"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" "22856","KHM","Cambodia","","National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2009","","2015","National Nutrition Program, Ministry of Health Cambodia","","2009","Adopted","","","Ministry of Health","Food and agriculture|Health|Nutrition council|Other|Women, children, families","National Nutrition Program, Ministry of Health Cambodia Food and agriculture, Food and agriculture, Health, Nutrition council, Nutrition council, Women, children, families: Food Security and Nutrition Technical Working Group, Ministry of Agriculture, Fore","","","International Federation of Red Cross and Red Crescent Societies (IFRC)","International NGOs: International Federation of Red Cross and Red Crescent Societies (IFRC) - Cambodian Red Cross","","","","","","","","","","","","","

The National Nutrition Strategy will contribute to the following overall goals:

• Reduction in under-5 mortality from 83/1,000 live birth in 2005 to 65/1,000 in 2015

• Reduction of maternal mortality from 473/100,000 live births in 2005 to 243 in 2010 and 140 in 2015

• Reduction in child undernutrition (using NCHS/WHO growth reference):

  o Stunting from 37% in 2005 to 28% in 2010 and 22% in 2015

  o Underweight from 36% in 2005 to 29% in 2010 and 22% in 2015

  o Wasting from 7% in 2005 to 6% in 2010 and 5% in 2015

• Improved nutritional status of women with underweight reduced from 20% in 2005 to 12% in 2010 and 8% in 2015

• Decreased prevalence of micronutrient deficiencies:

  o Anemia in children under 5 years of age from 62% in 2005 to 52% in 2010 and 42% in 2015

  o Vitamin A deficiencies in children under 5 years of age from 22% in 2000 to less than 10% in 2015

  o Anemia in women of reproductive age from 44% in 2005 to 32% in 2010 to 19% in 2015

  o Anemia in pregnant women from 57% in 2005 to 39% in 2010 and 33% in 2015

o Night blindness in pregnant women from 8% in 2005 to 5% in 2010 and less than 5% in 2015

 

 

Key result 1: Reduction in protein-energy malnutrition and micronutrient deficiencies in young children

Objectives

1.1 Increase the rates of immediate and early initiation of breastfeeding and exclusive breast feeding until six months

1.2 Increase the rates of appropriate complementary feeding of infants and young children (6-23 months of age), focusing on energy and nutrient density

1.3 Increase the rates of appropriate care for and feeding of sick children

1.4 Improve management of severely malnourished children at facility and community levels

1.5 Improve the management of nutrition/feeding of HIV-positive children, including counseling of HIV positive pregnant women and mothers

1.6 Increase and expand the coverage of vitamin A supplementation/Mebendazole distribution and vitamin A treatment for young children

1.7 Reduce the rate of anemia and zinc deficiency in young children

1.8 Increase the proportion of household using adequately iodized salt, targeting areas with lowest coverage

1.9 Promote nationwide coverage of zinc treatment during diarrhea

1.10 Strengthen the response capacity to nutrition emergencies, natural or manmade

 

Key result 2: Reduction of protein-energy malnutrition and micronutrient deficiencies in women

Objectives

2.1 Increase the coverage of weekly iron/folate supplementation of women of reproductive age

2.2 Improve care for pregnant women, including extra dietary intake and rest for increased weight gain during pregnancy

2.3 Increase the coverage of and adherence to iron/folate supplementation during pregnancy

2.4 Increase the coverage of Mebendazole during pregnancy

2.5 Increase the coverage of vitamin A, Mebendazole and iron/folate in the post partum period

2.6 Increase the coverage of HIV positive women receiving appropriate nutrition information

 

Key result 3: Strengthened national and sub-national leadership, cross-sectoral collaboration and increased allocation of resources to nutrition

Objectives

3.1 Increased technical nutrition capacity of government health staff at all levels

3.2 Strengthen the management capacity of the National Nutrition Program, Provincial Health Departments, Operational Districts and Health Centers

3.3 Strengthen existing and establish new linkages with other sectors, local authorities, private sector, civil society organizations and communities in support of nutrition

3.4 Strengthen the capacity of health center staff to deliver an integrated package of nutrition services at facility level and during outreach

3.5 Strengthen the capacity of the National Nutrition Program and the Ministry of Health to negotiate increased budget allocations for nutrition

3.6 Strengthen the partnership among development partners

3.7 Strengthen the policy environment on Nutrition

","

The National Nutrition Strategy gives five strategic approaches to reach the objectives by 2015.

1. Increase the coverage of proven and cost effective maternal and young child nutrition interventions through health system strengthening, advancing progress in decentralization of health service delivery and mainstreaming of nutrition into all health programs.

2. Increase the coverage of proven and cost effective maternal and young child nutrition interventions through strengthening community involvement in nutrition activities and improving individual and family practices on maternal, infant and young child feeding and general nutrition.

3. Strengthen multi-sector linkages, improve the collaboration with concerned government structures/civil society and enhance the consideration of nutrition in overall strategies, and sector plans and programs.

4. Develop effective leadership and technical nutrition capacity of government and non government development partners for the implementation of the National Nutrition Strategy

5. Increase availability of information for policy makers and program planners through improved monitoring, evaluation and research

","","","","Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Minimum acceptable diet|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202009%20National%20Nutrition%20Strategy%202009-15.pdf"