a particular focus among the most affected districts
5.3 Raise awareness on water safety plan and use of safe water at the point of use, with a particular focus on the most affected areas

 

6.1 Provide targeted support to make MN rich food available, including animal source foods, at households and community levels
6.2 Recipe development and promotion of MN rich minor/indigenous crops.
6.3 Link up programs to increase income and MNrich foods consumption among adolescent girls, pregnant and lactating mothers and children less than 2 years age from lowest quintile
6.4 Provide support for clean and cheap energy to reduce Women’s workload
6.5 Revise existing child cash grants mechanism (from pregnancy to U2 years children) based on review of the existing evidence to reduce maternal malnutrition and child stunting

 

7.1Build/facilitate for staff capacity development at central and local level
7.2 Carry out organisation and management assessment of the sectors for organisational strengthening
7.3 Establish uniform and results based reporting system
7.4 Review indicators in PMAS and DPMAS to incorporate MSNP key indicators
7.5 Carry out routine and joint sectoral monitoring of implementation
7.6 Establish monitoring framework and mechanisms at local levels (DDC and other line agencies)
7.7 Allocate institutional responsibilities for nutrition at all levels

 

8.1 Link/Update nutrition information at central level (PMAS, HMIS, EMIS, WASH, Agriculture and Local Development)
8.2 Link/Update nutrition information in DPMAS at local levels DDC, municipality; and health, education, WASH, agriculture and NGOs

 

 

 

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M & E Indicators included in the Action Plan

","Outcome indicators","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Fat reduction (total, saturated, trans)|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf"